Mabel Developmental DAY

10A NCAC 09 .0902 · Violation

Name of Operation: MABEL DEVELOPMENTAL DAY Facility ID: 95000160 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/2/2026 Number Present: 9 Completed Date: 4/2/2026 Age: From 4 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements for an Annual Compliance with a Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Kathy Abi-Haydar, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Haydar was available during the visit to assist me and answer my questions. Upon checking in at the front desk, I asked that they inform the administrator, Elin Reuben, that I was here today to monitor the pre-k. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 4/2/2026. This NC-Pre-k facility is owned and operated by Watauga County Schools and is housed in Mabel Elementary School. Permit type – Five (5) Star Rated License, issued 10/23/2020. Special Services/Restrictions – 1st shift (Daytime care), meets enhanced space, Certified Developmental Day, meets reduced ratios, meets decreased ratios by 1 from the 7 pt level. The last annual compliance visit was conducted on 4/9/2025. The last fire drill was practiced on 3/27/26. The last lock down drill was practiced on 1/14/26. The last playground inspection was documented on 3/4/26. The last fire inspection was approved on 8/29/2025. The last sanitation inspection was conducted on 2/16/2026 with two (2) demerits for a superior classification. The program does provide transportation on one (1) public school bus. You stated that you transport two (2) children, aged 5 years old, for morning and afternoon routes. The approved curriculum Creative Curriculum. Approved formative assessment Teaching Strategies Gold. Two (2) staff files, two (2) children files, and program records were monitored during today’s visit. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. It was signed by the administrator and dated 10/30/25. The classroom operates from 7 a.m. to 3 p.m. Monday through Friday. When I arrived, I checked in at the front office and asked that they let the principal/administrator know that I am here today to monitor the pre-k classroom. When I arrived at the classroom, they were outside playing on the playground. They had a variety of materials to choose from including balls, riding toys, balance beams, climber with slides, sandbox and more. When the children went inside, they washed hands and most joined the teacher in group for a story, songs and gross motor dancing activity. The other teacher cleaned the tables to prepare for lunch. Teachers sat with the children during lunch to assist those that needed help. Calm lighting and music was on during this time to encourage the children to calm their bodies to prepare for rest. Routine caregiving activities such as diaper changes occurred as needed throughout the day. After lunch time, children transitioned to their individual cots and teacher went around and assisted the children to calm themselves and relax enough to fall asleep. About half of the children napped and the others rested for a while and then got quiet activates to do Lunch today consisted of chicken fajitas, rice, black beans, mixed fruit and milk. Rated License Information: The program currently operates with a five-star license, issued 10/23/2020, earning five (5) points in the education component, seven (7) points in the program standards component with a score of 5.59 on the ECERS-R (meeting enhanced space) and one (1) quality point. I received the Star Rated License application on 3/30/26, applying for Pathway #2, Classroom and Instructional Quality. Your new Five (5) Star License is based on the following: PATHWAY #2 – Classroom and Instructional Quality. The following was verified to be in process or completed for the classroom and instructional quality pathway based on five (5) star level. 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS Since your program is a Developmental Day Program, you will continue to follow the ratio’s set forth in: 10A NCAC 09 .2902 LICENSE (f) The center shall comply with the staff-child ratio and maximum group size as follows: MAXIMUM AGE RATIO STAFF/CHILDREN GROUP SIZE 0-12 Months 1/4 8 1 to 2 Years 1/5 10 2 Years and Older 1/6 18 (g) A minimum of two staff members shall be on site at all times while children are in attendance at the facility. 10A NCAC 09 .3210 ENHANCED SPACE REQUIRMENTS FOR CHILD CARE CENTERS In order for a child care center to meet enhanced space requirements: (1) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time; and (2) There shall be an area that can be arranged for administrative and private conference activities. *The program receives NC Pre-Kindergarten funding and Developmental Day Funding and must adhere to the highest standards of staff/child ratios of 1/6 with a group size of 18 (for your program, you maintain a 2/12 ratio). 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS *Evidence of implementing family and community engagement foundational practices. The following was verified during the visit. * Required for two-star or higher. The facility provided communication documentation as evidence of responsive communication with families. * Required for two-star or higher. The facility provided a pre-k welcome letter that verifies an annual family conference is offered. * Required for two-star or higher. The facility offers annual opportunities for families to share cultural heritage in the classroom * Required for two-star or higher. The facility provided a pre-k welcome letter that verifies the program offers volunteer opportunities to families. *Required for two-star or higher. The facility uses Ready Rosie and in-person communication to communicate with families regarding available resources. *C-1 A communication log is created each week and filled in for each child if they have made contact with the parent/guardian by email, phone, newsletter, papers were sent home or other- such as Google Meet, Open House, conference.... Occasional updates are sent home in the child’s folder, which includes weekly plans, upcoming events, and ways to participate. All information is sent out in English and Spanish. Parents are enrolled in Ready Rosie and receive texts or emails with weekly videos with modeled activities. *C-3 The first parent teacher conference was held on October 29 & 30, 2025. At this conference the staff reviewed the developmental screening assessment, and the Fall Creative Curriculum assessments were reviewed and goals for each child were discussed. The second parent teacher conferences started on February 4, 2026 and finished on March 4, 2026. Due to a snow storm, it took longer to get them all completed. IEP meetings are sometimes incorporated into these conferences. *EL-2 Beginning of the year classroom visits were August 14-18, 2025, in which students and families were able to meet the teachers and visit the classroom prior to the students’ first day of school. Children started school on a staggered entry schedule over three days. *EL-3 Parents were invited to come to a Halloween party (7 attended), a thanksgiving dinner (10 attended), Valentine’s party (8 attended) and an end of year celebration (Raising A Reader activity), ice-cream party/literacy event. *EL-4 A letter to families was sent home at the end of March to ask about their interest in participating in Easter-related activities. They were asked to share their families traditions and if they would want to share them with the class. Parents had the choice to give permission or not based on their beliefs. Another note to families was sent home this week to ask families to bring in an item or activity to share with the class surrounding their family heritage. *EO-3 A three-fold educational literacy opportunity to discuss the importance of literacy and reading with their children. Teachers present the families resources from Ready Rosie and Raising a Reader donated by a local resource, the Children’s Council. They had their annual Read-a-thon and a “Blue Bag Event”. They are encouraged to get a library card at the local library to encourage read-a-loud and literacy events with their children. *EO-6 Paid planning time for lead teachers is built into the calendar on optional teacher work days and early release days. This also allows teachers time to plan, prepare and conduct conferences by phone, virtually or in person. 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS *Evidence of implementing continuous quality improvement (CQI) plans for the facility and individual staff. The CQI plan for the facility has been completed; the form was received prior to the visit. The individual CQI plans for the two (2) main teachers were verified. The staff CQI plans must be completed by each staff member’s one year of employment. Reminder that the CQI plans are continuous and once one is completed, another must be started to meet this annual requirement. *Evidence of the lead teacher completing training related to the curriculum and formative assessment tool that is used by the center with children. An email from Teaching Strategies Finch Literacy Screener Webinar was available for review for the lead teacher. *Evidence of the administrator participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f,10). Monthly principals meetings are held and training are offered in Early Literacy Systems. You stated that you are part of the Pathways to Accreditation Program NC Pre- K Cohort at The Children’s Council of Watauga County (Partnership for Children). Reminder that this is an annual requirement and must be completed on or before each staff member’s year of employment, and every year thereafter. * Evidence of all lead teachers participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f, 10). annual completion of five hours of coaching or mentoring by an administrator of another licensed child care center with a star-rating of five stars, or a community resource partner. *Staff education evaluation of fifty percent (50%) of lead teachers and fifty percent (50%) of other educators resulting in staff education at the five-star level. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *E. Reuben, Administrator, has been evaluated as a Level III Administrator with nine (9) years or more administrative work experience. *K. Haydar, Lead Teacher, has been evaluated and is qualified as a DPI lead teacher with 4-year degree in Birth-Kindergarten with eight (8) years’ experience. *C. Westpfahl, Teacher, has been evaluated and is qualified as a DPI teacher assistant with 2-year degree in other, and a CDA Preschool and with three (3) years’ experience. *Evidence of implementing a curriculum that has been approved by the Commission. The curriculum implemented Creative Curriculum. It was verified during the visit that the one (1) classroom was implementing the Creative Curriculum as activity plans and parent/teacher conference preparations. *Evidence of conducting on-going formative assessments that have been approved by the Commission and sharing results with parents at least twice annually. It was reported that conferences are held three times per year October, February and May. The approved assessment used is GOLD by Teaching Strategies. It was verified during the visit that on-going formative assessments were in process of being shared with parents October 29 & 30,2025, February 4- March 4, 2026 and again in May. Evidence of observations being completed were verified through the Teaching Strategies application, Smart Teach. There were pictures, work samples, portfolios, and anecdotal notes. *Per NC Pre-Kindergarten requirements an environment rating scale is needed in order to meet requirements for funding. The request for environment rating scales was received on 2/27/2026, and the scales were ordered. The facility currently has a four (4) week window of 5/4/2026 to 5/29/2026. After completion of the ECERS-3 assessment, I will share the results with you. If anything scores below a 5, I will schedule a visit to go over the scores with you. Based on verification of requirements in the .3205 section of the child care rules, a five-star license has been earned. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years, and the facility will be due again for a rated license assessment by April 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. We recognition of quality initiatives were received and verified and are as follows: Educational Recognition: * 75 percent of teachers employed by a child care facility have earned an AAS degree or higher in early childhood education, child development or related field. * 75 percent of lead teachers employed by a child care facility have earned a BA/BS degree or higher in early childhood education, child development, or related field. * All lead teachers employed by a child care facility have earned an AAS degree or higher in early childhood education, child development or related field. Professional Development Recognition: * A child care facility operator compensates staff members for the time spent completing professional development activities. * A child care facility operator compensates staff members for the cost of professional development activities. Longevity and Experience Recognition: * All lead teachers and teachers have at least five years of early childhood work experience in a licensed child care facility and have been employed by no more than two different child care facilities. * The child care center has a combined turnover rate of 20 percent or less for the administrator, lead teacher and teacher positions over the last 12 months. Staff Supports and Benefits Recognition: * A child care facility offers a staff benefits package that includes at least three of the following benefits: paid time off for vacation, sick and/or personal leave, paid family and medical leave, fully or partially paid health insurance, retirement contribution or annual bonuses. * A child care facility offers at least two mental health supports such as training offered on-site, paid time off for wellness, mental health coverage as part of health benefits or assistance in obtaining access to other services as requested. Health & Wellness Opportunities Recognition: * A child care facility provides support to staff members and families regarding challenging behaviors using community, regional or state resources. *A child care center has a licensed or registered nurse on staff for at least half of the operating hours of the program. *A child care facility offers oral health education and opportunities such as dental screenings and outreach with community, regional and state resources. Culinary Emphasis Recognition: * A chef or cook at a child care center has completed culinary classes or has completed food handler program training or certification, such as ServSafe. The following violations were documented during today’s visit: Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. A child was drinking a bottle of milk while laying on the cot at rest time. 10A NCAC 09 .0902(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two emergency medicines had an action plan but not parent permission to administer the medication. 10A NCAC 09 .0803(1)(a & b) Item # 842 Two emergency medicines had an action plan but not parent permission to administer the medication. *We discussed that both are required. Emergency medications need an action plan to help you know when to take action and what to do and when. The permission to administer is the parents statement that they are giving you permission to administer this medication to the child. Item #532 A child was drinking a bottle of milk while laying on the cot at rest time. *We discussed that unless this practice is part of the child's IEP or a doctor’s note is on site with a medical reason, the bottle should be given only at the table. The teacher stated that they had tried all types of straws and sippy/transition cups to get the child to drink. The child also had one for water during the day. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by April 16, 2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • ABCMS- Continue to update the staff roster as needed in the ABCMS portal. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • There is a newer Summary of the Law on our website. Be sure you have the newest one posted and give the most recent out to newly enrolled children. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: MABEL DEVELOPMENTAL DAY Facility ID: 95000160 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/2/2026 Number Present: 9 Completed Date: 4/2/2026 Age: From 4 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements for an Annual Compliance with a Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Kathy Abi-Haydar, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Haydar was available during the visit to assist me and answer my questions. Upon checking in at the front desk, I asked that they inform the administrator, Elin Reuben, that I was here today to monitor the pre-k. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 4/2/2026. This NC-Pre-k facility is owned and operated by Watauga County Schools and is housed in Mabel Elementary School. Permit type – Five (5) Star Rated License, issued 10/23/2020. Special Services/Restrictions – 1st shift (Daytime care), meets enhanced space, Certified Developmental Day, meets reduced ratios, meets decreased ratios by 1 from the 7 pt level. The last annual compliance visit was conducted on 4/9/2025. The last fire drill was practiced on 3/27/26. The last lock down drill was practiced on 1/14/26. The last playground inspection was documented on 3/4/26. The last fire inspection was approved on 8/29/2025. The last sanitation inspection was conducted on 2/16/2026 with two (2) demerits for a superior classification. The program does provide transportation on one (1) public school bus. You stated that you transport two (2) children, aged 5 years old, for morning and afternoon routes. The approved curriculum Creative Curriculum. Approved formative assessment Teaching Strategies Gold. Two (2) staff files, two (2) children files, and program records were monitored during today’s visit. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. It was signed by the administrator and dated 10/30/25. The classroom operates from 7 a.m. to 3 p.m. Monday through Friday. When I arrived, I checked in at the front office and asked that they let the principal/administrator know that I am here today to monitor the pre-k classroom. When I arrived at the classroom, they were outside playing on the playground. They had a variety of materials to choose from including balls, riding toys, balance beams, climber with slides, sandbox and more. When the children went inside, they washed hands and most joined the teacher in group for a story, songs and gross motor dancing activity. The other teacher cleaned the tables to prepare for lunch. Teachers sat with the children during lunch to assist those that needed help. Calm lighting and music was on during this time to encourage the children to calm their bodies to prepare for rest. Routine caregiving activities such as diaper changes occurred as needed throughout the day. After lunch time, children transitioned to their individual cots and teacher went around and assisted the children to calm themselves and relax enough to fall asleep. About half of the children napped and the others rested for a while and then got quiet activates to do Lunch today consisted of chicken fajitas, rice, black beans, mixed fruit and milk. Rated License Information: The program currently operates with a five-star license, issued 10/23/2020, earning five (5) points in the education component, seven (7) points in the program standards component with a score of 5.59 on the ECERS-R (meeting enhanced space) and one (1) quality point. I received the Star Rated License application on 3/30/26, applying for Pathway #2, Classroom and Instructional Quality. Your new Five (5) Star License is based on the following: PATHWAY #2 – Classroom and Instructional Quality. The following was verified to be in process or completed for the classroom and instructional quality pathway based on five (5) star level. 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS Since your program is a Developmental Day Program, you will continue to follow the ratio’s set forth in: 10A NCAC 09 .2902 LICENSE (f) The center shall comply with the staff-child ratio and maximum group size as follows: MAXIMUM AGE RATIO STAFF/CHILDREN GROUP SIZE 0-12 Months 1/4 8 1 to 2 Years 1/5 10 2 Years and Older 1/6 18 (g) A minimum of two staff members shall be on site at all times while children are in attendance at the facility. 10A NCAC 09 .3210 ENHANCED SPACE REQUIRMENTS FOR CHILD CARE CENTERS In order for a child care center to meet enhanced space requirements: (1) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time; and (2) There shall be an area that can be arranged for administrative and private conference activities. *The program receives NC Pre-Kindergarten funding and Developmental Day Funding and must adhere to the highest standards of staff/child ratios of 1/6 with a group size of 18 (for your program, you maintain a 2/12 ratio). 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS *Evidence of implementing family and community engagement foundational practices. The following was verified during the visit. * Required for two-star or higher. The facility provided communication documentation as evidence of responsive communication with families. * Required for two-star or higher. The facility provided a pre-k welcome letter that verifies an annual family conference is offered. * Required for two-star or higher. The facility offers annual opportunities for families to share cultural heritage in the classroom * Required for two-star or higher. The facility provided a pre-k welcome letter that verifies the program offers volunteer opportunities to families. *Required for two-star or higher. The facility uses Ready Rosie and in-person communication to communicate with families regarding available resources. *C-1 A communication log is created each week and filled in for each child if they have made contact with the parent/guardian by email, phone, newsletter, papers were sent home or other- such as Google Meet, Open House, conference.... Occasional updates are sent home in the child’s folder, which includes weekly plans, upcoming events, and ways to participate. All information is sent out in English and Spanish. Parents are enrolled in Ready Rosie and receive texts or emails with weekly videos with modeled activities. *C-3 The first parent teacher conference was held on October 29 & 30, 2025. At this conference the staff reviewed the developmental screening assessment, and the Fall Creative Curriculum assessments were reviewed and goals for each child were discussed. The second parent teacher conferences started on February 4, 2026 and finished on March 4, 2026. Due to a snow storm, it took longer to get them all completed. IEP meetings are sometimes incorporated into these conferences. *EL-2 Beginning of the year classroom visits were August 14-18, 2025, in which students and families were able to meet the teachers and visit the classroom prior to the students’ first day of school. Children started school on a staggered entry schedule over three days. *EL-3 Parents were invited to come to a Halloween party (7 attended), a thanksgiving dinner (10 attended), Valentine’s party (8 attended) and an end of year celebration (Raising A Reader activity), ice-cream party/literacy event. *EL-4 A letter to families was sent home at the end of March to ask about their interest in participating in Easter-related activities. They were asked to share their families traditions and if they would want to share them with the class. Parents had the choice to give permission or not based on their beliefs. Another note to families was sent home this week to ask families to bring in an item or activity to share with the class surrounding their family heritage. *EO-3 A three-fold educational literacy opportunity to discuss the importance of literacy and reading with their children. Teachers present the families resources from Ready Rosie and Raising a Reader donated by a local resource, the Children’s Council. They had their annual Read-a-thon and a “Blue Bag Event”. They are encouraged to get a library card at the local library to encourage read-a-loud and literacy events with their children. *EO-6 Paid planning time for lead teachers is built into the calendar on optional teacher work days and early release days. This also allows teachers time to plan, prepare and conduct conferences by phone, virtually or in person. 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS *Evidence of implementing continuous quality improvement (CQI) plans for the facility and individual staff. The CQI plan for the facility has been completed; the form was received prior to the visit. The individual CQI plans for the two (2) main teachers were verified. The staff CQI plans must be completed by each staff member’s one year of employment. Reminder that the CQI plans are continuous and once one is completed, another must be started to meet this annual requirement. *Evidence of the lead teacher completing training related to the curriculum and formative assessment tool that is used by the center with children. An email from Teaching Strategies Finch Literacy Screener Webinar was available for review for the lead teacher. *Evidence of the administrator participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f,10). Monthly principals meetings are held and training are offered in Early Literacy Systems. You stated that you are part of the Pathways to Accreditation Program NC Pre- K Cohort at The Children’s Council of Watauga County (Partnership for Children). Reminder that this is an annual requirement and must be completed on or before each staff member’s year of employment, and every year thereafter. * Evidence of all lead teachers participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f, 10). annual completion of five hours of coaching or mentoring by an administrator of another licensed child care center with a star-rating of five stars, or a community resource partner. *Staff education evaluation of fifty percent (50%) of lead teachers and fifty percent (50%) of other educators resulting in staff education at the five-star level. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *E. Reuben, Administrator, has been evaluated as a Level III Administrator with nine (9) years or more administrative work experience. *K. Haydar, Lead Teacher, has been evaluated and is qualified as a DPI lead teacher with 4-year degree in Birth-Kindergarten with eight (8) years’ experience. *C. Westpfahl, Teacher, has been evaluated and is qualified as a DPI teacher assistant with 2-year degree in other, and a CDA Preschool and with three (3) years’ experience. *Evidence of implementing a curriculum that has been approved by the Commission. The curriculum implemented Creative Curriculum. It was verified during the visit that the one (1) classroom was implementing the Creative Curriculum as activity plans and parent/teacher conference preparations. *Evidence of conducting on-going formative assessments that have been approved by the Commission and sharing results with parents at least twice annually. It was reported that conferences are held three times per year October, February and May. The approved assessment used is GOLD by Teaching Strategies. It was verified during the visit that on-going formative assessments were in process of being shared with parents October 29 & 30,2025, February 4- March 4, 2026 and again in May. Evidence of observations being completed were verified through the Teaching Strategies application, Smart Teach. There were pictures, work samples, portfolios, and anecdotal notes. *Per NC Pre-Kindergarten requirements an environment rating scale is needed in order to meet requirements for funding. The request for environment rating scales was received on 2/27/2026, and the scales were ordered. The facility currently has a four (4) week window of 5/4/2026 to 5/29/2026. After completion of the ECERS-3 assessment, I will share the results with you. If anything scores below a 5, I will schedule a visit to go over the scores with you. Based on verification of requirements in the .3205 section of the child care rules, a five-star license has been earned. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years, and the facility will be due again for a rated license assessment by April 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. We recognition of quality initiatives were received and verified and are as follows: Educational Recognition: * 75 percent of teachers employed by a child care facility have earned an AAS degree or higher in early childhood education, child development or related field. * 75 percent of lead teachers employed by a child care facility have earned a BA/BS degree or higher in early childhood education, child development, or related field. * All lead teachers employed by a child care facility have earned an AAS degree or higher in early childhood education, child development or related field. Professional Development Recognition: * A child care facility operator compensates staff members for the time spent completing professional development activities. * A child care facility operator compensates staff members for the cost of professional development activities. Longevity and Experience Recognition: * All lead teachers and teachers have at least five years of early childhood work experience in a licensed child care facility and have been employed by no more than two different child care facilities. * The child care center has a combined turnover rate of 20 percent or less for the administrator, lead teacher and teacher positions over the last 12 months. Staff Supports and Benefits Recognition: * A child care facility offers a staff benefits package that includes at least three of the following benefits: paid time off for vacation, sick and/or personal leave, paid family and medical leave, fully or partially paid health insurance, retirement contribution or annual bonuses. * A child care facility offers at least two mental health supports such as training offered on-site, paid time off for wellness, mental health coverage as part of health benefits or assistance in obtaining access to other services as requested. Health & Wellness Opportunities Recognition: * A child care facility provides support to staff members and families regarding challenging behaviors using community, regional or state resources. *A child care center has a licensed or registered nurse on staff for at least half of the operating hours of the program. *A child care facility offers oral health education and opportunities such as dental screenings and outreach with community, regional and state resources. Culinary Emphasis Recognition: * A chef or cook at a child care center has completed culinary classes or has completed food handler program training or certification, such as ServSafe. The following violations were documented during today’s visit: Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. A child was drinking a bottle of milk while laying on the cot at rest time. 10A NCAC 09 .0902(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two emergency medicines had an action plan but not parent permission to administer the medication. 10A NCAC 09 .0803(1)(a & b) Item # 842 Two emergency medicines had an action plan but not parent permission to administer the medication. *We discussed that both are required. Emergency medications need an action plan to help you know when to take action and what to do and when. The permission to administer is the parents statement that they are giving you permission to administer this medication to the child. Item #532 A child was drinking a bottle of milk while laying on the cot at rest time. *We discussed that unless this practice is part of the child's IEP or a doctor’s note is on site with a medical reason, the bottle should be given only at the table. The teacher stated that they had tried all types of straws and sippy/transition cups to get the child to drink. The child also had one for water during the day. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by April 16, 2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • ABCMS- Continue to update the staff roster as needed in the ABCMS portal. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • There is a newer Summary of the Law on our website. Be sure you have the newest one posted and give the most recent out to newly enrolled children. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: MABEL DEVELOPMENTAL DAY Facility ID: 95000160 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/2/2026 Number Present: 9 Completed Date: 4/2/2026 Age: From 4 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements for an Annual Compliance with a Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Kathy Abi-Haydar, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Haydar was available during the visit to assist me and answer my questions. Upon checking in at the front desk, I asked that they inform the administrator, Elin Reuben, that I was here today to monitor the pre-k. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 4/2/2026. This NC-Pre-k facility is owned and operated by Watauga County Schools and is housed in Mabel Elementary School. Permit type – Five (5) Star Rated License, issued 10/23/2020. Special Services/Restrictions – 1st shift (Daytime care), meets enhanced space, Certified Developmental Day, meets reduced ratios, meets decreased ratios by 1 from the 7 pt level. The last annual compliance visit was conducted on 4/9/2025. The last fire drill was practiced on 3/27/26. The last lock down drill was practiced on 1/14/26. The last playground inspection was documented on 3/4/26. The last fire inspection was approved on 8/29/2025. The last sanitation inspection was conducted on 2/16/2026 with two (2) demerits for a superior classification. The program does provide transportation on one (1) public school bus. You stated that you transport two (2) children, aged 5 years old, for morning and afternoon routes. The approved curriculum Creative Curriculum. Approved formative assessment Teaching Strategies Gold. Two (2) staff files, two (2) children files, and program records were monitored during today’s visit. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. It was signed by the administrator and dated 10/30/25. The classroom operates from 7 a.m. to 3 p.m. Monday through Friday. When I arrived, I checked in at the front office and asked that they let the principal/administrator know that I am here today to monitor the pre-k classroom. When I arrived at the classroom, they were outside playing on the playground. They had a variety of materials to choose from including balls, riding toys, balance beams, climber with slides, sandbox and more. When the children went inside, they washed hands and most joined the teacher in group for a story, songs and gross motor dancing activity. The other teacher cleaned the tables to prepare for lunch. Teachers sat with the children during lunch to assist those that needed help. Calm lighting and music was on during this time to encourage the children to calm their bodies to prepare for rest. Routine caregiving activities such as diaper changes occurred as needed throughout the day. After lunch time, children transitioned to their individual cots and teacher went around and assisted the children to calm themselves and relax enough to fall asleep. About half of the children napped and the others rested for a while and then got quiet activates to do Lunch today consisted of chicken fajitas, rice, black beans, mixed fruit and milk. Rated License Information: The program currently operates with a five-star license, issued 10/23/2020, earning five (5) points in the education component, seven (7) points in the program standards component with a score of 5.59 on the ECERS-R (meeting enhanced space) and one (1) quality point. I received the Star Rated License application on 3/30/26, applying for Pathway #2, Classroom and Instructional Quality. Your new Five (5) Star License is based on the following: PATHWAY #2 – Classroom and Instructional Quality. The following was verified to be in process or completed for the classroom and instructional quality pathway based on five (5) star level. 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS Since your program is a Developmental Day Program, you will continue to follow the ratio’s set forth in: 10A NCAC 09 .2902 LICENSE (f) The center shall comply with the staff-child ratio and maximum group size as follows: MAXIMUM AGE RATIO STAFF/CHILDREN GROUP SIZE 0-12 Months 1/4 8 1 to 2 Years 1/5 10 2 Years and Older 1/6 18 (g) A minimum of two staff members shall be on site at all times while children are in attendance at the facility. 10A NCAC 09 .3210 ENHANCED SPACE REQUIRMENTS FOR CHILD CARE CENTERS In order for a child care center to meet enhanced space requirements: (1) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time; and (2) There shall be an area that can be arranged for administrative and private conference activities. *The program receives NC Pre-Kindergarten funding and Developmental Day Funding and must adhere to the highest standards of staff/child ratios of 1/6 with a group size of 18 (for your program, you maintain a 2/12 ratio). 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS *Evidence of implementing family and community engagement foundational practices. The following was verified during the visit. * Required for two-star or higher. The facility provided communication documentation as evidence of responsive communication with families. * Required for two-star or higher. The facility provided a pre-k welcome letter that verifies an annual family conference is offered. * Required for two-star or higher. The facility offers annual opportunities for families to share cultural heritage in the classroom * Required for two-star or higher. The facility provided a pre-k welcome letter that verifies the program offers volunteer opportunities to families. *Required for two-star or higher. The facility uses Ready Rosie and in-person communication to communicate with families regarding available resources. *C-1 A communication log is created each week and filled in for each child if they have made contact with the parent/guardian by email, phone, newsletter, papers were sent home or other- such as Google Meet, Open House, conference.... Occasional updates are sent home in the child’s folder, which includes weekly plans, upcoming events, and ways to participate. All information is sent out in English and Spanish. Parents are enrolled in Ready Rosie and receive texts or emails with weekly videos with modeled activities. *C-3 The first parent teacher conference was held on October 29 & 30, 2025. At this conference the staff reviewed the developmental screening assessment, and the Fall Creative Curriculum assessments were reviewed and goals for each child were discussed. The second parent teacher conferences started on February 4, 2026 and finished on March 4, 2026. Due to a snow storm, it took longer to get them all completed. IEP meetings are sometimes incorporated into these conferences. *EL-2 Beginning of the year classroom visits were August 14-18, 2025, in which students and families were able to meet the teachers and visit the classroom prior to the students’ first day of school. Children started school on a staggered entry schedule over three days. *EL-3 Parents were invited to come to a Halloween party (7 attended), a thanksgiving dinner (10 attended), Valentine’s party (8 attended) and an end of year celebration (Raising A Reader activity), ice-cream party/literacy event. *EL-4 A letter to families was sent home at the end of March to ask about their interest in participating in Easter-related activities. They were asked to share their families traditions and if they would want to share them with the class. Parents had the choice to give permission or not based on their beliefs. Another note to families was sent home this week to ask families to bring in an item or activity to share with the class surrounding their family heritage. *EO-3 A three-fold educational literacy opportunity to discuss the importance of literacy and reading with their children. Teachers present the families resources from Ready Rosie and Raising a Reader donated by a local resource, the Children’s Council. They had their annual Read-a-thon and a “Blue Bag Event”. They are encouraged to get a library card at the local library to encourage read-a-loud and literacy events with their children. *EO-6 Paid planning time for lead teachers is built into the calendar on optional teacher work days and early release days. This also allows teachers time to plan, prepare and conduct conferences by phone, virtually or in person. 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS *Evidence of implementing continuous quality improvement (CQI) plans for the facility and individual staff. The CQI plan for the facility has been completed; the form was received prior to the visit. The individual CQI plans for the two (2) main teachers were verified. The staff CQI plans must be completed by each staff member’s one year of employment. Reminder that the CQI plans are continuous and once one is completed, another must be started to meet this annual requirement. *Evidence of the lead teacher completing training related to the curriculum and formative assessment tool that is used by the center with children. An email from Teaching Strategies Finch Literacy Screener Webinar was available for review for the lead teacher. *Evidence of the administrator participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f,10). Monthly principals meetings are held and training are offered in Early Literacy Systems. You stated that you are part of the Pathways to Accreditation Program NC Pre- K Cohort at The Children’s Council of Watauga County (Partnership for Children). Reminder that this is an annual requirement and must be completed on or before each staff member’s year of employment, and every year thereafter. * Evidence of all lead teachers participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f, 10). annual completion of five hours of coaching or mentoring by an administrator of another licensed child care center with a star-rating of five stars, or a community resource partner. *Staff education evaluation of fifty percent (50%) of lead teachers and fifty percent (50%) of other educators resulting in staff education at the five-star level. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *E. Reuben, Administrator, has been evaluated as a Level III Administrator with nine (9) years or more administrative work experience. *K. Haydar, Lead Teacher, has been evaluated and is qualified as a DPI lead teacher with 4-year degree in Birth-Kindergarten with eight (8) years’ experience. *C. Westpfahl, Teacher, has been evaluated and is qualified as a DPI teacher assistant with 2-year degree in other, and a CDA Preschool and with three (3) years’ experience. *Evidence of implementing a curriculum that has been approved by the Commission. The curriculum implemented Creative Curriculum. It was verified during the visit that the one (1) classroom was implementing the Creative Curriculum as activity plans and parent/teacher conference preparations. *Evidence of conducting on-going formative assessments that have been approved by the Commission and sharing results with parents at least twice annually. It was reported that conferences are held three times per year October, February and May. The approved assessment used is GOLD by Teaching Strategies. It was verified during the visit that on-going formative assessments were in process of being shared with parents October 29 & 30,2025, February 4- March 4, 2026 and again in May. Evidence of observations being completed were verified through the Teaching Strategies application, Smart Teach. There were pictures, work samples, portfolios, and anecdotal notes. *Per NC Pre-Kindergarten requirements an environment rating scale is needed in order to meet requirements for funding. The request for environment rating scales was received on 2/27/2026, and the scales were ordered. The facility currently has a four (4) week window of 5/4/2026 to 5/29/2026. After completion of the ECERS-3 assessment, I will share the results with you. If anything scores below a 5, I will schedule a visit to go over the scores with you. Based on verification of requirements in the .3205 section of the child care rules, a five-star license has been earned. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years, and the facility will be due again for a rated license assessment by April 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. We recognition of quality initiatives were received and verified and are as follows: Educational Recognition: * 75 percent of teachers employed by a child care facility have earned an AAS degree or higher in early childhood education, child development or related field. * 75 percent of lead teachers employed by a child care facility have earned a BA/BS degree or higher in early childhood education, child development, or related field. * All lead teachers employed by a child care facility have earned an AAS degree or higher in early childhood education, child development or related field. Professional Development Recognition: * A child care facility operator compensates staff members for the time spent completing professional development activities. * A child care facility operator compensates staff members for the cost of professional development activities. Longevity and Experience Recognition: * All lead teachers and teachers have at least five years of early childhood work experience in a licensed child care facility and have been employed by no more than two different child care facilities. * The child care center has a combined turnover rate of 20 percent or less for the administrator, lead teacher and teacher positions over the last 12 months. Staff Supports and Benefits Recognition: * A child care facility offers a staff benefits package that includes at least three of the following benefits: paid time off for vacation, sick and/or personal leave, paid family and medical leave, fully or partially paid health insurance, retirement contribution or annual bonuses. * A child care facility offers at least two mental health supports such as training offered on-site, paid time off for wellness, mental health coverage as part of health benefits or assistance in obtaining access to other services as requested. Health & Wellness Opportunities Recognition: * A child care facility provides support to staff members and families regarding challenging behaviors using community, regional or state resources. *A child care center has a licensed or registered nurse on staff for at least half of the operating hours of the program. *A child care facility offers oral health education and opportunities such as dental screenings and outreach with community, regional and state resources. Culinary Emphasis Recognition: * A chef or cook at a child care center has completed culinary classes or has completed food handler program training or certification, such as ServSafe. The following violations were documented during today’s visit: Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. A child was drinking a bottle of milk while laying on the cot at rest time. 10A NCAC 09 .0902(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two emergency medicines had an action plan but not parent permission to administer the medication. 10A NCAC 09 .0803(1)(a & b) Item # 842 Two emergency medicines had an action plan but not parent permission to administer the medication. *We discussed that both are required. Emergency medications need an action plan to help you know when to take action and what to do and when. The permission to administer is the parents statement that they are giving you permission to administer this medication to the child. Item #532 A child was drinking a bottle of milk while laying on the cot at rest time. *We discussed that unless this practice is part of the child's IEP or a doctor’s note is on site with a medical reason, the bottle should be given only at the table. The teacher stated that they had tried all types of straws and sippy/transition cups to get the child to drink. The child also had one for water during the day. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by April 16, 2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • ABCMS- Continue to update the staff roster as needed in the ABCMS portal. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • There is a newer Summary of the Law on our website. Be sure you have the newest one posted and give the most recent out to newly enrolled children. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: MABEL DEVELOPMENTAL DAY Facility ID: 95000160 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/2/2026 Number Present: 9 Completed Date: 4/2/2026 Age: From 4 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements for an Annual Compliance with a Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Kathy Abi-Haydar, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Haydar was available during the visit to assist me and answer my questions. Upon checking in at the front desk, I asked that they inform the administrator, Elin Reuben, that I was here today to monitor the pre-k. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 4/2/2026. This NC-Pre-k facility is owned and operated by Watauga County Schools and is housed in Mabel Elementary School. Permit type – Five (5) Star Rated License, issued 10/23/2020. Special Services/Restrictions – 1st shift (Daytime care), meets enhanced space, Certified Developmental Day, meets reduced ratios, meets decreased ratios by 1 from the 7 pt level. The last annual compliance visit was conducted on 4/9/2025. The last fire drill was practiced on 3/27/26. The last lock down drill was practiced on 1/14/26. The last playground inspection was documented on 3/4/26. The last fire inspection was approved on 8/29/2025. The last sanitation inspection was conducted on 2/16/2026 with two (2) demerits for a superior classification. The program does provide transportation on one (1) public school bus. You stated that you transport two (2) children, aged 5 years old, for morning and afternoon routes. The approved curriculum Creative Curriculum. Approved formative assessment Teaching Strategies Gold. Two (2) staff files, two (2) children files, and program records were monitored during today’s visit. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. It was signed by the administrator and dated 10/30/25. The classroom operates from 7 a.m. to 3 p.m. Monday through Friday. When I arrived, I checked in at the front office and asked that they let the principal/administrator know that I am here today to monitor the pre-k classroom. When I arrived at the classroom, they were outside playing on the playground. They had a variety of materials to choose from including balls, riding toys, balance beams, climber with slides, sandbox and more. When the children went inside, they washed hands and most joined the teacher in group for a story, songs and gross motor dancing activity. The other teacher cleaned the tables to prepare for lunch. Teachers sat with the children during lunch to assist those that needed help. Calm lighting and music was on during this time to encourage the children to calm their bodies to prepare for rest. Routine caregiving activities such as diaper changes occurred as needed throughout the day. After lunch time, children transitioned to their individual cots and teacher went around and assisted the children to calm themselves and relax enough to fall asleep. About half of the children napped and the others rested for a while and then got quiet activates to do Lunch today consisted of chicken fajitas, rice, black beans, mixed fruit and milk. Rated License Information: The program currently operates with a five-star license, issued 10/23/2020, earning five (5) points in the education component, seven (7) points in the program standards component with a score of 5.59 on the ECERS-R (meeting enhanced space) and one (1) quality point. I received the Star Rated License application on 3/30/26, applying for Pathway #2, Classroom and Instructional Quality. Your new Five (5) Star License is based on the following: PATHWAY #2 – Classroom and Instructional Quality. The following was verified to be in process or completed for the classroom and instructional quality pathway based on five (5) star level. 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS Since your program is a Developmental Day Program, you will continue to follow the ratio’s set forth in: 10A NCAC 09 .2902 LICENSE (f) The center shall comply with the staff-child ratio and maximum group size as follows: MAXIMUM AGE RATIO STAFF/CHILDREN GROUP SIZE 0-12 Months 1/4 8 1 to 2 Years 1/5 10 2 Years and Older 1/6 18 (g) A minimum of two staff members shall be on site at all times while children are in attendance at the facility. 10A NCAC 09 .3210 ENHANCED SPACE REQUIRMENTS FOR CHILD CARE CENTERS In order for a child care center to meet enhanced space requirements: (1) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time; and (2) There shall be an area that can be arranged for administrative and private conference activities. *The program receives NC Pre-Kindergarten funding and Developmental Day Funding and must adhere to the highest standards of staff/child ratios of 1/6 with a group size of 18 (for your program, you maintain a 2/12 ratio). 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS *Evidence of implementing family and community engagement foundational practices. The following was verified during the visit. * Required for two-star or higher. The facility provided communication documentation as evidence of responsive communication with families. * Required for two-star or higher. The facility provided a pre-k welcome letter that verifies an annual family conference is offered. * Required for two-star or higher. The facility offers annual opportunities for families to share cultural heritage in the classroom * Required for two-star or higher. The facility provided a pre-k welcome letter that verifies the program offers volunteer opportunities to families. *Required for two-star or higher. The facility uses Ready Rosie and in-person communication to communicate with families regarding available resources. *C-1 A communication log is created each week and filled in for each child if they have made contact with the parent/guardian by email, phone, newsletter, papers were sent home or other- such as Google Meet, Open House, conference.... Occasional updates are sent home in the child’s folder, which includes weekly plans, upcoming events, and ways to participate. All information is sent out in English and Spanish. Parents are enrolled in Ready Rosie and receive texts or emails with weekly videos with modeled activities. *C-3 The first parent teacher conference was held on October 29 & 30, 2025. At this conference the staff reviewed the developmental screening assessment, and the Fall Creative Curriculum assessments were reviewed and goals for each child were discussed. The second parent teacher conferences started on February 4, 2026 and finished on March 4, 2026. Due to a snow storm, it took longer to get them all completed. IEP meetings are sometimes incorporated into these conferences. *EL-2 Beginning of the year classroom visits were August 14-18, 2025, in which students and families were able to meet the teachers and visit the classroom prior to the students’ first day of school. Children started school on a staggered entry schedule over three days. *EL-3 Parents were invited to come to a Halloween party (7 attended), a thanksgiving dinner (10 attended), Valentine’s party (8 attended) and an end of year celebration (Raising A Reader activity), ice-cream party/literacy event. *EL-4 A letter to families was sent home at the end of March to ask about their interest in participating in Easter-related activities. They were asked to share their families traditions and if they would want to share them with the class. Parents had the choice to give permission or not based on their beliefs. Another note to families was sent home this week to ask families to bring in an item or activity to share with the class surrounding their family heritage. *EO-3 A three-fold educational literacy opportunity to discuss the importance of literacy and reading with their children. Teachers present the families resources from Ready Rosie and Raising a Reader donated by a local resource, the Children’s Council. They had their annual Read-a-thon and a “Blue Bag Event”. They are encouraged to get a library card at the local library to encourage read-a-loud and literacy events with their children. *EO-6 Paid planning time for lead teachers is built into the calendar on optional teacher work days and early release days. This also allows teachers time to plan, prepare and conduct conferences by phone, virtually or in person. 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS *Evidence of implementing continuous quality improvement (CQI) plans for the facility and individual staff. The CQI plan for the facility has been completed; the form was received prior to the visit. The individual CQI plans for the two (2) main teachers were verified. The staff CQI plans must be completed by each staff member’s one year of employment. Reminder that the CQI plans are continuous and once one is completed, another must be started to meet this annual requirement. *Evidence of the lead teacher completing training related to the curriculum and formative assessment tool that is used by the center with children. An email from Teaching Strategies Finch Literacy Screener Webinar was available for review for the lead teacher. *Evidence of the administrator participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f,10). Monthly principals meetings are held and training are offered in Early Literacy Systems. You stated that you are part of the Pathways to Accreditation Program NC Pre- K Cohort at The Children’s Council of Watauga County (Partnership for Children). Reminder that this is an annual requirement and must be completed on or before each staff member’s year of employment, and every year thereafter. * Evidence of all lead teachers participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f, 10). annual completion of five hours of coaching or mentoring by an administrator of another licensed child care center with a star-rating of five stars, or a community resource partner. *Staff education evaluation of fifty percent (50%) of lead teachers and fifty percent (50%) of other educators resulting in staff education at the five-star level. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *E. Reuben, Administrator, has been evaluated as a Level III Administrator with nine (9) years or more administrative work experience. *K. Haydar, Lead Teacher, has been evaluated and is qualified as a DPI lead teacher with 4-year degree in Birth-Kindergarten with eight (8) years’ experience. *C. Westpfahl, Teacher, has been evaluated and is qualified as a DPI teacher assistant with 2-year degree in other, and a CDA Preschool and with three (3) years’ experience. *Evidence of implementing a curriculum that has been approved by the Commission. The curriculum implemented Creative Curriculum. It was verified during the visit that the one (1) classroom was implementing the Creative Curriculum as activity plans and parent/teacher conference preparations. *Evidence of conducting on-going formative assessments that have been approved by the Commission and sharing results with parents at least twice annually. It was reported that conferences are held three times per year October, February and May. The approved assessment used is GOLD by Teaching Strategies. It was verified during the visit that on-going formative assessments were in process of being shared with parents October 29 & 30,2025, February 4- March 4, 2026 and again in May. Evidence of observations being completed were verified through the Teaching Strategies application, Smart Teach. There were pictures, work samples, portfolios, and anecdotal notes. *Per NC Pre-Kindergarten requirements an environment rating scale is needed in order to meet requirements for funding. The request for environment rating scales was received on 2/27/2026, and the scales were ordered. The facility currently has a four (4) week window of 5/4/2026 to 5/29/2026. After completion of the ECERS-3 assessment, I will share the results with you. If anything scores below a 5, I will schedule a visit to go over the scores with you. Based on verification of requirements in the .3205 section of the child care rules, a five-star license has been earned. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years, and the facility will be due again for a rated license assessment by April 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. We recognition of quality initiatives were received and verified and are as follows: Educational Recognition: * 75 percent of teachers employed by a child care facility have earned an AAS degree or higher in early childhood education, child development or related field. * 75 percent of lead teachers employed by a child care facility have earned a BA/BS degree or higher in early childhood education, child development, or related field. * All lead teachers employed by a child care facility have earned an AAS degree or higher in early childhood education, child development or related field. Professional Development Recognition: * A child care facility operator compensates staff members for the time spent completing professional development activities. * A child care facility operator compensates staff members for the cost of professional development activities. Longevity and Experience Recognition: * All lead teachers and teachers have at least five years of early childhood work experience in a licensed child care facility and have been employed by no more than two different child care facilities. * The child care center has a combined turnover rate of 20 percent or less for the administrator, lead teacher and teacher positions over the last 12 months. Staff Supports and Benefits Recognition: * A child care facility offers a staff benefits package that includes at least three of the following benefits: paid time off for vacation, sick and/or personal leave, paid family and medical leave, fully or partially paid health insurance, retirement contribution or annual bonuses. * A child care facility offers at least two mental health supports such as training offered on-site, paid time off for wellness, mental health coverage as part of health benefits or assistance in obtaining access to other services as requested. Health & Wellness Opportunities Recognition: * A child care facility provides support to staff members and families regarding challenging behaviors using community, regional or state resources. *A child care center has a licensed or registered nurse on staff for at least half of the operating hours of the program. *A child care facility offers oral health education and opportunities such as dental screenings and outreach with community, regional and state resources. Culinary Emphasis Recognition: * A chef or cook at a child care center has completed culinary classes or has completed food handler program training or certification, such as ServSafe. The following violations were documented during today’s visit: Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. A child was drinking a bottle of milk while laying on the cot at rest time. 10A NCAC 09 .0902(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two emergency medicines had an action plan but not parent permission to administer the medication. 10A NCAC 09 .0803(1)(a & b) Item # 842 Two emergency medicines had an action plan but not parent permission to administer the medication. *We discussed that both are required. Emergency medications need an action plan to help you know when to take action and what to do and when. The permission to administer is the parents statement that they are giving you permission to administer this medication to the child. Item #532 A child was drinking a bottle of milk while laying on the cot at rest time. *We discussed that unless this practice is part of the child's IEP or a doctor’s note is on site with a medical reason, the bottle should be given only at the table. The teacher stated that they had tried all types of straws and sippy/transition cups to get the child to drink. The child also had one for water during the day. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by April 16, 2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • ABCMS- Continue to update the staff roster as needed in the ABCMS portal. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • There is a newer Summary of the Law on our website. Be sure you have the newest one posted and give the most recent out to newly enrolled children. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: MABEL DEVELOPMENTAL DAY Facility ID: 95000160 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/2/2026 Number Present: 9 Completed Date: 4/2/2026 Age: From 4 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements for an Annual Compliance with a Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Kathy Abi-Haydar, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Haydar was available during the visit to assist me and answer my questions. Upon checking in at the front desk, I asked that they inform the administrator, Elin Reuben, that I was here today to monitor the pre-k. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 4/2/2026. This NC-Pre-k facility is owned and operated by Watauga County Schools and is housed in Mabel Elementary School. Permit type – Five (5) Star Rated License, issued 10/23/2020. Special Services/Restrictions – 1st shift (Daytime care), meets enhanced space, Certified Developmental Day, meets reduced ratios, meets decreased ratios by 1 from the 7 pt level. The last annual compliance visit was conducted on 4/9/2025. The last fire drill was practiced on 3/27/26. The last lock down drill was practiced on 1/14/26. The last playground inspection was documented on 3/4/26. The last fire inspection was approved on 8/29/2025. The last sanitation inspection was conducted on 2/16/2026 with two (2) demerits for a superior classification. The program does provide transportation on one (1) public school bus. You stated that you transport two (2) children, aged 5 years old, for morning and afternoon routes. The approved curriculum Creative Curriculum. Approved formative assessment Teaching Strategies Gold. Two (2) staff files, two (2) children files, and program records were monitored during today’s visit. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. It was signed by the administrator and dated 10/30/25. The classroom operates from 7 a.m. to 3 p.m. Monday through Friday. When I arrived, I checked in at the front office and asked that they let the principal/administrator know that I am here today to monitor the pre-k classroom. When I arrived at the classroom, they were outside playing on the playground. They had a variety of materials to choose from including balls, riding toys, balance beams, climber with slides, sandbox and more. When the children went inside, they washed hands and most joined the teacher in group for a story, songs and gross motor dancing activity. The other teacher cleaned the tables to prepare for lunch. Teachers sat with the children during lunch to assist those that needed help. Calm lighting and music was on during this time to encourage the children to calm their bodies to prepare for rest. Routine caregiving activities such as diaper changes occurred as needed throughout the day. After lunch time, children transitioned to their individual cots and teacher went around and assisted the children to calm themselves and relax enough to fall asleep. About half of the children napped and the others rested for a while and then got quiet activates to do Lunch today consisted of chicken fajitas, rice, black beans, mixed fruit and milk. Rated License Information: The program currently operates with a five-star license, issued 10/23/2020, earning five (5) points in the education component, seven (7) points in the program standards component with a score of 5.59 on the ECERS-R (meeting enhanced space) and one (1) quality point. I received the Star Rated License application on 3/30/26, applying for Pathway #2, Classroom and Instructional Quality. Your new Five (5) Star License is based on the following: PATHWAY #2 – Classroom and Instructional Quality. The following was verified to be in process or completed for the classroom and instructional quality pathway based on five (5) star level. 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS Since your program is a Developmental Day Program, you will continue to follow the ratio’s set forth in: 10A NCAC 09 .2902 LICENSE (f) The center shall comply with the staff-child ratio and maximum group size as follows: MAXIMUM AGE RATIO STAFF/CHILDREN GROUP SIZE 0-12 Months 1/4 8 1 to 2 Years 1/5 10 2 Years and Older 1/6 18 (g) A minimum of two staff members shall be on site at all times while children are in attendance at the facility. 10A NCAC 09 .3210 ENHANCED SPACE REQUIRMENTS FOR CHILD CARE CENTERS In order for a child care center to meet enhanced space requirements: (1) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time; and (2) There shall be an area that can be arranged for administrative and private conference activities. *The program receives NC Pre-Kindergarten funding and Developmental Day Funding and must adhere to the highest standards of staff/child ratios of 1/6 with a group size of 18 (for your program, you maintain a 2/12 ratio). 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS *Evidence of implementing family and community engagement foundational practices. The following was verified during the visit. * Required for two-star or higher. The facility provided communication documentation as evidence of responsive communication with families. * Required for two-star or higher. The facility provided a pre-k welcome letter that verifies an annual family conference is offered. * Required for two-star or higher. The facility offers annual opportunities for families to share cultural heritage in the classroom * Required for two-star or higher. The facility provided a pre-k welcome letter that verifies the program offers volunteer opportunities to families. *Required for two-star or higher. The facility uses Ready Rosie and in-person communication to communicate with families regarding available resources. *C-1 A communication log is created each week and filled in for each child if they have made contact with the parent/guardian by email, phone, newsletter, papers were sent home or other- such as Google Meet, Open House, conference.... Occasional updates are sent home in the child’s folder, which includes weekly plans, upcoming events, and ways to participate. All information is sent out in English and Spanish. Parents are enrolled in Ready Rosie and receive texts or emails with weekly videos with modeled activities. *C-3 The first parent teacher conference was held on October 29 & 30, 2025. At this conference the staff reviewed the developmental screening assessment, and the Fall Creative Curriculum assessments were reviewed and goals for each child were discussed. The second parent teacher conferences started on February 4, 2026 and finished on March 4, 2026. Due to a snow storm, it took longer to get them all completed. IEP meetings are sometimes incorporated into these conferences. *EL-2 Beginning of the year classroom visits were August 14-18, 2025, in which students and families were able to meet the teachers and visit the classroom prior to the students’ first day of school. Children started school on a staggered entry schedule over three days. *EL-3 Parents were invited to come to a Halloween party (7 attended), a thanksgiving dinner (10 attended), Valentine’s party (8 attended) and an end of year celebration (Raising A Reader activity), ice-cream party/literacy event. *EL-4 A letter to families was sent home at the end of March to ask about their interest in participating in Easter-related activities. They were asked to share their families traditions and if they would want to share them with the class. Parents had the choice to give permission or not based on their beliefs. Another note to families was sent home this week to ask families to bring in an item or activity to share with the class surrounding their family heritage. *EO-3 A three-fold educational literacy opportunity to discuss the importance of literacy and reading with their children. Teachers present the families resources from Ready Rosie and Raising a Reader donated by a local resource, the Children’s Council. They had their annual Read-a-thon and a “Blue Bag Event”. They are encouraged to get a library card at the local library to encourage read-a-loud and literacy events with their children. *EO-6 Paid planning time for lead teachers is built into the calendar on optional teacher work days and early release days. This also allows teachers time to plan, prepare and conduct conferences by phone, virtually or in person. 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS *Evidence of implementing continuous quality improvement (CQI) plans for the facility and individual staff. The CQI plan for the facility has been completed; the form was received prior to the visit. The individual CQI plans for the two (2) main teachers were verified. The staff CQI plans must be completed by each staff member’s one year of employment. Reminder that the CQI plans are continuous and once one is completed, another must be started to meet this annual requirement. *Evidence of the lead teacher completing training related to the curriculum and formative assessment tool that is used by the center with children. An email from Teaching Strategies Finch Literacy Screener Webinar was available for review for the lead teacher. *Evidence of the administrator participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f,10). Monthly principals meetings are held and training are offered in Early Literacy Systems. You stated that you are part of the Pathways to Accreditation Program NC Pre- K Cohort at The Children’s Council of Watauga County (Partnership for Children). Reminder that this is an annual requirement and must be completed on or before each staff member’s year of employment, and every year thereafter. * Evidence of all lead teachers participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f, 10). annual completion of five hours of coaching or mentoring by an administrator of another licensed child care center with a star-rating of five stars, or a community resource partner. *Staff education evaluation of fifty percent (50%) of lead teachers and fifty percent (50%) of other educators resulting in staff education at the five-star level. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *E. Reuben, Administrator, has been evaluated as a Level III Administrator with nine (9) years or more administrative work experience. *K. Haydar, Lead Teacher, has been evaluated and is qualified as a DPI lead teacher with 4-year degree in Birth-Kindergarten with eight (8) years’ experience. *C. Westpfahl, Teacher, has been evaluated and is qualified as a DPI teacher assistant with 2-year degree in other, and a CDA Preschool and with three (3) years’ experience. *Evidence of implementing a curriculum that has been approved by the Commission. The curriculum implemented Creative Curriculum. It was verified during the visit that the one (1) classroom was implementing the Creative Curriculum as activity plans and parent/teacher conference preparations. *Evidence of conducting on-going formative assessments that have been approved by the Commission and sharing results with parents at least twice annually. It was reported that conferences are held three times per year October, February and May. The approved assessment used is GOLD by Teaching Strategies. It was verified during the visit that on-going formative assessments were in process of being shared with parents October 29 & 30,2025, February 4- March 4, 2026 and again in May. Evidence of observations being completed were verified through the Teaching Strategies application, Smart Teach. There were pictures, work samples, portfolios, and anecdotal notes. *Per NC Pre-Kindergarten requirements an environment rating scale is needed in order to meet requirements for funding. The request for environment rating scales was received on 2/27/2026, and the scales were ordered. The facility currently has a four (4) week window of 5/4/2026 to 5/29/2026. After completion of the ECERS-3 assessment, I will share the results with you. If anything scores below a 5, I will schedule a visit to go over the scores with you. Based on verification of requirements in the .3205 section of the child care rules, a five-star license has been earned. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years, and the facility will be due again for a rated license assessment by April 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. We recognition of quality initiatives were received and verified and are as follows: Educational Recognition: * 75 percent of teachers employed by a child care facility have earned an AAS degree or higher in early childhood education, child development or related field. * 75 percent of lead teachers employed by a child care facility have earned a BA/BS degree or higher in early childhood education, child development, or related field. * All lead teachers employed by a child care facility have earned an AAS degree or higher in early childhood education, child development or related field. Professional Development Recognition: * A child care facility operator compensates staff members for the time spent completing professional development activities. * A child care facility operator compensates staff members for the cost of professional development activities. Longevity and Experience Recognition: * All lead teachers and teachers have at least five years of early childhood work experience in a licensed child care facility and have been employed by no more than two different child care facilities. * The child care center has a combined turnover rate of 20 percent or less for the administrator, lead teacher and teacher positions over the last 12 months. Staff Supports and Benefits Recognition: * A child care facility offers a staff benefits package that includes at least three of the following benefits: paid time off for vacation, sick and/or personal leave, paid family and medical leave, fully or partially paid health insurance, retirement contribution or annual bonuses. * A child care facility offers at least two mental health supports such as training offered on-site, paid time off for wellness, mental health coverage as part of health benefits or assistance in obtaining access to other services as requested. Health & Wellness Opportunities Recognition: * A child care facility provides support to staff members and families regarding challenging behaviors using community, regional or state resources. *A child care center has a licensed or registered nurse on staff for at least half of the operating hours of the program. *A child care facility offers oral health education and opportunities such as dental screenings and outreach with community, regional and state resources. Culinary Emphasis Recognition: * A chef or cook at a child care center has completed culinary classes or has completed food handler program training or certification, such as ServSafe. The following violations were documented during today’s visit: Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. A child was drinking a bottle of milk while laying on the cot at rest time. 10A NCAC 09 .0902(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two emergency medicines had an action plan but not parent permission to administer the medication. 10A NCAC 09 .0803(1)(a & b) Item # 842 Two emergency medicines had an action plan but not parent permission to administer the medication. *We discussed that both are required. Emergency medications need an action plan to help you know when to take action and what to do and when. The permission to administer is the parents statement that they are giving you permission to administer this medication to the child. Item #532 A child was drinking a bottle of milk while laying on the cot at rest time. *We discussed that unless this practice is part of the child's IEP or a doctor’s note is on site with a medical reason, the bottle should be given only at the table. The teacher stated that they had tried all types of straws and sippy/transition cups to get the child to drink. The child also had one for water during the day. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by April 16, 2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • ABCMS- Continue to update the staff roster as needed in the ABCMS portal. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • There is a newer Summary of the Law on our website. Be sure you have the newest one posted and give the most recent out to newly enrolled children. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2902 · Violation

Name of Operation: MABEL DEVELOPMENTAL DAY Facility ID: 95000160 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/2/2026 Number Present: 9 Completed Date: 4/2/2026 Age: From 4 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements for an Annual Compliance with a Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Kathy Abi-Haydar, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Haydar was available during the visit to assist me and answer my questions. Upon checking in at the front desk, I asked that they inform the administrator, Elin Reuben, that I was here today to monitor the pre-k. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 4/2/2026. This NC-Pre-k facility is owned and operated by Watauga County Schools and is housed in Mabel Elementary School. Permit type – Five (5) Star Rated License, issued 10/23/2020. Special Services/Restrictions – 1st shift (Daytime care), meets enhanced space, Certified Developmental Day, meets reduced ratios, meets decreased ratios by 1 from the 7 pt level. The last annual compliance visit was conducted on 4/9/2025. The last fire drill was practiced on 3/27/26. The last lock down drill was practiced on 1/14/26. The last playground inspection was documented on 3/4/26. The last fire inspection was approved on 8/29/2025. The last sanitation inspection was conducted on 2/16/2026 with two (2) demerits for a superior classification. The program does provide transportation on one (1) public school bus. You stated that you transport two (2) children, aged 5 years old, for morning and afternoon routes. The approved curriculum Creative Curriculum. Approved formative assessment Teaching Strategies Gold. Two (2) staff files, two (2) children files, and program records were monitored during today’s visit. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. It was signed by the administrator and dated 10/30/25. The classroom operates from 7 a.m. to 3 p.m. Monday through Friday. When I arrived, I checked in at the front office and asked that they let the principal/administrator know that I am here today to monitor the pre-k classroom. When I arrived at the classroom, they were outside playing on the playground. They had a variety of materials to choose from including balls, riding toys, balance beams, climber with slides, sandbox and more. When the children went inside, they washed hands and most joined the teacher in group for a story, songs and gross motor dancing activity. The other teacher cleaned the tables to prepare for lunch. Teachers sat with the children during lunch to assist those that needed help. Calm lighting and music was on during this time to encourage the children to calm their bodies to prepare for rest. Routine caregiving activities such as diaper changes occurred as needed throughout the day. After lunch time, children transitioned to their individual cots and teacher went around and assisted the children to calm themselves and relax enough to fall asleep. About half of the children napped and the others rested for a while and then got quiet activates to do Lunch today consisted of chicken fajitas, rice, black beans, mixed fruit and milk. Rated License Information: The program currently operates with a five-star license, issued 10/23/2020, earning five (5) points in the education component, seven (7) points in the program standards component with a score of 5.59 on the ECERS-R (meeting enhanced space) and one (1) quality point. I received the Star Rated License application on 3/30/26, applying for Pathway #2, Classroom and Instructional Quality. Your new Five (5) Star License is based on the following: PATHWAY #2 – Classroom and Instructional Quality. The following was verified to be in process or completed for the classroom and instructional quality pathway based on five (5) star level. 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS Since your program is a Developmental Day Program, you will continue to follow the ratio’s set forth in: 10A NCAC 09 .2902 LICENSE (f) The center shall comply with the staff-child ratio and maximum group size as follows: MAXIMUM AGE RATIO STAFF/CHILDREN GROUP SIZE 0-12 Months 1/4 8 1 to 2 Years 1/5 10 2 Years and Older 1/6 18 (g) A minimum of two staff members shall be on site at all times while children are in attendance at the facility. 10A NCAC 09 .3210 ENHANCED SPACE REQUIRMENTS FOR CHILD CARE CENTERS In order for a child care center to meet enhanced space requirements: (1) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time; and (2) There shall be an area that can be arranged for administrative and private conference activities. *The program receives NC Pre-Kindergarten funding and Developmental Day Funding and must adhere to the highest standards of staff/child ratios of 1/6 with a group size of 18 (for your program, you maintain a 2/12 ratio). 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS *Evidence of implementing family and community engagement foundational practices. The following was verified during the visit. * Required for two-star or higher. The facility provided communication documentation as evidence of responsive communication with families. * Required for two-star or higher. The facility provided a pre-k welcome letter that verifies an annual family conference is offered. * Required for two-star or higher. The facility offers annual opportunities for families to share cultural heritage in the classroom * Required for two-star or higher. The facility provided a pre-k welcome letter that verifies the program offers volunteer opportunities to families. *Required for two-star or higher. The facility uses Ready Rosie and in-person communication to communicate with families regarding available resources. *C-1 A communication log is created each week and filled in for each child if they have made contact with the parent/guardian by email, phone, newsletter, papers were sent home or other- such as Google Meet, Open House, conference.... Occasional updates are sent home in the child’s folder, which includes weekly plans, upcoming events, and ways to participate. All information is sent out in English and Spanish. Parents are enrolled in Ready Rosie and receive texts or emails with weekly videos with modeled activities. *C-3 The first parent teacher conference was held on October 29 & 30, 2025. At this conference the staff reviewed the developmental screening assessment, and the Fall Creative Curriculum assessments were reviewed and goals for each child were discussed. The second parent teacher conferences started on February 4, 2026 and finished on March 4, 2026. Due to a snow storm, it took longer to get them all completed. IEP meetings are sometimes incorporated into these conferences. *EL-2 Beginning of the year classroom visits were August 14-18, 2025, in which students and families were able to meet the teachers and visit the classroom prior to the students’ first day of school. Children started school on a staggered entry schedule over three days. *EL-3 Parents were invited to come to a Halloween party (7 attended), a thanksgiving dinner (10 attended), Valentine’s party (8 attended) and an end of year celebration (Raising A Reader activity), ice-cream party/literacy event. *EL-4 A letter to families was sent home at the end of March to ask about their interest in participating in Easter-related activities. They were asked to share their families traditions and if they would want to share them with the class. Parents had the choice to give permission or not based on their beliefs. Another note to families was sent home this week to ask families to bring in an item or activity to share with the class surrounding their family heritage. *EO-3 A three-fold educational literacy opportunity to discuss the importance of literacy and reading with their children. Teachers present the families resources from Ready Rosie and Raising a Reader donated by a local resource, the Children’s Council. They had their annual Read-a-thon and a “Blue Bag Event”. They are encouraged to get a library card at the local library to encourage read-a-loud and literacy events with their children. *EO-6 Paid planning time for lead teachers is built into the calendar on optional teacher work days and early release days. This also allows teachers time to plan, prepare and conduct conferences by phone, virtually or in person. 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS *Evidence of implementing continuous quality improvement (CQI) plans for the facility and individual staff. The CQI plan for the facility has been completed; the form was received prior to the visit. The individual CQI plans for the two (2) main teachers were verified. The staff CQI plans must be completed by each staff member’s one year of employment. Reminder that the CQI plans are continuous and once one is completed, another must be started to meet this annual requirement. *Evidence of the lead teacher completing training related to the curriculum and formative assessment tool that is used by the center with children. An email from Teaching Strategies Finch Literacy Screener Webinar was available for review for the lead teacher. *Evidence of the administrator participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f,10). Monthly principals meetings are held and training are offered in Early Literacy Systems. You stated that you are part of the Pathways to Accreditation Program NC Pre- K Cohort at The Children’s Council of Watauga County (Partnership for Children). Reminder that this is an annual requirement and must be completed on or before each staff member’s year of employment, and every year thereafter. * Evidence of all lead teachers participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f, 10). annual completion of five hours of coaching or mentoring by an administrator of another licensed child care center with a star-rating of five stars, or a community resource partner. *Staff education evaluation of fifty percent (50%) of lead teachers and fifty percent (50%) of other educators resulting in staff education at the five-star level. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *E. Reuben, Administrator, has been evaluated as a Level III Administrator with nine (9) years or more administrative work experience. *K. Haydar, Lead Teacher, has been evaluated and is qualified as a DPI lead teacher with 4-year degree in Birth-Kindergarten with eight (8) years’ experience. *C. Westpfahl, Teacher, has been evaluated and is qualified as a DPI teacher assistant with 2-year degree in other, and a CDA Preschool and with three (3) years’ experience. *Evidence of implementing a curriculum that has been approved by the Commission. The curriculum implemented Creative Curriculum. It was verified during the visit that the one (1) classroom was implementing the Creative Curriculum as activity plans and parent/teacher conference preparations. *Evidence of conducting on-going formative assessments that have been approved by the Commission and sharing results with parents at least twice annually. It was reported that conferences are held three times per year October, February and May. The approved assessment used is GOLD by Teaching Strategies. It was verified during the visit that on-going formative assessments were in process of being shared with parents October 29 & 30,2025, February 4- March 4, 2026 and again in May. Evidence of observations being completed were verified through the Teaching Strategies application, Smart Teach. There were pictures, work samples, portfolios, and anecdotal notes. *Per NC Pre-Kindergarten requirements an environment rating scale is needed in order to meet requirements for funding. The request for environment rating scales was received on 2/27/2026, and the scales were ordered. The facility currently has a four (4) week window of 5/4/2026 to 5/29/2026. After completion of the ECERS-3 assessment, I will share the results with you. If anything scores below a 5, I will schedule a visit to go over the scores with you. Based on verification of requirements in the .3205 section of the child care rules, a five-star license has been earned. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years, and the facility will be due again for a rated license assessment by April 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. We recognition of quality initiatives were received and verified and are as follows: Educational Recognition: * 75 percent of teachers employed by a child care facility have earned an AAS degree or higher in early childhood education, child development or related field. * 75 percent of lead teachers employed by a child care facility have earned a BA/BS degree or higher in early childhood education, child development, or related field. * All lead teachers employed by a child care facility have earned an AAS degree or higher in early childhood education, child development or related field. Professional Development Recognition: * A child care facility operator compensates staff members for the time spent completing professional development activities. * A child care facility operator compensates staff members for the cost of professional development activities. Longevity and Experience Recognition: * All lead teachers and teachers have at least five years of early childhood work experience in a licensed child care facility and have been employed by no more than two different child care facilities. * The child care center has a combined turnover rate of 20 percent or less for the administrator, lead teacher and teacher positions over the last 12 months. Staff Supports and Benefits Recognition: * A child care facility offers a staff benefits package that includes at least three of the following benefits: paid time off for vacation, sick and/or personal leave, paid family and medical leave, fully or partially paid health insurance, retirement contribution or annual bonuses. * A child care facility offers at least two mental health supports such as training offered on-site, paid time off for wellness, mental health coverage as part of health benefits or assistance in obtaining access to other services as requested. Health & Wellness Opportunities Recognition: * A child care facility provides support to staff members and families regarding challenging behaviors using community, regional or state resources. *A child care center has a licensed or registered nurse on staff for at least half of the operating hours of the program. *A child care facility offers oral health education and opportunities such as dental screenings and outreach with community, regional and state resources. Culinary Emphasis Recognition: * A chef or cook at a child care center has completed culinary classes or has completed food handler program training or certification, such as ServSafe. The following violations were documented during today’s visit: Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. A child was drinking a bottle of milk while laying on the cot at rest time. 10A NCAC 09 .0902(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two emergency medicines had an action plan but not parent permission to administer the medication. 10A NCAC 09 .0803(1)(a & b) Item # 842 Two emergency medicines had an action plan but not parent permission to administer the medication. *We discussed that both are required. Emergency medications need an action plan to help you know when to take action and what to do and when. The permission to administer is the parents statement that they are giving you permission to administer this medication to the child. Item #532 A child was drinking a bottle of milk while laying on the cot at rest time. *We discussed that unless this practice is part of the child's IEP or a doctor’s note is on site with a medical reason, the bottle should be given only at the table. The teacher stated that they had tried all types of straws and sippy/transition cups to get the child to drink. The child also had one for water during the day. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by April 16, 2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • ABCMS- Continue to update the staff roster as needed in the ABCMS portal. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • There is a newer Summary of the Law on our website. Be sure you have the newest one posted and give the most recent out to newly enrolled children. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3205 · Violation

Name of Operation: MABEL DEVELOPMENTAL DAY Facility ID: 95000160 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/2/2026 Number Present: 9 Completed Date: 4/2/2026 Age: From 4 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements for an Annual Compliance with a Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Kathy Abi-Haydar, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Haydar was available during the visit to assist me and answer my questions. Upon checking in at the front desk, I asked that they inform the administrator, Elin Reuben, that I was here today to monitor the pre-k. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 4/2/2026. This NC-Pre-k facility is owned and operated by Watauga County Schools and is housed in Mabel Elementary School. Permit type – Five (5) Star Rated License, issued 10/23/2020. Special Services/Restrictions – 1st shift (Daytime care), meets enhanced space, Certified Developmental Day, meets reduced ratios, meets decreased ratios by 1 from the 7 pt level. The last annual compliance visit was conducted on 4/9/2025. The last fire drill was practiced on 3/27/26. The last lock down drill was practiced on 1/14/26. The last playground inspection was documented on 3/4/26. The last fire inspection was approved on 8/29/2025. The last sanitation inspection was conducted on 2/16/2026 with two (2) demerits for a superior classification. The program does provide transportation on one (1) public school bus. You stated that you transport two (2) children, aged 5 years old, for morning and afternoon routes. The approved curriculum Creative Curriculum. Approved formative assessment Teaching Strategies Gold. Two (2) staff files, two (2) children files, and program records were monitored during today’s visit. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. It was signed by the administrator and dated 10/30/25. The classroom operates from 7 a.m. to 3 p.m. Monday through Friday. When I arrived, I checked in at the front office and asked that they let the principal/administrator know that I am here today to monitor the pre-k classroom. When I arrived at the classroom, they were outside playing on the playground. They had a variety of materials to choose from including balls, riding toys, balance beams, climber with slides, sandbox and more. When the children went inside, they washed hands and most joined the teacher in group for a story, songs and gross motor dancing activity. The other teacher cleaned the tables to prepare for lunch. Teachers sat with the children during lunch to assist those that needed help. Calm lighting and music was on during this time to encourage the children to calm their bodies to prepare for rest. Routine caregiving activities such as diaper changes occurred as needed throughout the day. After lunch time, children transitioned to their individual cots and teacher went around and assisted the children to calm themselves and relax enough to fall asleep. About half of the children napped and the others rested for a while and then got quiet activates to do Lunch today consisted of chicken fajitas, rice, black beans, mixed fruit and milk. Rated License Information: The program currently operates with a five-star license, issued 10/23/2020, earning five (5) points in the education component, seven (7) points in the program standards component with a score of 5.59 on the ECERS-R (meeting enhanced space) and one (1) quality point. I received the Star Rated License application on 3/30/26, applying for Pathway #2, Classroom and Instructional Quality. Your new Five (5) Star License is based on the following: PATHWAY #2 – Classroom and Instructional Quality. The following was verified to be in process or completed for the classroom and instructional quality pathway based on five (5) star level. 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS Since your program is a Developmental Day Program, you will continue to follow the ratio’s set forth in: 10A NCAC 09 .2902 LICENSE (f) The center shall comply with the staff-child ratio and maximum group size as follows: MAXIMUM AGE RATIO STAFF/CHILDREN GROUP SIZE 0-12 Months 1/4 8 1 to 2 Years 1/5 10 2 Years and Older 1/6 18 (g) A minimum of two staff members shall be on site at all times while children are in attendance at the facility. 10A NCAC 09 .3210 ENHANCED SPACE REQUIRMENTS FOR CHILD CARE CENTERS In order for a child care center to meet enhanced space requirements: (1) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time; and (2) There shall be an area that can be arranged for administrative and private conference activities. *The program receives NC Pre-Kindergarten funding and Developmental Day Funding and must adhere to the highest standards of staff/child ratios of 1/6 with a group size of 18 (for your program, you maintain a 2/12 ratio). 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS *Evidence of implementing family and community engagement foundational practices. The following was verified during the visit. * Required for two-star or higher. The facility provided communication documentation as evidence of responsive communication with families. * Required for two-star or higher. The facility provided a pre-k welcome letter that verifies an annual family conference is offered. * Required for two-star or higher. The facility offers annual opportunities for families to share cultural heritage in the classroom * Required for two-star or higher. The facility provided a pre-k welcome letter that verifies the program offers volunteer opportunities to families. *Required for two-star or higher. The facility uses Ready Rosie and in-person communication to communicate with families regarding available resources. *C-1 A communication log is created each week and filled in for each child if they have made contact with the parent/guardian by email, phone, newsletter, papers were sent home or other- such as Google Meet, Open House, conference.... Occasional updates are sent home in the child’s folder, which includes weekly plans, upcoming events, and ways to participate. All information is sent out in English and Spanish. Parents are enrolled in Ready Rosie and receive texts or emails with weekly videos with modeled activities. *C-3 The first parent teacher conference was held on October 29 & 30, 2025. At this conference the staff reviewed the developmental screening assessment, and the Fall Creative Curriculum assessments were reviewed and goals for each child were discussed. The second parent teacher conferences started on February 4, 2026 and finished on March 4, 2026. Due to a snow storm, it took longer to get them all completed. IEP meetings are sometimes incorporated into these conferences. *EL-2 Beginning of the year classroom visits were August 14-18, 2025, in which students and families were able to meet the teachers and visit the classroom prior to the students’ first day of school. Children started school on a staggered entry schedule over three days. *EL-3 Parents were invited to come to a Halloween party (7 attended), a thanksgiving dinner (10 attended), Valentine’s party (8 attended) and an end of year celebration (Raising A Reader activity), ice-cream party/literacy event. *EL-4 A letter to families was sent home at the end of March to ask about their interest in participating in Easter-related activities. They were asked to share their families traditions and if they would want to share them with the class. Parents had the choice to give permission or not based on their beliefs. Another note to families was sent home this week to ask families to bring in an item or activity to share with the class surrounding their family heritage. *EO-3 A three-fold educational literacy opportunity to discuss the importance of literacy and reading with their children. Teachers present the families resources from Ready Rosie and Raising a Reader donated by a local resource, the Children’s Council. They had their annual Read-a-thon and a “Blue Bag Event”. They are encouraged to get a library card at the local library to encourage read-a-loud and literacy events with their children. *EO-6 Paid planning time for lead teachers is built into the calendar on optional teacher work days and early release days. This also allows teachers time to plan, prepare and conduct conferences by phone, virtually or in person. 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS *Evidence of implementing continuous quality improvement (CQI) plans for the facility and individual staff. The CQI plan for the facility has been completed; the form was received prior to the visit. The individual CQI plans for the two (2) main teachers were verified. The staff CQI plans must be completed by each staff member’s one year of employment. Reminder that the CQI plans are continuous and once one is completed, another must be started to meet this annual requirement. *Evidence of the lead teacher completing training related to the curriculum and formative assessment tool that is used by the center with children. An email from Teaching Strategies Finch Literacy Screener Webinar was available for review for the lead teacher. *Evidence of the administrator participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f,10). Monthly principals meetings are held and training are offered in Early Literacy Systems. You stated that you are part of the Pathways to Accreditation Program NC Pre- K Cohort at The Children’s Council of Watauga County (Partnership for Children). Reminder that this is an annual requirement and must be completed on or before each staff member’s year of employment, and every year thereafter. * Evidence of all lead teachers participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f, 10). annual completion of five hours of coaching or mentoring by an administrator of another licensed child care center with a star-rating of five stars, or a community resource partner. *Staff education evaluation of fifty percent (50%) of lead teachers and fifty percent (50%) of other educators resulting in staff education at the five-star level. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *E. Reuben, Administrator, has been evaluated as a Level III Administrator with nine (9) years or more administrative work experience. *K. Haydar, Lead Teacher, has been evaluated and is qualified as a DPI lead teacher with 4-year degree in Birth-Kindergarten with eight (8) years’ experience. *C. Westpfahl, Teacher, has been evaluated and is qualified as a DPI teacher assistant with 2-year degree in other, and a CDA Preschool and with three (3) years’ experience. *Evidence of implementing a curriculum that has been approved by the Commission. The curriculum implemented Creative Curriculum. It was verified during the visit that the one (1) classroom was implementing the Creative Curriculum as activity plans and parent/teacher conference preparations. *Evidence of conducting on-going formative assessments that have been approved by the Commission and sharing results with parents at least twice annually. It was reported that conferences are held three times per year October, February and May. The approved assessment used is GOLD by Teaching Strategies. It was verified during the visit that on-going formative assessments were in process of being shared with parents October 29 & 30,2025, February 4- March 4, 2026 and again in May. Evidence of observations being completed were verified through the Teaching Strategies application, Smart Teach. There were pictures, work samples, portfolios, and anecdotal notes. *Per NC Pre-Kindergarten requirements an environment rating scale is needed in order to meet requirements for funding. The request for environment rating scales was received on 2/27/2026, and the scales were ordered. The facility currently has a four (4) week window of 5/4/2026 to 5/29/2026. After completion of the ECERS-3 assessment, I will share the results with you. If anything scores below a 5, I will schedule a visit to go over the scores with you. Based on verification of requirements in the .3205 section of the child care rules, a five-star license has been earned. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years, and the facility will be due again for a rated license assessment by April 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. We recognition of quality initiatives were received and verified and are as follows: Educational Recognition: * 75 percent of teachers employed by a child care facility have earned an AAS degree or higher in early childhood education, child development or related field. * 75 percent of lead teachers employed by a child care facility have earned a BA/BS degree or higher in early childhood education, child development, or related field. * All lead teachers employed by a child care facility have earned an AAS degree or higher in early childhood education, child development or related field. Professional Development Recognition: * A child care facility operator compensates staff members for the time spent completing professional development activities. * A child care facility operator compensates staff members for the cost of professional development activities. Longevity and Experience Recognition: * All lead teachers and teachers have at least five years of early childhood work experience in a licensed child care facility and have been employed by no more than two different child care facilities. * The child care center has a combined turnover rate of 20 percent or less for the administrator, lead teacher and teacher positions over the last 12 months. Staff Supports and Benefits Recognition: * A child care facility offers a staff benefits package that includes at least three of the following benefits: paid time off for vacation, sick and/or personal leave, paid family and medical leave, fully or partially paid health insurance, retirement contribution or annual bonuses. * A child care facility offers at least two mental health supports such as training offered on-site, paid time off for wellness, mental health coverage as part of health benefits or assistance in obtaining access to other services as requested. Health & Wellness Opportunities Recognition: * A child care facility provides support to staff members and families regarding challenging behaviors using community, regional or state resources. *A child care center has a licensed or registered nurse on staff for at least half of the operating hours of the program. *A child care facility offers oral health education and opportunities such as dental screenings and outreach with community, regional and state resources. Culinary Emphasis Recognition: * A chef or cook at a child care center has completed culinary classes or has completed food handler program training or certification, such as ServSafe. The following violations were documented during today’s visit: Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. A child was drinking a bottle of milk while laying on the cot at rest time. 10A NCAC 09 .0902(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two emergency medicines had an action plan but not parent permission to administer the medication. 10A NCAC 09 .0803(1)(a & b) Item # 842 Two emergency medicines had an action plan but not parent permission to administer the medication. *We discussed that both are required. Emergency medications need an action plan to help you know when to take action and what to do and when. The permission to administer is the parents statement that they are giving you permission to administer this medication to the child. Item #532 A child was drinking a bottle of milk while laying on the cot at rest time. *We discussed that unless this practice is part of the child's IEP or a doctor’s note is on site with a medical reason, the bottle should be given only at the table. The teacher stated that they had tried all types of straws and sippy/transition cups to get the child to drink. The child also had one for water during the day. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by April 16, 2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • ABCMS- Continue to update the staff roster as needed in the ABCMS portal. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • There is a newer Summary of the Law on our website. Be sure you have the newest one posted and give the most recent out to newly enrolled children. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3210 · Violation

Name of Operation: MABEL DEVELOPMENTAL DAY Facility ID: 95000160 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/2/2026 Number Present: 9 Completed Date: 4/2/2026 Age: From 4 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements for an Annual Compliance with a Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Kathy Abi-Haydar, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Haydar was available during the visit to assist me and answer my questions. Upon checking in at the front desk, I asked that they inform the administrator, Elin Reuben, that I was here today to monitor the pre-k. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 4/2/2026. This NC-Pre-k facility is owned and operated by Watauga County Schools and is housed in Mabel Elementary School. Permit type – Five (5) Star Rated License, issued 10/23/2020. Special Services/Restrictions – 1st shift (Daytime care), meets enhanced space, Certified Developmental Day, meets reduced ratios, meets decreased ratios by 1 from the 7 pt level. The last annual compliance visit was conducted on 4/9/2025. The last fire drill was practiced on 3/27/26. The last lock down drill was practiced on 1/14/26. The last playground inspection was documented on 3/4/26. The last fire inspection was approved on 8/29/2025. The last sanitation inspection was conducted on 2/16/2026 with two (2) demerits for a superior classification. The program does provide transportation on one (1) public school bus. You stated that you transport two (2) children, aged 5 years old, for morning and afternoon routes. The approved curriculum Creative Curriculum. Approved formative assessment Teaching Strategies Gold. Two (2) staff files, two (2) children files, and program records were monitored during today’s visit. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. It was signed by the administrator and dated 10/30/25. The classroom operates from 7 a.m. to 3 p.m. Monday through Friday. When I arrived, I checked in at the front office and asked that they let the principal/administrator know that I am here today to monitor the pre-k classroom. When I arrived at the classroom, they were outside playing on the playground. They had a variety of materials to choose from including balls, riding toys, balance beams, climber with slides, sandbox and more. When the children went inside, they washed hands and most joined the teacher in group for a story, songs and gross motor dancing activity. The other teacher cleaned the tables to prepare for lunch. Teachers sat with the children during lunch to assist those that needed help. Calm lighting and music was on during this time to encourage the children to calm their bodies to prepare for rest. Routine caregiving activities such as diaper changes occurred as needed throughout the day. After lunch time, children transitioned to their individual cots and teacher went around and assisted the children to calm themselves and relax enough to fall asleep. About half of the children napped and the others rested for a while and then got quiet activates to do Lunch today consisted of chicken fajitas, rice, black beans, mixed fruit and milk. Rated License Information: The program currently operates with a five-star license, issued 10/23/2020, earning five (5) points in the education component, seven (7) points in the program standards component with a score of 5.59 on the ECERS-R (meeting enhanced space) and one (1) quality point. I received the Star Rated License application on 3/30/26, applying for Pathway #2, Classroom and Instructional Quality. Your new Five (5) Star License is based on the following: PATHWAY #2 – Classroom and Instructional Quality. The following was verified to be in process or completed for the classroom and instructional quality pathway based on five (5) star level. 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS Since your program is a Developmental Day Program, you will continue to follow the ratio’s set forth in: 10A NCAC 09 .2902 LICENSE (f) The center shall comply with the staff-child ratio and maximum group size as follows: MAXIMUM AGE RATIO STAFF/CHILDREN GROUP SIZE 0-12 Months 1/4 8 1 to 2 Years 1/5 10 2 Years and Older 1/6 18 (g) A minimum of two staff members shall be on site at all times while children are in attendance at the facility. 10A NCAC 09 .3210 ENHANCED SPACE REQUIRMENTS FOR CHILD CARE CENTERS In order for a child care center to meet enhanced space requirements: (1) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time; and (2) There shall be an area that can be arranged for administrative and private conference activities. *The program receives NC Pre-Kindergarten funding and Developmental Day Funding and must adhere to the highest standards of staff/child ratios of 1/6 with a group size of 18 (for your program, you maintain a 2/12 ratio). 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS *Evidence of implementing family and community engagement foundational practices. The following was verified during the visit. * Required for two-star or higher. The facility provided communication documentation as evidence of responsive communication with families. * Required for two-star or higher. The facility provided a pre-k welcome letter that verifies an annual family conference is offered. * Required for two-star or higher. The facility offers annual opportunities for families to share cultural heritage in the classroom * Required for two-star or higher. The facility provided a pre-k welcome letter that verifies the program offers volunteer opportunities to families. *Required for two-star or higher. The facility uses Ready Rosie and in-person communication to communicate with families regarding available resources. *C-1 A communication log is created each week and filled in for each child if they have made contact with the parent/guardian by email, phone, newsletter, papers were sent home or other- such as Google Meet, Open House, conference.... Occasional updates are sent home in the child’s folder, which includes weekly plans, upcoming events, and ways to participate. All information is sent out in English and Spanish. Parents are enrolled in Ready Rosie and receive texts or emails with weekly videos with modeled activities. *C-3 The first parent teacher conference was held on October 29 & 30, 2025. At this conference the staff reviewed the developmental screening assessment, and the Fall Creative Curriculum assessments were reviewed and goals for each child were discussed. The second parent teacher conferences started on February 4, 2026 and finished on March 4, 2026. Due to a snow storm, it took longer to get them all completed. IEP meetings are sometimes incorporated into these conferences. *EL-2 Beginning of the year classroom visits were August 14-18, 2025, in which students and families were able to meet the teachers and visit the classroom prior to the students’ first day of school. Children started school on a staggered entry schedule over three days. *EL-3 Parents were invited to come to a Halloween party (7 attended), a thanksgiving dinner (10 attended), Valentine’s party (8 attended) and an end of year celebration (Raising A Reader activity), ice-cream party/literacy event. *EL-4 A letter to families was sent home at the end of March to ask about their interest in participating in Easter-related activities. They were asked to share their families traditions and if they would want to share them with the class. Parents had the choice to give permission or not based on their beliefs. Another note to families was sent home this week to ask families to bring in an item or activity to share with the class surrounding their family heritage. *EO-3 A three-fold educational literacy opportunity to discuss the importance of literacy and reading with their children. Teachers present the families resources from Ready Rosie and Raising a Reader donated by a local resource, the Children’s Council. They had their annual Read-a-thon and a “Blue Bag Event”. They are encouraged to get a library card at the local library to encourage read-a-loud and literacy events with their children. *EO-6 Paid planning time for lead teachers is built into the calendar on optional teacher work days and early release days. This also allows teachers time to plan, prepare and conduct conferences by phone, virtually or in person. 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS *Evidence of implementing continuous quality improvement (CQI) plans for the facility and individual staff. The CQI plan for the facility has been completed; the form was received prior to the visit. The individual CQI plans for the two (2) main teachers were verified. The staff CQI plans must be completed by each staff member’s one year of employment. Reminder that the CQI plans are continuous and once one is completed, another must be started to meet this annual requirement. *Evidence of the lead teacher completing training related to the curriculum and formative assessment tool that is used by the center with children. An email from Teaching Strategies Finch Literacy Screener Webinar was available for review for the lead teacher. *Evidence of the administrator participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f,10). Monthly principals meetings are held and training are offered in Early Literacy Systems. You stated that you are part of the Pathways to Accreditation Program NC Pre- K Cohort at The Children’s Council of Watauga County (Partnership for Children). Reminder that this is an annual requirement and must be completed on or before each staff member’s year of employment, and every year thereafter. * Evidence of all lead teachers participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f, 10). annual completion of five hours of coaching or mentoring by an administrator of another licensed child care center with a star-rating of five stars, or a community resource partner. *Staff education evaluation of fifty percent (50%) of lead teachers and fifty percent (50%) of other educators resulting in staff education at the five-star level. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *E. Reuben, Administrator, has been evaluated as a Level III Administrator with nine (9) years or more administrative work experience. *K. Haydar, Lead Teacher, has been evaluated and is qualified as a DPI lead teacher with 4-year degree in Birth-Kindergarten with eight (8) years’ experience. *C. Westpfahl, Teacher, has been evaluated and is qualified as a DPI teacher assistant with 2-year degree in other, and a CDA Preschool and with three (3) years’ experience. *Evidence of implementing a curriculum that has been approved by the Commission. The curriculum implemented Creative Curriculum. It was verified during the visit that the one (1) classroom was implementing the Creative Curriculum as activity plans and parent/teacher conference preparations. *Evidence of conducting on-going formative assessments that have been approved by the Commission and sharing results with parents at least twice annually. It was reported that conferences are held three times per year October, February and May. The approved assessment used is GOLD by Teaching Strategies. It was verified during the visit that on-going formative assessments were in process of being shared with parents October 29 & 30,2025, February 4- March 4, 2026 and again in May. Evidence of observations being completed were verified through the Teaching Strategies application, Smart Teach. There were pictures, work samples, portfolios, and anecdotal notes. *Per NC Pre-Kindergarten requirements an environment rating scale is needed in order to meet requirements for funding. The request for environment rating scales was received on 2/27/2026, and the scales were ordered. The facility currently has a four (4) week window of 5/4/2026 to 5/29/2026. After completion of the ECERS-3 assessment, I will share the results with you. If anything scores below a 5, I will schedule a visit to go over the scores with you. Based on verification of requirements in the .3205 section of the child care rules, a five-star license has been earned. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years, and the facility will be due again for a rated license assessment by April 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. We recognition of quality initiatives were received and verified and are as follows: Educational Recognition: * 75 percent of teachers employed by a child care facility have earned an AAS degree or higher in early childhood education, child development or related field. * 75 percent of lead teachers employed by a child care facility have earned a BA/BS degree or higher in early childhood education, child development, or related field. * All lead teachers employed by a child care facility have earned an AAS degree or higher in early childhood education, child development or related field. Professional Development Recognition: * A child care facility operator compensates staff members for the time spent completing professional development activities. * A child care facility operator compensates staff members for the cost of professional development activities. Longevity and Experience Recognition: * All lead teachers and teachers have at least five years of early childhood work experience in a licensed child care facility and have been employed by no more than two different child care facilities. * The child care center has a combined turnover rate of 20 percent or less for the administrator, lead teacher and teacher positions over the last 12 months. Staff Supports and Benefits Recognition: * A child care facility offers a staff benefits package that includes at least three of the following benefits: paid time off for vacation, sick and/or personal leave, paid family and medical leave, fully or partially paid health insurance, retirement contribution or annual bonuses. * A child care facility offers at least two mental health supports such as training offered on-site, paid time off for wellness, mental health coverage as part of health benefits or assistance in obtaining access to other services as requested. Health & Wellness Opportunities Recognition: * A child care facility provides support to staff members and families regarding challenging behaviors using community, regional or state resources. *A child care center has a licensed or registered nurse on staff for at least half of the operating hours of the program. *A child care facility offers oral health education and opportunities such as dental screenings and outreach with community, regional and state resources. Culinary Emphasis Recognition: * A chef or cook at a child care center has completed culinary classes or has completed food handler program training or certification, such as ServSafe. The following violations were documented during today’s visit: Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. A child was drinking a bottle of milk while laying on the cot at rest time. 10A NCAC 09 .0902(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two emergency medicines had an action plan but not parent permission to administer the medication. 10A NCAC 09 .0803(1)(a & b) Item # 842 Two emergency medicines had an action plan but not parent permission to administer the medication. *We discussed that both are required. Emergency medications need an action plan to help you know when to take action and what to do and when. The permission to administer is the parents statement that they are giving you permission to administer this medication to the child. Item #532 A child was drinking a bottle of milk while laying on the cot at rest time. *We discussed that unless this practice is part of the child's IEP or a doctor’s note is on site with a medical reason, the bottle should be given only at the table. The teacher stated that they had tried all types of straws and sippy/transition cups to get the child to drink. The child also had one for water during the day. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by April 16, 2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • ABCMS- Continue to update the staff roster as needed in the ABCMS portal. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • There is a newer Summary of the Law on our website. Be sure you have the newest one posted and give the most recent out to newly enrolled children. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3219 · Violation

Name of Operation: MABEL DEVELOPMENTAL DAY Facility ID: 95000160 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/2/2026 Number Present: 9 Completed Date: 4/2/2026 Age: From 4 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements for an Annual Compliance with a Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Kathy Abi-Haydar, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Haydar was available during the visit to assist me and answer my questions. Upon checking in at the front desk, I asked that they inform the administrator, Elin Reuben, that I was here today to monitor the pre-k. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 4/2/2026. This NC-Pre-k facility is owned and operated by Watauga County Schools and is housed in Mabel Elementary School. Permit type – Five (5) Star Rated License, issued 10/23/2020. Special Services/Restrictions – 1st shift (Daytime care), meets enhanced space, Certified Developmental Day, meets reduced ratios, meets decreased ratios by 1 from the 7 pt level. The last annual compliance visit was conducted on 4/9/2025. The last fire drill was practiced on 3/27/26. The last lock down drill was practiced on 1/14/26. The last playground inspection was documented on 3/4/26. The last fire inspection was approved on 8/29/2025. The last sanitation inspection was conducted on 2/16/2026 with two (2) demerits for a superior classification. The program does provide transportation on one (1) public school bus. You stated that you transport two (2) children, aged 5 years old, for morning and afternoon routes. The approved curriculum Creative Curriculum. Approved formative assessment Teaching Strategies Gold. Two (2) staff files, two (2) children files, and program records were monitored during today’s visit. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. It was signed by the administrator and dated 10/30/25. The classroom operates from 7 a.m. to 3 p.m. Monday through Friday. When I arrived, I checked in at the front office and asked that they let the principal/administrator know that I am here today to monitor the pre-k classroom. When I arrived at the classroom, they were outside playing on the playground. They had a variety of materials to choose from including balls, riding toys, balance beams, climber with slides, sandbox and more. When the children went inside, they washed hands and most joined the teacher in group for a story, songs and gross motor dancing activity. The other teacher cleaned the tables to prepare for lunch. Teachers sat with the children during lunch to assist those that needed help. Calm lighting and music was on during this time to encourage the children to calm their bodies to prepare for rest. Routine caregiving activities such as diaper changes occurred as needed throughout the day. After lunch time, children transitioned to their individual cots and teacher went around and assisted the children to calm themselves and relax enough to fall asleep. About half of the children napped and the others rested for a while and then got quiet activates to do Lunch today consisted of chicken fajitas, rice, black beans, mixed fruit and milk. Rated License Information: The program currently operates with a five-star license, issued 10/23/2020, earning five (5) points in the education component, seven (7) points in the program standards component with a score of 5.59 on the ECERS-R (meeting enhanced space) and one (1) quality point. I received the Star Rated License application on 3/30/26, applying for Pathway #2, Classroom and Instructional Quality. Your new Five (5) Star License is based on the following: PATHWAY #2 – Classroom and Instructional Quality. The following was verified to be in process or completed for the classroom and instructional quality pathway based on five (5) star level. 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS Since your program is a Developmental Day Program, you will continue to follow the ratio’s set forth in: 10A NCAC 09 .2902 LICENSE (f) The center shall comply with the staff-child ratio and maximum group size as follows: MAXIMUM AGE RATIO STAFF/CHILDREN GROUP SIZE 0-12 Months 1/4 8 1 to 2 Years 1/5 10 2 Years and Older 1/6 18 (g) A minimum of two staff members shall be on site at all times while children are in attendance at the facility. 10A NCAC 09 .3210 ENHANCED SPACE REQUIRMENTS FOR CHILD CARE CENTERS In order for a child care center to meet enhanced space requirements: (1) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time; and (2) There shall be an area that can be arranged for administrative and private conference activities. *The program receives NC Pre-Kindergarten funding and Developmental Day Funding and must adhere to the highest standards of staff/child ratios of 1/6 with a group size of 18 (for your program, you maintain a 2/12 ratio). 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS *Evidence of implementing family and community engagement foundational practices. The following was verified during the visit. * Required for two-star or higher. The facility provided communication documentation as evidence of responsive communication with families. * Required for two-star or higher. The facility provided a pre-k welcome letter that verifies an annual family conference is offered. * Required for two-star or higher. The facility offers annual opportunities for families to share cultural heritage in the classroom * Required for two-star or higher. The facility provided a pre-k welcome letter that verifies the program offers volunteer opportunities to families. *Required for two-star or higher. The facility uses Ready Rosie and in-person communication to communicate with families regarding available resources. *C-1 A communication log is created each week and filled in for each child if they have made contact with the parent/guardian by email, phone, newsletter, papers were sent home or other- such as Google Meet, Open House, conference.... Occasional updates are sent home in the child’s folder, which includes weekly plans, upcoming events, and ways to participate. All information is sent out in English and Spanish. Parents are enrolled in Ready Rosie and receive texts or emails with weekly videos with modeled activities. *C-3 The first parent teacher conference was held on October 29 & 30, 2025. At this conference the staff reviewed the developmental screening assessment, and the Fall Creative Curriculum assessments were reviewed and goals for each child were discussed. The second parent teacher conferences started on February 4, 2026 and finished on March 4, 2026. Due to a snow storm, it took longer to get them all completed. IEP meetings are sometimes incorporated into these conferences. *EL-2 Beginning of the year classroom visits were August 14-18, 2025, in which students and families were able to meet the teachers and visit the classroom prior to the students’ first day of school. Children started school on a staggered entry schedule over three days. *EL-3 Parents were invited to come to a Halloween party (7 attended), a thanksgiving dinner (10 attended), Valentine’s party (8 attended) and an end of year celebration (Raising A Reader activity), ice-cream party/literacy event. *EL-4 A letter to families was sent home at the end of March to ask about their interest in participating in Easter-related activities. They were asked to share their families traditions and if they would want to share them with the class. Parents had the choice to give permission or not based on their beliefs. Another note to families was sent home this week to ask families to bring in an item or activity to share with the class surrounding their family heritage. *EO-3 A three-fold educational literacy opportunity to discuss the importance of literacy and reading with their children. Teachers present the families resources from Ready Rosie and Raising a Reader donated by a local resource, the Children’s Council. They had their annual Read-a-thon and a “Blue Bag Event”. They are encouraged to get a library card at the local library to encourage read-a-loud and literacy events with their children. *EO-6 Paid planning time for lead teachers is built into the calendar on optional teacher work days and early release days. This also allows teachers time to plan, prepare and conduct conferences by phone, virtually or in person. 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS *Evidence of implementing continuous quality improvement (CQI) plans for the facility and individual staff. The CQI plan for the facility has been completed; the form was received prior to the visit. The individual CQI plans for the two (2) main teachers were verified. The staff CQI plans must be completed by each staff member’s one year of employment. Reminder that the CQI plans are continuous and once one is completed, another must be started to meet this annual requirement. *Evidence of the lead teacher completing training related to the curriculum and formative assessment tool that is used by the center with children. An email from Teaching Strategies Finch Literacy Screener Webinar was available for review for the lead teacher. *Evidence of the administrator participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f,10). Monthly principals meetings are held and training are offered in Early Literacy Systems. You stated that you are part of the Pathways to Accreditation Program NC Pre- K Cohort at The Children’s Council of Watauga County (Partnership for Children). Reminder that this is an annual requirement and must be completed on or before each staff member’s year of employment, and every year thereafter. * Evidence of all lead teachers participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f, 10). annual completion of five hours of coaching or mentoring by an administrator of another licensed child care center with a star-rating of five stars, or a community resource partner. *Staff education evaluation of fifty percent (50%) of lead teachers and fifty percent (50%) of other educators resulting in staff education at the five-star level. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *E. Reuben, Administrator, has been evaluated as a Level III Administrator with nine (9) years or more administrative work experience. *K. Haydar, Lead Teacher, has been evaluated and is qualified as a DPI lead teacher with 4-year degree in Birth-Kindergarten with eight (8) years’ experience. *C. Westpfahl, Teacher, has been evaluated and is qualified as a DPI teacher assistant with 2-year degree in other, and a CDA Preschool and with three (3) years’ experience. *Evidence of implementing a curriculum that has been approved by the Commission. The curriculum implemented Creative Curriculum. It was verified during the visit that the one (1) classroom was implementing the Creative Curriculum as activity plans and parent/teacher conference preparations. *Evidence of conducting on-going formative assessments that have been approved by the Commission and sharing results with parents at least twice annually. It was reported that conferences are held three times per year October, February and May. The approved assessment used is GOLD by Teaching Strategies. It was verified during the visit that on-going formative assessments were in process of being shared with parents October 29 & 30,2025, February 4- March 4, 2026 and again in May. Evidence of observations being completed were verified through the Teaching Strategies application, Smart Teach. There were pictures, work samples, portfolios, and anecdotal notes. *Per NC Pre-Kindergarten requirements an environment rating scale is needed in order to meet requirements for funding. The request for environment rating scales was received on 2/27/2026, and the scales were ordered. The facility currently has a four (4) week window of 5/4/2026 to 5/29/2026. After completion of the ECERS-3 assessment, I will share the results with you. If anything scores below a 5, I will schedule a visit to go over the scores with you. Based on verification of requirements in the .3205 section of the child care rules, a five-star license has been earned. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years, and the facility will be due again for a rated license assessment by April 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. We recognition of quality initiatives were received and verified and are as follows: Educational Recognition: * 75 percent of teachers employed by a child care facility have earned an AAS degree or higher in early childhood education, child development or related field. * 75 percent of lead teachers employed by a child care facility have earned a BA/BS degree or higher in early childhood education, child development, or related field. * All lead teachers employed by a child care facility have earned an AAS degree or higher in early childhood education, child development or related field. Professional Development Recognition: * A child care facility operator compensates staff members for the time spent completing professional development activities. * A child care facility operator compensates staff members for the cost of professional development activities. Longevity and Experience Recognition: * All lead teachers and teachers have at least five years of early childhood work experience in a licensed child care facility and have been employed by no more than two different child care facilities. * The child care center has a combined turnover rate of 20 percent or less for the administrator, lead teacher and teacher positions over the last 12 months. Staff Supports and Benefits Recognition: * A child care facility offers a staff benefits package that includes at least three of the following benefits: paid time off for vacation, sick and/or personal leave, paid family and medical leave, fully or partially paid health insurance, retirement contribution or annual bonuses. * A child care facility offers at least two mental health supports such as training offered on-site, paid time off for wellness, mental health coverage as part of health benefits or assistance in obtaining access to other services as requested. Health & Wellness Opportunities Recognition: * A child care facility provides support to staff members and families regarding challenging behaviors using community, regional or state resources. *A child care center has a licensed or registered nurse on staff for at least half of the operating hours of the program. *A child care facility offers oral health education and opportunities such as dental screenings and outreach with community, regional and state resources. Culinary Emphasis Recognition: * A chef or cook at a child care center has completed culinary classes or has completed food handler program training or certification, such as ServSafe. The following violations were documented during today’s visit: Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. A child was drinking a bottle of milk while laying on the cot at rest time. 10A NCAC 09 .0902(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two emergency medicines had an action plan but not parent permission to administer the medication. 10A NCAC 09 .0803(1)(a & b) Item # 842 Two emergency medicines had an action plan but not parent permission to administer the medication. *We discussed that both are required. Emergency medications need an action plan to help you know when to take action and what to do and when. The permission to administer is the parents statement that they are giving you permission to administer this medication to the child. Item #532 A child was drinking a bottle of milk while laying on the cot at rest time. *We discussed that unless this practice is part of the child's IEP or a doctor’s note is on site with a medical reason, the bottle should be given only at the table. The teacher stated that they had tried all types of straws and sippy/transition cups to get the child to drink. The child also had one for water during the day. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by April 16, 2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • ABCMS- Continue to update the staff roster as needed in the ABCMS portal. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • There is a newer Summary of the Law on our website. Be sure you have the newest one posted and give the most recent out to newly enrolled children. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3221 · Violation

Name of Operation: MABEL DEVELOPMENTAL DAY Facility ID: 95000160 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/2/2026 Number Present: 9 Completed Date: 4/2/2026 Age: From 4 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements for an Annual Compliance with a Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Kathy Abi-Haydar, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Haydar was available during the visit to assist me and answer my questions. Upon checking in at the front desk, I asked that they inform the administrator, Elin Reuben, that I was here today to monitor the pre-k. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 4/2/2026. This NC-Pre-k facility is owned and operated by Watauga County Schools and is housed in Mabel Elementary School. Permit type – Five (5) Star Rated License, issued 10/23/2020. Special Services/Restrictions – 1st shift (Daytime care), meets enhanced space, Certified Developmental Day, meets reduced ratios, meets decreased ratios by 1 from the 7 pt level. The last annual compliance visit was conducted on 4/9/2025. The last fire drill was practiced on 3/27/26. The last lock down drill was practiced on 1/14/26. The last playground inspection was documented on 3/4/26. The last fire inspection was approved on 8/29/2025. The last sanitation inspection was conducted on 2/16/2026 with two (2) demerits for a superior classification. The program does provide transportation on one (1) public school bus. You stated that you transport two (2) children, aged 5 years old, for morning and afternoon routes. The approved curriculum Creative Curriculum. Approved formative assessment Teaching Strategies Gold. Two (2) staff files, two (2) children files, and program records were monitored during today’s visit. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. It was signed by the administrator and dated 10/30/25. The classroom operates from 7 a.m. to 3 p.m. Monday through Friday. When I arrived, I checked in at the front office and asked that they let the principal/administrator know that I am here today to monitor the pre-k classroom. When I arrived at the classroom, they were outside playing on the playground. They had a variety of materials to choose from including balls, riding toys, balance beams, climber with slides, sandbox and more. When the children went inside, they washed hands and most joined the teacher in group for a story, songs and gross motor dancing activity. The other teacher cleaned the tables to prepare for lunch. Teachers sat with the children during lunch to assist those that needed help. Calm lighting and music was on during this time to encourage the children to calm their bodies to prepare for rest. Routine caregiving activities such as diaper changes occurred as needed throughout the day. After lunch time, children transitioned to their individual cots and teacher went around and assisted the children to calm themselves and relax enough to fall asleep. About half of the children napped and the others rested for a while and then got quiet activates to do Lunch today consisted of chicken fajitas, rice, black beans, mixed fruit and milk. Rated License Information: The program currently operates with a five-star license, issued 10/23/2020, earning five (5) points in the education component, seven (7) points in the program standards component with a score of 5.59 on the ECERS-R (meeting enhanced space) and one (1) quality point. I received the Star Rated License application on 3/30/26, applying for Pathway #2, Classroom and Instructional Quality. Your new Five (5) Star License is based on the following: PATHWAY #2 – Classroom and Instructional Quality. The following was verified to be in process or completed for the classroom and instructional quality pathway based on five (5) star level. 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS Since your program is a Developmental Day Program, you will continue to follow the ratio’s set forth in: 10A NCAC 09 .2902 LICENSE (f) The center shall comply with the staff-child ratio and maximum group size as follows: MAXIMUM AGE RATIO STAFF/CHILDREN GROUP SIZE 0-12 Months 1/4 8 1 to 2 Years 1/5 10 2 Years and Older 1/6 18 (g) A minimum of two staff members shall be on site at all times while children are in attendance at the facility. 10A NCAC 09 .3210 ENHANCED SPACE REQUIRMENTS FOR CHILD CARE CENTERS In order for a child care center to meet enhanced space requirements: (1) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time; and (2) There shall be an area that can be arranged for administrative and private conference activities. *The program receives NC Pre-Kindergarten funding and Developmental Day Funding and must adhere to the highest standards of staff/child ratios of 1/6 with a group size of 18 (for your program, you maintain a 2/12 ratio). 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS *Evidence of implementing family and community engagement foundational practices. The following was verified during the visit. * Required for two-star or higher. The facility provided communication documentation as evidence of responsive communication with families. * Required for two-star or higher. The facility provided a pre-k welcome letter that verifies an annual family conference is offered. * Required for two-star or higher. The facility offers annual opportunities for families to share cultural heritage in the classroom * Required for two-star or higher. The facility provided a pre-k welcome letter that verifies the program offers volunteer opportunities to families. *Required for two-star or higher. The facility uses Ready Rosie and in-person communication to communicate with families regarding available resources. *C-1 A communication log is created each week and filled in for each child if they have made contact with the parent/guardian by email, phone, newsletter, papers were sent home or other- such as Google Meet, Open House, conference.... Occasional updates are sent home in the child’s folder, which includes weekly plans, upcoming events, and ways to participate. All information is sent out in English and Spanish. Parents are enrolled in Ready Rosie and receive texts or emails with weekly videos with modeled activities. *C-3 The first parent teacher conference was held on October 29 & 30, 2025. At this conference the staff reviewed the developmental screening assessment, and the Fall Creative Curriculum assessments were reviewed and goals for each child were discussed. The second parent teacher conferences started on February 4, 2026 and finished on March 4, 2026. Due to a snow storm, it took longer to get them all completed. IEP meetings are sometimes incorporated into these conferences. *EL-2 Beginning of the year classroom visits were August 14-18, 2025, in which students and families were able to meet the teachers and visit the classroom prior to the students’ first day of school. Children started school on a staggered entry schedule over three days. *EL-3 Parents were invited to come to a Halloween party (7 attended), a thanksgiving dinner (10 attended), Valentine’s party (8 attended) and an end of year celebration (Raising A Reader activity), ice-cream party/literacy event. *EL-4 A letter to families was sent home at the end of March to ask about their interest in participating in Easter-related activities. They were asked to share their families traditions and if they would want to share them with the class. Parents had the choice to give permission or not based on their beliefs. Another note to families was sent home this week to ask families to bring in an item or activity to share with the class surrounding their family heritage. *EO-3 A three-fold educational literacy opportunity to discuss the importance of literacy and reading with their children. Teachers present the families resources from Ready Rosie and Raising a Reader donated by a local resource, the Children’s Council. They had their annual Read-a-thon and a “Blue Bag Event”. They are encouraged to get a library card at the local library to encourage read-a-loud and literacy events with their children. *EO-6 Paid planning time for lead teachers is built into the calendar on optional teacher work days and early release days. This also allows teachers time to plan, prepare and conduct conferences by phone, virtually or in person. 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS *Evidence of implementing continuous quality improvement (CQI) plans for the facility and individual staff. The CQI plan for the facility has been completed; the form was received prior to the visit. The individual CQI plans for the two (2) main teachers were verified. The staff CQI plans must be completed by each staff member’s one year of employment. Reminder that the CQI plans are continuous and once one is completed, another must be started to meet this annual requirement. *Evidence of the lead teacher completing training related to the curriculum and formative assessment tool that is used by the center with children. An email from Teaching Strategies Finch Literacy Screener Webinar was available for review for the lead teacher. *Evidence of the administrator participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f,10). Monthly principals meetings are held and training are offered in Early Literacy Systems. You stated that you are part of the Pathways to Accreditation Program NC Pre- K Cohort at The Children’s Council of Watauga County (Partnership for Children). Reminder that this is an annual requirement and must be completed on or before each staff member’s year of employment, and every year thereafter. * Evidence of all lead teachers participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f, 10). annual completion of five hours of coaching or mentoring by an administrator of another licensed child care center with a star-rating of five stars, or a community resource partner. *Staff education evaluation of fifty percent (50%) of lead teachers and fifty percent (50%) of other educators resulting in staff education at the five-star level. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *E. Reuben, Administrator, has been evaluated as a Level III Administrator with nine (9) years or more administrative work experience. *K. Haydar, Lead Teacher, has been evaluated and is qualified as a DPI lead teacher with 4-year degree in Birth-Kindergarten with eight (8) years’ experience. *C. Westpfahl, Teacher, has been evaluated and is qualified as a DPI teacher assistant with 2-year degree in other, and a CDA Preschool and with three (3) years’ experience. *Evidence of implementing a curriculum that has been approved by the Commission. The curriculum implemented Creative Curriculum. It was verified during the visit that the one (1) classroom was implementing the Creative Curriculum as activity plans and parent/teacher conference preparations. *Evidence of conducting on-going formative assessments that have been approved by the Commission and sharing results with parents at least twice annually. It was reported that conferences are held three times per year October, February and May. The approved assessment used is GOLD by Teaching Strategies. It was verified during the visit that on-going formative assessments were in process of being shared with parents October 29 & 30,2025, February 4- March 4, 2026 and again in May. Evidence of observations being completed were verified through the Teaching Strategies application, Smart Teach. There were pictures, work samples, portfolios, and anecdotal notes. *Per NC Pre-Kindergarten requirements an environment rating scale is needed in order to meet requirements for funding. The request for environment rating scales was received on 2/27/2026, and the scales were ordered. The facility currently has a four (4) week window of 5/4/2026 to 5/29/2026. After completion of the ECERS-3 assessment, I will share the results with you. If anything scores below a 5, I will schedule a visit to go over the scores with you. Based on verification of requirements in the .3205 section of the child care rules, a five-star license has been earned. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years, and the facility will be due again for a rated license assessment by April 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. We recognition of quality initiatives were received and verified and are as follows: Educational Recognition: * 75 percent of teachers employed by a child care facility have earned an AAS degree or higher in early childhood education, child development or related field. * 75 percent of lead teachers employed by a child care facility have earned a BA/BS degree or higher in early childhood education, child development, or related field. * All lead teachers employed by a child care facility have earned an AAS degree or higher in early childhood education, child development or related field. Professional Development Recognition: * A child care facility operator compensates staff members for the time spent completing professional development activities. * A child care facility operator compensates staff members for the cost of professional development activities. Longevity and Experience Recognition: * All lead teachers and teachers have at least five years of early childhood work experience in a licensed child care facility and have been employed by no more than two different child care facilities. * The child care center has a combined turnover rate of 20 percent or less for the administrator, lead teacher and teacher positions over the last 12 months. Staff Supports and Benefits Recognition: * A child care facility offers a staff benefits package that includes at least three of the following benefits: paid time off for vacation, sick and/or personal leave, paid family and medical leave, fully or partially paid health insurance, retirement contribution or annual bonuses. * A child care facility offers at least two mental health supports such as training offered on-site, paid time off for wellness, mental health coverage as part of health benefits or assistance in obtaining access to other services as requested. Health & Wellness Opportunities Recognition: * A child care facility provides support to staff members and families regarding challenging behaviors using community, regional or state resources. *A child care center has a licensed or registered nurse on staff for at least half of the operating hours of the program. *A child care facility offers oral health education and opportunities such as dental screenings and outreach with community, regional and state resources. Culinary Emphasis Recognition: * A chef or cook at a child care center has completed culinary classes or has completed food handler program training or certification, such as ServSafe. The following violations were documented during today’s visit: Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. A child was drinking a bottle of milk while laying on the cot at rest time. 10A NCAC 09 .0902(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two emergency medicines had an action plan but not parent permission to administer the medication. 10A NCAC 09 .0803(1)(a & b) Item # 842 Two emergency medicines had an action plan but not parent permission to administer the medication. *We discussed that both are required. Emergency medications need an action plan to help you know when to take action and what to do and when. The permission to administer is the parents statement that they are giving you permission to administer this medication to the child. Item #532 A child was drinking a bottle of milk while laying on the cot at rest time. *We discussed that unless this practice is part of the child's IEP or a doctor’s note is on site with a medical reason, the bottle should be given only at the table. The teacher stated that they had tried all types of straws and sippy/transition cups to get the child to drink. The child also had one for water during the day. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by April 16, 2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • ABCMS- Continue to update the staff roster as needed in the ABCMS portal. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • There is a newer Summary of the Law on our website. Be sure you have the newest one posted and give the most recent out to newly enrolled children. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3222 · Violation

Name of Operation: MABEL DEVELOPMENTAL DAY Facility ID: 95000160 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/2/2026 Number Present: 9 Completed Date: 4/2/2026 Age: From 4 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements for an Annual Compliance with a Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Kathy Abi-Haydar, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Haydar was available during the visit to assist me and answer my questions. Upon checking in at the front desk, I asked that they inform the administrator, Elin Reuben, that I was here today to monitor the pre-k. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 4/2/2026. This NC-Pre-k facility is owned and operated by Watauga County Schools and is housed in Mabel Elementary School. Permit type – Five (5) Star Rated License, issued 10/23/2020. Special Services/Restrictions – 1st shift (Daytime care), meets enhanced space, Certified Developmental Day, meets reduced ratios, meets decreased ratios by 1 from the 7 pt level. The last annual compliance visit was conducted on 4/9/2025. The last fire drill was practiced on 3/27/26. The last lock down drill was practiced on 1/14/26. The last playground inspection was documented on 3/4/26. The last fire inspection was approved on 8/29/2025. The last sanitation inspection was conducted on 2/16/2026 with two (2) demerits for a superior classification. The program does provide transportation on one (1) public school bus. You stated that you transport two (2) children, aged 5 years old, for morning and afternoon routes. The approved curriculum Creative Curriculum. Approved formative assessment Teaching Strategies Gold. Two (2) staff files, two (2) children files, and program records were monitored during today’s visit. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. It was signed by the administrator and dated 10/30/25. The classroom operates from 7 a.m. to 3 p.m. Monday through Friday. When I arrived, I checked in at the front office and asked that they let the principal/administrator know that I am here today to monitor the pre-k classroom. When I arrived at the classroom, they were outside playing on the playground. They had a variety of materials to choose from including balls, riding toys, balance beams, climber with slides, sandbox and more. When the children went inside, they washed hands and most joined the teacher in group for a story, songs and gross motor dancing activity. The other teacher cleaned the tables to prepare for lunch. Teachers sat with the children during lunch to assist those that needed help. Calm lighting and music was on during this time to encourage the children to calm their bodies to prepare for rest. Routine caregiving activities such as diaper changes occurred as needed throughout the day. After lunch time, children transitioned to their individual cots and teacher went around and assisted the children to calm themselves and relax enough to fall asleep. About half of the children napped and the others rested for a while and then got quiet activates to do Lunch today consisted of chicken fajitas, rice, black beans, mixed fruit and milk. Rated License Information: The program currently operates with a five-star license, issued 10/23/2020, earning five (5) points in the education component, seven (7) points in the program standards component with a score of 5.59 on the ECERS-R (meeting enhanced space) and one (1) quality point. I received the Star Rated License application on 3/30/26, applying for Pathway #2, Classroom and Instructional Quality. Your new Five (5) Star License is based on the following: PATHWAY #2 – Classroom and Instructional Quality. The following was verified to be in process or completed for the classroom and instructional quality pathway based on five (5) star level. 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS Since your program is a Developmental Day Program, you will continue to follow the ratio’s set forth in: 10A NCAC 09 .2902 LICENSE (f) The center shall comply with the staff-child ratio and maximum group size as follows: MAXIMUM AGE RATIO STAFF/CHILDREN GROUP SIZE 0-12 Months 1/4 8 1 to 2 Years 1/5 10 2 Years and Older 1/6 18 (g) A minimum of two staff members shall be on site at all times while children are in attendance at the facility. 10A NCAC 09 .3210 ENHANCED SPACE REQUIRMENTS FOR CHILD CARE CENTERS In order for a child care center to meet enhanced space requirements: (1) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time; and (2) There shall be an area that can be arranged for administrative and private conference activities. *The program receives NC Pre-Kindergarten funding and Developmental Day Funding and must adhere to the highest standards of staff/child ratios of 1/6 with a group size of 18 (for your program, you maintain a 2/12 ratio). 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS *Evidence of implementing family and community engagement foundational practices. The following was verified during the visit. * Required for two-star or higher. The facility provided communication documentation as evidence of responsive communication with families. * Required for two-star or higher. The facility provided a pre-k welcome letter that verifies an annual family conference is offered. * Required for two-star or higher. The facility offers annual opportunities for families to share cultural heritage in the classroom * Required for two-star or higher. The facility provided a pre-k welcome letter that verifies the program offers volunteer opportunities to families. *Required for two-star or higher. The facility uses Ready Rosie and in-person communication to communicate with families regarding available resources. *C-1 A communication log is created each week and filled in for each child if they have made contact with the parent/guardian by email, phone, newsletter, papers were sent home or other- such as Google Meet, Open House, conference.... Occasional updates are sent home in the child’s folder, which includes weekly plans, upcoming events, and ways to participate. All information is sent out in English and Spanish. Parents are enrolled in Ready Rosie and receive texts or emails with weekly videos with modeled activities. *C-3 The first parent teacher conference was held on October 29 & 30, 2025. At this conference the staff reviewed the developmental screening assessment, and the Fall Creative Curriculum assessments were reviewed and goals for each child were discussed. The second parent teacher conferences started on February 4, 2026 and finished on March 4, 2026. Due to a snow storm, it took longer to get them all completed. IEP meetings are sometimes incorporated into these conferences. *EL-2 Beginning of the year classroom visits were August 14-18, 2025, in which students and families were able to meet the teachers and visit the classroom prior to the students’ first day of school. Children started school on a staggered entry schedule over three days. *EL-3 Parents were invited to come to a Halloween party (7 attended), a thanksgiving dinner (10 attended), Valentine’s party (8 attended) and an end of year celebration (Raising A Reader activity), ice-cream party/literacy event. *EL-4 A letter to families was sent home at the end of March to ask about their interest in participating in Easter-related activities. They were asked to share their families traditions and if they would want to share them with the class. Parents had the choice to give permission or not based on their beliefs. Another note to families was sent home this week to ask families to bring in an item or activity to share with the class surrounding their family heritage. *EO-3 A three-fold educational literacy opportunity to discuss the importance of literacy and reading with their children. Teachers present the families resources from Ready Rosie and Raising a Reader donated by a local resource, the Children’s Council. They had their annual Read-a-thon and a “Blue Bag Event”. They are encouraged to get a library card at the local library to encourage read-a-loud and literacy events with their children. *EO-6 Paid planning time for lead teachers is built into the calendar on optional teacher work days and early release days. This also allows teachers time to plan, prepare and conduct conferences by phone, virtually or in person. 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS *Evidence of implementing continuous quality improvement (CQI) plans for the facility and individual staff. The CQI plan for the facility has been completed; the form was received prior to the visit. The individual CQI plans for the two (2) main teachers were verified. The staff CQI plans must be completed by each staff member’s one year of employment. Reminder that the CQI plans are continuous and once one is completed, another must be started to meet this annual requirement. *Evidence of the lead teacher completing training related to the curriculum and formative assessment tool that is used by the center with children. An email from Teaching Strategies Finch Literacy Screener Webinar was available for review for the lead teacher. *Evidence of the administrator participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f,10). Monthly principals meetings are held and training are offered in Early Literacy Systems. You stated that you are part of the Pathways to Accreditation Program NC Pre- K Cohort at The Children’s Council of Watauga County (Partnership for Children). Reminder that this is an annual requirement and must be completed on or before each staff member’s year of employment, and every year thereafter. * Evidence of all lead teachers participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f, 10). annual completion of five hours of coaching or mentoring by an administrator of another licensed child care center with a star-rating of five stars, or a community resource partner. *Staff education evaluation of fifty percent (50%) of lead teachers and fifty percent (50%) of other educators resulting in staff education at the five-star level. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *E. Reuben, Administrator, has been evaluated as a Level III Administrator with nine (9) years or more administrative work experience. *K. Haydar, Lead Teacher, has been evaluated and is qualified as a DPI lead teacher with 4-year degree in Birth-Kindergarten with eight (8) years’ experience. *C. Westpfahl, Teacher, has been evaluated and is qualified as a DPI teacher assistant with 2-year degree in other, and a CDA Preschool and with three (3) years’ experience. *Evidence of implementing a curriculum that has been approved by the Commission. The curriculum implemented Creative Curriculum. It was verified during the visit that the one (1) classroom was implementing the Creative Curriculum as activity plans and parent/teacher conference preparations. *Evidence of conducting on-going formative assessments that have been approved by the Commission and sharing results with parents at least twice annually. It was reported that conferences are held three times per year October, February and May. The approved assessment used is GOLD by Teaching Strategies. It was verified during the visit that on-going formative assessments were in process of being shared with parents October 29 & 30,2025, February 4- March 4, 2026 and again in May. Evidence of observations being completed were verified through the Teaching Strategies application, Smart Teach. There were pictures, work samples, portfolios, and anecdotal notes. *Per NC Pre-Kindergarten requirements an environment rating scale is needed in order to meet requirements for funding. The request for environment rating scales was received on 2/27/2026, and the scales were ordered. The facility currently has a four (4) week window of 5/4/2026 to 5/29/2026. After completion of the ECERS-3 assessment, I will share the results with you. If anything scores below a 5, I will schedule a visit to go over the scores with you. Based on verification of requirements in the .3205 section of the child care rules, a five-star license has been earned. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years, and the facility will be due again for a rated license assessment by April 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. We recognition of quality initiatives were received and verified and are as follows: Educational Recognition: * 75 percent of teachers employed by a child care facility have earned an AAS degree or higher in early childhood education, child development or related field. * 75 percent of lead teachers employed by a child care facility have earned a BA/BS degree or higher in early childhood education, child development, or related field. * All lead teachers employed by a child care facility have earned an AAS degree or higher in early childhood education, child development or related field. Professional Development Recognition: * A child care facility operator compensates staff members for the time spent completing professional development activities. * A child care facility operator compensates staff members for the cost of professional development activities. Longevity and Experience Recognition: * All lead teachers and teachers have at least five years of early childhood work experience in a licensed child care facility and have been employed by no more than two different child care facilities. * The child care center has a combined turnover rate of 20 percent or less for the administrator, lead teacher and teacher positions over the last 12 months. Staff Supports and Benefits Recognition: * A child care facility offers a staff benefits package that includes at least three of the following benefits: paid time off for vacation, sick and/or personal leave, paid family and medical leave, fully or partially paid health insurance, retirement contribution or annual bonuses. * A child care facility offers at least two mental health supports such as training offered on-site, paid time off for wellness, mental health coverage as part of health benefits or assistance in obtaining access to other services as requested. Health & Wellness Opportunities Recognition: * A child care facility provides support to staff members and families regarding challenging behaviors using community, regional or state resources. *A child care center has a licensed or registered nurse on staff for at least half of the operating hours of the program. *A child care facility offers oral health education and opportunities such as dental screenings and outreach with community, regional and state resources. Culinary Emphasis Recognition: * A chef or cook at a child care center has completed culinary classes or has completed food handler program training or certification, such as ServSafe. The following violations were documented during today’s visit: Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. A child was drinking a bottle of milk while laying on the cot at rest time. 10A NCAC 09 .0902(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two emergency medicines had an action plan but not parent permission to administer the medication. 10A NCAC 09 .0803(1)(a & b) Item # 842 Two emergency medicines had an action plan but not parent permission to administer the medication. *We discussed that both are required. Emergency medications need an action plan to help you know when to take action and what to do and when. The permission to administer is the parents statement that they are giving you permission to administer this medication to the child. Item #532 A child was drinking a bottle of milk while laying on the cot at rest time. *We discussed that unless this practice is part of the child's IEP or a doctor’s note is on site with a medical reason, the bottle should be given only at the table. The teacher stated that they had tried all types of straws and sippy/transition cups to get the child to drink. The child also had one for water during the day. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by April 16, 2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • ABCMS- Continue to update the staff roster as needed in the ABCMS portal. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • There is a newer Summary of the Law on our website. Be sure you have the newest one posted and give the most recent out to newly enrolled children. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: MABEL DEVELOPMENTAL DAY Facility ID: 95000160 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/2/2026 Number Present: 9 Completed Date: 4/2/2026 Age: From 4 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements for an Annual Compliance with a Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Kathy Abi-Haydar, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Haydar was available during the visit to assist me and answer my questions. Upon checking in at the front desk, I asked that they inform the administrator, Elin Reuben, that I was here today to monitor the pre-k. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 4/2/2026. This NC-Pre-k facility is owned and operated by Watauga County Schools and is housed in Mabel Elementary School. Permit type – Five (5) Star Rated License, issued 10/23/2020. Special Services/Restrictions – 1st shift (Daytime care), meets enhanced space, Certified Developmental Day, meets reduced ratios, meets decreased ratios by 1 from the 7 pt level. The last annual compliance visit was conducted on 4/9/2025. The last fire drill was practiced on 3/27/26. The last lock down drill was practiced on 1/14/26. The last playground inspection was documented on 3/4/26. The last fire inspection was approved on 8/29/2025. The last sanitation inspection was conducted on 2/16/2026 with two (2) demerits for a superior classification. The program does provide transportation on one (1) public school bus. You stated that you transport two (2) children, aged 5 years old, for morning and afternoon routes. The approved curriculum Creative Curriculum. Approved formative assessment Teaching Strategies Gold. Two (2) staff files, two (2) children files, and program records were monitored during today’s visit. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. It was signed by the administrator and dated 10/30/25. The classroom operates from 7 a.m. to 3 p.m. Monday through Friday. When I arrived, I checked in at the front office and asked that they let the principal/administrator know that I am here today to monitor the pre-k classroom. When I arrived at the classroom, they were outside playing on the playground. They had a variety of materials to choose from including balls, riding toys, balance beams, climber with slides, sandbox and more. When the children went inside, they washed hands and most joined the teacher in group for a story, songs and gross motor dancing activity. The other teacher cleaned the tables to prepare for lunch. Teachers sat with the children during lunch to assist those that needed help. Calm lighting and music was on during this time to encourage the children to calm their bodies to prepare for rest. Routine caregiving activities such as diaper changes occurred as needed throughout the day. After lunch time, children transitioned to their individual cots and teacher went around and assisted the children to calm themselves and relax enough to fall asleep. About half of the children napped and the others rested for a while and then got quiet activates to do Lunch today consisted of chicken fajitas, rice, black beans, mixed fruit and milk. Rated License Information: The program currently operates with a five-star license, issued 10/23/2020, earning five (5) points in the education component, seven (7) points in the program standards component with a score of 5.59 on the ECERS-R (meeting enhanced space) and one (1) quality point. I received the Star Rated License application on 3/30/26, applying for Pathway #2, Classroom and Instructional Quality. Your new Five (5) Star License is based on the following: PATHWAY #2 – Classroom and Instructional Quality. The following was verified to be in process or completed for the classroom and instructional quality pathway based on five (5) star level. 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS Since your program is a Developmental Day Program, you will continue to follow the ratio’s set forth in: 10A NCAC 09 .2902 LICENSE (f) The center shall comply with the staff-child ratio and maximum group size as follows: MAXIMUM AGE RATIO STAFF/CHILDREN GROUP SIZE 0-12 Months 1/4 8 1 to 2 Years 1/5 10 2 Years and Older 1/6 18 (g) A minimum of two staff members shall be on site at all times while children are in attendance at the facility. 10A NCAC 09 .3210 ENHANCED SPACE REQUIRMENTS FOR CHILD CARE CENTERS In order for a child care center to meet enhanced space requirements: (1) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time; and (2) There shall be an area that can be arranged for administrative and private conference activities. *The program receives NC Pre-Kindergarten funding and Developmental Day Funding and must adhere to the highest standards of staff/child ratios of 1/6 with a group size of 18 (for your program, you maintain a 2/12 ratio). 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS *Evidence of implementing family and community engagement foundational practices. The following was verified during the visit. * Required for two-star or higher. The facility provided communication documentation as evidence of responsive communication with families. * Required for two-star or higher. The facility provided a pre-k welcome letter that verifies an annual family conference is offered. * Required for two-star or higher. The facility offers annual opportunities for families to share cultural heritage in the classroom * Required for two-star or higher. The facility provided a pre-k welcome letter that verifies the program offers volunteer opportunities to families. *Required for two-star or higher. The facility uses Ready Rosie and in-person communication to communicate with families regarding available resources. *C-1 A communication log is created each week and filled in for each child if they have made contact with the parent/guardian by email, phone, newsletter, papers were sent home or other- such as Google Meet, Open House, conference.... Occasional updates are sent home in the child’s folder, which includes weekly plans, upcoming events, and ways to participate. All information is sent out in English and Spanish. Parents are enrolled in Ready Rosie and receive texts or emails with weekly videos with modeled activities. *C-3 The first parent teacher conference was held on October 29 & 30, 2025. At this conference the staff reviewed the developmental screening assessment, and the Fall Creative Curriculum assessments were reviewed and goals for each child were discussed. The second parent teacher conferences started on February 4, 2026 and finished on March 4, 2026. Due to a snow storm, it took longer to get them all completed. IEP meetings are sometimes incorporated into these conferences. *EL-2 Beginning of the year classroom visits were August 14-18, 2025, in which students and families were able to meet the teachers and visit the classroom prior to the students’ first day of school. Children started school on a staggered entry schedule over three days. *EL-3 Parents were invited to come to a Halloween party (7 attended), a thanksgiving dinner (10 attended), Valentine’s party (8 attended) and an end of year celebration (Raising A Reader activity), ice-cream party/literacy event. *EL-4 A letter to families was sent home at the end of March to ask about their interest in participating in Easter-related activities. They were asked to share their families traditions and if they would want to share them with the class. Parents had the choice to give permission or not based on their beliefs. Another note to families was sent home this week to ask families to bring in an item or activity to share with the class surrounding their family heritage. *EO-3 A three-fold educational literacy opportunity to discuss the importance of literacy and reading with their children. Teachers present the families resources from Ready Rosie and Raising a Reader donated by a local resource, the Children’s Council. They had their annual Read-a-thon and a “Blue Bag Event”. They are encouraged to get a library card at the local library to encourage read-a-loud and literacy events with their children. *EO-6 Paid planning time for lead teachers is built into the calendar on optional teacher work days and early release days. This also allows teachers time to plan, prepare and conduct conferences by phone, virtually or in person. 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS *Evidence of implementing continuous quality improvement (CQI) plans for the facility and individual staff. The CQI plan for the facility has been completed; the form was received prior to the visit. The individual CQI plans for the two (2) main teachers were verified. The staff CQI plans must be completed by each staff member’s one year of employment. Reminder that the CQI plans are continuous and once one is completed, another must be started to meet this annual requirement. *Evidence of the lead teacher completing training related to the curriculum and formative assessment tool that is used by the center with children. An email from Teaching Strategies Finch Literacy Screener Webinar was available for review for the lead teacher. *Evidence of the administrator participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f,10). Monthly principals meetings are held and training are offered in Early Literacy Systems. You stated that you are part of the Pathways to Accreditation Program NC Pre- K Cohort at The Children’s Council of Watauga County (Partnership for Children). Reminder that this is an annual requirement and must be completed on or before each staff member’s year of employment, and every year thereafter. * Evidence of all lead teachers participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f, 10). annual completion of five hours of coaching or mentoring by an administrator of another licensed child care center with a star-rating of five stars, or a community resource partner. *Staff education evaluation of fifty percent (50%) of lead teachers and fifty percent (50%) of other educators resulting in staff education at the five-star level. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *E. Reuben, Administrator, has been evaluated as a Level III Administrator with nine (9) years or more administrative work experience. *K. Haydar, Lead Teacher, has been evaluated and is qualified as a DPI lead teacher with 4-year degree in Birth-Kindergarten with eight (8) years’ experience. *C. Westpfahl, Teacher, has been evaluated and is qualified as a DPI teacher assistant with 2-year degree in other, and a CDA Preschool and with three (3) years’ experience. *Evidence of implementing a curriculum that has been approved by the Commission. The curriculum implemented Creative Curriculum. It was verified during the visit that the one (1) classroom was implementing the Creative Curriculum as activity plans and parent/teacher conference preparations. *Evidence of conducting on-going formative assessments that have been approved by the Commission and sharing results with parents at least twice annually. It was reported that conferences are held three times per year October, February and May. The approved assessment used is GOLD by Teaching Strategies. It was verified during the visit that on-going formative assessments were in process of being shared with parents October 29 & 30,2025, February 4- March 4, 2026 and again in May. Evidence of observations being completed were verified through the Teaching Strategies application, Smart Teach. There were pictures, work samples, portfolios, and anecdotal notes. *Per NC Pre-Kindergarten requirements an environment rating scale is needed in order to meet requirements for funding. The request for environment rating scales was received on 2/27/2026, and the scales were ordered. The facility currently has a four (4) week window of 5/4/2026 to 5/29/2026. After completion of the ECERS-3 assessment, I will share the results with you. If anything scores below a 5, I will schedule a visit to go over the scores with you. Based on verification of requirements in the .3205 section of the child care rules, a five-star license has been earned. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years, and the facility will be due again for a rated license assessment by April 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. We recognition of quality initiatives were received and verified and are as follows: Educational Recognition: * 75 percent of teachers employed by a child care facility have earned an AAS degree or higher in early childhood education, child development or related field. * 75 percent of lead teachers employed by a child care facility have earned a BA/BS degree or higher in early childhood education, child development, or related field. * All lead teachers employed by a child care facility have earned an AAS degree or higher in early childhood education, child development or related field. Professional Development Recognition: * A child care facility operator compensates staff members for the time spent completing professional development activities. * A child care facility operator compensates staff members for the cost of professional development activities. Longevity and Experience Recognition: * All lead teachers and teachers have at least five years of early childhood work experience in a licensed child care facility and have been employed by no more than two different child care facilities. * The child care center has a combined turnover rate of 20 percent or less for the administrator, lead teacher and teacher positions over the last 12 months. Staff Supports and Benefits Recognition: * A child care facility offers a staff benefits package that includes at least three of the following benefits: paid time off for vacation, sick and/or personal leave, paid family and medical leave, fully or partially paid health insurance, retirement contribution or annual bonuses. * A child care facility offers at least two mental health supports such as training offered on-site, paid time off for wellness, mental health coverage as part of health benefits or assistance in obtaining access to other services as requested. Health & Wellness Opportunities Recognition: * A child care facility provides support to staff members and families regarding challenging behaviors using community, regional or state resources. *A child care center has a licensed or registered nurse on staff for at least half of the operating hours of the program. *A child care facility offers oral health education and opportunities such as dental screenings and outreach with community, regional and state resources. Culinary Emphasis Recognition: * A chef or cook at a child care center has completed culinary classes or has completed food handler program training or certification, such as ServSafe. The following violations were documented during today’s visit: Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. A child was drinking a bottle of milk while laying on the cot at rest time. 10A NCAC 09 .0902(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two emergency medicines had an action plan but not parent permission to administer the medication. 10A NCAC 09 .0803(1)(a & b) Item # 842 Two emergency medicines had an action plan but not parent permission to administer the medication. *We discussed that both are required. Emergency medications need an action plan to help you know when to take action and what to do and when. The permission to administer is the parents statement that they are giving you permission to administer this medication to the child. Item #532 A child was drinking a bottle of milk while laying on the cot at rest time. *We discussed that unless this practice is part of the child's IEP or a doctor’s note is on site with a medical reason, the bottle should be given only at the table. The teacher stated that they had tried all types of straws and sippy/transition cups to get the child to drink. The child also had one for water during the day. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by April 16, 2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • ABCMS- Continue to update the staff roster as needed in the ABCMS portal. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • There is a newer Summary of the Law on our website. Be sure you have the newest one posted and give the most recent out to newly enrolled children. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MABEL DEVELOPMENTAL DAY Facility ID: 95000160 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/2/2026 Number Present: 9 Completed Date: 4/2/2026 Age: From 4 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements for an Annual Compliance with a Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Kathy Abi-Haydar, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Haydar was available during the visit to assist me and answer my questions. Upon checking in at the front desk, I asked that they inform the administrator, Elin Reuben, that I was here today to monitor the pre-k. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 4/2/2026. This NC-Pre-k facility is owned and operated by Watauga County Schools and is housed in Mabel Elementary School. Permit type – Five (5) Star Rated License, issued 10/23/2020. Special Services/Restrictions – 1st shift (Daytime care), meets enhanced space, Certified Developmental Day, meets reduced ratios, meets decreased ratios by 1 from the 7 pt level. The last annual compliance visit was conducted on 4/9/2025. The last fire drill was practiced on 3/27/26. The last lock down drill was practiced on 1/14/26. The last playground inspection was documented on 3/4/26. The last fire inspection was approved on 8/29/2025. The last sanitation inspection was conducted on 2/16/2026 with two (2) demerits for a superior classification. The program does provide transportation on one (1) public school bus. You stated that you transport two (2) children, aged 5 years old, for morning and afternoon routes. The approved curriculum Creative Curriculum. Approved formative assessment Teaching Strategies Gold. Two (2) staff files, two (2) children files, and program records were monitored during today’s visit. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. It was signed by the administrator and dated 10/30/25. The classroom operates from 7 a.m. to 3 p.m. Monday through Friday. When I arrived, I checked in at the front office and asked that they let the principal/administrator know that I am here today to monitor the pre-k classroom. When I arrived at the classroom, they were outside playing on the playground. They had a variety of materials to choose from including balls, riding toys, balance beams, climber with slides, sandbox and more. When the children went inside, they washed hands and most joined the teacher in group for a story, songs and gross motor dancing activity. The other teacher cleaned the tables to prepare for lunch. Teachers sat with the children during lunch to assist those that needed help. Calm lighting and music was on during this time to encourage the children to calm their bodies to prepare for rest. Routine caregiving activities such as diaper changes occurred as needed throughout the day. After lunch time, children transitioned to their individual cots and teacher went around and assisted the children to calm themselves and relax enough to fall asleep. About half of the children napped and the others rested for a while and then got quiet activates to do Lunch today consisted of chicken fajitas, rice, black beans, mixed fruit and milk. Rated License Information: The program currently operates with a five-star license, issued 10/23/2020, earning five (5) points in the education component, seven (7) points in the program standards component with a score of 5.59 on the ECERS-R (meeting enhanced space) and one (1) quality point. I received the Star Rated License application on 3/30/26, applying for Pathway #2, Classroom and Instructional Quality. Your new Five (5) Star License is based on the following: PATHWAY #2 – Classroom and Instructional Quality. The following was verified to be in process or completed for the classroom and instructional quality pathway based on five (5) star level. 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS Since your program is a Developmental Day Program, you will continue to follow the ratio’s set forth in: 10A NCAC 09 .2902 LICENSE (f) The center shall comply with the staff-child ratio and maximum group size as follows: MAXIMUM AGE RATIO STAFF/CHILDREN GROUP SIZE 0-12 Months 1/4 8 1 to 2 Years 1/5 10 2 Years and Older 1/6 18 (g) A minimum of two staff members shall be on site at all times while children are in attendance at the facility. 10A NCAC 09 .3210 ENHANCED SPACE REQUIRMENTS FOR CHILD CARE CENTERS In order for a child care center to meet enhanced space requirements: (1) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time; and (2) There shall be an area that can be arranged for administrative and private conference activities. *The program receives NC Pre-Kindergarten funding and Developmental Day Funding and must adhere to the highest standards of staff/child ratios of 1/6 with a group size of 18 (for your program, you maintain a 2/12 ratio). 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS *Evidence of implementing family and community engagement foundational practices. The following was verified during the visit. * Required for two-star or higher. The facility provided communication documentation as evidence of responsive communication with families. * Required for two-star or higher. The facility provided a pre-k welcome letter that verifies an annual family conference is offered. * Required for two-star or higher. The facility offers annual opportunities for families to share cultural heritage in the classroom * Required for two-star or higher. The facility provided a pre-k welcome letter that verifies the program offers volunteer opportunities to families. *Required for two-star or higher. The facility uses Ready Rosie and in-person communication to communicate with families regarding available resources. *C-1 A communication log is created each week and filled in for each child if they have made contact with the parent/guardian by email, phone, newsletter, papers were sent home or other- such as Google Meet, Open House, conference.... Occasional updates are sent home in the child’s folder, which includes weekly plans, upcoming events, and ways to participate. All information is sent out in English and Spanish. Parents are enrolled in Ready Rosie and receive texts or emails with weekly videos with modeled activities. *C-3 The first parent teacher conference was held on October 29 & 30, 2025. At this conference the staff reviewed the developmental screening assessment, and the Fall Creative Curriculum assessments were reviewed and goals for each child were discussed. The second parent teacher conferences started on February 4, 2026 and finished on March 4, 2026. Due to a snow storm, it took longer to get them all completed. IEP meetings are sometimes incorporated into these conferences. *EL-2 Beginning of the year classroom visits were August 14-18, 2025, in which students and families were able to meet the teachers and visit the classroom prior to the students’ first day of school. Children started school on a staggered entry schedule over three days. *EL-3 Parents were invited to come to a Halloween party (7 attended), a thanksgiving dinner (10 attended), Valentine’s party (8 attended) and an end of year celebration (Raising A Reader activity), ice-cream party/literacy event. *EL-4 A letter to families was sent home at the end of March to ask about their interest in participating in Easter-related activities. They were asked to share their families traditions and if they would want to share them with the class. Parents had the choice to give permission or not based on their beliefs. Another note to families was sent home this week to ask families to bring in an item or activity to share with the class surrounding their family heritage. *EO-3 A three-fold educational literacy opportunity to discuss the importance of literacy and reading with their children. Teachers present the families resources from Ready Rosie and Raising a Reader donated by a local resource, the Children’s Council. They had their annual Read-a-thon and a “Blue Bag Event”. They are encouraged to get a library card at the local library to encourage read-a-loud and literacy events with their children. *EO-6 Paid planning time for lead teachers is built into the calendar on optional teacher work days and early release days. This also allows teachers time to plan, prepare and conduct conferences by phone, virtually or in person. 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS *Evidence of implementing continuous quality improvement (CQI) plans for the facility and individual staff. The CQI plan for the facility has been completed; the form was received prior to the visit. The individual CQI plans for the two (2) main teachers were verified. The staff CQI plans must be completed by each staff member’s one year of employment. Reminder that the CQI plans are continuous and once one is completed, another must be started to meet this annual requirement. *Evidence of the lead teacher completing training related to the curriculum and formative assessment tool that is used by the center with children. An email from Teaching Strategies Finch Literacy Screener Webinar was available for review for the lead teacher. *Evidence of the administrator participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f,10). Monthly principals meetings are held and training are offered in Early Literacy Systems. You stated that you are part of the Pathways to Accreditation Program NC Pre- K Cohort at The Children’s Council of Watauga County (Partnership for Children). Reminder that this is an annual requirement and must be completed on or before each staff member’s year of employment, and every year thereafter. * Evidence of all lead teachers participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f, 10). annual completion of five hours of coaching or mentoring by an administrator of another licensed child care center with a star-rating of five stars, or a community resource partner. *Staff education evaluation of fifty percent (50%) of lead teachers and fifty percent (50%) of other educators resulting in staff education at the five-star level. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *E. Reuben, Administrator, has been evaluated as a Level III Administrator with nine (9) years or more administrative work experience. *K. Haydar, Lead Teacher, has been evaluated and is qualified as a DPI lead teacher with 4-year degree in Birth-Kindergarten with eight (8) years’ experience. *C. Westpfahl, Teacher, has been evaluated and is qualified as a DPI teacher assistant with 2-year degree in other, and a CDA Preschool and with three (3) years’ experience. *Evidence of implementing a curriculum that has been approved by the Commission. The curriculum implemented Creative Curriculum. It was verified during the visit that the one (1) classroom was implementing the Creative Curriculum as activity plans and parent/teacher conference preparations. *Evidence of conducting on-going formative assessments that have been approved by the Commission and sharing results with parents at least twice annually. It was reported that conferences are held three times per year October, February and May. The approved assessment used is GOLD by Teaching Strategies. It was verified during the visit that on-going formative assessments were in process of being shared with parents October 29 & 30,2025, February 4- March 4, 2026 and again in May. Evidence of observations being completed were verified through the Teaching Strategies application, Smart Teach. There were pictures, work samples, portfolios, and anecdotal notes. *Per NC Pre-Kindergarten requirements an environment rating scale is needed in order to meet requirements for funding. The request for environment rating scales was received on 2/27/2026, and the scales were ordered. The facility currently has a four (4) week window of 5/4/2026 to 5/29/2026. After completion of the ECERS-3 assessment, I will share the results with you. If anything scores below a 5, I will schedule a visit to go over the scores with you. Based on verification of requirements in the .3205 section of the child care rules, a five-star license has been earned. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years, and the facility will be due again for a rated license assessment by April 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. We recognition of quality initiatives were received and verified and are as follows: Educational Recognition: * 75 percent of teachers employed by a child care facility have earned an AAS degree or higher in early childhood education, child development or related field. * 75 percent of lead teachers employed by a child care facility have earned a BA/BS degree or higher in early childhood education, child development, or related field. * All lead teachers employed by a child care facility have earned an AAS degree or higher in early childhood education, child development or related field. Professional Development Recognition: * A child care facility operator compensates staff members for the time spent completing professional development activities. * A child care facility operator compensates staff members for the cost of professional development activities. Longevity and Experience Recognition: * All lead teachers and teachers have at least five years of early childhood work experience in a licensed child care facility and have been employed by no more than two different child care facilities. * The child care center has a combined turnover rate of 20 percent or less for the administrator, lead teacher and teacher positions over the last 12 months. Staff Supports and Benefits Recognition: * A child care facility offers a staff benefits package that includes at least three of the following benefits: paid time off for vacation, sick and/or personal leave, paid family and medical leave, fully or partially paid health insurance, retirement contribution or annual bonuses. * A child care facility offers at least two mental health supports such as training offered on-site, paid time off for wellness, mental health coverage as part of health benefits or assistance in obtaining access to other services as requested. Health & Wellness Opportunities Recognition: * A child care facility provides support to staff members and families regarding challenging behaviors using community, regional or state resources. *A child care center has a licensed or registered nurse on staff for at least half of the operating hours of the program. *A child care facility offers oral health education and opportunities such as dental screenings and outreach with community, regional and state resources. Culinary Emphasis Recognition: * A chef or cook at a child care center has completed culinary classes or has completed food handler program training or certification, such as ServSafe. The following violations were documented during today’s visit: Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. A child was drinking a bottle of milk while laying on the cot at rest time. 10A NCAC 09 .0902(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two emergency medicines had an action plan but not parent permission to administer the medication. 10A NCAC 09 .0803(1)(a & b) Item # 842 Two emergency medicines had an action plan but not parent permission to administer the medication. *We discussed that both are required. Emergency medications need an action plan to help you know when to take action and what to do and when. The permission to administer is the parents statement that they are giving you permission to administer this medication to the child. Item #532 A child was drinking a bottle of milk while laying on the cot at rest time. *We discussed that unless this practice is part of the child's IEP or a doctor’s note is on site with a medical reason, the bottle should be given only at the table. The teacher stated that they had tried all types of straws and sippy/transition cups to get the child to drink. The child also had one for water during the day. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by April 16, 2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • ABCMS- Continue to update the staff roster as needed in the ABCMS portal. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • There is a newer Summary of the Law on our website. Be sure you have the newest one posted and give the most recent out to newly enrolled children. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: MABEL DEVELOPMENTAL DAY Facility ID: 95000160 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 9 Completed Date: 10/13/2025 Age: From 3 To 5 Total Minutes: 135 Time In: 10:00 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced and technical assistance visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Kathy Abi-Haydar, lead teacher. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I checked in at the front office. When I arrived in the classroom, the group of children and teachers were outside on the playground. I greeted the teachers and observed children playing in the sandbox, riding on riding toys, catching “grand-daddy long-legs”, playing in water and exploring their surroundings. Children came inside a few at a time with a teacher to wash hands and play in centers. After cleaning up the children all gathered at group time to talk about trees. They participated in a music & movement activity After lunch, children cleaned up and transitioned to their cots for rest time. Lunch today consisted of chicken filet sandwich, waffle fries, peaches (ketchup) and milk. This facility is owned and operated by Watauga County Schools and housed in Mabel Elementary School. This is a Developmental Day and an NC Pre-K classroom combination. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (9%) percentage as of 10/13/25. There were no new teachers at this facility. There are ten (10) children enrolled and nine (9) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 4/9/25. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 10/23/20. Permit Restrictions- Daytime care only, certified developmental day, meets enhanced space, meets reduced ratios, meets decreased ratios by 1 from the 7 pt level. The last fire drill was practiced on 9/26/25. A lock down drill was practiced on 9/2/25. The last playground inspection was conducted on 10/10/25. The last fire inspection was 8/29/25. The last sanitation inspection was completed on 10/27/25 with five (5) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Lead water testing was completed on 7/17/21 without hazards. Lead paint testing has been completed but the asbestos status states “survey review by RTI”. The following violations were documented during today’s visit: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. There are several broken blinds that needs to be replaced. 15A NCAC 18A .2825(a) 823 Toxic plants were accessible to children. A plant that is considered toxic was hanging lower than five (5) feet. The plant was sent to the office until they could get a higher hook installed. .0604(l) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Epi pen is stored in a Ziplock bag and the box with the pharmacy label was not on site. .0803(2)(a) Technical assistance was provided as follows: Item #844 Prescribed medicine was not in original pharmacy labeled container. *Epi pen is stored in a Ziplock bag and the box with the pharmacy label was not on site. Item #823 Toxic plants were accessible to children. *A plant that is considered toxic was hanging lower than five (5) feet. The plant was sent to the office until they could get a higher hook installed. Item #620 All walls and ceilings, including doors and windows, were not kept clean, free of visible fungal growth, and in good repair. *There are several broken blinds that needs to be replaced. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by October 27, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 29698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the new QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). If you have questions about which pathway you want to pursue, please feel free to reach out to me. • We discussed that when school starts each year; a fire drill must be conducted during the month that school starts AND (IF) school is in session at least ten (10) days, an emergency drill must be conducted. I am giving technical assistance on this during this visit, however, it will be a violation moving forward. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: MABEL DEVELOPMENTAL DAY Facility ID: 95000160 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 9 Completed Date: 10/13/2025 Age: From 3 To 5 Total Minutes: 135 Time In: 10:00 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced and technical assistance visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Kathy Abi-Haydar, lead teacher. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I checked in at the front office. When I arrived in the classroom, the group of children and teachers were outside on the playground. I greeted the teachers and observed children playing in the sandbox, riding on riding toys, catching “grand-daddy long-legs”, playing in water and exploring their surroundings. Children came inside a few at a time with a teacher to wash hands and play in centers. After cleaning up the children all gathered at group time to talk about trees. They participated in a music & movement activity After lunch, children cleaned up and transitioned to their cots for rest time. Lunch today consisted of chicken filet sandwich, waffle fries, peaches (ketchup) and milk. This facility is owned and operated by Watauga County Schools and housed in Mabel Elementary School. This is a Developmental Day and an NC Pre-K classroom combination. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (9%) percentage as of 10/13/25. There were no new teachers at this facility. There are ten (10) children enrolled and nine (9) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 4/9/25. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 10/23/20. Permit Restrictions- Daytime care only, certified developmental day, meets enhanced space, meets reduced ratios, meets decreased ratios by 1 from the 7 pt level. The last fire drill was practiced on 9/26/25. A lock down drill was practiced on 9/2/25. The last playground inspection was conducted on 10/10/25. The last fire inspection was 8/29/25. The last sanitation inspection was completed on 10/27/25 with five (5) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Lead water testing was completed on 7/17/21 without hazards. Lead paint testing has been completed but the asbestos status states “survey review by RTI”. The following violations were documented during today’s visit: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. There are several broken blinds that needs to be replaced. 15A NCAC 18A .2825(a) 823 Toxic plants were accessible to children. A plant that is considered toxic was hanging lower than five (5) feet. The plant was sent to the office until they could get a higher hook installed. .0604(l) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Epi pen is stored in a Ziplock bag and the box with the pharmacy label was not on site. .0803(2)(a) Technical assistance was provided as follows: Item #844 Prescribed medicine was not in original pharmacy labeled container. *Epi pen is stored in a Ziplock bag and the box with the pharmacy label was not on site. Item #823 Toxic plants were accessible to children. *A plant that is considered toxic was hanging lower than five (5) feet. The plant was sent to the office until they could get a higher hook installed. Item #620 All walls and ceilings, including doors and windows, were not kept clean, free of visible fungal growth, and in good repair. *There are several broken blinds that needs to be replaced. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by October 27, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 29698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the new QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). If you have questions about which pathway you want to pursue, please feel free to reach out to me. • We discussed that when school starts each year; a fire drill must be conducted during the month that school starts AND (IF) school is in session at least ten (10) days, an emergency drill must be conducted. I am giving technical assistance on this during this visit, however, it will be a violation moving forward. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: MABEL DEVELOPMENTAL DAY Facility ID: 95000160 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 9 Completed Date: 10/13/2025 Age: From 3 To 5 Total Minutes: 135 Time In: 10:00 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced and technical assistance visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Kathy Abi-Haydar, lead teacher. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I checked in at the front office. When I arrived in the classroom, the group of children and teachers were outside on the playground. I greeted the teachers and observed children playing in the sandbox, riding on riding toys, catching “grand-daddy long-legs”, playing in water and exploring their surroundings. Children came inside a few at a time with a teacher to wash hands and play in centers. After cleaning up the children all gathered at group time to talk about trees. They participated in a music & movement activity After lunch, children cleaned up and transitioned to their cots for rest time. Lunch today consisted of chicken filet sandwich, waffle fries, peaches (ketchup) and milk. This facility is owned and operated by Watauga County Schools and housed in Mabel Elementary School. This is a Developmental Day and an NC Pre-K classroom combination. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (9%) percentage as of 10/13/25. There were no new teachers at this facility. There are ten (10) children enrolled and nine (9) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 4/9/25. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 10/23/20. Permit Restrictions- Daytime care only, certified developmental day, meets enhanced space, meets reduced ratios, meets decreased ratios by 1 from the 7 pt level. The last fire drill was practiced on 9/26/25. A lock down drill was practiced on 9/2/25. The last playground inspection was conducted on 10/10/25. The last fire inspection was 8/29/25. The last sanitation inspection was completed on 10/27/25 with five (5) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Lead water testing was completed on 7/17/21 without hazards. Lead paint testing has been completed but the asbestos status states “survey review by RTI”. The following violations were documented during today’s visit: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. There are several broken blinds that needs to be replaced. 15A NCAC 18A .2825(a) 823 Toxic plants were accessible to children. A plant that is considered toxic was hanging lower than five (5) feet. The plant was sent to the office until they could get a higher hook installed. .0604(l) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Epi pen is stored in a Ziplock bag and the box with the pharmacy label was not on site. .0803(2)(a) Technical assistance was provided as follows: Item #844 Prescribed medicine was not in original pharmacy labeled container. *Epi pen is stored in a Ziplock bag and the box with the pharmacy label was not on site. Item #823 Toxic plants were accessible to children. *A plant that is considered toxic was hanging lower than five (5) feet. The plant was sent to the office until they could get a higher hook installed. Item #620 All walls and ceilings, including doors and windows, were not kept clean, free of visible fungal growth, and in good repair. *There are several broken blinds that needs to be replaced. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by October 27, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 29698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the new QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). If you have questions about which pathway you want to pursue, please feel free to reach out to me. • We discussed that when school starts each year; a fire drill must be conducted during the month that school starts AND (IF) school is in session at least ten (10) days, an emergency drill must be conducted. I am giving technical assistance on this during this visit, however, it will be a violation moving forward. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: MABEL DEVELOPMENTAL DAY Facility ID: 95000160 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 9 Completed Date: 10/13/2025 Age: From 3 To 5 Total Minutes: 135 Time In: 10:00 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced and technical assistance visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Kathy Abi-Haydar, lead teacher. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I checked in at the front office. When I arrived in the classroom, the group of children and teachers were outside on the playground. I greeted the teachers and observed children playing in the sandbox, riding on riding toys, catching “grand-daddy long-legs”, playing in water and exploring their surroundings. Children came inside a few at a time with a teacher to wash hands and play in centers. After cleaning up the children all gathered at group time to talk about trees. They participated in a music & movement activity After lunch, children cleaned up and transitioned to their cots for rest time. Lunch today consisted of chicken filet sandwich, waffle fries, peaches (ketchup) and milk. This facility is owned and operated by Watauga County Schools and housed in Mabel Elementary School. This is a Developmental Day and an NC Pre-K classroom combination. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (9%) percentage as of 10/13/25. There were no new teachers at this facility. There are ten (10) children enrolled and nine (9) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 4/9/25. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 10/23/20. Permit Restrictions- Daytime care only, certified developmental day, meets enhanced space, meets reduced ratios, meets decreased ratios by 1 from the 7 pt level. The last fire drill was practiced on 9/26/25. A lock down drill was practiced on 9/2/25. The last playground inspection was conducted on 10/10/25. The last fire inspection was 8/29/25. The last sanitation inspection was completed on 10/27/25 with five (5) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Lead water testing was completed on 7/17/21 without hazards. Lead paint testing has been completed but the asbestos status states “survey review by RTI”. The following violations were documented during today’s visit: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. There are several broken blinds that needs to be replaced. 15A NCAC 18A .2825(a) 823 Toxic plants were accessible to children. A plant that is considered toxic was hanging lower than five (5) feet. The plant was sent to the office until they could get a higher hook installed. .0604(l) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Epi pen is stored in a Ziplock bag and the box with the pharmacy label was not on site. .0803(2)(a) Technical assistance was provided as follows: Item #844 Prescribed medicine was not in original pharmacy labeled container. *Epi pen is stored in a Ziplock bag and the box with the pharmacy label was not on site. Item #823 Toxic plants were accessible to children. *A plant that is considered toxic was hanging lower than five (5) feet. The plant was sent to the office until they could get a higher hook installed. Item #620 All walls and ceilings, including doors and windows, were not kept clean, free of visible fungal growth, and in good repair. *There are several broken blinds that needs to be replaced. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by October 27, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 29698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the new QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). If you have questions about which pathway you want to pursue, please feel free to reach out to me. • We discussed that when school starts each year; a fire drill must be conducted during the month that school starts AND (IF) school is in session at least ten (10) days, an emergency drill must be conducted. I am giving technical assistance on this during this visit, however, it will be a violation moving forward. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MABEL DEVELOPMENTAL DAY Facility ID: 95000160 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 9 Completed Date: 10/13/2025 Age: From 3 To 5 Total Minutes: 135 Time In: 10:00 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced and technical assistance visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Kathy Abi-Haydar, lead teacher. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I checked in at the front office. When I arrived in the classroom, the group of children and teachers were outside on the playground. I greeted the teachers and observed children playing in the sandbox, riding on riding toys, catching “grand-daddy long-legs”, playing in water and exploring their surroundings. Children came inside a few at a time with a teacher to wash hands and play in centers. After cleaning up the children all gathered at group time to talk about trees. They participated in a music & movement activity After lunch, children cleaned up and transitioned to their cots for rest time. Lunch today consisted of chicken filet sandwich, waffle fries, peaches (ketchup) and milk. This facility is owned and operated by Watauga County Schools and housed in Mabel Elementary School. This is a Developmental Day and an NC Pre-K classroom combination. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (9%) percentage as of 10/13/25. There were no new teachers at this facility. There are ten (10) children enrolled and nine (9) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 4/9/25. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 10/23/20. Permit Restrictions- Daytime care only, certified developmental day, meets enhanced space, meets reduced ratios, meets decreased ratios by 1 from the 7 pt level. The last fire drill was practiced on 9/26/25. A lock down drill was practiced on 9/2/25. The last playground inspection was conducted on 10/10/25. The last fire inspection was 8/29/25. The last sanitation inspection was completed on 10/27/25 with five (5) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Lead water testing was completed on 7/17/21 without hazards. Lead paint testing has been completed but the asbestos status states “survey review by RTI”. The following violations were documented during today’s visit: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. There are several broken blinds that needs to be replaced. 15A NCAC 18A .2825(a) 823 Toxic plants were accessible to children. A plant that is considered toxic was hanging lower than five (5) feet. The plant was sent to the office until they could get a higher hook installed. .0604(l) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Epi pen is stored in a Ziplock bag and the box with the pharmacy label was not on site. .0803(2)(a) Technical assistance was provided as follows: Item #844 Prescribed medicine was not in original pharmacy labeled container. *Epi pen is stored in a Ziplock bag and the box with the pharmacy label was not on site. Item #823 Toxic plants were accessible to children. *A plant that is considered toxic was hanging lower than five (5) feet. The plant was sent to the office until they could get a higher hook installed. Item #620 All walls and ceilings, including doors and windows, were not kept clean, free of visible fungal growth, and in good repair. *There are several broken blinds that needs to be replaced. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by October 27, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 29698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the new QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). If you have questions about which pathway you want to pursue, please feel free to reach out to me. • We discussed that when school starts each year; a fire drill must be conducted during the month that school starts AND (IF) school is in session at least ten (10) days, an emergency drill must be conducted. I am giving technical assistance on this during this visit, however, it will be a violation moving forward. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: MABEL DEVELOPMENTAL DAY Facility ID: 95000160 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 6 Completed Date: 4/9/2025 Age: From 4 To 5 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Kathy Abi-Haydar, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site with to you. Ms. Haydar was available to assist me and answer my questions during today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100%) percentage as of 4/9/25. This facility is owned and operated by Watauga County Schools and housed in Mabel Elementary School. Permit type – Five-star license, issued on October 23, 2020. Special Services/Restrictions –Developmental Day Certified and NCPK approved, approved for transportation. Daytime care only, meets reduced ratios, meets decreased ratios by 1 from the 7-point level and meets enhanced space. The last annual compliance visit was conducted on 5/9/24. The last fire drill was practiced on 3/27/25. The last lock down drill was practiced on 2/28/25. However a tornado drill was practiced today during my visit, which is a shelter in place drill. The last playground inspection was documented on 3/13/25. The last fire inspection was approved on 8/29/24. The last sanitation inspection was conducted on 1/24/25 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold Lead water testing was completed on 7/15/21 without hazards. This test should be repeated every three (3) years and was due on 7/15/24. Lead paint and asbestos testing has not yet been completed. The deadline to enroll has been extended until May 31, 2025. Upon my arrival, children were outside on the playground playing. They came inside, washed hands and played with a variety of materials in centers. An announcement was made by the principal stating a tornado drill was taking place. The children and teacher went into the hallway and lined the wall tucking their heads “like turtles” until the all clear was given. Everyone went back into the classroom and washed their hands again to return to centers to play. Once the toys were cleaned up, children gathered in group time for some movement/music, songs and a story about planting seeds in a garden I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #175. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program, Site Monitoring Tool was reviewed today. Two (2) children’s files were monitored today. The classroom operates from 7 a.m. to 3 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. CW did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. CW did not have a professional development plan on file. .1104(1-5) Technical assistance was provided as follows: Item # 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. *CW did not have a professional development plan on file. I printed the one from our website and went over it with you during today’s visit. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. *CW did not have an annual staff evaluation on file. We discussed both of these and you stated that you thought that rule was for the lead teachers only. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by April 23, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • We discussed the professional development plan and staff evaluation rules today. I answered your questions about this process and what is needed. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: MABEL DEVELOPMENTAL DAY Facility ID: 95000160 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 6 Completed Date: 4/9/2025 Age: From 4 To 5 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Kathy Abi-Haydar, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site with to you. Ms. Haydar was available to assist me and answer my questions during today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100%) percentage as of 4/9/25. This facility is owned and operated by Watauga County Schools and housed in Mabel Elementary School. Permit type – Five-star license, issued on October 23, 2020. Special Services/Restrictions –Developmental Day Certified and NCPK approved, approved for transportation. Daytime care only, meets reduced ratios, meets decreased ratios by 1 from the 7-point level and meets enhanced space. The last annual compliance visit was conducted on 5/9/24. The last fire drill was practiced on 3/27/25. The last lock down drill was practiced on 2/28/25. However a tornado drill was practiced today during my visit, which is a shelter in place drill. The last playground inspection was documented on 3/13/25. The last fire inspection was approved on 8/29/24. The last sanitation inspection was conducted on 1/24/25 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold Lead water testing was completed on 7/15/21 without hazards. This test should be repeated every three (3) years and was due on 7/15/24. Lead paint and asbestos testing has not yet been completed. The deadline to enroll has been extended until May 31, 2025. Upon my arrival, children were outside on the playground playing. They came inside, washed hands and played with a variety of materials in centers. An announcement was made by the principal stating a tornado drill was taking place. The children and teacher went into the hallway and lined the wall tucking their heads “like turtles” until the all clear was given. Everyone went back into the classroom and washed their hands again to return to centers to play. Once the toys were cleaned up, children gathered in group time for some movement/music, songs and a story about planting seeds in a garden I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #175. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program, Site Monitoring Tool was reviewed today. Two (2) children’s files were monitored today. The classroom operates from 7 a.m. to 3 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. CW did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. CW did not have a professional development plan on file. .1104(1-5) Technical assistance was provided as follows: Item # 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. *CW did not have a professional development plan on file. I printed the one from our website and went over it with you during today’s visit. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. *CW did not have an annual staff evaluation on file. We discussed both of these and you stated that you thought that rule was for the lead teachers only. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by April 23, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • We discussed the professional development plan and staff evaluation rules today. I answered your questions about this process and what is needed. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: MABEL DEVELOPMENTAL DAY Facility ID: 95000160 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 6 Completed Date: 4/9/2025 Age: From 4 To 5 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Kathy Abi-Haydar, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site with to you. Ms. Haydar was available to assist me and answer my questions during today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100%) percentage as of 4/9/25. This facility is owned and operated by Watauga County Schools and housed in Mabel Elementary School. Permit type – Five-star license, issued on October 23, 2020. Special Services/Restrictions –Developmental Day Certified and NCPK approved, approved for transportation. Daytime care only, meets reduced ratios, meets decreased ratios by 1 from the 7-point level and meets enhanced space. The last annual compliance visit was conducted on 5/9/24. The last fire drill was practiced on 3/27/25. The last lock down drill was practiced on 2/28/25. However a tornado drill was practiced today during my visit, which is a shelter in place drill. The last playground inspection was documented on 3/13/25. The last fire inspection was approved on 8/29/24. The last sanitation inspection was conducted on 1/24/25 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold Lead water testing was completed on 7/15/21 without hazards. This test should be repeated every three (3) years and was due on 7/15/24. Lead paint and asbestos testing has not yet been completed. The deadline to enroll has been extended until May 31, 2025. Upon my arrival, children were outside on the playground playing. They came inside, washed hands and played with a variety of materials in centers. An announcement was made by the principal stating a tornado drill was taking place. The children and teacher went into the hallway and lined the wall tucking their heads “like turtles” until the all clear was given. Everyone went back into the classroom and washed their hands again to return to centers to play. Once the toys were cleaned up, children gathered in group time for some movement/music, songs and a story about planting seeds in a garden I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #175. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program, Site Monitoring Tool was reviewed today. Two (2) children’s files were monitored today. The classroom operates from 7 a.m. to 3 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. CW did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. CW did not have a professional development plan on file. .1104(1-5) Technical assistance was provided as follows: Item # 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. *CW did not have a professional development plan on file. I printed the one from our website and went over it with you during today’s visit. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. *CW did not have an annual staff evaluation on file. We discussed both of these and you stated that you thought that rule was for the lead teachers only. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by April 23, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • We discussed the professional development plan and staff evaluation rules today. I answered your questions about this process and what is needed. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: MABEL DEVELOPMENTAL DAY Facility ID: 95000160 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 6 Completed Date: 4/9/2025 Age: From 4 To 5 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Kathy Abi-Haydar, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site with to you. Ms. Haydar was available to assist me and answer my questions during today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100%) percentage as of 4/9/25. This facility is owned and operated by Watauga County Schools and housed in Mabel Elementary School. Permit type – Five-star license, issued on October 23, 2020. Special Services/Restrictions –Developmental Day Certified and NCPK approved, approved for transportation. Daytime care only, meets reduced ratios, meets decreased ratios by 1 from the 7-point level and meets enhanced space. The last annual compliance visit was conducted on 5/9/24. The last fire drill was practiced on 3/27/25. The last lock down drill was practiced on 2/28/25. However a tornado drill was practiced today during my visit, which is a shelter in place drill. The last playground inspection was documented on 3/13/25. The last fire inspection was approved on 8/29/24. The last sanitation inspection was conducted on 1/24/25 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold Lead water testing was completed on 7/15/21 without hazards. This test should be repeated every three (3) years and was due on 7/15/24. Lead paint and asbestos testing has not yet been completed. The deadline to enroll has been extended until May 31, 2025. Upon my arrival, children were outside on the playground playing. They came inside, washed hands and played with a variety of materials in centers. An announcement was made by the principal stating a tornado drill was taking place. The children and teacher went into the hallway and lined the wall tucking their heads “like turtles” until the all clear was given. Everyone went back into the classroom and washed their hands again to return to centers to play. Once the toys were cleaned up, children gathered in group time for some movement/music, songs and a story about planting seeds in a garden I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #175. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program, Site Monitoring Tool was reviewed today. Two (2) children’s files were monitored today. The classroom operates from 7 a.m. to 3 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. CW did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. CW did not have a professional development plan on file. .1104(1-5) Technical assistance was provided as follows: Item # 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. *CW did not have a professional development plan on file. I printed the one from our website and went over it with you during today’s visit. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. *CW did not have an annual staff evaluation on file. We discussed both of these and you stated that you thought that rule was for the lead teachers only. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by April 23, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • We discussed the professional development plan and staff evaluation rules today. I answered your questions about this process and what is needed. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: MABEL DEVELOPMENTAL DAY Facility ID: 95000160 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 6 Completed Date: 4/9/2025 Age: From 4 To 5 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Kathy Abi-Haydar, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site with to you. Ms. Haydar was available to assist me and answer my questions during today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100%) percentage as of 4/9/25. This facility is owned and operated by Watauga County Schools and housed in Mabel Elementary School. Permit type – Five-star license, issued on October 23, 2020. Special Services/Restrictions –Developmental Day Certified and NCPK approved, approved for transportation. Daytime care only, meets reduced ratios, meets decreased ratios by 1 from the 7-point level and meets enhanced space. The last annual compliance visit was conducted on 5/9/24. The last fire drill was practiced on 3/27/25. The last lock down drill was practiced on 2/28/25. However a tornado drill was practiced today during my visit, which is a shelter in place drill. The last playground inspection was documented on 3/13/25. The last fire inspection was approved on 8/29/24. The last sanitation inspection was conducted on 1/24/25 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold Lead water testing was completed on 7/15/21 without hazards. This test should be repeated every three (3) years and was due on 7/15/24. Lead paint and asbestos testing has not yet been completed. The deadline to enroll has been extended until May 31, 2025. Upon my arrival, children were outside on the playground playing. They came inside, washed hands and played with a variety of materials in centers. An announcement was made by the principal stating a tornado drill was taking place. The children and teacher went into the hallway and lined the wall tucking their heads “like turtles” until the all clear was given. Everyone went back into the classroom and washed their hands again to return to centers to play. Once the toys were cleaned up, children gathered in group time for some movement/music, songs and a story about planting seeds in a garden I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #175. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program, Site Monitoring Tool was reviewed today. Two (2) children’s files were monitored today. The classroom operates from 7 a.m. to 3 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. CW did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. CW did not have a professional development plan on file. .1104(1-5) Technical assistance was provided as follows: Item # 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. *CW did not have a professional development plan on file. I printed the one from our website and went over it with you during today’s visit. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. *CW did not have an annual staff evaluation on file. We discussed both of these and you stated that you thought that rule was for the lead teachers only. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by April 23, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • We discussed the professional development plan and staff evaluation rules today. I answered your questions about this process and what is needed. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: MABEL DEVELOPMENTAL DAY Facility ID: 95000160 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 6 Completed Date: 4/9/2025 Age: From 4 To 5 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Kathy Abi-Haydar, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site with to you. Ms. Haydar was available to assist me and answer my questions during today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100%) percentage as of 4/9/25. This facility is owned and operated by Watauga County Schools and housed in Mabel Elementary School. Permit type – Five-star license, issued on October 23, 2020. Special Services/Restrictions –Developmental Day Certified and NCPK approved, approved for transportation. Daytime care only, meets reduced ratios, meets decreased ratios by 1 from the 7-point level and meets enhanced space. The last annual compliance visit was conducted on 5/9/24. The last fire drill was practiced on 3/27/25. The last lock down drill was practiced on 2/28/25. However a tornado drill was practiced today during my visit, which is a shelter in place drill. The last playground inspection was documented on 3/13/25. The last fire inspection was approved on 8/29/24. The last sanitation inspection was conducted on 1/24/25 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold Lead water testing was completed on 7/15/21 without hazards. This test should be repeated every three (3) years and was due on 7/15/24. Lead paint and asbestos testing has not yet been completed. The deadline to enroll has been extended until May 31, 2025. Upon my arrival, children were outside on the playground playing. They came inside, washed hands and played with a variety of materials in centers. An announcement was made by the principal stating a tornado drill was taking place. The children and teacher went into the hallway and lined the wall tucking their heads “like turtles” until the all clear was given. Everyone went back into the classroom and washed their hands again to return to centers to play. Once the toys were cleaned up, children gathered in group time for some movement/music, songs and a story about planting seeds in a garden I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #175. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program, Site Monitoring Tool was reviewed today. Two (2) children’s files were monitored today. The classroom operates from 7 a.m. to 3 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. CW did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. CW did not have a professional development plan on file. .1104(1-5) Technical assistance was provided as follows: Item # 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. *CW did not have a professional development plan on file. I printed the one from our website and went over it with you during today’s visit. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. *CW did not have an annual staff evaluation on file. We discussed both of these and you stated that you thought that rule was for the lead teachers only. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by April 23, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • We discussed the professional development plan and staff evaluation rules today. I answered your questions about this process and what is needed. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MABEL DEVELOPMENTAL DAY Facility ID: 95000160 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 6 Completed Date: 4/9/2025 Age: From 4 To 5 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Kathy Abi-Haydar, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site with to you. Ms. Haydar was available to assist me and answer my questions during today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100%) percentage as of 4/9/25. This facility is owned and operated by Watauga County Schools and housed in Mabel Elementary School. Permit type – Five-star license, issued on October 23, 2020. Special Services/Restrictions –Developmental Day Certified and NCPK approved, approved for transportation. Daytime care only, meets reduced ratios, meets decreased ratios by 1 from the 7-point level and meets enhanced space. The last annual compliance visit was conducted on 5/9/24. The last fire drill was practiced on 3/27/25. The last lock down drill was practiced on 2/28/25. However a tornado drill was practiced today during my visit, which is a shelter in place drill. The last playground inspection was documented on 3/13/25. The last fire inspection was approved on 8/29/24. The last sanitation inspection was conducted on 1/24/25 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold Lead water testing was completed on 7/15/21 without hazards. This test should be repeated every three (3) years and was due on 7/15/24. Lead paint and asbestos testing has not yet been completed. The deadline to enroll has been extended until May 31, 2025. Upon my arrival, children were outside on the playground playing. They came inside, washed hands and played with a variety of materials in centers. An announcement was made by the principal stating a tornado drill was taking place. The children and teacher went into the hallway and lined the wall tucking their heads “like turtles” until the all clear was given. Everyone went back into the classroom and washed their hands again to return to centers to play. Once the toys were cleaned up, children gathered in group time for some movement/music, songs and a story about planting seeds in a garden I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #175. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program, Site Monitoring Tool was reviewed today. Two (2) children’s files were monitored today. The classroom operates from 7 a.m. to 3 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. CW did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. CW did not have a professional development plan on file. .1104(1-5) Technical assistance was provided as follows: Item # 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. *CW did not have a professional development plan on file. I printed the one from our website and went over it with you during today’s visit. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. *CW did not have an annual staff evaluation on file. We discussed both of these and you stated that you thought that rule was for the lead teachers only. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by April 23, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • We discussed the professional development plan and staff evaluation rules today. I answered your questions about this process and what is needed. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times