Western TLC Head Start Center

10A NCAC 09 .0601 · Violation

Name of Operation: WESTERN TLC HEAD START CENTER Facility ID: 95000086 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/20/2025 Number Present: 13 Completed Date: 10/20/2025 Age: From 3 To 5 Total Minutes: 225 Time In: 10:15 AM Time Out: 02:00 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 April Rominger, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Today, the teachers were available during the visit to answer questions. 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 ninety-nine (99%) percentage as of 10/16/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Intermountain Children`s Services, Inc., is current/active as of 10/16/25. Permit type – Five-star license issued May 9, 2022. Special Services/Restrictions – 1st shift (Daytime care), meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 11/20/24. The last fire drill was practiced on 9/17/25. The last lock down drill was practiced on 8/21/25. The last playground inspection was documented on 9/11/25. The last fire inspection was approved on 7/17/25. The last sanitation inspection was conducted on 10/9/25 with seven (7) 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 9/6/23 without hazards. Lead paint and asbestos testing was completed on 11/1/24. When I arrived, I was greeted at the door by Ms. Cherie and Ms. Carrie. They stated that Ms. April was not working today due to an appointment. Children were playing in centers. They were building in blocks, playing dress up, putting puzzles together and other materials. After children cleaned up, they went outside to play on the playground. Ms. April arrived at school while children were playing outside. I monitored the bus while I was outside as well as the playground. Children came inside from the playground. They put their jackets away and washed their hands for lunch. Lunch is served family style at four (4) separate tables with an adult sitting at each table. After lunch children gathered at group time where they did an activity with scarves, read a book and sang a transition song to dismiss them to their cot for rest time. Lunch today consisted of chicken salad with bread (for sandwiches), raw broccoli, veggie chips, fresh oranges and milk I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you transport children ages three to five (3-5) years old. I monitored one (1) vehicle today. The classroom operates from 8:30 a.m. to 3 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The wooden border around the mulch is uneven causing tripping hazards, has splinters, cracks and a screw sticking out. The fence has open spots near the ground and sharp wires exposed. Stairs on the large climber has loose and torn rubber covering. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Children walk by the kerosene tank and monitor heater exhaust to get to the playground. .0604(a) Technical assistance was provided as follows: Item #807 A safe indoor and outdoor environment was not provided for the children. *The wooden border around the mulch is uneven causing tripping hazards, has splinters, cracks and a screw sticking out. The fence has open spots near the ground and sharp wires exposed. Stairs on the large climber has loose and torn rubber covering. The previous playground had a black plastic border that was much safer than the wood. Is this pressure treated wood? Item #811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. *Children walk by the kerosene tank and monitor heater exhaust to get to the playground. I suggested a lattice fence type barrier or temporary fencing. 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 November 3, 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 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! The ECERS-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 Modernization 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). • Head Start Programs fall under pathway #3 automatically. Anytime you are ready to apply for your Star Rated License under Pathway #3, just let me know or send me the application and we will work through it together. • We talked about the playground and the kerosene tank and the best way to come into compliance. 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 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: WESTERN TLC HEAD START CENTER Facility ID: 95000086 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/20/2025 Number Present: 13 Completed Date: 10/20/2025 Age: From 3 To 5 Total Minutes: 225 Time In: 10:15 AM Time Out: 02:00 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 April Rominger, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Today, the teachers were available during the visit to answer questions. 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 ninety-nine (99%) percentage as of 10/16/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Intermountain Children`s Services, Inc., is current/active as of 10/16/25. Permit type – Five-star license issued May 9, 2022. Special Services/Restrictions – 1st shift (Daytime care), meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 11/20/24. The last fire drill was practiced on 9/17/25. The last lock down drill was practiced on 8/21/25. The last playground inspection was documented on 9/11/25. The last fire inspection was approved on 7/17/25. The last sanitation inspection was conducted on 10/9/25 with seven (7) 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 9/6/23 without hazards. Lead paint and asbestos testing was completed on 11/1/24. When I arrived, I was greeted at the door by Ms. Cherie and Ms. Carrie. They stated that Ms. April was not working today due to an appointment. Children were playing in centers. They were building in blocks, playing dress up, putting puzzles together and other materials. After children cleaned up, they went outside to play on the playground. Ms. April arrived at school while children were playing outside. I monitored the bus while I was outside as well as the playground. Children came inside from the playground. They put their jackets away and washed their hands for lunch. Lunch is served family style at four (4) separate tables with an adult sitting at each table. After lunch children gathered at group time where they did an activity with scarves, read a book and sang a transition song to dismiss them to their cot for rest time. Lunch today consisted of chicken salad with bread (for sandwiches), raw broccoli, veggie chips, fresh oranges and milk I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you transport children ages three to five (3-5) years old. I monitored one (1) vehicle today. The classroom operates from 8:30 a.m. to 3 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The wooden border around the mulch is uneven causing tripping hazards, has splinters, cracks and a screw sticking out. The fence has open spots near the ground and sharp wires exposed. Stairs on the large climber has loose and torn rubber covering. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Children walk by the kerosene tank and monitor heater exhaust to get to the playground. .0604(a) Technical assistance was provided as follows: Item #807 A safe indoor and outdoor environment was not provided for the children. *The wooden border around the mulch is uneven causing tripping hazards, has splinters, cracks and a screw sticking out. The fence has open spots near the ground and sharp wires exposed. Stairs on the large climber has loose and torn rubber covering. The previous playground had a black plastic border that was much safer than the wood. Is this pressure treated wood? Item #811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. *Children walk by the kerosene tank and monitor heater exhaust to get to the playground. I suggested a lattice fence type barrier or temporary fencing. 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 November 3, 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 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! The ECERS-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 Modernization 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). • Head Start Programs fall under pathway #3 automatically. Anytime you are ready to apply for your Star Rated License under Pathway #3, just let me know or send me the application and we will work through it together. • We talked about the playground and the kerosene tank and the best way to come into compliance. 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 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: WESTERN TLC HEAD START CENTER Facility ID: 95000086 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/20/2025 Number Present: 13 Completed Date: 10/20/2025 Age: From 3 To 5 Total Minutes: 225 Time In: 10:15 AM Time Out: 02:00 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 April Rominger, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Today, the teachers were available during the visit to answer questions. 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 ninety-nine (99%) percentage as of 10/16/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Intermountain Children`s Services, Inc., is current/active as of 10/16/25. Permit type – Five-star license issued May 9, 2022. Special Services/Restrictions – 1st shift (Daytime care), meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 11/20/24. The last fire drill was practiced on 9/17/25. The last lock down drill was practiced on 8/21/25. The last playground inspection was documented on 9/11/25. The last fire inspection was approved on 7/17/25. The last sanitation inspection was conducted on 10/9/25 with seven (7) 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 9/6/23 without hazards. Lead paint and asbestos testing was completed on 11/1/24. When I arrived, I was greeted at the door by Ms. Cherie and Ms. Carrie. They stated that Ms. April was not working today due to an appointment. Children were playing in centers. They were building in blocks, playing dress up, putting puzzles together and other materials. After children cleaned up, they went outside to play on the playground. Ms. April arrived at school while children were playing outside. I monitored the bus while I was outside as well as the playground. Children came inside from the playground. They put their jackets away and washed their hands for lunch. Lunch is served family style at four (4) separate tables with an adult sitting at each table. After lunch children gathered at group time where they did an activity with scarves, read a book and sang a transition song to dismiss them to their cot for rest time. Lunch today consisted of chicken salad with bread (for sandwiches), raw broccoli, veggie chips, fresh oranges and milk I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you transport children ages three to five (3-5) years old. I monitored one (1) vehicle today. The classroom operates from 8:30 a.m. to 3 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The wooden border around the mulch is uneven causing tripping hazards, has splinters, cracks and a screw sticking out. The fence has open spots near the ground and sharp wires exposed. Stairs on the large climber has loose and torn rubber covering. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Children walk by the kerosene tank and monitor heater exhaust to get to the playground. .0604(a) Technical assistance was provided as follows: Item #807 A safe indoor and outdoor environment was not provided for the children. *The wooden border around the mulch is uneven causing tripping hazards, has splinters, cracks and a screw sticking out. The fence has open spots near the ground and sharp wires exposed. Stairs on the large climber has loose and torn rubber covering. The previous playground had a black plastic border that was much safer than the wood. Is this pressure treated wood? Item #811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. *Children walk by the kerosene tank and monitor heater exhaust to get to the playground. I suggested a lattice fence type barrier or temporary fencing. 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 November 3, 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 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! The ECERS-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 Modernization 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). • Head Start Programs fall under pathway #3 automatically. Anytime you are ready to apply for your Star Rated License under Pathway #3, just let me know or send me the application and we will work through it together. • We talked about the playground and the kerosene tank and the best way to come into compliance. 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 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: WESTERN TLC HEAD START CENTER Facility ID: 95000086 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/20/2025 Number Present: 13 Completed Date: 10/20/2025 Age: From 3 To 5 Total Minutes: 225 Time In: 10:15 AM Time Out: 02:00 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 April Rominger, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Today, the teachers were available during the visit to answer questions. 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 ninety-nine (99%) percentage as of 10/16/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Intermountain Children`s Services, Inc., is current/active as of 10/16/25. Permit type – Five-star license issued May 9, 2022. Special Services/Restrictions – 1st shift (Daytime care), meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 11/20/24. The last fire drill was practiced on 9/17/25. The last lock down drill was practiced on 8/21/25. The last playground inspection was documented on 9/11/25. The last fire inspection was approved on 7/17/25. The last sanitation inspection was conducted on 10/9/25 with seven (7) 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 9/6/23 without hazards. Lead paint and asbestos testing was completed on 11/1/24. When I arrived, I was greeted at the door by Ms. Cherie and Ms. Carrie. They stated that Ms. April was not working today due to an appointment. Children were playing in centers. They were building in blocks, playing dress up, putting puzzles together and other materials. After children cleaned up, they went outside to play on the playground. Ms. April arrived at school while children were playing outside. I monitored the bus while I was outside as well as the playground. Children came inside from the playground. They put their jackets away and washed their hands for lunch. Lunch is served family style at four (4) separate tables with an adult sitting at each table. After lunch children gathered at group time where they did an activity with scarves, read a book and sang a transition song to dismiss them to their cot for rest time. Lunch today consisted of chicken salad with bread (for sandwiches), raw broccoli, veggie chips, fresh oranges and milk I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you transport children ages three to five (3-5) years old. I monitored one (1) vehicle today. The classroom operates from 8:30 a.m. to 3 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The wooden border around the mulch is uneven causing tripping hazards, has splinters, cracks and a screw sticking out. The fence has open spots near the ground and sharp wires exposed. Stairs on the large climber has loose and torn rubber covering. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Children walk by the kerosene tank and monitor heater exhaust to get to the playground. .0604(a) Technical assistance was provided as follows: Item #807 A safe indoor and outdoor environment was not provided for the children. *The wooden border around the mulch is uneven causing tripping hazards, has splinters, cracks and a screw sticking out. The fence has open spots near the ground and sharp wires exposed. Stairs on the large climber has loose and torn rubber covering. The previous playground had a black plastic border that was much safer than the wood. Is this pressure treated wood? Item #811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. *Children walk by the kerosene tank and monitor heater exhaust to get to the playground. I suggested a lattice fence type barrier or temporary fencing. 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 November 3, 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 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! The ECERS-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 Modernization 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). • Head Start Programs fall under pathway #3 automatically. Anytime you are ready to apply for your Star Rated License under Pathway #3, just let me know or send me the application and we will work through it together. • We talked about the playground and the kerosene tank and the best way to come into compliance. 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 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 .3222 · Violation

Name of Operation: WESTERN TLC HEAD START CENTER Facility ID: 95000086 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/20/2025 Number Present: 13 Completed Date: 10/20/2025 Age: From 3 To 5 Total Minutes: 225 Time In: 10:15 AM Time Out: 02:00 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 April Rominger, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Today, the teachers were available during the visit to answer questions. 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 ninety-nine (99%) percentage as of 10/16/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Intermountain Children`s Services, Inc., is current/active as of 10/16/25. Permit type – Five-star license issued May 9, 2022. Special Services/Restrictions – 1st shift (Daytime care), meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 11/20/24. The last fire drill was practiced on 9/17/25. The last lock down drill was practiced on 8/21/25. The last playground inspection was documented on 9/11/25. The last fire inspection was approved on 7/17/25. The last sanitation inspection was conducted on 10/9/25 with seven (7) 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 9/6/23 without hazards. Lead paint and asbestos testing was completed on 11/1/24. When I arrived, I was greeted at the door by Ms. Cherie and Ms. Carrie. They stated that Ms. April was not working today due to an appointment. Children were playing in centers. They were building in blocks, playing dress up, putting puzzles together and other materials. After children cleaned up, they went outside to play on the playground. Ms. April arrived at school while children were playing outside. I monitored the bus while I was outside as well as the playground. Children came inside from the playground. They put their jackets away and washed their hands for lunch. Lunch is served family style at four (4) separate tables with an adult sitting at each table. After lunch children gathered at group time where they did an activity with scarves, read a book and sang a transition song to dismiss them to their cot for rest time. Lunch today consisted of chicken salad with bread (for sandwiches), raw broccoli, veggie chips, fresh oranges and milk I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you transport children ages three to five (3-5) years old. I monitored one (1) vehicle today. The classroom operates from 8:30 a.m. to 3 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The wooden border around the mulch is uneven causing tripping hazards, has splinters, cracks and a screw sticking out. The fence has open spots near the ground and sharp wires exposed. Stairs on the large climber has loose and torn rubber covering. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Children walk by the kerosene tank and monitor heater exhaust to get to the playground. .0604(a) Technical assistance was provided as follows: Item #807 A safe indoor and outdoor environment was not provided for the children. *The wooden border around the mulch is uneven causing tripping hazards, has splinters, cracks and a screw sticking out. The fence has open spots near the ground and sharp wires exposed. Stairs on the large climber has loose and torn rubber covering. The previous playground had a black plastic border that was much safer than the wood. Is this pressure treated wood? Item #811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. *Children walk by the kerosene tank and monitor heater exhaust to get to the playground. I suggested a lattice fence type barrier or temporary fencing. 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 November 3, 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 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! The ECERS-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 Modernization 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). • Head Start Programs fall under pathway #3 automatically. Anytime you are ready to apply for your Star Rated License under Pathway #3, just let me know or send me the application and we will work through it together. • We talked about the playground and the kerosene tank and the best way to come into compliance. 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 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: WESTERN TLC HEAD START CENTER Facility ID: 95000086 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/20/2025 Number Present: 13 Completed Date: 10/20/2025 Age: From 3 To 5 Total Minutes: 225 Time In: 10:15 AM Time Out: 02:00 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 April Rominger, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Today, the teachers were available during the visit to answer questions. 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 ninety-nine (99%) percentage as of 10/16/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Intermountain Children`s Services, Inc., is current/active as of 10/16/25. Permit type – Five-star license issued May 9, 2022. Special Services/Restrictions – 1st shift (Daytime care), meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 11/20/24. The last fire drill was practiced on 9/17/25. The last lock down drill was practiced on 8/21/25. The last playground inspection was documented on 9/11/25. The last fire inspection was approved on 7/17/25. The last sanitation inspection was conducted on 10/9/25 with seven (7) 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 9/6/23 without hazards. Lead paint and asbestos testing was completed on 11/1/24. When I arrived, I was greeted at the door by Ms. Cherie and Ms. Carrie. They stated that Ms. April was not working today due to an appointment. Children were playing in centers. They were building in blocks, playing dress up, putting puzzles together and other materials. After children cleaned up, they went outside to play on the playground. Ms. April arrived at school while children were playing outside. I monitored the bus while I was outside as well as the playground. Children came inside from the playground. They put their jackets away and washed their hands for lunch. Lunch is served family style at four (4) separate tables with an adult sitting at each table. After lunch children gathered at group time where they did an activity with scarves, read a book and sang a transition song to dismiss them to their cot for rest time. Lunch today consisted of chicken salad with bread (for sandwiches), raw broccoli, veggie chips, fresh oranges and milk I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you transport children ages three to five (3-5) years old. I monitored one (1) vehicle today. The classroom operates from 8:30 a.m. to 3 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The wooden border around the mulch is uneven causing tripping hazards, has splinters, cracks and a screw sticking out. The fence has open spots near the ground and sharp wires exposed. Stairs on the large climber has loose and torn rubber covering. 10A NCAC 09 .0601(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Children walk by the kerosene tank and monitor heater exhaust to get to the playground. .0604(a) Technical assistance was provided as follows: Item #807 A safe indoor and outdoor environment was not provided for the children. *The wooden border around the mulch is uneven causing tripping hazards, has splinters, cracks and a screw sticking out. The fence has open spots near the ground and sharp wires exposed. Stairs on the large climber has loose and torn rubber covering. The previous playground had a black plastic border that was much safer than the wood. Is this pressure treated wood? Item #811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. *Children walk by the kerosene tank and monitor heater exhaust to get to the playground. I suggested a lattice fence type barrier or temporary fencing. 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 November 3, 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 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! The ECERS-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 Modernization 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). • Head Start Programs fall under pathway #3 automatically. Anytime you are ready to apply for your Star Rated License under Pathway #3, just let me know or send me the application and we will work through it together. • We talked about the playground and the kerosene tank and the best way to come into compliance. 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 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 .0604 · Violation

Name of Operation: WESTERN TLC HEAD START CENTER Facility ID: 95000086 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/8/2025 Number Present: 13 Completed Date: 4/8/2025 Age: From 3 To 5 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced 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 April Rominger, lead teacher. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. The off-site administrator is Rebecca Church (Ayers), however, was not on-site/available today. Upon my arrival I greeted both teachers, and I explained the reason for my visit. Ms. Rominger was available and answered my questions. When I arrived, the children were on the large rug/group time singing songs with Ms. Carrie. She dismissed the children to center time where they played with a variety of materials in centers such as books/language, math/science, blocks, dramatic play and manipulatives. Children participated in a one-on-one teacher-led art activity (painting) since they are learning all about Eric Carle. Children clean up and transitioned to group time area where they did "Brain Breaks" including yoga and gross motor activities. Children were chosen to catch a large ball, throw it back to Ms. April and go to Ms. Carrie to vote for going outside after lunch or an obstacle course inside. They went to wash hands and sat down to eat lunch. Lunch today consisted of barbecue chicken, rolls, mashed potatoes, carrots, pineapples and milk. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) percentage as of 4/8/25. This facility is owned and operated by Intermountain Children’s Services, Inc. There are no new teachers at this facility today, so no staff files were monitored. There are sixteen (16) children enrolled and thirteen (13) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 11/20/24. During Tropical Storm Helene, this facility was -closed from September 26th to November 4th, 2024. Water came in the building but most of the damage was on the playground which still hasn’t been repaired. The fence posts have been installed, but there is a drainage issue and pieces of asphalt that washed onto the playground that will need to be removed. The chain link part of the fence has not been installed. Ms. Rominger stated that they take them on walks and try to get them out as much as possible but with all the safety issues outside that is extremely limited. They continue to do gross motor activities inside. They have several field trips planned for the last couple of months of school. 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 May 9, 2022. Permit Restrictions- Daytime care only, meets enhanced space and reduced ratios. The last fire drill was practiced on 4/3/25. A lock down drill was conducted on 2/26/25. The last playground inspection was on 3/28/25. Playground under construction due to Tropical Storm Helene. The last fire inspection was 7/18/24. The last sanitation inspection was completed on 3/18/24 with zero (0) demerits for a superior rating. The last lead water test was dated 9/6/23 and is due every three (3) years. The Lead-Based Paint and Asbestos testing was completed on 11/8/24. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. It has been over a year since the last sanitation inspection. 10A NCAC 09 .0304(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. A power strip beside a teacher desk was accessible and without a safety plug. 10A NCAC 09 .0604(c) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. Two laminators were stored on a low shelf that were accessible to children. .0604(e) Technical assistance: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs *A power strip beside a teacher desk was accessible and without a safety plug. Item #898 Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. *Two laminators were stored on a low shelf that were accessible to children. Item #104 Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. *It has been over a year since the last sanitation inspection. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by April 22, 2025. Email the compliance letter on signed letterhead or on 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 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 by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: • 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 today to please let me know as soon as the playground is repaired and functioning. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: WESTERN TLC HEAD START CENTER Facility ID: 95000086 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/8/2025 Number Present: 13 Completed Date: 4/8/2025 Age: From 3 To 5 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced 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 April Rominger, lead teacher. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. The off-site administrator is Rebecca Church (Ayers), however, was not on-site/available today. Upon my arrival I greeted both teachers, and I explained the reason for my visit. Ms. Rominger was available and answered my questions. When I arrived, the children were on the large rug/group time singing songs with Ms. Carrie. She dismissed the children to center time where they played with a variety of materials in centers such as books/language, math/science, blocks, dramatic play and manipulatives. Children participated in a one-on-one teacher-led art activity (painting) since they are learning all about Eric Carle. Children clean up and transitioned to group time area where they did "Brain Breaks" including yoga and gross motor activities. Children were chosen to catch a large ball, throw it back to Ms. April and go to Ms. Carrie to vote for going outside after lunch or an obstacle course inside. They went to wash hands and sat down to eat lunch. Lunch today consisted of barbecue chicken, rolls, mashed potatoes, carrots, pineapples and milk. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) percentage as of 4/8/25. This facility is owned and operated by Intermountain Children’s Services, Inc. There are no new teachers at this facility today, so no staff files were monitored. There are sixteen (16) children enrolled and thirteen (13) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 11/20/24. During Tropical Storm Helene, this facility was -closed from September 26th to November 4th, 2024. Water came in the building but most of the damage was on the playground which still hasn’t been repaired. The fence posts have been installed, but there is a drainage issue and pieces of asphalt that washed onto the playground that will need to be removed. The chain link part of the fence has not been installed. Ms. Rominger stated that they take them on walks and try to get them out as much as possible but with all the safety issues outside that is extremely limited. They continue to do gross motor activities inside. They have several field trips planned for the last couple of months of school. 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 May 9, 2022. Permit Restrictions- Daytime care only, meets enhanced space and reduced ratios. The last fire drill was practiced on 4/3/25. A lock down drill was conducted on 2/26/25. The last playground inspection was on 3/28/25. Playground under construction due to Tropical Storm Helene. The last fire inspection was 7/18/24. The last sanitation inspection was completed on 3/18/24 with zero (0) demerits for a superior rating. The last lead water test was dated 9/6/23 and is due every three (3) years. The Lead-Based Paint and Asbestos testing was completed on 11/8/24. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. It has been over a year since the last sanitation inspection. 10A NCAC 09 .0304(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. A power strip beside a teacher desk was accessible and without a safety plug. 10A NCAC 09 .0604(c) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. Two laminators were stored on a low shelf that were accessible to children. .0604(e) Technical assistance: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs *A power strip beside a teacher desk was accessible and without a safety plug. Item #898 Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. *Two laminators were stored on a low shelf that were accessible to children. Item #104 Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. *It has been over a year since the last sanitation inspection. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by April 22, 2025. Email the compliance letter on signed letterhead or on 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 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 by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: • 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 today to please let me know as soon as the playground is repaired and functioning. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: WESTERN TLC HEAD START CENTER Facility ID: 95000086 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/8/2025 Number Present: 13 Completed Date: 4/8/2025 Age: From 3 To 5 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced 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 April Rominger, lead teacher. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. The off-site administrator is Rebecca Church (Ayers), however, was not on-site/available today. Upon my arrival I greeted both teachers, and I explained the reason for my visit. Ms. Rominger was available and answered my questions. When I arrived, the children were on the large rug/group time singing songs with Ms. Carrie. She dismissed the children to center time where they played with a variety of materials in centers such as books/language, math/science, blocks, dramatic play and manipulatives. Children participated in a one-on-one teacher-led art activity (painting) since they are learning all about Eric Carle. Children clean up and transitioned to group time area where they did "Brain Breaks" including yoga and gross motor activities. Children were chosen to catch a large ball, throw it back to Ms. April and go to Ms. Carrie to vote for going outside after lunch or an obstacle course inside. They went to wash hands and sat down to eat lunch. Lunch today consisted of barbecue chicken, rolls, mashed potatoes, carrots, pineapples and milk. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) percentage as of 4/8/25. This facility is owned and operated by Intermountain Children’s Services, Inc. There are no new teachers at this facility today, so no staff files were monitored. There are sixteen (16) children enrolled and thirteen (13) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 11/20/24. During Tropical Storm Helene, this facility was -closed from September 26th to November 4th, 2024. Water came in the building but most of the damage was on the playground which still hasn’t been repaired. The fence posts have been installed, but there is a drainage issue and pieces of asphalt that washed onto the playground that will need to be removed. The chain link part of the fence has not been installed. Ms. Rominger stated that they take them on walks and try to get them out as much as possible but with all the safety issues outside that is extremely limited. They continue to do gross motor activities inside. They have several field trips planned for the last couple of months of school. 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 May 9, 2022. Permit Restrictions- Daytime care only, meets enhanced space and reduced ratios. The last fire drill was practiced on 4/3/25. A lock down drill was conducted on 2/26/25. The last playground inspection was on 3/28/25. Playground under construction due to Tropical Storm Helene. The last fire inspection was 7/18/24. The last sanitation inspection was completed on 3/18/24 with zero (0) demerits for a superior rating. The last lead water test was dated 9/6/23 and is due every three (3) years. The Lead-Based Paint and Asbestos testing was completed on 11/8/24. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. It has been over a year since the last sanitation inspection. 10A NCAC 09 .0304(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. A power strip beside a teacher desk was accessible and without a safety plug. 10A NCAC 09 .0604(c) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. Two laminators were stored on a low shelf that were accessible to children. .0604(e) Technical assistance: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs *A power strip beside a teacher desk was accessible and without a safety plug. Item #898 Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. *Two laminators were stored on a low shelf that were accessible to children. Item #104 Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. *It has been over a year since the last sanitation inspection. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by April 22, 2025. Email the compliance letter on signed letterhead or on 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 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 by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: • 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 today to please let me know as soon as the playground is repaired and functioning. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: WESTERN TLC HEAD START CENTER Facility ID: 95000086 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/8/2025 Number Present: 13 Completed Date: 4/8/2025 Age: From 3 To 5 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced 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 April Rominger, lead teacher. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. The off-site administrator is Rebecca Church (Ayers), however, was not on-site/available today. Upon my arrival I greeted both teachers, and I explained the reason for my visit. Ms. Rominger was available and answered my questions. When I arrived, the children were on the large rug/group time singing songs with Ms. Carrie. She dismissed the children to center time where they played with a variety of materials in centers such as books/language, math/science, blocks, dramatic play and manipulatives. Children participated in a one-on-one teacher-led art activity (painting) since they are learning all about Eric Carle. Children clean up and transitioned to group time area where they did "Brain Breaks" including yoga and gross motor activities. Children were chosen to catch a large ball, throw it back to Ms. April and go to Ms. Carrie to vote for going outside after lunch or an obstacle course inside. They went to wash hands and sat down to eat lunch. Lunch today consisted of barbecue chicken, rolls, mashed potatoes, carrots, pineapples and milk. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) percentage as of 4/8/25. This facility is owned and operated by Intermountain Children’s Services, Inc. There are no new teachers at this facility today, so no staff files were monitored. There are sixteen (16) children enrolled and thirteen (13) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 11/20/24. During Tropical Storm Helene, this facility was -closed from September 26th to November 4th, 2024. Water came in the building but most of the damage was on the playground which still hasn’t been repaired. The fence posts have been installed, but there is a drainage issue and pieces of asphalt that washed onto the playground that will need to be removed. The chain link part of the fence has not been installed. Ms. Rominger stated that they take them on walks and try to get them out as much as possible but with all the safety issues outside that is extremely limited. They continue to do gross motor activities inside. They have several field trips planned for the last couple of months of school. 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 May 9, 2022. Permit Restrictions- Daytime care only, meets enhanced space and reduced ratios. The last fire drill was practiced on 4/3/25. A lock down drill was conducted on 2/26/25. The last playground inspection was on 3/28/25. Playground under construction due to Tropical Storm Helene. The last fire inspection was 7/18/24. The last sanitation inspection was completed on 3/18/24 with zero (0) demerits for a superior rating. The last lead water test was dated 9/6/23 and is due every three (3) years. The Lead-Based Paint and Asbestos testing was completed on 11/8/24. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. It has been over a year since the last sanitation inspection. 10A NCAC 09 .0304(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. A power strip beside a teacher desk was accessible and without a safety plug. 10A NCAC 09 .0604(c) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. Two laminators were stored on a low shelf that were accessible to children. .0604(e) Technical assistance: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs *A power strip beside a teacher desk was accessible and without a safety plug. Item #898 Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. *Two laminators were stored on a low shelf that were accessible to children. Item #104 Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. *It has been over a year since the last sanitation inspection. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by April 22, 2025. Email the compliance letter on signed letterhead or on 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 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 by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: • 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 today to please let me know as soon as the playground is repaired and functioning. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: WESTERN TLC HEAD START CENTER Facility ID: 95000086 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/8/2025 Number Present: 13 Completed Date: 4/8/2025 Age: From 3 To 5 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced 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 April Rominger, lead teacher. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. The off-site administrator is Rebecca Church (Ayers), however, was not on-site/available today. Upon my arrival I greeted both teachers, and I explained the reason for my visit. Ms. Rominger was available and answered my questions. When I arrived, the children were on the large rug/group time singing songs with Ms. Carrie. She dismissed the children to center time where they played with a variety of materials in centers such as books/language, math/science, blocks, dramatic play and manipulatives. Children participated in a one-on-one teacher-led art activity (painting) since they are learning all about Eric Carle. Children clean up and transitioned to group time area where they did "Brain Breaks" including yoga and gross motor activities. Children were chosen to catch a large ball, throw it back to Ms. April and go to Ms. Carrie to vote for going outside after lunch or an obstacle course inside. They went to wash hands and sat down to eat lunch. Lunch today consisted of barbecue chicken, rolls, mashed potatoes, carrots, pineapples and milk. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) percentage as of 4/8/25. This facility is owned and operated by Intermountain Children’s Services, Inc. There are no new teachers at this facility today, so no staff files were monitored. There are sixteen (16) children enrolled and thirteen (13) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 11/20/24. During Tropical Storm Helene, this facility was -closed from September 26th to November 4th, 2024. Water came in the building but most of the damage was on the playground which still hasn’t been repaired. The fence posts have been installed, but there is a drainage issue and pieces of asphalt that washed onto the playground that will need to be removed. The chain link part of the fence has not been installed. Ms. Rominger stated that they take them on walks and try to get them out as much as possible but with all the safety issues outside that is extremely limited. They continue to do gross motor activities inside. They have several field trips planned for the last couple of months of school. 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 May 9, 2022. Permit Restrictions- Daytime care only, meets enhanced space and reduced ratios. The last fire drill was practiced on 4/3/25. A lock down drill was conducted on 2/26/25. The last playground inspection was on 3/28/25. Playground under construction due to Tropical Storm Helene. The last fire inspection was 7/18/24. The last sanitation inspection was completed on 3/18/24 with zero (0) demerits for a superior rating. The last lead water test was dated 9/6/23 and is due every three (3) years. The Lead-Based Paint and Asbestos testing was completed on 11/8/24. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. It has been over a year since the last sanitation inspection. 10A NCAC 09 .0304(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. A power strip beside a teacher desk was accessible and without a safety plug. 10A NCAC 09 .0604(c) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. Two laminators were stored on a low shelf that were accessible to children. .0604(e) Technical assistance: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs *A power strip beside a teacher desk was accessible and without a safety plug. Item #898 Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. *Two laminators were stored on a low shelf that were accessible to children. Item #104 Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. *It has been over a year since the last sanitation inspection. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by April 22, 2025. Email the compliance letter on signed letterhead or on 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 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 by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: • 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 today to please let me know as soon as the playground is repaired and functioning. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: WESTERN TLC HEAD START CENTER Facility ID: 95000086 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/8/2025 Number Present: 13 Completed Date: 4/8/2025 Age: From 3 To 5 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced 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 April Rominger, lead teacher. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. The off-site administrator is Rebecca Church (Ayers), however, was not on-site/available today. Upon my arrival I greeted both teachers, and I explained the reason for my visit. Ms. Rominger was available and answered my questions. When I arrived, the children were on the large rug/group time singing songs with Ms. Carrie. She dismissed the children to center time where they played with a variety of materials in centers such as books/language, math/science, blocks, dramatic play and manipulatives. Children participated in a one-on-one teacher-led art activity (painting) since they are learning all about Eric Carle. Children clean up and transitioned to group time area where they did "Brain Breaks" including yoga and gross motor activities. Children were chosen to catch a large ball, throw it back to Ms. April and go to Ms. Carrie to vote for going outside after lunch or an obstacle course inside. They went to wash hands and sat down to eat lunch. Lunch today consisted of barbecue chicken, rolls, mashed potatoes, carrots, pineapples and milk. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) percentage as of 4/8/25. This facility is owned and operated by Intermountain Children’s Services, Inc. There are no new teachers at this facility today, so no staff files were monitored. There are sixteen (16) children enrolled and thirteen (13) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 11/20/24. During Tropical Storm Helene, this facility was -closed from September 26th to November 4th, 2024. Water came in the building but most of the damage was on the playground which still hasn’t been repaired. The fence posts have been installed, but there is a drainage issue and pieces of asphalt that washed onto the playground that will need to be removed. The chain link part of the fence has not been installed. Ms. Rominger stated that they take them on walks and try to get them out as much as possible but with all the safety issues outside that is extremely limited. They continue to do gross motor activities inside. They have several field trips planned for the last couple of months of school. 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 May 9, 2022. Permit Restrictions- Daytime care only, meets enhanced space and reduced ratios. The last fire drill was practiced on 4/3/25. A lock down drill was conducted on 2/26/25. The last playground inspection was on 3/28/25. Playground under construction due to Tropical Storm Helene. The last fire inspection was 7/18/24. The last sanitation inspection was completed on 3/18/24 with zero (0) demerits for a superior rating. The last lead water test was dated 9/6/23 and is due every three (3) years. The Lead-Based Paint and Asbestos testing was completed on 11/8/24. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. It has been over a year since the last sanitation inspection. 10A NCAC 09 .0304(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. A power strip beside a teacher desk was accessible and without a safety plug. 10A NCAC 09 .0604(c) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. Two laminators were stored on a low shelf that were accessible to children. .0604(e) Technical assistance: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs *A power strip beside a teacher desk was accessible and without a safety plug. Item #898 Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. *Two laminators were stored on a low shelf that were accessible to children. Item #104 Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. *It has been over a year since the last sanitation inspection. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by April 22, 2025. Email the compliance letter on signed letterhead or on 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 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 by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: • 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 today to please let me know as soon as the playground is repaired and functioning. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: WESTERN TLC HEAD START CENTER Facility ID: 95000086 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/4/2023 Number Present: 11 Completed Date: 12/4/2023 Age: From 3 To 4 Total Minutes: 240 Time In: 11:00 AM Time Out: 03:00 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 April Rominger, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Rominger was available to answer questions and assist me during the 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 ninety-eight percentage (98%) as of 12/04/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Intermountain Children`s Services, Inc., is current/active as of 12/04/23. Permit type – Five Star Licensed, issued May 09, 2022. Special Services/Restrictions – Daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 12/06/23. The last fire drill was practiced on 11/13/23. The last shelter-in-place drill was practiced on 11/16/23. The last playground inspection was documented on 11/28/23. The last fire inspection was approved on 07/31/23. The last sanitation inspection was conducted on 11/28/23 with two (2) 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. Upon arrival, the children were having free play in centers. Children were creating tree’s by gluing pom poms on craft sticks. They were painting with kitchen tools such as spoons and potato mashers. Children went outside for gross motor play. They played on climbers, had sand play and other activities. Lunch today consisted of tomato soup, goldfish crackers, grilled cheese, celery sticks, pears and milk. After lunch, the children separated into tow (2) groups and brushed their teeth at the table. The teachers gave each child a throw away cup with toothpaste on the bottom. Each child put the toothpaste on their toothbrush and then used the cup for water. Children went outside briefly while cots were placed in their spots for rest time. After children came inside and washed hands, they settled down for rest time. When they woke, the prepared for a snack of carrot sticks and string cheese. Parents began arriving to pick up children and the remainder of children were transported on the bus. 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. You stated that you do transport ages three to five (3 to 5) years old. You stated that you transport and average of three (3) to eight (8) children for pickup and delivery. I monitored the one bus today. A 2011 Thomas Built bus, license plate ZWF-4606. The registration was current through August 2024. Two (2) children files were monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Monday-Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The safe pick-up and delivery procedures were not posted on the bus where they can be seen by the parents .1003(b) Technical assistance was provided as follows: Item #.0802 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. Note: The safe pick-up and delivery procedures were not posted on the bus where they can be seen by the parents. This was corrected during the visit. Consultation is provided as follows: • Remember to fluff the mulch periodically. Children can help with this as a fun activity. • Remember to log emergency drills. • C.T. has until December 28, 2023 to get her First Aid and CPR card and/or certificate on file. o Please refrain from using a photo copied certificate where the date has been whited out. The trainer’s signature should be in colored ink. • Keep an eye on the thermometer in the refrigerator. It is reading right on the line and may need to be replaced soon. • As we discussed, your facility is in cohort #3 for the star rated license. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .1003 · Violation

Name of Operation: WESTERN TLC HEAD START CENTER Facility ID: 95000086 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/4/2023 Number Present: 11 Completed Date: 12/4/2023 Age: From 3 To 4 Total Minutes: 240 Time In: 11:00 AM Time Out: 03:00 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 April Rominger, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Rominger was available to answer questions and assist me during the 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 ninety-eight percentage (98%) as of 12/04/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Intermountain Children`s Services, Inc., is current/active as of 12/04/23. Permit type – Five Star Licensed, issued May 09, 2022. Special Services/Restrictions – Daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 12/06/23. The last fire drill was practiced on 11/13/23. The last shelter-in-place drill was practiced on 11/16/23. The last playground inspection was documented on 11/28/23. The last fire inspection was approved on 07/31/23. The last sanitation inspection was conducted on 11/28/23 with two (2) 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. Upon arrival, the children were having free play in centers. Children were creating tree’s by gluing pom poms on craft sticks. They were painting with kitchen tools such as spoons and potato mashers. Children went outside for gross motor play. They played on climbers, had sand play and other activities. Lunch today consisted of tomato soup, goldfish crackers, grilled cheese, celery sticks, pears and milk. After lunch, the children separated into tow (2) groups and brushed their teeth at the table. The teachers gave each child a throw away cup with toothpaste on the bottom. Each child put the toothpaste on their toothbrush and then used the cup for water. Children went outside briefly while cots were placed in their spots for rest time. After children came inside and washed hands, they settled down for rest time. When they woke, the prepared for a snack of carrot sticks and string cheese. Parents began arriving to pick up children and the remainder of children were transported on the bus. 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. You stated that you do transport ages three to five (3 to 5) years old. You stated that you transport and average of three (3) to eight (8) children for pickup and delivery. I monitored the one bus today. A 2011 Thomas Built bus, license plate ZWF-4606. The registration was current through August 2024. Two (2) children files were monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Monday-Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The safe pick-up and delivery procedures were not posted on the bus where they can be seen by the parents .1003(b) Technical assistance was provided as follows: Item #.0802 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. Note: The safe pick-up and delivery procedures were not posted on the bus where they can be seen by the parents. This was corrected during the visit. Consultation is provided as follows: • Remember to fluff the mulch periodically. Children can help with this as a fun activity. • Remember to log emergency drills. • C.T. has until December 28, 2023 to get her First Aid and CPR card and/or certificate on file. o Please refrain from using a photo copied certificate where the date has been whited out. The trainer’s signature should be in colored ink. • Keep an eye on the thermometer in the refrigerator. It is reading right on the line and may need to be replaced soon. • As we discussed, your facility is in cohort #3 for the star rated license. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: WESTERN TLC HEAD START CENTER Facility ID: 95000086 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/4/2023 Number Present: 11 Completed Date: 12/4/2023 Age: From 3 To 4 Total Minutes: 240 Time In: 11:00 AM Time Out: 03:00 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 April Rominger, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Rominger was available to answer questions and assist me during the 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 ninety-eight percentage (98%) as of 12/04/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Intermountain Children`s Services, Inc., is current/active as of 12/04/23. Permit type – Five Star Licensed, issued May 09, 2022. Special Services/Restrictions – Daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 12/06/23. The last fire drill was practiced on 11/13/23. The last shelter-in-place drill was practiced on 11/16/23. The last playground inspection was documented on 11/28/23. The last fire inspection was approved on 07/31/23. The last sanitation inspection was conducted on 11/28/23 with two (2) 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. Upon arrival, the children were having free play in centers. Children were creating tree’s by gluing pom poms on craft sticks. They were painting with kitchen tools such as spoons and potato mashers. Children went outside for gross motor play. They played on climbers, had sand play and other activities. Lunch today consisted of tomato soup, goldfish crackers, grilled cheese, celery sticks, pears and milk. After lunch, the children separated into tow (2) groups and brushed their teeth at the table. The teachers gave each child a throw away cup with toothpaste on the bottom. Each child put the toothpaste on their toothbrush and then used the cup for water. Children went outside briefly while cots were placed in their spots for rest time. After children came inside and washed hands, they settled down for rest time. When they woke, the prepared for a snack of carrot sticks and string cheese. Parents began arriving to pick up children and the remainder of children were transported on the bus. 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. You stated that you do transport ages three to five (3 to 5) years old. You stated that you transport and average of three (3) to eight (8) children for pickup and delivery. I monitored the one bus today. A 2011 Thomas Built bus, license plate ZWF-4606. The registration was current through August 2024. Two (2) children files were monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Monday-Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The safe pick-up and delivery procedures were not posted on the bus where they can be seen by the parents .1003(b) Technical assistance was provided as follows: Item #.0802 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. Note: The safe pick-up and delivery procedures were not posted on the bus where they can be seen by the parents. This was corrected during the visit. Consultation is provided as follows: • Remember to fluff the mulch periodically. Children can help with this as a fun activity. • Remember to log emergency drills. • C.T. has until December 28, 2023 to get her First Aid and CPR card and/or certificate on file. o Please refrain from using a photo copied certificate where the date has been whited out. The trainer’s signature should be in colored ink. • Keep an eye on the thermometer in the refrigerator. It is reading right on the line and may need to be replaced soon. • As we discussed, your facility is in cohort #3 for the star rated license. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: WESTERN TLC HEAD START CENTER Facility ID: 95000086 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/4/2023 Number Present: 11 Completed Date: 12/4/2023 Age: From 3 To 4 Total Minutes: 240 Time In: 11:00 AM Time Out: 03:00 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 April Rominger, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Rominger was available to answer questions and assist me during the 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 ninety-eight percentage (98%) as of 12/04/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Intermountain Children`s Services, Inc., is current/active as of 12/04/23. Permit type – Five Star Licensed, issued May 09, 2022. Special Services/Restrictions – Daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 12/06/23. The last fire drill was practiced on 11/13/23. The last shelter-in-place drill was practiced on 11/16/23. The last playground inspection was documented on 11/28/23. The last fire inspection was approved on 07/31/23. The last sanitation inspection was conducted on 11/28/23 with two (2) 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. Upon arrival, the children were having free play in centers. Children were creating tree’s by gluing pom poms on craft sticks. They were painting with kitchen tools such as spoons and potato mashers. Children went outside for gross motor play. They played on climbers, had sand play and other activities. Lunch today consisted of tomato soup, goldfish crackers, grilled cheese, celery sticks, pears and milk. After lunch, the children separated into tow (2) groups and brushed their teeth at the table. The teachers gave each child a throw away cup with toothpaste on the bottom. Each child put the toothpaste on their toothbrush and then used the cup for water. Children went outside briefly while cots were placed in their spots for rest time. After children came inside and washed hands, they settled down for rest time. When they woke, the prepared for a snack of carrot sticks and string cheese. Parents began arriving to pick up children and the remainder of children were transported on the bus. 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. You stated that you do transport ages three to five (3 to 5) years old. You stated that you transport and average of three (3) to eight (8) children for pickup and delivery. I monitored the one bus today. A 2011 Thomas Built bus, license plate ZWF-4606. The registration was current through August 2024. Two (2) children files were monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Monday-Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The safe pick-up and delivery procedures were not posted on the bus where they can be seen by the parents .1003(b) Technical assistance was provided as follows: Item #.0802 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. Note: The safe pick-up and delivery procedures were not posted on the bus where they can be seen by the parents. This was corrected during the visit. Consultation is provided as follows: • Remember to fluff the mulch periodically. Children can help with this as a fun activity. • Remember to log emergency drills. • C.T. has until December 28, 2023 to get her First Aid and CPR card and/or certificate on file. o Please refrain from using a photo copied certificate where the date has been whited out. The trainer’s signature should be in colored ink. • Keep an eye on the thermometer in the refrigerator. It is reading right on the line and may need to be replaced soon. • As we discussed, your facility is in cohort #3 for the star rated license. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: WESTERN TLC HEAD START CENTER Facility ID: 95000086 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/4/2023 Number Present: 11 Completed Date: 12/4/2023 Age: From 3 To 4 Total Minutes: 240 Time In: 11:00 AM Time Out: 03:00 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 April Rominger, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Rominger was available to answer questions and assist me during the 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 ninety-eight percentage (98%) as of 12/04/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Intermountain Children`s Services, Inc., is current/active as of 12/04/23. Permit type – Five Star Licensed, issued May 09, 2022. Special Services/Restrictions – Daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 12/06/23. The last fire drill was practiced on 11/13/23. The last shelter-in-place drill was practiced on 11/16/23. The last playground inspection was documented on 11/28/23. The last fire inspection was approved on 07/31/23. The last sanitation inspection was conducted on 11/28/23 with two (2) 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. Upon arrival, the children were having free play in centers. Children were creating tree’s by gluing pom poms on craft sticks. They were painting with kitchen tools such as spoons and potato mashers. Children went outside for gross motor play. They played on climbers, had sand play and other activities. Lunch today consisted of tomato soup, goldfish crackers, grilled cheese, celery sticks, pears and milk. After lunch, the children separated into tow (2) groups and brushed their teeth at the table. The teachers gave each child a throw away cup with toothpaste on the bottom. Each child put the toothpaste on their toothbrush and then used the cup for water. Children went outside briefly while cots were placed in their spots for rest time. After children came inside and washed hands, they settled down for rest time. When they woke, the prepared for a snack of carrot sticks and string cheese. Parents began arriving to pick up children and the remainder of children were transported on the bus. 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. You stated that you do transport ages three to five (3 to 5) years old. You stated that you transport and average of three (3) to eight (8) children for pickup and delivery. I monitored the one bus today. A 2011 Thomas Built bus, license plate ZWF-4606. The registration was current through August 2024. Two (2) children files were monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Monday-Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The safe pick-up and delivery procedures were not posted on the bus where they can be seen by the parents .1003(b) Technical assistance was provided as follows: Item #.0802 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. Note: The safe pick-up and delivery procedures were not posted on the bus where they can be seen by the parents. This was corrected during the visit. Consultation is provided as follows: • Remember to fluff the mulch periodically. Children can help with this as a fun activity. • Remember to log emergency drills. • C.T. has until December 28, 2023 to get her First Aid and CPR card and/or certificate on file. o Please refrain from using a photo copied certificate where the date has been whited out. The trainer’s signature should be in colored ink. • Keep an eye on the thermometer in the refrigerator. It is reading right on the line and may need to be replaced soon. • As we discussed, your facility is in cohort #3 for the star rated license. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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