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Home › NC › Andrews › Tiny Tots Creative Learning Center
90 Graham ST, Andrews NC 28901 · License #20000052 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
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10A NCAC 09 .0604 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 4/29/2026 Number Present: 23 Completed Date: 4/29/2026 Age: From 0 To 12 Total Minutes: 331 Time In: 09:59 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. The child care facility is operating under the Estate of Cindy Ann Day. A change of ownership form has been received, and the change of ownership may be processed once the signed lease is received. Due to the unavailability of a laptop during the visit, a handwritten summary of today’s visit was completed and reviewed with you and signed by Bridget Owen, Child Care Consultant and also signed by Andrea Ware, Interim Administrator. A computerized generated report of today’s visit was completed in the office and later emailed to Ms. Ware. Andrea Ware, Interim Administrator, was on-site and available to answer and ask questions. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (74%) percent as of 4/29/26. Permit type – Four Star License dated 9/19/25, capacity of eighty-one (81) children ages 0-12 years. Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios and meets enhanced space. The last fire drill was practiced on 04/14/26. The last shelter-in-place drill was practiced on 01/28/26. The last playground inspection was documented 04/22/26. The last fire inspection was approved on 04/01/2026 for daytime care only. The last sanitation inspection was conducted on 10/2/25 with twenty-four (24) demerits for an Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/10/24 without hazards. Lead paint and asbestos testing was completed on 9/17/25. There were no asbestos hazards that were identified. Lead paint hazards were identified in the previously approved school-age building. The school-age building located at 100 Graham Street; Andrews was removed from licensed space on 7/24/25. File Review: Staff files: Two (2) existing staff files and two (2) new staff files were monitored. Children’s files: Four (4) children’s files were reviewed. Walk-through: Ms. Ware accompanied me during the walk-through. Children were observed in free play, large group activities, routine care, lunch, and rest time. Lunch today was popcorn chicken, mac-n-cheese, a slice of bread, pineapples, and milk. In space #5a, a group of three (3) children, ages zero (0) to one (1) year, were present with one (1) staff member. The children were engaged in free exploration and demonstrated positive interactions with the teacher. In space #3, a group of seven (7) children, ages two (2) to five (5) years, were present with one (1) staff member. The children participated in a large group activity and then transitioned to free choice play. Space #4 was set up for school-age children. The group arrived at approximately 3:00 PM. Ms. Ware was observed waiting for the children to exit the public-school bus and signing them in upon arrival. A group of thirteen (13) children, ages five (5) to thirteen (13) years, were provided with a snack and then transitioned to free choice play. Space #5b was not in use. Space #2 was not in use. Playground: Three (3) playgrounds were monitored. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. When asked if other materials were available for outdoor play, you stated a variety of different types of balls (footballs, basketballs, soccer balls. etc.)were made avaialble for Playground #3. 10A NCAC 09 .0509(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The gate to exit the playground on playground #3 to the old school-age playground measured more than 3 ½ inches. .0605(g) 721 All equipment and furnishings were not in good repair. The fencing throughout the three playground spaces shows rust/not in good repair. G.S. 110-91(6); .0601(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. There was an electrical outlet that was uncovered in space #4. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In space # 5a, there was diaper cream (Destin) for a child that did not have parent authorization form and one diaper cream (Boudreaux’s Butt Paste) that the parent authorization form was available but did not contain the parents’ signature. In space # 3, there was a diaper cream (Parents Choice) that did not have a parent authorization form. 10A NCAC 09 .0803(4)(6-9) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Two (2) staff files did not contain annual staff evaluation. The last one completed on 5/17/2024. 10A NCAC 09 .0514(f) 1329 Application for enrollment did not include all required information. Two (2) children’s files did not contain the following information: any particular fears the child has, any allergies, and symptoms unique behavior characteristics, and any health concerns. .0801(a)(1-7) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The EPR on site was dated 2024. The annual EPR review was not completed for two (2) staff members. .0607(f) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. Two (2) staff files did not contain annual staff professional development plan. The last one completed was dated 5/17/2024. .1104(1-5) 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/14/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: Bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman, NC 28772 Please call me at 828-530-2424 or email bridget.owen@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. Technical Assistance for Compliance – rule references can be found in the cited violations Outdoor Equipment Item # 438 When asked if other materials were available for outdoor play, you stated a variety of different types of balls (footballs, basketballs, soccer balls. etc.) were made available for Playground #3. To achieve compliance, a variety of outdoor equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. Suggested materials to provide would be jump ropes, hula hoops, relay races, balance beams, and materials for obstacle courses (cones, tunnels, steppingstones). Gates on Playground #2 Item #714 The gate to exit the playground on playground #3 to the old school-age playground measured more than 3 ½ inches. To achieve compliance, the gate must be repaired or modified to ensure the opening measures no more than 3 ½ inches. Fencing Item #721 The fencing throughout the three playground spaces shows rust/not in good repair. To achieve compliance, all rusted sections of the fencing must be addressed and the fence maintained in good repair. Electrical Outlet Covers Item # 812 There was an electrical outlet that was uncovered in space #4. This item was corrected during the visit. Topical Medication Item # 847 In space # 5a, there was diaper cream (Destin) for a child that did not have parent authorization form and one diaper cream (Boudreaux’s Butt Paste) that the parent authorization form was available but did not contain the parents’ signature. In space # 3, there was a diaper cream (Parents Choice) that did not have a parent authorization form. To achieve compliance, staff must ensure that each diaper cream has a fully completed and signed parent authorization form on file before application. Annual Staff Evaluation Item # 1232 & Annual Staff Professional Development Plan Item # 1901 Two (2) staff files did not contain annual staff evaluation and annual staff professional development plan. The last dated annual staff evaluation and staff professional development plan was 5/17/2024. To achieve compliance, the missing annual staff evaluations and professional development plans must be completed and placed in the staff files and maintained annually thereafter. Child Application Item # 1329 Two (2) children’s files did not contain the following information: any particular fears the child has, any allergies, and symptoms unique behavior characteristics, and any health concerns. To achieve compliance, all children’s records must be updated to include any particular fears, allergies, unique behavioral characteristics, and health concerns. EPR /Annual Review Item # 1825 The EPR on site was dated 2024. The annual EPR review was not completed for two (2) staff members. To achieve compliance, the interim administrator must complete the EPR training, ensure the current EPR plan is updated, and review it with staff. Additionally, the interim administrator should reach out to eLift to obtain access to the required EPR training. Consultation is provided as follows: Screen Time The screen time log was provided to you during the visit today. The log can be used for individual screen time or large group screen time activities. The activity plan can also be used for large group screen time activities. You stated that the tv in the school age classroom is not in use when children are present. Sanitation Requirements The areas in poor repair must be repaired and meet sanitation requirements. We discussed that you have a grant for the school-age classroom to repair the roof which has caused a lot of leaking and water damage. EPR Training/Review Criminal Background Letter (CBC) CBC for LB will expire on 07/04/2026. An individual may have their criminal background recheck completed as early as six months prior to the expiration date that is noted on the qualification letter. Lockdown/Shelter Place To maintain compliance a lockdown or shelter place drill must be conducted by the end of the day on 4/30/2026. Annual Evaluation /Professional Development Plan (PDP) We discussed that you may use the template on the division website for the PDP. You stated that you would try to locate the annual evaluation that was created for Tiny Tots Creative Learning and/or re-create one to complete annual evaluation. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 bridget.owen@dhhs.nc.gov or 828530-2424 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
Generated from this facility's specific inspection record
Data synced from North Carolina's child care licensing agency on Jul 9, 2026 · Report an error
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0304 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 4/29/2026 Number Present: 23 Completed Date: 4/29/2026 Age: From 0 To 12 Total Minutes: 331 Time In: 09:59 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. The child care facility is operating under the Estate of Cindy Ann Day. A change of ownership form has been received, and the change of ownership may be processed once the signed lease is received. Due to the unavailability of a laptop during the visit, a handwritten summary of today’s visit was completed and reviewed with you and signed by Bridget Owen, Child Care Consultant and also signed by Andrea Ware, Interim Administrator. A computerized generated report of today’s visit was completed in the office and later emailed to Ms. Ware. Andrea Ware, Interim Administrator, was on-site and available to answer and ask questions. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (74%) percent as of 4/29/26. Permit type – Four Star License dated 9/19/25, capacity of eighty-one (81) children ages 0-12 years. Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios and meets enhanced space. The last fire drill was practiced on 04/14/26. The last shelter-in-place drill was practiced on 01/28/26. The last playground inspection was documented 04/22/26. The last fire inspection was approved on 04/01/2026 for daytime care only. The last sanitation inspection was conducted on 10/2/25 with twenty-four (24) demerits for an Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/10/24 without hazards. Lead paint and asbestos testing was completed on 9/17/25. There were no asbestos hazards that were identified. Lead paint hazards were identified in the previously approved school-age building. The school-age building located at 100 Graham Street; Andrews was removed from licensed space on 7/24/25. File Review: Staff files: Two (2) existing staff files and two (2) new staff files were monitored. Children’s files: Four (4) children’s files were reviewed. Walk-through: Ms. Ware accompanied me during the walk-through. Children were observed in free play, large group activities, routine care, lunch, and rest time. Lunch today was popcorn chicken, mac-n-cheese, a slice of bread, pineapples, and milk. In space #5a, a group of three (3) children, ages zero (0) to one (1) year, were present with one (1) staff member. The children were engaged in free exploration and demonstrated positive interactions with the teacher. In space #3, a group of seven (7) children, ages two (2) to five (5) years, were present with one (1) staff member. The children participated in a large group activity and then transitioned to free choice play. Space #4 was set up for school-age children. The group arrived at approximately 3:00 PM. Ms. Ware was observed waiting for the children to exit the public-school bus and signing them in upon arrival. A group of thirteen (13) children, ages five (5) to thirteen (13) years, were provided with a snack and then transitioned to free choice play. Space #5b was not in use. Space #2 was not in use. Playground: Three (3) playgrounds were monitored. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. When asked if other materials were available for outdoor play, you stated a variety of different types of balls (footballs, basketballs, soccer balls. etc.)were made avaialble for Playground #3. 10A NCAC 09 .0509(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The gate to exit the playground on playground #3 to the old school-age playground measured more than 3 ½ inches. .0605(g) 721 All equipment and furnishings were not in good repair. The fencing throughout the three playground spaces shows rust/not in good repair. G.S. 110-91(6); .0601(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. There was an electrical outlet that was uncovered in space #4. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In space # 5a, there was diaper cream (Destin) for a child that did not have parent authorization form and one diaper cream (Boudreaux’s Butt Paste) that the parent authorization form was available but did not contain the parents’ signature. In space # 3, there was a diaper cream (Parents Choice) that did not have a parent authorization form. 10A NCAC 09 .0803(4)(6-9) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Two (2) staff files did not contain annual staff evaluation. The last one completed on 5/17/2024. 10A NCAC 09 .0514(f) 1329 Application for enrollment did not include all required information. Two (2) children’s files did not contain the following information: any particular fears the child has, any allergies, and symptoms unique behavior characteristics, and any health concerns. .0801(a)(1-7) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The EPR on site was dated 2024. The annual EPR review was not completed for two (2) staff members. .0607(f) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. Two (2) staff files did not contain annual staff professional development plan. The last one completed was dated 5/17/2024. .1104(1-5) 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/14/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: Bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman, NC 28772 Please call me at 828-530-2424 or email bridget.owen@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. Technical Assistance for Compliance – rule references can be found in the cited violations Outdoor Equipment Item # 438 When asked if other materials were available for outdoor play, you stated a variety of different types of balls (footballs, basketballs, soccer balls. etc.) were made available for Playground #3. To achieve compliance, a variety of outdoor equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. Suggested materials to provide would be jump ropes, hula hoops, relay races, balance beams, and materials for obstacle courses (cones, tunnels, steppingstones). Gates on Playground #2 Item #714 The gate to exit the playground on playground #3 to the old school-age playground measured more than 3 ½ inches. To achieve compliance, the gate must be repaired or modified to ensure the opening measures no more than 3 ½ inches. Fencing Item #721 The fencing throughout the three playground spaces shows rust/not in good repair. To achieve compliance, all rusted sections of the fencing must be addressed and the fence maintained in good repair. Electrical Outlet Covers Item # 812 There was an electrical outlet that was uncovered in space #4. This item was corrected during the visit. Topical Medication Item # 847 In space # 5a, there was diaper cream (Destin) for a child that did not have parent authorization form and one diaper cream (Boudreaux’s Butt Paste) that the parent authorization form was available but did not contain the parents’ signature. In space # 3, there was a diaper cream (Parents Choice) that did not have a parent authorization form. To achieve compliance, staff must ensure that each diaper cream has a fully completed and signed parent authorization form on file before application. Annual Staff Evaluation Item # 1232 & Annual Staff Professional Development Plan Item # 1901 Two (2) staff files did not contain annual staff evaluation and annual staff professional development plan. The last dated annual staff evaluation and staff professional development plan was 5/17/2024. To achieve compliance, the missing annual staff evaluations and professional development plans must be completed and placed in the staff files and maintained annually thereafter. Child Application Item # 1329 Two (2) children’s files did not contain the following information: any particular fears the child has, any allergies, and symptoms unique behavior characteristics, and any health concerns. To achieve compliance, all children’s records must be updated to include any particular fears, allergies, unique behavioral characteristics, and health concerns. EPR /Annual Review Item # 1825 The EPR on site was dated 2024. The annual EPR review was not completed for two (2) staff members. To achieve compliance, the interim administrator must complete the EPR training, ensure the current EPR plan is updated, and review it with staff. Additionally, the interim administrator should reach out to eLift to obtain access to the required EPR training. Consultation is provided as follows: Screen Time The screen time log was provided to you during the visit today. The log can be used for individual screen time or large group screen time activities. The activity plan can also be used for large group screen time activities. You stated that the tv in the school age classroom is not in use when children are present. Sanitation Requirements The areas in poor repair must be repaired and meet sanitation requirements. We discussed that you have a grant for the school-age classroom to repair the roof which has caused a lot of leaking and water damage. EPR Training/Review Criminal Background Letter (CBC) CBC for LB will expire on 07/04/2026. An individual may have their criminal background recheck completed as early as six months prior to the expiration date that is noted on the qualification letter. Lockdown/Shelter Place To maintain compliance a lockdown or shelter place drill must be conducted by the end of the day on 4/30/2026. Annual Evaluation /Professional Development Plan (PDP) We discussed that you may use the template on the division website for the PDP. You stated that you would try to locate the annual evaluation that was created for Tiny Tots Creative Learning and/or re-create one to complete annual evaluation. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 bridget.owen@dhhs.nc.gov or 828530-2424 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0509 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 4/29/2026 Number Present: 23 Completed Date: 4/29/2026 Age: From 0 To 12 Total Minutes: 331 Time In: 09:59 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. The child care facility is operating under the Estate of Cindy Ann Day. A change of ownership form has been received, and the change of ownership may be processed once the signed lease is received. Due to the unavailability of a laptop during the visit, a handwritten summary of today’s visit was completed and reviewed with you and signed by Bridget Owen, Child Care Consultant and also signed by Andrea Ware, Interim Administrator. A computerized generated report of today’s visit was completed in the office and later emailed to Ms. Ware. Andrea Ware, Interim Administrator, was on-site and available to answer and ask questions. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (74%) percent as of 4/29/26. Permit type – Four Star License dated 9/19/25, capacity of eighty-one (81) children ages 0-12 years. Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios and meets enhanced space. The last fire drill was practiced on 04/14/26. The last shelter-in-place drill was practiced on 01/28/26. The last playground inspection was documented 04/22/26. The last fire inspection was approved on 04/01/2026 for daytime care only. The last sanitation inspection was conducted on 10/2/25 with twenty-four (24) demerits for an Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/10/24 without hazards. Lead paint and asbestos testing was completed on 9/17/25. There were no asbestos hazards that were identified. Lead paint hazards were identified in the previously approved school-age building. The school-age building located at 100 Graham Street; Andrews was removed from licensed space on 7/24/25. File Review: Staff files: Two (2) existing staff files and two (2) new staff files were monitored. Children’s files: Four (4) children’s files were reviewed. Walk-through: Ms. Ware accompanied me during the walk-through. Children were observed in free play, large group activities, routine care, lunch, and rest time. Lunch today was popcorn chicken, mac-n-cheese, a slice of bread, pineapples, and milk. In space #5a, a group of three (3) children, ages zero (0) to one (1) year, were present with one (1) staff member. The children were engaged in free exploration and demonstrated positive interactions with the teacher. In space #3, a group of seven (7) children, ages two (2) to five (5) years, were present with one (1) staff member. The children participated in a large group activity and then transitioned to free choice play. Space #4 was set up for school-age children. The group arrived at approximately 3:00 PM. Ms. Ware was observed waiting for the children to exit the public-school bus and signing them in upon arrival. A group of thirteen (13) children, ages five (5) to thirteen (13) years, were provided with a snack and then transitioned to free choice play. Space #5b was not in use. Space #2 was not in use. Playground: Three (3) playgrounds were monitored. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. When asked if other materials were available for outdoor play, you stated a variety of different types of balls (footballs, basketballs, soccer balls. etc.)were made avaialble for Playground #3. 10A NCAC 09 .0509(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The gate to exit the playground on playground #3 to the old school-age playground measured more than 3 ½ inches. .0605(g) 721 All equipment and furnishings were not in good repair. The fencing throughout the three playground spaces shows rust/not in good repair. G.S. 110-91(6); .0601(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. There was an electrical outlet that was uncovered in space #4. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In space # 5a, there was diaper cream (Destin) for a child that did not have parent authorization form and one diaper cream (Boudreaux’s Butt Paste) that the parent authorization form was available but did not contain the parents’ signature. In space # 3, there was a diaper cream (Parents Choice) that did not have a parent authorization form. 10A NCAC 09 .0803(4)(6-9) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Two (2) staff files did not contain annual staff evaluation. The last one completed on 5/17/2024. 10A NCAC 09 .0514(f) 1329 Application for enrollment did not include all required information. Two (2) children’s files did not contain the following information: any particular fears the child has, any allergies, and symptoms unique behavior characteristics, and any health concerns. .0801(a)(1-7) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The EPR on site was dated 2024. The annual EPR review was not completed for two (2) staff members. .0607(f) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. Two (2) staff files did not contain annual staff professional development plan. The last one completed was dated 5/17/2024. .1104(1-5) 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/14/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: Bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman, NC 28772 Please call me at 828-530-2424 or email bridget.owen@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. Technical Assistance for Compliance – rule references can be found in the cited violations Outdoor Equipment Item # 438 When asked if other materials were available for outdoor play, you stated a variety of different types of balls (footballs, basketballs, soccer balls. etc.) were made available for Playground #3. To achieve compliance, a variety of outdoor equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. Suggested materials to provide would be jump ropes, hula hoops, relay races, balance beams, and materials for obstacle courses (cones, tunnels, steppingstones). Gates on Playground #2 Item #714 The gate to exit the playground on playground #3 to the old school-age playground measured more than 3 ½ inches. To achieve compliance, the gate must be repaired or modified to ensure the opening measures no more than 3 ½ inches. Fencing Item #721 The fencing throughout the three playground spaces shows rust/not in good repair. To achieve compliance, all rusted sections of the fencing must be addressed and the fence maintained in good repair. Electrical Outlet Covers Item # 812 There was an electrical outlet that was uncovered in space #4. This item was corrected during the visit. Topical Medication Item # 847 In space # 5a, there was diaper cream (Destin) for a child that did not have parent authorization form and one diaper cream (Boudreaux’s Butt Paste) that the parent authorization form was available but did not contain the parents’ signature. In space # 3, there was a diaper cream (Parents Choice) that did not have a parent authorization form. To achieve compliance, staff must ensure that each diaper cream has a fully completed and signed parent authorization form on file before application. Annual Staff Evaluation Item # 1232 & Annual Staff Professional Development Plan Item # 1901 Two (2) staff files did not contain annual staff evaluation and annual staff professional development plan. The last dated annual staff evaluation and staff professional development plan was 5/17/2024. To achieve compliance, the missing annual staff evaluations and professional development plans must be completed and placed in the staff files and maintained annually thereafter. Child Application Item # 1329 Two (2) children’s files did not contain the following information: any particular fears the child has, any allergies, and symptoms unique behavior characteristics, and any health concerns. To achieve compliance, all children’s records must be updated to include any particular fears, allergies, unique behavioral characteristics, and health concerns. EPR /Annual Review Item # 1825 The EPR on site was dated 2024. The annual EPR review was not completed for two (2) staff members. To achieve compliance, the interim administrator must complete the EPR training, ensure the current EPR plan is updated, and review it with staff. Additionally, the interim administrator should reach out to eLift to obtain access to the required EPR training. Consultation is provided as follows: Screen Time The screen time log was provided to you during the visit today. The log can be used for individual screen time or large group screen time activities. The activity plan can also be used for large group screen time activities. You stated that the tv in the school age classroom is not in use when children are present. Sanitation Requirements The areas in poor repair must be repaired and meet sanitation requirements. We discussed that you have a grant for the school-age classroom to repair the roof which has caused a lot of leaking and water damage. EPR Training/Review Criminal Background Letter (CBC) CBC for LB will expire on 07/04/2026. An individual may have their criminal background recheck completed as early as six months prior to the expiration date that is noted on the qualification letter. Lockdown/Shelter Place To maintain compliance a lockdown or shelter place drill must be conducted by the end of the day on 4/30/2026. Annual Evaluation /Professional Development Plan (PDP) We discussed that you may use the template on the division website for the PDP. You stated that you would try to locate the annual evaluation that was created for Tiny Tots Creative Learning and/or re-create one to complete annual evaluation. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 bridget.owen@dhhs.nc.gov or 828530-2424 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0514 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 4/29/2026 Number Present: 23 Completed Date: 4/29/2026 Age: From 0 To 12 Total Minutes: 331 Time In: 09:59 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. The child care facility is operating under the Estate of Cindy Ann Day. A change of ownership form has been received, and the change of ownership may be processed once the signed lease is received. Due to the unavailability of a laptop during the visit, a handwritten summary of today’s visit was completed and reviewed with you and signed by Bridget Owen, Child Care Consultant and also signed by Andrea Ware, Interim Administrator. A computerized generated report of today’s visit was completed in the office and later emailed to Ms. Ware. Andrea Ware, Interim Administrator, was on-site and available to answer and ask questions. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (74%) percent as of 4/29/26. Permit type – Four Star License dated 9/19/25, capacity of eighty-one (81) children ages 0-12 years. Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios and meets enhanced space. The last fire drill was practiced on 04/14/26. The last shelter-in-place drill was practiced on 01/28/26. The last playground inspection was documented 04/22/26. The last fire inspection was approved on 04/01/2026 for daytime care only. The last sanitation inspection was conducted on 10/2/25 with twenty-four (24) demerits for an Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/10/24 without hazards. Lead paint and asbestos testing was completed on 9/17/25. There were no asbestos hazards that were identified. Lead paint hazards were identified in the previously approved school-age building. The school-age building located at 100 Graham Street; Andrews was removed from licensed space on 7/24/25. File Review: Staff files: Two (2) existing staff files and two (2) new staff files were monitored. Children’s files: Four (4) children’s files were reviewed. Walk-through: Ms. Ware accompanied me during the walk-through. Children were observed in free play, large group activities, routine care, lunch, and rest time. Lunch today was popcorn chicken, mac-n-cheese, a slice of bread, pineapples, and milk. In space #5a, a group of three (3) children, ages zero (0) to one (1) year, were present with one (1) staff member. The children were engaged in free exploration and demonstrated positive interactions with the teacher. In space #3, a group of seven (7) children, ages two (2) to five (5) years, were present with one (1) staff member. The children participated in a large group activity and then transitioned to free choice play. Space #4 was set up for school-age children. The group arrived at approximately 3:00 PM. Ms. Ware was observed waiting for the children to exit the public-school bus and signing them in upon arrival. A group of thirteen (13) children, ages five (5) to thirteen (13) years, were provided with a snack and then transitioned to free choice play. Space #5b was not in use. Space #2 was not in use. Playground: Three (3) playgrounds were monitored. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. When asked if other materials were available for outdoor play, you stated a variety of different types of balls (footballs, basketballs, soccer balls. etc.)were made avaialble for Playground #3. 10A NCAC 09 .0509(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The gate to exit the playground on playground #3 to the old school-age playground measured more than 3 ½ inches. .0605(g) 721 All equipment and furnishings were not in good repair. The fencing throughout the three playground spaces shows rust/not in good repair. G.S. 110-91(6); .0601(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. There was an electrical outlet that was uncovered in space #4. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In space # 5a, there was diaper cream (Destin) for a child that did not have parent authorization form and one diaper cream (Boudreaux’s Butt Paste) that the parent authorization form was available but did not contain the parents’ signature. In space # 3, there was a diaper cream (Parents Choice) that did not have a parent authorization form. 10A NCAC 09 .0803(4)(6-9) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Two (2) staff files did not contain annual staff evaluation. The last one completed on 5/17/2024. 10A NCAC 09 .0514(f) 1329 Application for enrollment did not include all required information. Two (2) children’s files did not contain the following information: any particular fears the child has, any allergies, and symptoms unique behavior characteristics, and any health concerns. .0801(a)(1-7) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The EPR on site was dated 2024. The annual EPR review was not completed for two (2) staff members. .0607(f) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. Two (2) staff files did not contain annual staff professional development plan. The last one completed was dated 5/17/2024. .1104(1-5) 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/14/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: Bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman, NC 28772 Please call me at 828-530-2424 or email bridget.owen@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. Technical Assistance for Compliance – rule references can be found in the cited violations Outdoor Equipment Item # 438 When asked if other materials were available for outdoor play, you stated a variety of different types of balls (footballs, basketballs, soccer balls. etc.) were made available for Playground #3. To achieve compliance, a variety of outdoor equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. Suggested materials to provide would be jump ropes, hula hoops, relay races, balance beams, and materials for obstacle courses (cones, tunnels, steppingstones). Gates on Playground #2 Item #714 The gate to exit the playground on playground #3 to the old school-age playground measured more than 3 ½ inches. To achieve compliance, the gate must be repaired or modified to ensure the opening measures no more than 3 ½ inches. Fencing Item #721 The fencing throughout the three playground spaces shows rust/not in good repair. To achieve compliance, all rusted sections of the fencing must be addressed and the fence maintained in good repair. Electrical Outlet Covers Item # 812 There was an electrical outlet that was uncovered in space #4. This item was corrected during the visit. Topical Medication Item # 847 In space # 5a, there was diaper cream (Destin) for a child that did not have parent authorization form and one diaper cream (Boudreaux’s Butt Paste) that the parent authorization form was available but did not contain the parents’ signature. In space # 3, there was a diaper cream (Parents Choice) that did not have a parent authorization form. To achieve compliance, staff must ensure that each diaper cream has a fully completed and signed parent authorization form on file before application. Annual Staff Evaluation Item # 1232 & Annual Staff Professional Development Plan Item # 1901 Two (2) staff files did not contain annual staff evaluation and annual staff professional development plan. The last dated annual staff evaluation and staff professional development plan was 5/17/2024. To achieve compliance, the missing annual staff evaluations and professional development plans must be completed and placed in the staff files and maintained annually thereafter. Child Application Item # 1329 Two (2) children’s files did not contain the following information: any particular fears the child has, any allergies, and symptoms unique behavior characteristics, and any health concerns. To achieve compliance, all children’s records must be updated to include any particular fears, allergies, unique behavioral characteristics, and health concerns. EPR /Annual Review Item # 1825 The EPR on site was dated 2024. The annual EPR review was not completed for two (2) staff members. To achieve compliance, the interim administrator must complete the EPR training, ensure the current EPR plan is updated, and review it with staff. Additionally, the interim administrator should reach out to eLift to obtain access to the required EPR training. Consultation is provided as follows: Screen Time The screen time log was provided to you during the visit today. The log can be used for individual screen time or large group screen time activities. The activity plan can also be used for large group screen time activities. You stated that the tv in the school age classroom is not in use when children are present. Sanitation Requirements The areas in poor repair must be repaired and meet sanitation requirements. We discussed that you have a grant for the school-age classroom to repair the roof which has caused a lot of leaking and water damage. EPR Training/Review Criminal Background Letter (CBC) CBC for LB will expire on 07/04/2026. An individual may have their criminal background recheck completed as early as six months prior to the expiration date that is noted on the qualification letter. Lockdown/Shelter Place To maintain compliance a lockdown or shelter place drill must be conducted by the end of the day on 4/30/2026. Annual Evaluation /Professional Development Plan (PDP) We discussed that you may use the template on the division website for the PDP. You stated that you would try to locate the annual evaluation that was created for Tiny Tots Creative Learning and/or re-create one to complete annual evaluation. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 bridget.owen@dhhs.nc.gov or 828530-2424 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0803 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 4/29/2026 Number Present: 23 Completed Date: 4/29/2026 Age: From 0 To 12 Total Minutes: 331 Time In: 09:59 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. The child care facility is operating under the Estate of Cindy Ann Day. A change of ownership form has been received, and the change of ownership may be processed once the signed lease is received. Due to the unavailability of a laptop during the visit, a handwritten summary of today’s visit was completed and reviewed with you and signed by Bridget Owen, Child Care Consultant and also signed by Andrea Ware, Interim Administrator. A computerized generated report of today’s visit was completed in the office and later emailed to Ms. Ware. Andrea Ware, Interim Administrator, was on-site and available to answer and ask questions. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (74%) percent as of 4/29/26. Permit type – Four Star License dated 9/19/25, capacity of eighty-one (81) children ages 0-12 years. Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios and meets enhanced space. The last fire drill was practiced on 04/14/26. The last shelter-in-place drill was practiced on 01/28/26. The last playground inspection was documented 04/22/26. The last fire inspection was approved on 04/01/2026 for daytime care only. The last sanitation inspection was conducted on 10/2/25 with twenty-four (24) demerits for an Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/10/24 without hazards. Lead paint and asbestos testing was completed on 9/17/25. There were no asbestos hazards that were identified. Lead paint hazards were identified in the previously approved school-age building. The school-age building located at 100 Graham Street; Andrews was removed from licensed space on 7/24/25. File Review: Staff files: Two (2) existing staff files and two (2) new staff files were monitored. Children’s files: Four (4) children’s files were reviewed. Walk-through: Ms. Ware accompanied me during the walk-through. Children were observed in free play, large group activities, routine care, lunch, and rest time. Lunch today was popcorn chicken, mac-n-cheese, a slice of bread, pineapples, and milk. In space #5a, a group of three (3) children, ages zero (0) to one (1) year, were present with one (1) staff member. The children were engaged in free exploration and demonstrated positive interactions with the teacher. In space #3, a group of seven (7) children, ages two (2) to five (5) years, were present with one (1) staff member. The children participated in a large group activity and then transitioned to free choice play. Space #4 was set up for school-age children. The group arrived at approximately 3:00 PM. Ms. Ware was observed waiting for the children to exit the public-school bus and signing them in upon arrival. A group of thirteen (13) children, ages five (5) to thirteen (13) years, were provided with a snack and then transitioned to free choice play. Space #5b was not in use. Space #2 was not in use. Playground: Three (3) playgrounds were monitored. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. When asked if other materials were available for outdoor play, you stated a variety of different types of balls (footballs, basketballs, soccer balls. etc.)were made avaialble for Playground #3. 10A NCAC 09 .0509(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The gate to exit the playground on playground #3 to the old school-age playground measured more than 3 ½ inches. .0605(g) 721 All equipment and furnishings were not in good repair. The fencing throughout the three playground spaces shows rust/not in good repair. G.S. 110-91(6); .0601(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. There was an electrical outlet that was uncovered in space #4. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In space # 5a, there was diaper cream (Destin) for a child that did not have parent authorization form and one diaper cream (Boudreaux’s Butt Paste) that the parent authorization form was available but did not contain the parents’ signature. In space # 3, there was a diaper cream (Parents Choice) that did not have a parent authorization form. 10A NCAC 09 .0803(4)(6-9) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Two (2) staff files did not contain annual staff evaluation. The last one completed on 5/17/2024. 10A NCAC 09 .0514(f) 1329 Application for enrollment did not include all required information. Two (2) children’s files did not contain the following information: any particular fears the child has, any allergies, and symptoms unique behavior characteristics, and any health concerns. .0801(a)(1-7) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The EPR on site was dated 2024. The annual EPR review was not completed for two (2) staff members. .0607(f) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. Two (2) staff files did not contain annual staff professional development plan. The last one completed was dated 5/17/2024. .1104(1-5) 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/14/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: Bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman, NC 28772 Please call me at 828-530-2424 or email bridget.owen@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. Technical Assistance for Compliance – rule references can be found in the cited violations Outdoor Equipment Item # 438 When asked if other materials were available for outdoor play, you stated a variety of different types of balls (footballs, basketballs, soccer balls. etc.) were made available for Playground #3. To achieve compliance, a variety of outdoor equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. Suggested materials to provide would be jump ropes, hula hoops, relay races, balance beams, and materials for obstacle courses (cones, tunnels, steppingstones). Gates on Playground #2 Item #714 The gate to exit the playground on playground #3 to the old school-age playground measured more than 3 ½ inches. To achieve compliance, the gate must be repaired or modified to ensure the opening measures no more than 3 ½ inches. Fencing Item #721 The fencing throughout the three playground spaces shows rust/not in good repair. To achieve compliance, all rusted sections of the fencing must be addressed and the fence maintained in good repair. Electrical Outlet Covers Item # 812 There was an electrical outlet that was uncovered in space #4. This item was corrected during the visit. Topical Medication Item # 847 In space # 5a, there was diaper cream (Destin) for a child that did not have parent authorization form and one diaper cream (Boudreaux’s Butt Paste) that the parent authorization form was available but did not contain the parents’ signature. In space # 3, there was a diaper cream (Parents Choice) that did not have a parent authorization form. To achieve compliance, staff must ensure that each diaper cream has a fully completed and signed parent authorization form on file before application. Annual Staff Evaluation Item # 1232 & Annual Staff Professional Development Plan Item # 1901 Two (2) staff files did not contain annual staff evaluation and annual staff professional development plan. The last dated annual staff evaluation and staff professional development plan was 5/17/2024. To achieve compliance, the missing annual staff evaluations and professional development plans must be completed and placed in the staff files and maintained annually thereafter. Child Application Item # 1329 Two (2) children’s files did not contain the following information: any particular fears the child has, any allergies, and symptoms unique behavior characteristics, and any health concerns. To achieve compliance, all children’s records must be updated to include any particular fears, allergies, unique behavioral characteristics, and health concerns. EPR /Annual Review Item # 1825 The EPR on site was dated 2024. The annual EPR review was not completed for two (2) staff members. To achieve compliance, the interim administrator must complete the EPR training, ensure the current EPR plan is updated, and review it with staff. Additionally, the interim administrator should reach out to eLift to obtain access to the required EPR training. Consultation is provided as follows: Screen Time The screen time log was provided to you during the visit today. The log can be used for individual screen time or large group screen time activities. The activity plan can also be used for large group screen time activities. You stated that the tv in the school age classroom is not in use when children are present. Sanitation Requirements The areas in poor repair must be repaired and meet sanitation requirements. We discussed that you have a grant for the school-age classroom to repair the roof which has caused a lot of leaking and water damage. EPR Training/Review Criminal Background Letter (CBC) CBC for LB will expire on 07/04/2026. An individual may have their criminal background recheck completed as early as six months prior to the expiration date that is noted on the qualification letter. Lockdown/Shelter Place To maintain compliance a lockdown or shelter place drill must be conducted by the end of the day on 4/30/2026. Annual Evaluation /Professional Development Plan (PDP) We discussed that you may use the template on the division website for the PDP. You stated that you would try to locate the annual evaluation that was created for Tiny Tots Creative Learning and/or re-create one to complete annual evaluation. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 bridget.owen@dhhs.nc.gov or 828530-2424 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .1102 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 4/29/2026 Number Present: 23 Completed Date: 4/29/2026 Age: From 0 To 12 Total Minutes: 331 Time In: 09:59 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. The child care facility is operating under the Estate of Cindy Ann Day. A change of ownership form has been received, and the change of ownership may be processed once the signed lease is received. Due to the unavailability of a laptop during the visit, a handwritten summary of today’s visit was completed and reviewed with you and signed by Bridget Owen, Child Care Consultant and also signed by Andrea Ware, Interim Administrator. A computerized generated report of today’s visit was completed in the office and later emailed to Ms. Ware. Andrea Ware, Interim Administrator, was on-site and available to answer and ask questions. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (74%) percent as of 4/29/26. Permit type – Four Star License dated 9/19/25, capacity of eighty-one (81) children ages 0-12 years. Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios and meets enhanced space. The last fire drill was practiced on 04/14/26. The last shelter-in-place drill was practiced on 01/28/26. The last playground inspection was documented 04/22/26. The last fire inspection was approved on 04/01/2026 for daytime care only. The last sanitation inspection was conducted on 10/2/25 with twenty-four (24) demerits for an Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/10/24 without hazards. Lead paint and asbestos testing was completed on 9/17/25. There were no asbestos hazards that were identified. Lead paint hazards were identified in the previously approved school-age building. The school-age building located at 100 Graham Street; Andrews was removed from licensed space on 7/24/25. File Review: Staff files: Two (2) existing staff files and two (2) new staff files were monitored. Children’s files: Four (4) children’s files were reviewed. Walk-through: Ms. Ware accompanied me during the walk-through. Children were observed in free play, large group activities, routine care, lunch, and rest time. Lunch today was popcorn chicken, mac-n-cheese, a slice of bread, pineapples, and milk. In space #5a, a group of three (3) children, ages zero (0) to one (1) year, were present with one (1) staff member. The children were engaged in free exploration and demonstrated positive interactions with the teacher. In space #3, a group of seven (7) children, ages two (2) to five (5) years, were present with one (1) staff member. The children participated in a large group activity and then transitioned to free choice play. Space #4 was set up for school-age children. The group arrived at approximately 3:00 PM. Ms. Ware was observed waiting for the children to exit the public-school bus and signing them in upon arrival. A group of thirteen (13) children, ages five (5) to thirteen (13) years, were provided with a snack and then transitioned to free choice play. Space #5b was not in use. Space #2 was not in use. Playground: Three (3) playgrounds were monitored. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. When asked if other materials were available for outdoor play, you stated a variety of different types of balls (footballs, basketballs, soccer balls. etc.)were made avaialble for Playground #3. 10A NCAC 09 .0509(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The gate to exit the playground on playground #3 to the old school-age playground measured more than 3 ½ inches. .0605(g) 721 All equipment and furnishings were not in good repair. The fencing throughout the three playground spaces shows rust/not in good repair. G.S. 110-91(6); .0601(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. There was an electrical outlet that was uncovered in space #4. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In space # 5a, there was diaper cream (Destin) for a child that did not have parent authorization form and one diaper cream (Boudreaux’s Butt Paste) that the parent authorization form was available but did not contain the parents’ signature. In space # 3, there was a diaper cream (Parents Choice) that did not have a parent authorization form. 10A NCAC 09 .0803(4)(6-9) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Two (2) staff files did not contain annual staff evaluation. The last one completed on 5/17/2024. 10A NCAC 09 .0514(f) 1329 Application for enrollment did not include all required information. Two (2) children’s files did not contain the following information: any particular fears the child has, any allergies, and symptoms unique behavior characteristics, and any health concerns. .0801(a)(1-7) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The EPR on site was dated 2024. The annual EPR review was not completed for two (2) staff members. .0607(f) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. Two (2) staff files did not contain annual staff professional development plan. The last one completed was dated 5/17/2024. .1104(1-5) 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/14/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: Bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman, NC 28772 Please call me at 828-530-2424 or email bridget.owen@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. Technical Assistance for Compliance – rule references can be found in the cited violations Outdoor Equipment Item # 438 When asked if other materials were available for outdoor play, you stated a variety of different types of balls (footballs, basketballs, soccer balls. etc.) were made available for Playground #3. To achieve compliance, a variety of outdoor equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. Suggested materials to provide would be jump ropes, hula hoops, relay races, balance beams, and materials for obstacle courses (cones, tunnels, steppingstones). Gates on Playground #2 Item #714 The gate to exit the playground on playground #3 to the old school-age playground measured more than 3 ½ inches. To achieve compliance, the gate must be repaired or modified to ensure the opening measures no more than 3 ½ inches. Fencing Item #721 The fencing throughout the three playground spaces shows rust/not in good repair. To achieve compliance, all rusted sections of the fencing must be addressed and the fence maintained in good repair. Electrical Outlet Covers Item # 812 There was an electrical outlet that was uncovered in space #4. This item was corrected during the visit. Topical Medication Item # 847 In space # 5a, there was diaper cream (Destin) for a child that did not have parent authorization form and one diaper cream (Boudreaux’s Butt Paste) that the parent authorization form was available but did not contain the parents’ signature. In space # 3, there was a diaper cream (Parents Choice) that did not have a parent authorization form. To achieve compliance, staff must ensure that each diaper cream has a fully completed and signed parent authorization form on file before application. Annual Staff Evaluation Item # 1232 & Annual Staff Professional Development Plan Item # 1901 Two (2) staff files did not contain annual staff evaluation and annual staff professional development plan. The last dated annual staff evaluation and staff professional development plan was 5/17/2024. To achieve compliance, the missing annual staff evaluations and professional development plans must be completed and placed in the staff files and maintained annually thereafter. Child Application Item # 1329 Two (2) children’s files did not contain the following information: any particular fears the child has, any allergies, and symptoms unique behavior characteristics, and any health concerns. To achieve compliance, all children’s records must be updated to include any particular fears, allergies, unique behavioral characteristics, and health concerns. EPR /Annual Review Item # 1825 The EPR on site was dated 2024. The annual EPR review was not completed for two (2) staff members. To achieve compliance, the interim administrator must complete the EPR training, ensure the current EPR plan is updated, and review it with staff. Additionally, the interim administrator should reach out to eLift to obtain access to the required EPR training. Consultation is provided as follows: Screen Time The screen time log was provided to you during the visit today. The log can be used for individual screen time or large group screen time activities. The activity plan can also be used for large group screen time activities. You stated that the tv in the school age classroom is not in use when children are present. Sanitation Requirements The areas in poor repair must be repaired and meet sanitation requirements. We discussed that you have a grant for the school-age classroom to repair the roof which has caused a lot of leaking and water damage. EPR Training/Review Criminal Background Letter (CBC) CBC for LB will expire on 07/04/2026. An individual may have their criminal background recheck completed as early as six months prior to the expiration date that is noted on the qualification letter. Lockdown/Shelter Place To maintain compliance a lockdown or shelter place drill must be conducted by the end of the day on 4/30/2026. Annual Evaluation /Professional Development Plan (PDP) We discussed that you may use the template on the division website for the PDP. You stated that you would try to locate the annual evaluation that was created for Tiny Tots Creative Learning and/or re-create one to complete annual evaluation. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 bridget.owen@dhhs.nc.gov or 828530-2424 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .1703 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 4/29/2026 Number Present: 23 Completed Date: 4/29/2026 Age: From 0 To 12 Total Minutes: 331 Time In: 09:59 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. The child care facility is operating under the Estate of Cindy Ann Day. A change of ownership form has been received, and the change of ownership may be processed once the signed lease is received. Due to the unavailability of a laptop during the visit, a handwritten summary of today’s visit was completed and reviewed with you and signed by Bridget Owen, Child Care Consultant and also signed by Andrea Ware, Interim Administrator. A computerized generated report of today’s visit was completed in the office and later emailed to Ms. Ware. Andrea Ware, Interim Administrator, was on-site and available to answer and ask questions. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (74%) percent as of 4/29/26. Permit type – Four Star License dated 9/19/25, capacity of eighty-one (81) children ages 0-12 years. Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios and meets enhanced space. The last fire drill was practiced on 04/14/26. The last shelter-in-place drill was practiced on 01/28/26. The last playground inspection was documented 04/22/26. The last fire inspection was approved on 04/01/2026 for daytime care only. The last sanitation inspection was conducted on 10/2/25 with twenty-four (24) demerits for an Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/10/24 without hazards. Lead paint and asbestos testing was completed on 9/17/25. There were no asbestos hazards that were identified. Lead paint hazards were identified in the previously approved school-age building. The school-age building located at 100 Graham Street; Andrews was removed from licensed space on 7/24/25. File Review: Staff files: Two (2) existing staff files and two (2) new staff files were monitored. Children’s files: Four (4) children’s files were reviewed. Walk-through: Ms. Ware accompanied me during the walk-through. Children were observed in free play, large group activities, routine care, lunch, and rest time. Lunch today was popcorn chicken, mac-n-cheese, a slice of bread, pineapples, and milk. In space #5a, a group of three (3) children, ages zero (0) to one (1) year, were present with one (1) staff member. The children were engaged in free exploration and demonstrated positive interactions with the teacher. In space #3, a group of seven (7) children, ages two (2) to five (5) years, were present with one (1) staff member. The children participated in a large group activity and then transitioned to free choice play. Space #4 was set up for school-age children. The group arrived at approximately 3:00 PM. Ms. Ware was observed waiting for the children to exit the public-school bus and signing them in upon arrival. A group of thirteen (13) children, ages five (5) to thirteen (13) years, were provided with a snack and then transitioned to free choice play. Space #5b was not in use. Space #2 was not in use. Playground: Three (3) playgrounds were monitored. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. When asked if other materials were available for outdoor play, you stated a variety of different types of balls (footballs, basketballs, soccer balls. etc.)were made avaialble for Playground #3. 10A NCAC 09 .0509(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The gate to exit the playground on playground #3 to the old school-age playground measured more than 3 ½ inches. .0605(g) 721 All equipment and furnishings were not in good repair. The fencing throughout the three playground spaces shows rust/not in good repair. G.S. 110-91(6); .0601(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. There was an electrical outlet that was uncovered in space #4. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In space # 5a, there was diaper cream (Destin) for a child that did not have parent authorization form and one diaper cream (Boudreaux’s Butt Paste) that the parent authorization form was available but did not contain the parents’ signature. In space # 3, there was a diaper cream (Parents Choice) that did not have a parent authorization form. 10A NCAC 09 .0803(4)(6-9) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Two (2) staff files did not contain annual staff evaluation. The last one completed on 5/17/2024. 10A NCAC 09 .0514(f) 1329 Application for enrollment did not include all required information. Two (2) children’s files did not contain the following information: any particular fears the child has, any allergies, and symptoms unique behavior characteristics, and any health concerns. .0801(a)(1-7) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The EPR on site was dated 2024. The annual EPR review was not completed for two (2) staff members. .0607(f) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. Two (2) staff files did not contain annual staff professional development plan. The last one completed was dated 5/17/2024. .1104(1-5) 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/14/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: Bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman, NC 28772 Please call me at 828-530-2424 or email bridget.owen@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. Technical Assistance for Compliance – rule references can be found in the cited violations Outdoor Equipment Item # 438 When asked if other materials were available for outdoor play, you stated a variety of different types of balls (footballs, basketballs, soccer balls. etc.) were made available for Playground #3. To achieve compliance, a variety of outdoor equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. Suggested materials to provide would be jump ropes, hula hoops, relay races, balance beams, and materials for obstacle courses (cones, tunnels, steppingstones). Gates on Playground #2 Item #714 The gate to exit the playground on playground #3 to the old school-age playground measured more than 3 ½ inches. To achieve compliance, the gate must be repaired or modified to ensure the opening measures no more than 3 ½ inches. Fencing Item #721 The fencing throughout the three playground spaces shows rust/not in good repair. To achieve compliance, all rusted sections of the fencing must be addressed and the fence maintained in good repair. Electrical Outlet Covers Item # 812 There was an electrical outlet that was uncovered in space #4. This item was corrected during the visit. Topical Medication Item # 847 In space # 5a, there was diaper cream (Destin) for a child that did not have parent authorization form and one diaper cream (Boudreaux’s Butt Paste) that the parent authorization form was available but did not contain the parents’ signature. In space # 3, there was a diaper cream (Parents Choice) that did not have a parent authorization form. To achieve compliance, staff must ensure that each diaper cream has a fully completed and signed parent authorization form on file before application. Annual Staff Evaluation Item # 1232 & Annual Staff Professional Development Plan Item # 1901 Two (2) staff files did not contain annual staff evaluation and annual staff professional development plan. The last dated annual staff evaluation and staff professional development plan was 5/17/2024. To achieve compliance, the missing annual staff evaluations and professional development plans must be completed and placed in the staff files and maintained annually thereafter. Child Application Item # 1329 Two (2) children’s files did not contain the following information: any particular fears the child has, any allergies, and symptoms unique behavior characteristics, and any health concerns. To achieve compliance, all children’s records must be updated to include any particular fears, allergies, unique behavioral characteristics, and health concerns. EPR /Annual Review Item # 1825 The EPR on site was dated 2024. The annual EPR review was not completed for two (2) staff members. To achieve compliance, the interim administrator must complete the EPR training, ensure the current EPR plan is updated, and review it with staff. Additionally, the interim administrator should reach out to eLift to obtain access to the required EPR training. Consultation is provided as follows: Screen Time The screen time log was provided to you during the visit today. The log can be used for individual screen time or large group screen time activities. The activity plan can also be used for large group screen time activities. You stated that the tv in the school age classroom is not in use when children are present. Sanitation Requirements The areas in poor repair must be repaired and meet sanitation requirements. We discussed that you have a grant for the school-age classroom to repair the roof which has caused a lot of leaking and water damage. EPR Training/Review Criminal Background Letter (CBC) CBC for LB will expire on 07/04/2026. An individual may have their criminal background recheck completed as early as six months prior to the expiration date that is noted on the qualification letter. Lockdown/Shelter Place To maintain compliance a lockdown or shelter place drill must be conducted by the end of the day on 4/30/2026. Annual Evaluation /Professional Development Plan (PDP) We discussed that you may use the template on the division website for the PDP. You stated that you would try to locate the annual evaluation that was created for Tiny Tots Creative Learning and/or re-create one to complete annual evaluation. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 bridget.owen@dhhs.nc.gov or 828530-2424 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .2830 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 4/29/2026 Number Present: 23 Completed Date: 4/29/2026 Age: From 0 To 12 Total Minutes: 331 Time In: 09:59 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. The child care facility is operating under the Estate of Cindy Ann Day. A change of ownership form has been received, and the change of ownership may be processed once the signed lease is received. Due to the unavailability of a laptop during the visit, a handwritten summary of today’s visit was completed and reviewed with you and signed by Bridget Owen, Child Care Consultant and also signed by Andrea Ware, Interim Administrator. A computerized generated report of today’s visit was completed in the office and later emailed to Ms. Ware. Andrea Ware, Interim Administrator, was on-site and available to answer and ask questions. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (74%) percent as of 4/29/26. Permit type – Four Star License dated 9/19/25, capacity of eighty-one (81) children ages 0-12 years. Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios and meets enhanced space. The last fire drill was practiced on 04/14/26. The last shelter-in-place drill was practiced on 01/28/26. The last playground inspection was documented 04/22/26. The last fire inspection was approved on 04/01/2026 for daytime care only. The last sanitation inspection was conducted on 10/2/25 with twenty-four (24) demerits for an Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/10/24 without hazards. Lead paint and asbestos testing was completed on 9/17/25. There were no asbestos hazards that were identified. Lead paint hazards were identified in the previously approved school-age building. The school-age building located at 100 Graham Street; Andrews was removed from licensed space on 7/24/25. File Review: Staff files: Two (2) existing staff files and two (2) new staff files were monitored. Children’s files: Four (4) children’s files were reviewed. Walk-through: Ms. Ware accompanied me during the walk-through. Children were observed in free play, large group activities, routine care, lunch, and rest time. Lunch today was popcorn chicken, mac-n-cheese, a slice of bread, pineapples, and milk. In space #5a, a group of three (3) children, ages zero (0) to one (1) year, were present with one (1) staff member. The children were engaged in free exploration and demonstrated positive interactions with the teacher. In space #3, a group of seven (7) children, ages two (2) to five (5) years, were present with one (1) staff member. The children participated in a large group activity and then transitioned to free choice play. Space #4 was set up for school-age children. The group arrived at approximately 3:00 PM. Ms. Ware was observed waiting for the children to exit the public-school bus and signing them in upon arrival. A group of thirteen (13) children, ages five (5) to thirteen (13) years, were provided with a snack and then transitioned to free choice play. Space #5b was not in use. Space #2 was not in use. Playground: Three (3) playgrounds were monitored. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. When asked if other materials were available for outdoor play, you stated a variety of different types of balls (footballs, basketballs, soccer balls. etc.)were made avaialble for Playground #3. 10A NCAC 09 .0509(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The gate to exit the playground on playground #3 to the old school-age playground measured more than 3 ½ inches. .0605(g) 721 All equipment and furnishings were not in good repair. The fencing throughout the three playground spaces shows rust/not in good repair. G.S. 110-91(6); .0601(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. There was an electrical outlet that was uncovered in space #4. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In space # 5a, there was diaper cream (Destin) for a child that did not have parent authorization form and one diaper cream (Boudreaux’s Butt Paste) that the parent authorization form was available but did not contain the parents’ signature. In space # 3, there was a diaper cream (Parents Choice) that did not have a parent authorization form. 10A NCAC 09 .0803(4)(6-9) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Two (2) staff files did not contain annual staff evaluation. The last one completed on 5/17/2024. 10A NCAC 09 .0514(f) 1329 Application for enrollment did not include all required information. Two (2) children’s files did not contain the following information: any particular fears the child has, any allergies, and symptoms unique behavior characteristics, and any health concerns. .0801(a)(1-7) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The EPR on site was dated 2024. The annual EPR review was not completed for two (2) staff members. .0607(f) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. Two (2) staff files did not contain annual staff professional development plan. The last one completed was dated 5/17/2024. .1104(1-5) 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/14/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: Bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman, NC 28772 Please call me at 828-530-2424 or email bridget.owen@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. Technical Assistance for Compliance – rule references can be found in the cited violations Outdoor Equipment Item # 438 When asked if other materials were available for outdoor play, you stated a variety of different types of balls (footballs, basketballs, soccer balls. etc.) were made available for Playground #3. To achieve compliance, a variety of outdoor equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. Suggested materials to provide would be jump ropes, hula hoops, relay races, balance beams, and materials for obstacle courses (cones, tunnels, steppingstones). Gates on Playground #2 Item #714 The gate to exit the playground on playground #3 to the old school-age playground measured more than 3 ½ inches. To achieve compliance, the gate must be repaired or modified to ensure the opening measures no more than 3 ½ inches. Fencing Item #721 The fencing throughout the three playground spaces shows rust/not in good repair. To achieve compliance, all rusted sections of the fencing must be addressed and the fence maintained in good repair. Electrical Outlet Covers Item # 812 There was an electrical outlet that was uncovered in space #4. This item was corrected during the visit. Topical Medication Item # 847 In space # 5a, there was diaper cream (Destin) for a child that did not have parent authorization form and one diaper cream (Boudreaux’s Butt Paste) that the parent authorization form was available but did not contain the parents’ signature. In space # 3, there was a diaper cream (Parents Choice) that did not have a parent authorization form. To achieve compliance, staff must ensure that each diaper cream has a fully completed and signed parent authorization form on file before application. Annual Staff Evaluation Item # 1232 & Annual Staff Professional Development Plan Item # 1901 Two (2) staff files did not contain annual staff evaluation and annual staff professional development plan. The last dated annual staff evaluation and staff professional development plan was 5/17/2024. To achieve compliance, the missing annual staff evaluations and professional development plans must be completed and placed in the staff files and maintained annually thereafter. Child Application Item # 1329 Two (2) children’s files did not contain the following information: any particular fears the child has, any allergies, and symptoms unique behavior characteristics, and any health concerns. To achieve compliance, all children’s records must be updated to include any particular fears, allergies, unique behavioral characteristics, and health concerns. EPR /Annual Review Item # 1825 The EPR on site was dated 2024. The annual EPR review was not completed for two (2) staff members. To achieve compliance, the interim administrator must complete the EPR training, ensure the current EPR plan is updated, and review it with staff. Additionally, the interim administrator should reach out to eLift to obtain access to the required EPR training. Consultation is provided as follows: Screen Time The screen time log was provided to you during the visit today. The log can be used for individual screen time or large group screen time activities. The activity plan can also be used for large group screen time activities. You stated that the tv in the school age classroom is not in use when children are present. Sanitation Requirements The areas in poor repair must be repaired and meet sanitation requirements. We discussed that you have a grant for the school-age classroom to repair the roof which has caused a lot of leaking and water damage. EPR Training/Review Criminal Background Letter (CBC) CBC for LB will expire on 07/04/2026. An individual may have their criminal background recheck completed as early as six months prior to the expiration date that is noted on the qualification letter. Lockdown/Shelter Place To maintain compliance a lockdown or shelter place drill must be conducted by the end of the day on 4/30/2026. Annual Evaluation /Professional Development Plan (PDP) We discussed that you may use the template on the division website for the PDP. You stated that you would try to locate the annual evaluation that was created for Tiny Tots Creative Learning and/or re-create one to complete annual evaluation. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 bridget.owen@dhhs.nc.gov or 828530-2424 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 4/29/2026 Number Present: 23 Completed Date: 4/29/2026 Age: From 0 To 12 Total Minutes: 331 Time In: 09:59 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. The child care facility is operating under the Estate of Cindy Ann Day. A change of ownership form has been received, and the change of ownership may be processed once the signed lease is received. Due to the unavailability of a laptop during the visit, a handwritten summary of today’s visit was completed and reviewed with you and signed by Bridget Owen, Child Care Consultant and also signed by Andrea Ware, Interim Administrator. A computerized generated report of today’s visit was completed in the office and later emailed to Ms. Ware. Andrea Ware, Interim Administrator, was on-site and available to answer and ask questions. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (74%) percent as of 4/29/26. Permit type – Four Star License dated 9/19/25, capacity of eighty-one (81) children ages 0-12 years. Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios and meets enhanced space. The last fire drill was practiced on 04/14/26. The last shelter-in-place drill was practiced on 01/28/26. The last playground inspection was documented 04/22/26. The last fire inspection was approved on 04/01/2026 for daytime care only. The last sanitation inspection was conducted on 10/2/25 with twenty-four (24) demerits for an Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/10/24 without hazards. Lead paint and asbestos testing was completed on 9/17/25. There were no asbestos hazards that were identified. Lead paint hazards were identified in the previously approved school-age building. The school-age building located at 100 Graham Street; Andrews was removed from licensed space on 7/24/25. File Review: Staff files: Two (2) existing staff files and two (2) new staff files were monitored. Children’s files: Four (4) children’s files were reviewed. Walk-through: Ms. Ware accompanied me during the walk-through. Children were observed in free play, large group activities, routine care, lunch, and rest time. Lunch today was popcorn chicken, mac-n-cheese, a slice of bread, pineapples, and milk. In space #5a, a group of three (3) children, ages zero (0) to one (1) year, were present with one (1) staff member. The children were engaged in free exploration and demonstrated positive interactions with the teacher. In space #3, a group of seven (7) children, ages two (2) to five (5) years, were present with one (1) staff member. The children participated in a large group activity and then transitioned to free choice play. Space #4 was set up for school-age children. The group arrived at approximately 3:00 PM. Ms. Ware was observed waiting for the children to exit the public-school bus and signing them in upon arrival. A group of thirteen (13) children, ages five (5) to thirteen (13) years, were provided with a snack and then transitioned to free choice play. Space #5b was not in use. Space #2 was not in use. Playground: Three (3) playgrounds were monitored. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. When asked if other materials were available for outdoor play, you stated a variety of different types of balls (footballs, basketballs, soccer balls. etc.)were made avaialble for Playground #3. 10A NCAC 09 .0509(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The gate to exit the playground on playground #3 to the old school-age playground measured more than 3 ½ inches. .0605(g) 721 All equipment and furnishings were not in good repair. The fencing throughout the three playground spaces shows rust/not in good repair. G.S. 110-91(6); .0601(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. There was an electrical outlet that was uncovered in space #4. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In space # 5a, there was diaper cream (Destin) for a child that did not have parent authorization form and one diaper cream (Boudreaux’s Butt Paste) that the parent authorization form was available but did not contain the parents’ signature. In space # 3, there was a diaper cream (Parents Choice) that did not have a parent authorization form. 10A NCAC 09 .0803(4)(6-9) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Two (2) staff files did not contain annual staff evaluation. The last one completed on 5/17/2024. 10A NCAC 09 .0514(f) 1329 Application for enrollment did not include all required information. Two (2) children’s files did not contain the following information: any particular fears the child has, any allergies, and symptoms unique behavior characteristics, and any health concerns. .0801(a)(1-7) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The EPR on site was dated 2024. The annual EPR review was not completed for two (2) staff members. .0607(f) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. Two (2) staff files did not contain annual staff professional development plan. The last one completed was dated 5/17/2024. .1104(1-5) 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/14/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: Bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman, NC 28772 Please call me at 828-530-2424 or email bridget.owen@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. Technical Assistance for Compliance – rule references can be found in the cited violations Outdoor Equipment Item # 438 When asked if other materials were available for outdoor play, you stated a variety of different types of balls (footballs, basketballs, soccer balls. etc.) were made available for Playground #3. To achieve compliance, a variety of outdoor equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. Suggested materials to provide would be jump ropes, hula hoops, relay races, balance beams, and materials for obstacle courses (cones, tunnels, steppingstones). Gates on Playground #2 Item #714 The gate to exit the playground on playground #3 to the old school-age playground measured more than 3 ½ inches. To achieve compliance, the gate must be repaired or modified to ensure the opening measures no more than 3 ½ inches. Fencing Item #721 The fencing throughout the three playground spaces shows rust/not in good repair. To achieve compliance, all rusted sections of the fencing must be addressed and the fence maintained in good repair. Electrical Outlet Covers Item # 812 There was an electrical outlet that was uncovered in space #4. This item was corrected during the visit. Topical Medication Item # 847 In space # 5a, there was diaper cream (Destin) for a child that did not have parent authorization form and one diaper cream (Boudreaux’s Butt Paste) that the parent authorization form was available but did not contain the parents’ signature. In space # 3, there was a diaper cream (Parents Choice) that did not have a parent authorization form. To achieve compliance, staff must ensure that each diaper cream has a fully completed and signed parent authorization form on file before application. Annual Staff Evaluation Item # 1232 & Annual Staff Professional Development Plan Item # 1901 Two (2) staff files did not contain annual staff evaluation and annual staff professional development plan. The last dated annual staff evaluation and staff professional development plan was 5/17/2024. To achieve compliance, the missing annual staff evaluations and professional development plans must be completed and placed in the staff files and maintained annually thereafter. Child Application Item # 1329 Two (2) children’s files did not contain the following information: any particular fears the child has, any allergies, and symptoms unique behavior characteristics, and any health concerns. To achieve compliance, all children’s records must be updated to include any particular fears, allergies, unique behavioral characteristics, and health concerns. EPR /Annual Review Item # 1825 The EPR on site was dated 2024. The annual EPR review was not completed for two (2) staff members. To achieve compliance, the interim administrator must complete the EPR training, ensure the current EPR plan is updated, and review it with staff. Additionally, the interim administrator should reach out to eLift to obtain access to the required EPR training. Consultation is provided as follows: Screen Time The screen time log was provided to you during the visit today. The log can be used for individual screen time or large group screen time activities. The activity plan can also be used for large group screen time activities. You stated that the tv in the school age classroom is not in use when children are present. Sanitation Requirements The areas in poor repair must be repaired and meet sanitation requirements. We discussed that you have a grant for the school-age classroom to repair the roof which has caused a lot of leaking and water damage. EPR Training/Review Criminal Background Letter (CBC) CBC for LB will expire on 07/04/2026. An individual may have their criminal background recheck completed as early as six months prior to the expiration date that is noted on the qualification letter. Lockdown/Shelter Place To maintain compliance a lockdown or shelter place drill must be conducted by the end of the day on 4/30/2026. Annual Evaluation /Professional Development Plan (PDP) We discussed that you may use the template on the division website for the PDP. You stated that you would try to locate the annual evaluation that was created for Tiny Tots Creative Learning and/or re-create one to complete annual evaluation. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 bridget.owen@dhhs.nc.gov or 828530-2424 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-91 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 4/29/2026 Number Present: 23 Completed Date: 4/29/2026 Age: From 0 To 12 Total Minutes: 331 Time In: 09:59 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. The child care facility is operating under the Estate of Cindy Ann Day. A change of ownership form has been received, and the change of ownership may be processed once the signed lease is received. Due to the unavailability of a laptop during the visit, a handwritten summary of today’s visit was completed and reviewed with you and signed by Bridget Owen, Child Care Consultant and also signed by Andrea Ware, Interim Administrator. A computerized generated report of today’s visit was completed in the office and later emailed to Ms. Ware. Andrea Ware, Interim Administrator, was on-site and available to answer and ask questions. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (74%) percent as of 4/29/26. Permit type – Four Star License dated 9/19/25, capacity of eighty-one (81) children ages 0-12 years. Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios and meets enhanced space. The last fire drill was practiced on 04/14/26. The last shelter-in-place drill was practiced on 01/28/26. The last playground inspection was documented 04/22/26. The last fire inspection was approved on 04/01/2026 for daytime care only. The last sanitation inspection was conducted on 10/2/25 with twenty-four (24) demerits for an Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/10/24 without hazards. Lead paint and asbestos testing was completed on 9/17/25. There were no asbestos hazards that were identified. Lead paint hazards were identified in the previously approved school-age building. The school-age building located at 100 Graham Street; Andrews was removed from licensed space on 7/24/25. File Review: Staff files: Two (2) existing staff files and two (2) new staff files were monitored. Children’s files: Four (4) children’s files were reviewed. Walk-through: Ms. Ware accompanied me during the walk-through. Children were observed in free play, large group activities, routine care, lunch, and rest time. Lunch today was popcorn chicken, mac-n-cheese, a slice of bread, pineapples, and milk. In space #5a, a group of three (3) children, ages zero (0) to one (1) year, were present with one (1) staff member. The children were engaged in free exploration and demonstrated positive interactions with the teacher. In space #3, a group of seven (7) children, ages two (2) to five (5) years, were present with one (1) staff member. The children participated in a large group activity and then transitioned to free choice play. Space #4 was set up for school-age children. The group arrived at approximately 3:00 PM. Ms. Ware was observed waiting for the children to exit the public-school bus and signing them in upon arrival. A group of thirteen (13) children, ages five (5) to thirteen (13) years, were provided with a snack and then transitioned to free choice play. Space #5b was not in use. Space #2 was not in use. Playground: Three (3) playgrounds were monitored. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. When asked if other materials were available for outdoor play, you stated a variety of different types of balls (footballs, basketballs, soccer balls. etc.)were made avaialble for Playground #3. 10A NCAC 09 .0509(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The gate to exit the playground on playground #3 to the old school-age playground measured more than 3 ½ inches. .0605(g) 721 All equipment and furnishings were not in good repair. The fencing throughout the three playground spaces shows rust/not in good repair. G.S. 110-91(6); .0601(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. There was an electrical outlet that was uncovered in space #4. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In space # 5a, there was diaper cream (Destin) for a child that did not have parent authorization form and one diaper cream (Boudreaux’s Butt Paste) that the parent authorization form was available but did not contain the parents’ signature. In space # 3, there was a diaper cream (Parents Choice) that did not have a parent authorization form. 10A NCAC 09 .0803(4)(6-9) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Two (2) staff files did not contain annual staff evaluation. The last one completed on 5/17/2024. 10A NCAC 09 .0514(f) 1329 Application for enrollment did not include all required information. Two (2) children’s files did not contain the following information: any particular fears the child has, any allergies, and symptoms unique behavior characteristics, and any health concerns. .0801(a)(1-7) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The EPR on site was dated 2024. The annual EPR review was not completed for two (2) staff members. .0607(f) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. Two (2) staff files did not contain annual staff professional development plan. The last one completed was dated 5/17/2024. .1104(1-5) 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/14/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: Bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman, NC 28772 Please call me at 828-530-2424 or email bridget.owen@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. Technical Assistance for Compliance – rule references can be found in the cited violations Outdoor Equipment Item # 438 When asked if other materials were available for outdoor play, you stated a variety of different types of balls (footballs, basketballs, soccer balls. etc.) were made available for Playground #3. To achieve compliance, a variety of outdoor equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. Suggested materials to provide would be jump ropes, hula hoops, relay races, balance beams, and materials for obstacle courses (cones, tunnels, steppingstones). Gates on Playground #2 Item #714 The gate to exit the playground on playground #3 to the old school-age playground measured more than 3 ½ inches. To achieve compliance, the gate must be repaired or modified to ensure the opening measures no more than 3 ½ inches. Fencing Item #721 The fencing throughout the three playground spaces shows rust/not in good repair. To achieve compliance, all rusted sections of the fencing must be addressed and the fence maintained in good repair. Electrical Outlet Covers Item # 812 There was an electrical outlet that was uncovered in space #4. This item was corrected during the visit. Topical Medication Item # 847 In space # 5a, there was diaper cream (Destin) for a child that did not have parent authorization form and one diaper cream (Boudreaux’s Butt Paste) that the parent authorization form was available but did not contain the parents’ signature. In space # 3, there was a diaper cream (Parents Choice) that did not have a parent authorization form. To achieve compliance, staff must ensure that each diaper cream has a fully completed and signed parent authorization form on file before application. Annual Staff Evaluation Item # 1232 & Annual Staff Professional Development Plan Item # 1901 Two (2) staff files did not contain annual staff evaluation and annual staff professional development plan. The last dated annual staff evaluation and staff professional development plan was 5/17/2024. To achieve compliance, the missing annual staff evaluations and professional development plans must be completed and placed in the staff files and maintained annually thereafter. Child Application Item # 1329 Two (2) children’s files did not contain the following information: any particular fears the child has, any allergies, and symptoms unique behavior characteristics, and any health concerns. To achieve compliance, all children’s records must be updated to include any particular fears, allergies, unique behavioral characteristics, and health concerns. EPR /Annual Review Item # 1825 The EPR on site was dated 2024. The annual EPR review was not completed for two (2) staff members. To achieve compliance, the interim administrator must complete the EPR training, ensure the current EPR plan is updated, and review it with staff. Additionally, the interim administrator should reach out to eLift to obtain access to the required EPR training. Consultation is provided as follows: Screen Time The screen time log was provided to you during the visit today. The log can be used for individual screen time or large group screen time activities. The activity plan can also be used for large group screen time activities. You stated that the tv in the school age classroom is not in use when children are present. Sanitation Requirements The areas in poor repair must be repaired and meet sanitation requirements. We discussed that you have a grant for the school-age classroom to repair the roof which has caused a lot of leaking and water damage. EPR Training/Review Criminal Background Letter (CBC) CBC for LB will expire on 07/04/2026. An individual may have their criminal background recheck completed as early as six months prior to the expiration date that is noted on the qualification letter. Lockdown/Shelter Place To maintain compliance a lockdown or shelter place drill must be conducted by the end of the day on 4/30/2026. Annual Evaluation /Professional Development Plan (PDP) We discussed that you may use the template on the division website for the PDP. You stated that you would try to locate the annual evaluation that was created for Tiny Tots Creative Learning and/or re-create one to complete annual evaluation. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 bridget.owen@dhhs.nc.gov or 828530-2424 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
NC GS 110-90 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 4/29/2026 Number Present: 23 Completed Date: 4/29/2026 Age: From 0 To 12 Total Minutes: 331 Time In: 09:59 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. The child care facility is operating under the Estate of Cindy Ann Day. A change of ownership form has been received, and the change of ownership may be processed once the signed lease is received. Due to the unavailability of a laptop during the visit, a handwritten summary of today’s visit was completed and reviewed with you and signed by Bridget Owen, Child Care Consultant and also signed by Andrea Ware, Interim Administrator. A computerized generated report of today’s visit was completed in the office and later emailed to Ms. Ware. Andrea Ware, Interim Administrator, was on-site and available to answer and ask questions. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (74%) percent as of 4/29/26. Permit type – Four Star License dated 9/19/25, capacity of eighty-one (81) children ages 0-12 years. Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios and meets enhanced space. The last fire drill was practiced on 04/14/26. The last shelter-in-place drill was practiced on 01/28/26. The last playground inspection was documented 04/22/26. The last fire inspection was approved on 04/01/2026 for daytime care only. The last sanitation inspection was conducted on 10/2/25 with twenty-four (24) demerits for an Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/10/24 without hazards. Lead paint and asbestos testing was completed on 9/17/25. There were no asbestos hazards that were identified. Lead paint hazards were identified in the previously approved school-age building. The school-age building located at 100 Graham Street; Andrews was removed from licensed space on 7/24/25. File Review: Staff files: Two (2) existing staff files and two (2) new staff files were monitored. Children’s files: Four (4) children’s files were reviewed. Walk-through: Ms. Ware accompanied me during the walk-through. Children were observed in free play, large group activities, routine care, lunch, and rest time. Lunch today was popcorn chicken, mac-n-cheese, a slice of bread, pineapples, and milk. In space #5a, a group of three (3) children, ages zero (0) to one (1) year, were present with one (1) staff member. The children were engaged in free exploration and demonstrated positive interactions with the teacher. In space #3, a group of seven (7) children, ages two (2) to five (5) years, were present with one (1) staff member. The children participated in a large group activity and then transitioned to free choice play. Space #4 was set up for school-age children. The group arrived at approximately 3:00 PM. Ms. Ware was observed waiting for the children to exit the public-school bus and signing them in upon arrival. A group of thirteen (13) children, ages five (5) to thirteen (13) years, were provided with a snack and then transitioned to free choice play. Space #5b was not in use. Space #2 was not in use. Playground: Three (3) playgrounds were monitored. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. When asked if other materials were available for outdoor play, you stated a variety of different types of balls (footballs, basketballs, soccer balls. etc.)were made avaialble for Playground #3. 10A NCAC 09 .0509(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The gate to exit the playground on playground #3 to the old school-age playground measured more than 3 ½ inches. .0605(g) 721 All equipment and furnishings were not in good repair. The fencing throughout the three playground spaces shows rust/not in good repair. G.S. 110-91(6); .0601(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. There was an electrical outlet that was uncovered in space #4. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In space # 5a, there was diaper cream (Destin) for a child that did not have parent authorization form and one diaper cream (Boudreaux’s Butt Paste) that the parent authorization form was available but did not contain the parents’ signature. In space # 3, there was a diaper cream (Parents Choice) that did not have a parent authorization form. 10A NCAC 09 .0803(4)(6-9) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Two (2) staff files did not contain annual staff evaluation. The last one completed on 5/17/2024. 10A NCAC 09 .0514(f) 1329 Application for enrollment did not include all required information. Two (2) children’s files did not contain the following information: any particular fears the child has, any allergies, and symptoms unique behavior characteristics, and any health concerns. .0801(a)(1-7) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The EPR on site was dated 2024. The annual EPR review was not completed for two (2) staff members. .0607(f) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. Two (2) staff files did not contain annual staff professional development plan. The last one completed was dated 5/17/2024. .1104(1-5) 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/14/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: Bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman, NC 28772 Please call me at 828-530-2424 or email bridget.owen@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. Technical Assistance for Compliance – rule references can be found in the cited violations Outdoor Equipment Item # 438 When asked if other materials were available for outdoor play, you stated a variety of different types of balls (footballs, basketballs, soccer balls. etc.) were made available for Playground #3. To achieve compliance, a variety of outdoor equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. Suggested materials to provide would be jump ropes, hula hoops, relay races, balance beams, and materials for obstacle courses (cones, tunnels, steppingstones). Gates on Playground #2 Item #714 The gate to exit the playground on playground #3 to the old school-age playground measured more than 3 ½ inches. To achieve compliance, the gate must be repaired or modified to ensure the opening measures no more than 3 ½ inches. Fencing Item #721 The fencing throughout the three playground spaces shows rust/not in good repair. To achieve compliance, all rusted sections of the fencing must be addressed and the fence maintained in good repair. Electrical Outlet Covers Item # 812 There was an electrical outlet that was uncovered in space #4. This item was corrected during the visit. Topical Medication Item # 847 In space # 5a, there was diaper cream (Destin) for a child that did not have parent authorization form and one diaper cream (Boudreaux’s Butt Paste) that the parent authorization form was available but did not contain the parents’ signature. In space # 3, there was a diaper cream (Parents Choice) that did not have a parent authorization form. To achieve compliance, staff must ensure that each diaper cream has a fully completed and signed parent authorization form on file before application. Annual Staff Evaluation Item # 1232 & Annual Staff Professional Development Plan Item # 1901 Two (2) staff files did not contain annual staff evaluation and annual staff professional development plan. The last dated annual staff evaluation and staff professional development plan was 5/17/2024. To achieve compliance, the missing annual staff evaluations and professional development plans must be completed and placed in the staff files and maintained annually thereafter. Child Application Item # 1329 Two (2) children’s files did not contain the following information: any particular fears the child has, any allergies, and symptoms unique behavior characteristics, and any health concerns. To achieve compliance, all children’s records must be updated to include any particular fears, allergies, unique behavioral characteristics, and health concerns. EPR /Annual Review Item # 1825 The EPR on site was dated 2024. The annual EPR review was not completed for two (2) staff members. To achieve compliance, the interim administrator must complete the EPR training, ensure the current EPR plan is updated, and review it with staff. Additionally, the interim administrator should reach out to eLift to obtain access to the required EPR training. Consultation is provided as follows: Screen Time The screen time log was provided to you during the visit today. The log can be used for individual screen time or large group screen time activities. The activity plan can also be used for large group screen time activities. You stated that the tv in the school age classroom is not in use when children are present. Sanitation Requirements The areas in poor repair must be repaired and meet sanitation requirements. We discussed that you have a grant for the school-age classroom to repair the roof which has caused a lot of leaking and water damage. EPR Training/Review Criminal Background Letter (CBC) CBC for LB will expire on 07/04/2026. An individual may have their criminal background recheck completed as early as six months prior to the expiration date that is noted on the qualification letter. Lockdown/Shelter Place To maintain compliance a lockdown or shelter place drill must be conducted by the end of the day on 4/30/2026. Annual Evaluation /Professional Development Plan (PDP) We discussed that you may use the template on the division website for the PDP. You stated that you would try to locate the annual evaluation that was created for Tiny Tots Creative Learning and/or re-create one to complete annual evaluation. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 bridget.owen@dhhs.nc.gov or 828530-2424 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0604 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 9/4/2025 Number Present: 8 Completed Date: 9/4/2025 Age: From 0 To 4 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of the unannounced visit today was to conduct limited monitoring while the facility is on an Administrative Action (AA) Written Warning. Bridget Owen, Child Care Consultant, accompanied me on the visit. Cindy Day, Administrator/Owner, arrived on-site at approximately 10:15am and was available to answer and questions. A computerized generated report of today’s visit was completed, signed and an electronic copy of the visit summary was left on-site. The following was monitored during the visit, including but not limited to: Supervision of children; Discipline, nurture, or care of children; Staff/child ratio; Group size; Licensed capacity; Permit restriction; CPR training; First Aid (FA) training; ITS-SIDS training; and Criminal record check requirements regarding pre-service and five-year reassessments The AA, cover letter and Corrective Action Plan (CAP) were posted, as required. Below are the details of the CAP. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements. 2. Within one (1) week after this Notice is received, Cindy A. Day, administrator, shall contact Monica Houck, Lead Child Care Consultant, to arrange for a complete review of all child care requirements. 3.Within one (1) week after the complete review of all child care requirements is completed, Ms. Day shall contact Ms. Houck to arrange for a technical assistance visit. The review of child care requirements was completed on 8/19/25. Ms. Day emailed me on 8/26/25 and requested a technical assistance visit to prepare a notebook with originals to make packets for new staff and organize materials for new staff orientation. The technical assistance visit is scheduled for 9/17/25. Children were observed during free play and infant rest time. Staff/child ratios during the walkthrough were as follows: Space #5 - one (1) staff with four (4) children ages infant through one year. Space #3 - one (1) staff with four (4) children ages two through three years. Space #4 - no children present during the visit (school-age classroom). Space #2 - not in use. Space #1 - not in use - used for storage. There were no new staff. The following violations of child care requirements observed today: Violation Number Comment Rule 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Upon entry into space #5, the classroom with infants and one year olds, one (1) infant was sleeping and the caregiver did not have documentation of when the child was placed down to sleep and when the child woke up. .0606(g) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Upon entry into space #5, the classroom with infants and one year old children, there was one (1) caregiving staff meeting staff/child ratios. The one (1) caregiver has not completed ITS-SIDS training. .01102 (f) 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 could 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 • Signed statement of compliance I must receive your compliance statement on or before 9/18/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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 a more stringent administrative action. The compliance history score prior to today’s visit was seventy-four percent (74%). Achieving Compliance – rule references are noted in the cited violations ITS-SIDS Training - Item #1831 When Ms. Day arrived at the facility, she began caregiving in space #5, the classroom with infant and one year old children, and A. Farner, the caregiver who has not completed ITS-SIDS training left the classroom. At approximately 10:55am, L. Burson arrived and began caregiving in space #5 so that Ms. Day could leave the classroom to go pick up lunch for the children. You stated you thought a person with ITS-SIDS training only needed to be in the classroom when an infant was sleeping. There are three (3) of five (5) staff that have ITS-SIDS training. You stated you have coverage for the infants counting you and the two (2) other staff. We discussed that there is an ITS-SIDS training on 9/10/25 that you would like to have A. Farner take. We discussed the child care rule below. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Safe Sleep for Infants - Item #887 We discussed that once a child is placed in the crib asleep, that documentation of the time must be noted on the sleep chart, then every fifteen (15) minutes after. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; Consultation: Due to the compliance history being seventy-four percent (74%) prior to today’s visit, a more stringent administrative action may be recommended for the child care facility. Additional follow-up visits may be conducted. § 110 90. Powers and duties of Secretary of Health and Human Services. The Secretary shall have the following powers and duties under the policies and rules of the Commission: c. For any child care facility to maintain a license or Notice of Compliance, the child care facility shall have a compliance history of at least seventy five percent (75%), as assessed by the Department. When a child care facility fails to maintain a compliance history of at least seventy five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less, as assessed by the Department, the Department may issue a provisional license or Notice of Compliance. 10A NCAC 09 .2204 PROVISIONAL CHILD CARE FACILITY LICENSE OR PROVISIONAL NOTICE OF COMPLIANCE A provisional child care facility license or provisional notice of compliance may be issued to an operator for any period of time not to exceed 12 months in accordance with the factors listed in 10A NCAC 09 .2201(b) for, among other things, the following reasons: (5) when the compliance history of the facility drops below the minimum requirement set forth in G.S. 110-90; We discussed the reduction in capacity requiring the issuance of a new permit cannot be processed until the compliance history score of the facility is seventy-five percent (75%) or higher. There was a piece of foam on outdoor space #1. Reminder to have staff check of the playground for safety hazards prior to the children using the outdoor space. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (p) Once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. Reminder - New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0606 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 9/4/2025 Number Present: 8 Completed Date: 9/4/2025 Age: From 0 To 4 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of the unannounced visit today was to conduct limited monitoring while the facility is on an Administrative Action (AA) Written Warning. Bridget Owen, Child Care Consultant, accompanied me on the visit. Cindy Day, Administrator/Owner, arrived on-site at approximately 10:15am and was available to answer and questions. A computerized generated report of today’s visit was completed, signed and an electronic copy of the visit summary was left on-site. The following was monitored during the visit, including but not limited to: Supervision of children; Discipline, nurture, or care of children; Staff/child ratio; Group size; Licensed capacity; Permit restriction; CPR training; First Aid (FA) training; ITS-SIDS training; and Criminal record check requirements regarding pre-service and five-year reassessments The AA, cover letter and Corrective Action Plan (CAP) were posted, as required. Below are the details of the CAP. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements. 2. Within one (1) week after this Notice is received, Cindy A. Day, administrator, shall contact Monica Houck, Lead Child Care Consultant, to arrange for a complete review of all child care requirements. 3.Within one (1) week after the complete review of all child care requirements is completed, Ms. Day shall contact Ms. Houck to arrange for a technical assistance visit. The review of child care requirements was completed on 8/19/25. Ms. Day emailed me on 8/26/25 and requested a technical assistance visit to prepare a notebook with originals to make packets for new staff and organize materials for new staff orientation. The technical assistance visit is scheduled for 9/17/25. Children were observed during free play and infant rest time. Staff/child ratios during the walkthrough were as follows: Space #5 - one (1) staff with four (4) children ages infant through one year. Space #3 - one (1) staff with four (4) children ages two through three years. Space #4 - no children present during the visit (school-age classroom). Space #2 - not in use. Space #1 - not in use - used for storage. There were no new staff. The following violations of child care requirements observed today: Violation Number Comment Rule 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Upon entry into space #5, the classroom with infants and one year olds, one (1) infant was sleeping and the caregiver did not have documentation of when the child was placed down to sleep and when the child woke up. .0606(g) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Upon entry into space #5, the classroom with infants and one year old children, there was one (1) caregiving staff meeting staff/child ratios. The one (1) caregiver has not completed ITS-SIDS training. .01102 (f) 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 could 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 • Signed statement of compliance I must receive your compliance statement on or before 9/18/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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 a more stringent administrative action. The compliance history score prior to today’s visit was seventy-four percent (74%). Achieving Compliance – rule references are noted in the cited violations ITS-SIDS Training - Item #1831 When Ms. Day arrived at the facility, she began caregiving in space #5, the classroom with infant and one year old children, and A. Farner, the caregiver who has not completed ITS-SIDS training left the classroom. At approximately 10:55am, L. Burson arrived and began caregiving in space #5 so that Ms. Day could leave the classroom to go pick up lunch for the children. You stated you thought a person with ITS-SIDS training only needed to be in the classroom when an infant was sleeping. There are three (3) of five (5) staff that have ITS-SIDS training. You stated you have coverage for the infants counting you and the two (2) other staff. We discussed that there is an ITS-SIDS training on 9/10/25 that you would like to have A. Farner take. We discussed the child care rule below. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Safe Sleep for Infants - Item #887 We discussed that once a child is placed in the crib asleep, that documentation of the time must be noted on the sleep chart, then every fifteen (15) minutes after. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; Consultation: Due to the compliance history being seventy-four percent (74%) prior to today’s visit, a more stringent administrative action may be recommended for the child care facility. Additional follow-up visits may be conducted. § 110 90. Powers and duties of Secretary of Health and Human Services. The Secretary shall have the following powers and duties under the policies and rules of the Commission: c. For any child care facility to maintain a license or Notice of Compliance, the child care facility shall have a compliance history of at least seventy five percent (75%), as assessed by the Department. When a child care facility fails to maintain a compliance history of at least seventy five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less, as assessed by the Department, the Department may issue a provisional license or Notice of Compliance. 10A NCAC 09 .2204 PROVISIONAL CHILD CARE FACILITY LICENSE OR PROVISIONAL NOTICE OF COMPLIANCE A provisional child care facility license or provisional notice of compliance may be issued to an operator for any period of time not to exceed 12 months in accordance with the factors listed in 10A NCAC 09 .2201(b) for, among other things, the following reasons: (5) when the compliance history of the facility drops below the minimum requirement set forth in G.S. 110-90; We discussed the reduction in capacity requiring the issuance of a new permit cannot be processed until the compliance history score of the facility is seventy-five percent (75%) or higher. There was a piece of foam on outdoor space #1. Reminder to have staff check of the playground for safety hazards prior to the children using the outdoor space. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (p) Once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. Reminder - New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, 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: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 9/4/2025 Number Present: 8 Completed Date: 9/4/2025 Age: From 0 To 4 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of the unannounced visit today was to conduct limited monitoring while the facility is on an Administrative Action (AA) Written Warning. Bridget Owen, Child Care Consultant, accompanied me on the visit. Cindy Day, Administrator/Owner, arrived on-site at approximately 10:15am and was available to answer and questions. A computerized generated report of today’s visit was completed, signed and an electronic copy of the visit summary was left on-site. The following was monitored during the visit, including but not limited to: Supervision of children; Discipline, nurture, or care of children; Staff/child ratio; Group size; Licensed capacity; Permit restriction; CPR training; First Aid (FA) training; ITS-SIDS training; and Criminal record check requirements regarding pre-service and five-year reassessments The AA, cover letter and Corrective Action Plan (CAP) were posted, as required. Below are the details of the CAP. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements. 2. Within one (1) week after this Notice is received, Cindy A. Day, administrator, shall contact Monica Houck, Lead Child Care Consultant, to arrange for a complete review of all child care requirements. 3.Within one (1) week after the complete review of all child care requirements is completed, Ms. Day shall contact Ms. Houck to arrange for a technical assistance visit. The review of child care requirements was completed on 8/19/25. Ms. Day emailed me on 8/26/25 and requested a technical assistance visit to prepare a notebook with originals to make packets for new staff and organize materials for new staff orientation. The technical assistance visit is scheduled for 9/17/25. Children were observed during free play and infant rest time. Staff/child ratios during the walkthrough were as follows: Space #5 - one (1) staff with four (4) children ages infant through one year. Space #3 - one (1) staff with four (4) children ages two through three years. Space #4 - no children present during the visit (school-age classroom). Space #2 - not in use. Space #1 - not in use - used for storage. There were no new staff. The following violations of child care requirements observed today: Violation Number Comment Rule 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Upon entry into space #5, the classroom with infants and one year olds, one (1) infant was sleeping and the caregiver did not have documentation of when the child was placed down to sleep and when the child woke up. .0606(g) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Upon entry into space #5, the classroom with infants and one year old children, there was one (1) caregiving staff meeting staff/child ratios. The one (1) caregiver has not completed ITS-SIDS training. .01102 (f) 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 could 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 • Signed statement of compliance I must receive your compliance statement on or before 9/18/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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 a more stringent administrative action. The compliance history score prior to today’s visit was seventy-four percent (74%). Achieving Compliance – rule references are noted in the cited violations ITS-SIDS Training - Item #1831 When Ms. Day arrived at the facility, she began caregiving in space #5, the classroom with infant and one year old children, and A. Farner, the caregiver who has not completed ITS-SIDS training left the classroom. At approximately 10:55am, L. Burson arrived and began caregiving in space #5 so that Ms. Day could leave the classroom to go pick up lunch for the children. You stated you thought a person with ITS-SIDS training only needed to be in the classroom when an infant was sleeping. There are three (3) of five (5) staff that have ITS-SIDS training. You stated you have coverage for the infants counting you and the two (2) other staff. We discussed that there is an ITS-SIDS training on 9/10/25 that you would like to have A. Farner take. We discussed the child care rule below. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Safe Sleep for Infants - Item #887 We discussed that once a child is placed in the crib asleep, that documentation of the time must be noted on the sleep chart, then every fifteen (15) minutes after. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; Consultation: Due to the compliance history being seventy-four percent (74%) prior to today’s visit, a more stringent administrative action may be recommended for the child care facility. Additional follow-up visits may be conducted. § 110 90. Powers and duties of Secretary of Health and Human Services. The Secretary shall have the following powers and duties under the policies and rules of the Commission: c. For any child care facility to maintain a license or Notice of Compliance, the child care facility shall have a compliance history of at least seventy five percent (75%), as assessed by the Department. When a child care facility fails to maintain a compliance history of at least seventy five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less, as assessed by the Department, the Department may issue a provisional license or Notice of Compliance. 10A NCAC 09 .2204 PROVISIONAL CHILD CARE FACILITY LICENSE OR PROVISIONAL NOTICE OF COMPLIANCE A provisional child care facility license or provisional notice of compliance may be issued to an operator for any period of time not to exceed 12 months in accordance with the factors listed in 10A NCAC 09 .2201(b) for, among other things, the following reasons: (5) when the compliance history of the facility drops below the minimum requirement set forth in G.S. 110-90; We discussed the reduction in capacity requiring the issuance of a new permit cannot be processed until the compliance history score of the facility is seventy-five percent (75%) or higher. There was a piece of foam on outdoor space #1. Reminder to have staff check of the playground for safety hazards prior to the children using the outdoor space. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (p) Once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. Reminder - New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, 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 .2201 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 9/4/2025 Number Present: 8 Completed Date: 9/4/2025 Age: From 0 To 4 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of the unannounced visit today was to conduct limited monitoring while the facility is on an Administrative Action (AA) Written Warning. Bridget Owen, Child Care Consultant, accompanied me on the visit. Cindy Day, Administrator/Owner, arrived on-site at approximately 10:15am and was available to answer and questions. A computerized generated report of today’s visit was completed, signed and an electronic copy of the visit summary was left on-site. The following was monitored during the visit, including but not limited to: Supervision of children; Discipline, nurture, or care of children; Staff/child ratio; Group size; Licensed capacity; Permit restriction; CPR training; First Aid (FA) training; ITS-SIDS training; and Criminal record check requirements regarding pre-service and five-year reassessments The AA, cover letter and Corrective Action Plan (CAP) were posted, as required. Below are the details of the CAP. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements. 2. Within one (1) week after this Notice is received, Cindy A. Day, administrator, shall contact Monica Houck, Lead Child Care Consultant, to arrange for a complete review of all child care requirements. 3.Within one (1) week after the complete review of all child care requirements is completed, Ms. Day shall contact Ms. Houck to arrange for a technical assistance visit. The review of child care requirements was completed on 8/19/25. Ms. Day emailed me on 8/26/25 and requested a technical assistance visit to prepare a notebook with originals to make packets for new staff and organize materials for new staff orientation. The technical assistance visit is scheduled for 9/17/25. Children were observed during free play and infant rest time. Staff/child ratios during the walkthrough were as follows: Space #5 - one (1) staff with four (4) children ages infant through one year. Space #3 - one (1) staff with four (4) children ages two through three years. Space #4 - no children present during the visit (school-age classroom). Space #2 - not in use. Space #1 - not in use - used for storage. There were no new staff. The following violations of child care requirements observed today: Violation Number Comment Rule 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Upon entry into space #5, the classroom with infants and one year olds, one (1) infant was sleeping and the caregiver did not have documentation of when the child was placed down to sleep and when the child woke up. .0606(g) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Upon entry into space #5, the classroom with infants and one year old children, there was one (1) caregiving staff meeting staff/child ratios. The one (1) caregiver has not completed ITS-SIDS training. .01102 (f) 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 could 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 • Signed statement of compliance I must receive your compliance statement on or before 9/18/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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 a more stringent administrative action. The compliance history score prior to today’s visit was seventy-four percent (74%). Achieving Compliance – rule references are noted in the cited violations ITS-SIDS Training - Item #1831 When Ms. Day arrived at the facility, she began caregiving in space #5, the classroom with infant and one year old children, and A. Farner, the caregiver who has not completed ITS-SIDS training left the classroom. At approximately 10:55am, L. Burson arrived and began caregiving in space #5 so that Ms. Day could leave the classroom to go pick up lunch for the children. You stated you thought a person with ITS-SIDS training only needed to be in the classroom when an infant was sleeping. There are three (3) of five (5) staff that have ITS-SIDS training. You stated you have coverage for the infants counting you and the two (2) other staff. We discussed that there is an ITS-SIDS training on 9/10/25 that you would like to have A. Farner take. We discussed the child care rule below. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Safe Sleep for Infants - Item #887 We discussed that once a child is placed in the crib asleep, that documentation of the time must be noted on the sleep chart, then every fifteen (15) minutes after. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; Consultation: Due to the compliance history being seventy-four percent (74%) prior to today’s visit, a more stringent administrative action may be recommended for the child care facility. Additional follow-up visits may be conducted. § 110 90. Powers and duties of Secretary of Health and Human Services. The Secretary shall have the following powers and duties under the policies and rules of the Commission: c. For any child care facility to maintain a license or Notice of Compliance, the child care facility shall have a compliance history of at least seventy five percent (75%), as assessed by the Department. When a child care facility fails to maintain a compliance history of at least seventy five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less, as assessed by the Department, the Department may issue a provisional license or Notice of Compliance. 10A NCAC 09 .2204 PROVISIONAL CHILD CARE FACILITY LICENSE OR PROVISIONAL NOTICE OF COMPLIANCE A provisional child care facility license or provisional notice of compliance may be issued to an operator for any period of time not to exceed 12 months in accordance with the factors listed in 10A NCAC 09 .2201(b) for, among other things, the following reasons: (5) when the compliance history of the facility drops below the minimum requirement set forth in G.S. 110-90; We discussed the reduction in capacity requiring the issuance of a new permit cannot be processed until the compliance history score of the facility is seventy-five percent (75%) or higher. There was a piece of foam on outdoor space #1. Reminder to have staff check of the playground for safety hazards prior to the children using the outdoor space. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (p) Once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. Reminder - New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, 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 .2204 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 9/4/2025 Number Present: 8 Completed Date: 9/4/2025 Age: From 0 To 4 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of the unannounced visit today was to conduct limited monitoring while the facility is on an Administrative Action (AA) Written Warning. Bridget Owen, Child Care Consultant, accompanied me on the visit. Cindy Day, Administrator/Owner, arrived on-site at approximately 10:15am and was available to answer and questions. A computerized generated report of today’s visit was completed, signed and an electronic copy of the visit summary was left on-site. The following was monitored during the visit, including but not limited to: Supervision of children; Discipline, nurture, or care of children; Staff/child ratio; Group size; Licensed capacity; Permit restriction; CPR training; First Aid (FA) training; ITS-SIDS training; and Criminal record check requirements regarding pre-service and five-year reassessments The AA, cover letter and Corrective Action Plan (CAP) were posted, as required. Below are the details of the CAP. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements. 2. Within one (1) week after this Notice is received, Cindy A. Day, administrator, shall contact Monica Houck, Lead Child Care Consultant, to arrange for a complete review of all child care requirements. 3.Within one (1) week after the complete review of all child care requirements is completed, Ms. Day shall contact Ms. Houck to arrange for a technical assistance visit. The review of child care requirements was completed on 8/19/25. Ms. Day emailed me on 8/26/25 and requested a technical assistance visit to prepare a notebook with originals to make packets for new staff and organize materials for new staff orientation. The technical assistance visit is scheduled for 9/17/25. Children were observed during free play and infant rest time. Staff/child ratios during the walkthrough were as follows: Space #5 - one (1) staff with four (4) children ages infant through one year. Space #3 - one (1) staff with four (4) children ages two through three years. Space #4 - no children present during the visit (school-age classroom). Space #2 - not in use. Space #1 - not in use - used for storage. There were no new staff. The following violations of child care requirements observed today: Violation Number Comment Rule 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Upon entry into space #5, the classroom with infants and one year olds, one (1) infant was sleeping and the caregiver did not have documentation of when the child was placed down to sleep and when the child woke up. .0606(g) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Upon entry into space #5, the classroom with infants and one year old children, there was one (1) caregiving staff meeting staff/child ratios. The one (1) caregiver has not completed ITS-SIDS training. .01102 (f) 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 could 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 • Signed statement of compliance I must receive your compliance statement on or before 9/18/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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 a more stringent administrative action. The compliance history score prior to today’s visit was seventy-four percent (74%). Achieving Compliance – rule references are noted in the cited violations ITS-SIDS Training - Item #1831 When Ms. Day arrived at the facility, she began caregiving in space #5, the classroom with infant and one year old children, and A. Farner, the caregiver who has not completed ITS-SIDS training left the classroom. At approximately 10:55am, L. Burson arrived and began caregiving in space #5 so that Ms. Day could leave the classroom to go pick up lunch for the children. You stated you thought a person with ITS-SIDS training only needed to be in the classroom when an infant was sleeping. There are three (3) of five (5) staff that have ITS-SIDS training. You stated you have coverage for the infants counting you and the two (2) other staff. We discussed that there is an ITS-SIDS training on 9/10/25 that you would like to have A. Farner take. We discussed the child care rule below. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Safe Sleep for Infants - Item #887 We discussed that once a child is placed in the crib asleep, that documentation of the time must be noted on the sleep chart, then every fifteen (15) minutes after. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; Consultation: Due to the compliance history being seventy-four percent (74%) prior to today’s visit, a more stringent administrative action may be recommended for the child care facility. Additional follow-up visits may be conducted. § 110 90. Powers and duties of Secretary of Health and Human Services. The Secretary shall have the following powers and duties under the policies and rules of the Commission: c. For any child care facility to maintain a license or Notice of Compliance, the child care facility shall have a compliance history of at least seventy five percent (75%), as assessed by the Department. When a child care facility fails to maintain a compliance history of at least seventy five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less, as assessed by the Department, the Department may issue a provisional license or Notice of Compliance. 10A NCAC 09 .2204 PROVISIONAL CHILD CARE FACILITY LICENSE OR PROVISIONAL NOTICE OF COMPLIANCE A provisional child care facility license or provisional notice of compliance may be issued to an operator for any period of time not to exceed 12 months in accordance with the factors listed in 10A NCAC 09 .2201(b) for, among other things, the following reasons: (5) when the compliance history of the facility drops below the minimum requirement set forth in G.S. 110-90; We discussed the reduction in capacity requiring the issuance of a new permit cannot be processed until the compliance history score of the facility is seventy-five percent (75%) or higher. There was a piece of foam on outdoor space #1. Reminder to have staff check of the playground for safety hazards prior to the children using the outdoor space. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (p) Once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. Reminder - New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, 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. 110-86 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 9/4/2025 Number Present: 8 Completed Date: 9/4/2025 Age: From 0 To 4 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of the unannounced visit today was to conduct limited monitoring while the facility is on an Administrative Action (AA) Written Warning. Bridget Owen, Child Care Consultant, accompanied me on the visit. Cindy Day, Administrator/Owner, arrived on-site at approximately 10:15am and was available to answer and questions. A computerized generated report of today’s visit was completed, signed and an electronic copy of the visit summary was left on-site. The following was monitored during the visit, including but not limited to: Supervision of children; Discipline, nurture, or care of children; Staff/child ratio; Group size; Licensed capacity; Permit restriction; CPR training; First Aid (FA) training; ITS-SIDS training; and Criminal record check requirements regarding pre-service and five-year reassessments The AA, cover letter and Corrective Action Plan (CAP) were posted, as required. Below are the details of the CAP. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements. 2. Within one (1) week after this Notice is received, Cindy A. Day, administrator, shall contact Monica Houck, Lead Child Care Consultant, to arrange for a complete review of all child care requirements. 3.Within one (1) week after the complete review of all child care requirements is completed, Ms. Day shall contact Ms. Houck to arrange for a technical assistance visit. The review of child care requirements was completed on 8/19/25. Ms. Day emailed me on 8/26/25 and requested a technical assistance visit to prepare a notebook with originals to make packets for new staff and organize materials for new staff orientation. The technical assistance visit is scheduled for 9/17/25. Children were observed during free play and infant rest time. Staff/child ratios during the walkthrough were as follows: Space #5 - one (1) staff with four (4) children ages infant through one year. Space #3 - one (1) staff with four (4) children ages two through three years. Space #4 - no children present during the visit (school-age classroom). Space #2 - not in use. Space #1 - not in use - used for storage. There were no new staff. The following violations of child care requirements observed today: Violation Number Comment Rule 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Upon entry into space #5, the classroom with infants and one year olds, one (1) infant was sleeping and the caregiver did not have documentation of when the child was placed down to sleep and when the child woke up. .0606(g) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Upon entry into space #5, the classroom with infants and one year old children, there was one (1) caregiving staff meeting staff/child ratios. The one (1) caregiver has not completed ITS-SIDS training. .01102 (f) 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 could 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 • Signed statement of compliance I must receive your compliance statement on or before 9/18/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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 a more stringent administrative action. The compliance history score prior to today’s visit was seventy-four percent (74%). Achieving Compliance – rule references are noted in the cited violations ITS-SIDS Training - Item #1831 When Ms. Day arrived at the facility, she began caregiving in space #5, the classroom with infant and one year old children, and A. Farner, the caregiver who has not completed ITS-SIDS training left the classroom. At approximately 10:55am, L. Burson arrived and began caregiving in space #5 so that Ms. Day could leave the classroom to go pick up lunch for the children. You stated you thought a person with ITS-SIDS training only needed to be in the classroom when an infant was sleeping. There are three (3) of five (5) staff that have ITS-SIDS training. You stated you have coverage for the infants counting you and the two (2) other staff. We discussed that there is an ITS-SIDS training on 9/10/25 that you would like to have A. Farner take. We discussed the child care rule below. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Safe Sleep for Infants - Item #887 We discussed that once a child is placed in the crib asleep, that documentation of the time must be noted on the sleep chart, then every fifteen (15) minutes after. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; Consultation: Due to the compliance history being seventy-four percent (74%) prior to today’s visit, a more stringent administrative action may be recommended for the child care facility. Additional follow-up visits may be conducted. § 110 90. Powers and duties of Secretary of Health and Human Services. The Secretary shall have the following powers and duties under the policies and rules of the Commission: c. For any child care facility to maintain a license or Notice of Compliance, the child care facility shall have a compliance history of at least seventy five percent (75%), as assessed by the Department. When a child care facility fails to maintain a compliance history of at least seventy five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less, as assessed by the Department, the Department may issue a provisional license or Notice of Compliance. 10A NCAC 09 .2204 PROVISIONAL CHILD CARE FACILITY LICENSE OR PROVISIONAL NOTICE OF COMPLIANCE A provisional child care facility license or provisional notice of compliance may be issued to an operator for any period of time not to exceed 12 months in accordance with the factors listed in 10A NCAC 09 .2201(b) for, among other things, the following reasons: (5) when the compliance history of the facility drops below the minimum requirement set forth in G.S. 110-90; We discussed the reduction in capacity requiring the issuance of a new permit cannot be processed until the compliance history score of the facility is seventy-five percent (75%) or higher. There was a piece of foam on outdoor space #1. Reminder to have staff check of the playground for safety hazards prior to the children using the outdoor space. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (p) Once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. Reminder - New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, 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: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 9/4/2025 Number Present: 8 Completed Date: 9/4/2025 Age: From 0 To 4 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of the unannounced visit today was to conduct limited monitoring while the facility is on an Administrative Action (AA) Written Warning. Bridget Owen, Child Care Consultant, accompanied me on the visit. Cindy Day, Administrator/Owner, arrived on-site at approximately 10:15am and was available to answer and questions. A computerized generated report of today’s visit was completed, signed and an electronic copy of the visit summary was left on-site. The following was monitored during the visit, including but not limited to: Supervision of children; Discipline, nurture, or care of children; Staff/child ratio; Group size; Licensed capacity; Permit restriction; CPR training; First Aid (FA) training; ITS-SIDS training; and Criminal record check requirements regarding pre-service and five-year reassessments The AA, cover letter and Corrective Action Plan (CAP) were posted, as required. Below are the details of the CAP. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements. 2. Within one (1) week after this Notice is received, Cindy A. Day, administrator, shall contact Monica Houck, Lead Child Care Consultant, to arrange for a complete review of all child care requirements. 3.Within one (1) week after the complete review of all child care requirements is completed, Ms. Day shall contact Ms. Houck to arrange for a technical assistance visit. The review of child care requirements was completed on 8/19/25. Ms. Day emailed me on 8/26/25 and requested a technical assistance visit to prepare a notebook with originals to make packets for new staff and organize materials for new staff orientation. The technical assistance visit is scheduled for 9/17/25. Children were observed during free play and infant rest time. Staff/child ratios during the walkthrough were as follows: Space #5 - one (1) staff with four (4) children ages infant through one year. Space #3 - one (1) staff with four (4) children ages two through three years. Space #4 - no children present during the visit (school-age classroom). Space #2 - not in use. Space #1 - not in use - used for storage. There were no new staff. The following violations of child care requirements observed today: Violation Number Comment Rule 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Upon entry into space #5, the classroom with infants and one year olds, one (1) infant was sleeping and the caregiver did not have documentation of when the child was placed down to sleep and when the child woke up. .0606(g) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Upon entry into space #5, the classroom with infants and one year old children, there was one (1) caregiving staff meeting staff/child ratios. The one (1) caregiver has not completed ITS-SIDS training. .01102 (f) 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 could 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 • Signed statement of compliance I must receive your compliance statement on or before 9/18/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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 a more stringent administrative action. The compliance history score prior to today’s visit was seventy-four percent (74%). Achieving Compliance – rule references are noted in the cited violations ITS-SIDS Training - Item #1831 When Ms. Day arrived at the facility, she began caregiving in space #5, the classroom with infant and one year old children, and A. Farner, the caregiver who has not completed ITS-SIDS training left the classroom. At approximately 10:55am, L. Burson arrived and began caregiving in space #5 so that Ms. Day could leave the classroom to go pick up lunch for the children. You stated you thought a person with ITS-SIDS training only needed to be in the classroom when an infant was sleeping. There are three (3) of five (5) staff that have ITS-SIDS training. You stated you have coverage for the infants counting you and the two (2) other staff. We discussed that there is an ITS-SIDS training on 9/10/25 that you would like to have A. Farner take. We discussed the child care rule below. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Safe Sleep for Infants - Item #887 We discussed that once a child is placed in the crib asleep, that documentation of the time must be noted on the sleep chart, then every fifteen (15) minutes after. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; Consultation: Due to the compliance history being seventy-four percent (74%) prior to today’s visit, a more stringent administrative action may be recommended for the child care facility. Additional follow-up visits may be conducted. § 110 90. Powers and duties of Secretary of Health and Human Services. The Secretary shall have the following powers and duties under the policies and rules of the Commission: c. For any child care facility to maintain a license or Notice of Compliance, the child care facility shall have a compliance history of at least seventy five percent (75%), as assessed by the Department. When a child care facility fails to maintain a compliance history of at least seventy five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less, as assessed by the Department, the Department may issue a provisional license or Notice of Compliance. 10A NCAC 09 .2204 PROVISIONAL CHILD CARE FACILITY LICENSE OR PROVISIONAL NOTICE OF COMPLIANCE A provisional child care facility license or provisional notice of compliance may be issued to an operator for any period of time not to exceed 12 months in accordance with the factors listed in 10A NCAC 09 .2201(b) for, among other things, the following reasons: (5) when the compliance history of the facility drops below the minimum requirement set forth in G.S. 110-90; We discussed the reduction in capacity requiring the issuance of a new permit cannot be processed until the compliance history score of the facility is seventy-five percent (75%) or higher. There was a piece of foam on outdoor space #1. Reminder to have staff check of the playground for safety hazards prior to the children using the outdoor space. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (p) Once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. Reminder - New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, 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: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 7/24/2025 Number Present: 26 Completed Date: 7/24/2025 Age: From 0 To 12 Total Minutes: 305 Time In: 11:00 AM Time Out: 04:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's unannounced follow-up visit was to follow-up on violation written during your Initial Administrative Action on July 14, 2025 regarding supervision. Refer to visit summary date July 14, 2025 for full details of the violation written. Cindy Day, Administrator, was present during my visit today. A computerized generated report of today’s visit was completed and signed by Sarah Upton, Child Care Consultant and Cindy Day, Administrator. A signed copy of the visit summary was left at the facility today. During my walkthrough of the classrooms children were observed during nap, free play and an art activity. Staff member were observed engaging with the children and assisting as needed. I marked violation #303 corrected during my visit today. The following violation was written today Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Through observations today: there were ceilings stained in all rooms and bathrooms; the bathroom ceiling material was falling in space #3, the classroom with two and three year old children; there is a large hole in the ceiling in the laundry room; in space #6 is damaged; walls in multiple areas around both buildings, inside and outside, are damaged. 15A NCAC 18A .2825(a) Technical Assistance Provided: Item #620 All walls and ceilings including doors and windows must be kept clean, free of visible fungal growth, and in good repair. Today during the visit you submitted a letter to request that space #6 school age building be removed from your license. At this time, you are not caring for children in that space and would like for it to be removed to allow you time to correct the areas of concern listed in the violation. As we talked about today, the space will need extensive repair to come into compliance and at this time it is not financially feasible to have all areas corrected within a two week time frame. As we discussed today you understand that if you choose to have the space added back to the licensed space you will need to have a new approved building, fire and sanitation inspection completed. Also, we discussed that by removing the space from the licensed space your capacity will be reduced by 20 children, which was the approved number of children allowed in space #6. The area in the laundry room and in the bathroom that we discussed today will still need to be repaired. 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 August 07, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: ABCMS staff roster: You reported today that you have completed the training for the ABCMS system. Please move forward and create a staff roster for your program on the ABCMS system. If substitute staff members work for multiple sites, they have to be listed on the roster for all sites. Administrators, specialists and support staff members must also be listed on the roster. This item will be cited as a violation next time. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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 sarah.upton@dhhs.nc.gov or 828.782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
NC GS 110-90 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 7/24/2025 Number Present: 26 Completed Date: 7/24/2025 Age: From 0 To 12 Total Minutes: 305 Time In: 11:00 AM Time Out: 04:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's unannounced follow-up visit was to follow-up on violation written during your Initial Administrative Action on July 14, 2025 regarding supervision. Refer to visit summary date July 14, 2025 for full details of the violation written. Cindy Day, Administrator, was present during my visit today. A computerized generated report of today’s visit was completed and signed by Sarah Upton, Child Care Consultant and Cindy Day, Administrator. A signed copy of the visit summary was left at the facility today. During my walkthrough of the classrooms children were observed during nap, free play and an art activity. Staff member were observed engaging with the children and assisting as needed. I marked violation #303 corrected during my visit today. The following violation was written today Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Through observations today: there were ceilings stained in all rooms and bathrooms; the bathroom ceiling material was falling in space #3, the classroom with two and three year old children; there is a large hole in the ceiling in the laundry room; in space #6 is damaged; walls in multiple areas around both buildings, inside and outside, are damaged. 15A NCAC 18A .2825(a) Technical Assistance Provided: Item #620 All walls and ceilings including doors and windows must be kept clean, free of visible fungal growth, and in good repair. Today during the visit you submitted a letter to request that space #6 school age building be removed from your license. At this time, you are not caring for children in that space and would like for it to be removed to allow you time to correct the areas of concern listed in the violation. As we talked about today, the space will need extensive repair to come into compliance and at this time it is not financially feasible to have all areas corrected within a two week time frame. As we discussed today you understand that if you choose to have the space added back to the licensed space you will need to have a new approved building, fire and sanitation inspection completed. Also, we discussed that by removing the space from the licensed space your capacity will be reduced by 20 children, which was the approved number of children allowed in space #6. The area in the laundry room and in the bathroom that we discussed today will still need to be repaired. 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 August 07, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: ABCMS staff roster: You reported today that you have completed the training for the ABCMS system. Please move forward and create a staff roster for your program on the ABCMS system. If substitute staff members work for multiple sites, they have to be listed on the roster for all sites. Administrators, specialists and support staff members must also be listed on the roster. This item will be cited as a violation next time. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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 sarah.upton@dhhs.nc.gov or 828.782-0937, 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: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/20/2025 Number Present: 14 Completed Date: 5/20/2025 Age: From 0 To 5 Total Minutes: 200 Time In: 10:20 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of the unannounced visit today was to follow-up on violations cited during the annual compliance visit on 5/1/25. Cindy Day, Administrator/Owner, was on-site and available to answer and questions. A computerized generated report of today’s visit was completed and signed by Monica Houck, Lead Child Care Consultant, and also signed by Cindy Day, Administrator/Owner, during the visit. An electronic copy of the visit summary was left on-site. The following was monitored during the visit: Including, but not limited to, supervision, staff/child ratio, adequate approved space, and permit restrictions. A letter of compliance was received by Ms. Day on 5/15/25 for the twenty-five (25) violations cited on 5/1/25. There were three (3) violations that needed additional clarification to verify if compliance was achieved. There was one (1) violation that was not corrected as of 5/15/25. Item #714 – The gaps in the gates have been closed to less than 3.5 inches. The decking been repaired in some places to allow for less than 3.5 inches. However, there are two (2) areas on the deck where there was an eight (8) inch gap between the pickets. There is one area on the deck where there was a four (4) inch gap between the pickets. This is a repeat violation. Item #824 – A piece of plywood, over four feet tall, has been installed from the fence post to the building. The plywood can be a solution, as long as it does not pose any safety hazards for children. This item is in compliance. Item #1052 – Annual on-going training was reviewed during the visit. During the review of annual on-going training, trainings have not been completed for all staff. This is a repeat violation. Item #1898 – In the letter of compliance dated 5/15/25, you stated “Staff member A.F. has completed 2025 Health and Safety Trainings as of 5/15/25.” During review of the health and safety trainings for A.F., the topic medication in child care is the one topic that has not been completed. This is a repeat violation. In addition, the violations cited on 5/9/25 during the annual compliance follow-up visit were monitored: Item #853 – You stated the incident reports are in process of being documented on the incident log. Item #899 - Storage needs to be cleared from the hallway to allow for safe exiting of children in case of an emergency. There have been items removed from the hallway. This is in process. The children were observed in free play, routine care, and lunch. The lunch today was chicken, corn chips, beans, lettuce, tomato, peaches, and milk. One new staff file was reviewed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #4, the classroom with two through five year old children, was dated 11/18/24 through 11/22/24. The activity plan in the #6, the classroom with school-age children, had an activity plan that was dated through 5/2/25. This is a repeat violation from 5/1/25. GS 110-91(12); .0508(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. There are two (2) areas on the deck where there was an eight (8) inch gap between the pickets. There is one area on the deck where there was a four (4) inch gap between the pickets. This is a repeat violation from 5/1/25. .0605(g) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. During the review of annual on-going training, trainings have not been completed for all staff. This is a repeat violation from 5/1/25. .1103(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One teacher with a hire date of 5/12/25, did not have an acknowledgement on file and was caring for children during the visit. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. During review of the health and safety trainings for A.F., the topic medication in child care is the one topic that has not been completed. This is a repeat violation from 5/1/25. .1102(a) 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 could 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 • Signed statement of compliance I must receive your compliance statement on or before 6/3/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Achieving Compliance – rule references are noted in the cited violations *Item #428 - Activity plans must be current to allow current activities for children. Children need opportunities to participate in activities that assist in their growth and development. Current activity plans allow staff to have a guide of what activities are to be implemented each day and throughout the week. It also helps any substitute staff know what activities are planned to implement the documented activities with children in the absence of the main teacher. You stated the facility has been short staffed and that is why activity plans have not been completed. *Item #714 - Gaps in decking needs to be closed to less than 3.5 inches and prevent entrapment. It is recommended to include checking gaps in fencing, gates, and decking during monthly playground inspections. *Items #1052 and #1898 - All staff, C.D., C.L., P.L., L.B, and A.W., must complete annual on-going training. We discussed you will need to send in certificates to verify compliance. We also discussed that A.F. must completed medication in child care training topic for health and safety training. It is recommended to implement staff training plans that help staff understand how many on-going training hours they need annually and what resources they have to take approved trainings. We discussed using a staff record checklist in each’s staff file to ensure all staff have accurate paperwork on file. This form can be located on the Division’s website at www.ncchildcare.ncdhhs.gov under provider documents. Required in-service training is to be completed annually and Health/Safety training is to be completed every five (5) years. *Item #1874 - G.S. needs to review the prevention of shaken baby and abusive head trauma policy and sign the acknowledgement to have on file. The policy is required to be reviewed prior to new staff caring for children. It is recommended to review the policy with new staff on day one of employment and prior to caring for children. Additional Technical Assistance and Consultation: Due to the number of violations, an administrative action may be recommended for the child care facility. Additional follow-up visit may be conducted. The areas in the buildings that are in poor repair must be repaired and meet sanitation requirements. We discussed the most recent sanitation inspection dated 5/8/25. You have made some corrections and are continuing to work on repairs to the building. A safe and healthy environment is vital to the growth and development of children. We discussed that clean walls, ceilings, doors, and windows provide this healthy environment. You stated you are doing your best keeping up with the maintenance of the facility. Both buildings are in need of a new roof due to leaking water, especially during heavy rain. A grant has been approved for the school-age building to receive a new roof. You stated you are working on a way to get a new roof put on the main building as well. A fire inspection is to be completed once every 12 months. We discussed creating a reminder process to ensure the Fire Marshal is contacted prior to the month of the previous fire inspection. You plan to contact the fire inspector by 8/20/25. Several hazardous products to include medication, lotion and cleaning supplies must be stored appropriately. We discussed creating a daily checklist and reviewing this with staff to ensure all hazardous products including those under pressure are stored in a locked storage. Medication must be returned within 72 hours after the course of treatment. We discussed assigning a staff member to oversee medication administration in the facility. Permission to administer medication, which includes sunscreen, diaper ointments and saline solutions is required to accompany each medication. The permission form must indicate a valid time period in which the medication is to be administered, such as up to a year for non-prescription topical ointments, up to six months for chronic medications and for the course of treatment of a medication. Safe sleep checks must be completed daily and maintained on file for one month. Discuss this with all staff that work in a classroom with children 12 months of age and younger. The teacher in the infant classroom has a folder on the wall with previous safe sleep check documentation. Gaps in fencing and railing must be less than 3 ½” or greater than 9” to prevent entrapments. The four foot fencing is required as a safety measure to ensure children have a safe place to play on the playground. The screen time log can be used for individual screen time or large group screen time activities. The activity plan can also be used for large group screen time activities. Plastic bags are a safety hazard for children, such as choking or suffocation. Easily torn plastic cannot be accessible to children under three years of age. The feeding plan is a tool of communication between parents and teachers. It is important to update the form as the child’s needs change. This helps not only the teacher, but also any substitutes that may be in the classroom. Daily records of arrival and departure times allow for accurate accounts of how many children are in care at any given time. We discussed that children must be signed in as they arrive and signed out when they leave. A current menu allows parents to know what their child will be offered during care. Any substitutions that are made must be written on the menu prior to serving the food to children. If a child had a reaction to a certain food, the menu would help identify the potential source. Updating staff paperwork, such as the health questionnaire or emergency medical care information, provides accurate information in case of an emergency with staff while at the facility. Reminder that it is your responsibility to understand the laws and rules that are applicable to your program. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
GS 110-91 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/20/2025 Number Present: 14 Completed Date: 5/20/2025 Age: From 0 To 5 Total Minutes: 200 Time In: 10:20 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of the unannounced visit today was to follow-up on violations cited during the annual compliance visit on 5/1/25. Cindy Day, Administrator/Owner, was on-site and available to answer and questions. A computerized generated report of today’s visit was completed and signed by Monica Houck, Lead Child Care Consultant, and also signed by Cindy Day, Administrator/Owner, during the visit. An electronic copy of the visit summary was left on-site. The following was monitored during the visit: Including, but not limited to, supervision, staff/child ratio, adequate approved space, and permit restrictions. A letter of compliance was received by Ms. Day on 5/15/25 for the twenty-five (25) violations cited on 5/1/25. There were three (3) violations that needed additional clarification to verify if compliance was achieved. There was one (1) violation that was not corrected as of 5/15/25. Item #714 – The gaps in the gates have been closed to less than 3.5 inches. The decking been repaired in some places to allow for less than 3.5 inches. However, there are two (2) areas on the deck where there was an eight (8) inch gap between the pickets. There is one area on the deck where there was a four (4) inch gap between the pickets. This is a repeat violation. Item #824 – A piece of plywood, over four feet tall, has been installed from the fence post to the building. The plywood can be a solution, as long as it does not pose any safety hazards for children. This item is in compliance. Item #1052 – Annual on-going training was reviewed during the visit. During the review of annual on-going training, trainings have not been completed for all staff. This is a repeat violation. Item #1898 – In the letter of compliance dated 5/15/25, you stated “Staff member A.F. has completed 2025 Health and Safety Trainings as of 5/15/25.” During review of the health and safety trainings for A.F., the topic medication in child care is the one topic that has not been completed. This is a repeat violation. In addition, the violations cited on 5/9/25 during the annual compliance follow-up visit were monitored: Item #853 – You stated the incident reports are in process of being documented on the incident log. Item #899 - Storage needs to be cleared from the hallway to allow for safe exiting of children in case of an emergency. There have been items removed from the hallway. This is in process. The children were observed in free play, routine care, and lunch. The lunch today was chicken, corn chips, beans, lettuce, tomato, peaches, and milk. One new staff file was reviewed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #4, the classroom with two through five year old children, was dated 11/18/24 through 11/22/24. The activity plan in the #6, the classroom with school-age children, had an activity plan that was dated through 5/2/25. This is a repeat violation from 5/1/25. GS 110-91(12); .0508(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. There are two (2) areas on the deck where there was an eight (8) inch gap between the pickets. There is one area on the deck where there was a four (4) inch gap between the pickets. This is a repeat violation from 5/1/25. .0605(g) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. During the review of annual on-going training, trainings have not been completed for all staff. This is a repeat violation from 5/1/25. .1103(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One teacher with a hire date of 5/12/25, did not have an acknowledgement on file and was caring for children during the visit. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. During review of the health and safety trainings for A.F., the topic medication in child care is the one topic that has not been completed. This is a repeat violation from 5/1/25. .1102(a) 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 could 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 • Signed statement of compliance I must receive your compliance statement on or before 6/3/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Achieving Compliance – rule references are noted in the cited violations *Item #428 - Activity plans must be current to allow current activities for children. Children need opportunities to participate in activities that assist in their growth and development. Current activity plans allow staff to have a guide of what activities are to be implemented each day and throughout the week. It also helps any substitute staff know what activities are planned to implement the documented activities with children in the absence of the main teacher. You stated the facility has been short staffed and that is why activity plans have not been completed. *Item #714 - Gaps in decking needs to be closed to less than 3.5 inches and prevent entrapment. It is recommended to include checking gaps in fencing, gates, and decking during monthly playground inspections. *Items #1052 and #1898 - All staff, C.D., C.L., P.L., L.B, and A.W., must complete annual on-going training. We discussed you will need to send in certificates to verify compliance. We also discussed that A.F. must completed medication in child care training topic for health and safety training. It is recommended to implement staff training plans that help staff understand how many on-going training hours they need annually and what resources they have to take approved trainings. We discussed using a staff record checklist in each’s staff file to ensure all staff have accurate paperwork on file. This form can be located on the Division’s website at www.ncchildcare.ncdhhs.gov under provider documents. Required in-service training is to be completed annually and Health/Safety training is to be completed every five (5) years. *Item #1874 - G.S. needs to review the prevention of shaken baby and abusive head trauma policy and sign the acknowledgement to have on file. The policy is required to be reviewed prior to new staff caring for children. It is recommended to review the policy with new staff on day one of employment and prior to caring for children. Additional Technical Assistance and Consultation: Due to the number of violations, an administrative action may be recommended for the child care facility. Additional follow-up visit may be conducted. The areas in the buildings that are in poor repair must be repaired and meet sanitation requirements. We discussed the most recent sanitation inspection dated 5/8/25. You have made some corrections and are continuing to work on repairs to the building. A safe and healthy environment is vital to the growth and development of children. We discussed that clean walls, ceilings, doors, and windows provide this healthy environment. You stated you are doing your best keeping up with the maintenance of the facility. Both buildings are in need of a new roof due to leaking water, especially during heavy rain. A grant has been approved for the school-age building to receive a new roof. You stated you are working on a way to get a new roof put on the main building as well. A fire inspection is to be completed once every 12 months. We discussed creating a reminder process to ensure the Fire Marshal is contacted prior to the month of the previous fire inspection. You plan to contact the fire inspector by 8/20/25. Several hazardous products to include medication, lotion and cleaning supplies must be stored appropriately. We discussed creating a daily checklist and reviewing this with staff to ensure all hazardous products including those under pressure are stored in a locked storage. Medication must be returned within 72 hours after the course of treatment. We discussed assigning a staff member to oversee medication administration in the facility. Permission to administer medication, which includes sunscreen, diaper ointments and saline solutions is required to accompany each medication. The permission form must indicate a valid time period in which the medication is to be administered, such as up to a year for non-prescription topical ointments, up to six months for chronic medications and for the course of treatment of a medication. Safe sleep checks must be completed daily and maintained on file for one month. Discuss this with all staff that work in a classroom with children 12 months of age and younger. The teacher in the infant classroom has a folder on the wall with previous safe sleep check documentation. Gaps in fencing and railing must be less than 3 ½” or greater than 9” to prevent entrapments. The four foot fencing is required as a safety measure to ensure children have a safe place to play on the playground. The screen time log can be used for individual screen time or large group screen time activities. The activity plan can also be used for large group screen time activities. Plastic bags are a safety hazard for children, such as choking or suffocation. Easily torn plastic cannot be accessible to children under three years of age. The feeding plan is a tool of communication between parents and teachers. It is important to update the form as the child’s needs change. This helps not only the teacher, but also any substitutes that may be in the classroom. Daily records of arrival and departure times allow for accurate accounts of how many children are in care at any given time. We discussed that children must be signed in as they arrive and signed out when they leave. A current menu allows parents to know what their child will be offered during care. Any substitutions that are made must be written on the menu prior to serving the food to children. If a child had a reaction to a certain food, the menu would help identify the potential source. Updating staff paperwork, such as the health questionnaire or emergency medical care information, provides accurate information in case of an emergency with staff while at the facility. Reminder that it is your responsibility to understand the laws and rules that are applicable to your program. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, 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: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/9/2025 Number Present: 15 Completed Date: 5/9/2025 Age: From 0 To 5 Total Minutes: 205 Time In: 11:05 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of the unannounced visit today was to follow-up on twenty-five violations cited during the annual compliance visit on 5/1/25. Cindy Day, Administrator/Owner, arrived on-site at approximately 11:45am and was available to answer and questions. A computerized generated report of today’s visit was completed and signed by Monica Houck, Lead Child Care Consultant, and also signed by Cindy Day, Administrator/Owner, during the visit. An electronic copy of the visit summary was left on-site. Due to technical difficulties a handwritten typed visit summary was provided today. An electronic summary will be provided once completed. The following was monitored during the visit: Including, but not limited to, supervision, staff/child ratio, adequate approved space, and permit restrictions. During the visit, the twenty-five (25) violations cited on 5/1/25 were monitored for compliance: Item #106 – A written plan has not been provided to state how fire inspections will be completed within 12 months of the previous inspection. We discussed that you plan to contact the Fire Marshal prior to the inspection needing to be completed. A letter of compliance must be received on or before 5/15/25. Item #125 – Daily records of arrival were reviewed during the visit and fifteen of fifteen children had documented arrival times. This violation has been corrected and is in compliance. Item #319 – This was corrected during the visit on 5/1/25. Item #428 – A current activity plan dated 5/5/25 through 5/9/25 was posted in space #2. This violation has been corrected and is in compliance. Item #524 – A screen time log was available for review that documented screen time occurs prior to lunch for 26 minutes. This violation has been corrected and is in compliance. Item #525 – The menu posted was dated 5/5/25 through 5/9/25. This violation has been corrected and is in compliance. Item #542 – The infant feeding plan dated 9/20/24 has been modified to indicate the child is now eating baby food. This violation has been corrected and is in compliance. Item #544 – Per the teacher’s report, screen time is no longer offered to children under three years of age. A letter of compliance to state the plan not to offer screen time to children under three years of age is due on or before 5/15/25. Item #620 – You stated you are in the process of repairs and anticipate repairs being completed soon. A letter of compliance is due on or before 5/15/25. Item #714 – The slats have not been added to close the gap to less than 3.5 inches on playground space #4. There was someone on site today to evaluate the repairs. A letter of compliance is due on or before 5/15/25. Item #824 – The fencing has not been added to the playground. There was someone on site today to evaluate the repairs. A letter of compliance is due on or before 5/15/25. Item #840 – This item was corrected during the visit on 5/1/25. Item #841 – This item was corrected during the visit on 5/1/25. Item #849 – All medications from spaces #3 and #5 have been sent home with a parent or discarded. The Desitin diaper cream in space #3 has been sent home. This violation has been corrected and is in compliance. Item #858 – There were no plastic garbage bags accessible to children during the visit today. We discussed grape tomatoes would need to be cut to not pose a choking hazard to children under three years of age. We discussed the CACFP choking resource regarding choking. A letter of compliance is due on or before 5/15/25. Item #887 – Sleep check documentation for 5/1/25 through today was reviewed during the visit, along with additional sleep check documentation that dated back to 4/1/25. This violation has been corrected and is in compliance. Item #892 – This item was corrected during the visit on 5/1/25. Item #898 – This item was corrected during the visit on 5/1/25. Item #1034 – All staff have a current annual health questionnaire on file. This violation has been corrected and is in compliance. Item #1035 – All staff have a current emergency information form on file. This violation has been corrected and is in compliance. Item #1044 – A written plan of how staff will complete the DCDEE Criminal Background Check process prior to expiration of their qualification letter has not been received. We discussed that the application process in the ABCMS system can be started up to six months prior to expiration. The letter of compliance is due to be received on or before 5/15/25. Item #1052 – You stated the training certificates for staff need to be located. A letter of compliance is due on or before 5/15/25. Item #1811 – A written statement has not been received as to how a shelter-in-place drill or lockdown drill will be completed every three months. A letter of compliance is due to be received on or before 5/15/25. Item #1850 – A smoking and tobacco restriction poster has been posted at the entrance of the center. This violation has been corrected and is in compliance. We discussed you can find the smoking and tobacco restriction poster at the NC Health and Safety Resource Center online for an updated version. Item #1898 – Staff member A. F. must complete all health and safety trainings. A letter of compliance is due on or before 5/15/25. The children were observed in free play and lunch. The lunch today was a hamburger with lettuce and tomato, baked beans, French fries, applesauce, and milk. The EPR plan is due to be updated on or before 7/31/25. The last entry date on the incident log was 5/16/24. The last sanitation inspection was completed on 5/8/25 with twenty-six (26) demerits for an Approved classification. 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. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements observed today: Violation Number Comment Rule 853 Incident logs were not completed and maintained as required. The incident log has not been maintained since 5/16/24. .0802(g)(1-6) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. Based on the North Carolina Child Care Fire Inspection report, the following NC fire codes are not being met: #16 – No storage of clothing/personal effects in corridors and lobbies; #19 – Exits free of obstructions; and #25 – All exits and their access (i.e. aisles and corridors) free of obstructions. GS 110-91 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 could 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 • Signed statement of compliance I must receive your compliance statement on or before 5/23/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Achieving Compliance – rule references are noted in the cited violations *NC Fire Codes – Item #899 The storage clothing and materials in the hallway only allows between twenty-two (22) inches and thirty-eight 38 inches of floor space for exiting. Storage needs to be cleared from the hallway to allow for safe exiting of children in case of an emergency. We discussed the children’s cubbies and hooks with children’s items are excluded from the storage that needs to be removed. *Incident Log – Item #853 The incident reports must be documented on the incident log. Consultation: Due to the number of violations, an administrative action may be recommended for the child care facility. Additional follow-up visits may be conducted. We discussed that C. Day has a valid DCDEE CBC qualification letter on file that expires on 7/20/25. It is recommended to start the DCDEE CBC application process now. The qualification letter cannot expire. A safe and healthy environment is vital to the growth and development of children. We discussed that clean walls, ceilings, doors, and windows provide this healthy environment. With the sanitation inspection that was completed on 5/8/25, we discussed that a plan needs to be put in place to correct all demerits. Sanitation requirements are part of licensing requirements. Openings in the decking are hazards to children, such as entrapment. We discussed the importance of maintaining the decking and keeping the slats intact to allow for less than 3.5 inches. Plastic bags are a safety hazard for children, such as choking or suffocation. Easily torn plastic cannot be accessible to children under three years of age. The feeding plan is a tool of communication between parents and teachers. It is important to update the form as the child’s needs change. This helps not only the teacher, but also any substitutes that may be in the classroom. Daily records of arrival and departure times allow for accurate accounts of how many children are in care at any given time. We discussed that children must be signed in as they arrive and signed out when they leave. It is recommended that parents sign their child in or out and teacher’s follow up to be sure it has been completed. Current activity plans allow staff to have a guide of what activities are to be implemented each day and throughout the week. It also helps any substitute staff know what activities are planned to implement the documented activities with children in the absence of the main teacher. A current menu allows parents to know what their child will be offered during care. Any substitutions that are made must be written on the menu prior to serving the food to children. If a child had a reaction to a certain food, the menu would help identify the potential source. Updating staff paperwork, such as the health questionnaire or emergency medical care information, provides accurate information in case of an emergency with staff while at the facility. It is recommended to implement staff training plans that help staff understand how many on-going training hours they need annually and what resources they have to take approved trainings. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
GS 110-91 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/9/2025 Number Present: 15 Completed Date: 5/9/2025 Age: From 0 To 5 Total Minutes: 205 Time In: 11:05 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of the unannounced visit today was to follow-up on twenty-five violations cited during the annual compliance visit on 5/1/25. Cindy Day, Administrator/Owner, arrived on-site at approximately 11:45am and was available to answer and questions. A computerized generated report of today’s visit was completed and signed by Monica Houck, Lead Child Care Consultant, and also signed by Cindy Day, Administrator/Owner, during the visit. An electronic copy of the visit summary was left on-site. Due to technical difficulties a handwritten typed visit summary was provided today. An electronic summary will be provided once completed. The following was monitored during the visit: Including, but not limited to, supervision, staff/child ratio, adequate approved space, and permit restrictions. During the visit, the twenty-five (25) violations cited on 5/1/25 were monitored for compliance: Item #106 – A written plan has not been provided to state how fire inspections will be completed within 12 months of the previous inspection. We discussed that you plan to contact the Fire Marshal prior to the inspection needing to be completed. A letter of compliance must be received on or before 5/15/25. Item #125 – Daily records of arrival were reviewed during the visit and fifteen of fifteen children had documented arrival times. This violation has been corrected and is in compliance. Item #319 – This was corrected during the visit on 5/1/25. Item #428 – A current activity plan dated 5/5/25 through 5/9/25 was posted in space #2. This violation has been corrected and is in compliance. Item #524 – A screen time log was available for review that documented screen time occurs prior to lunch for 26 minutes. This violation has been corrected and is in compliance. Item #525 – The menu posted was dated 5/5/25 through 5/9/25. This violation has been corrected and is in compliance. Item #542 – The infant feeding plan dated 9/20/24 has been modified to indicate the child is now eating baby food. This violation has been corrected and is in compliance. Item #544 – Per the teacher’s report, screen time is no longer offered to children under three years of age. A letter of compliance to state the plan not to offer screen time to children under three years of age is due on or before 5/15/25. Item #620 – You stated you are in the process of repairs and anticipate repairs being completed soon. A letter of compliance is due on or before 5/15/25. Item #714 – The slats have not been added to close the gap to less than 3.5 inches on playground space #4. There was someone on site today to evaluate the repairs. A letter of compliance is due on or before 5/15/25. Item #824 – The fencing has not been added to the playground. There was someone on site today to evaluate the repairs. A letter of compliance is due on or before 5/15/25. Item #840 – This item was corrected during the visit on 5/1/25. Item #841 – This item was corrected during the visit on 5/1/25. Item #849 – All medications from spaces #3 and #5 have been sent home with a parent or discarded. The Desitin diaper cream in space #3 has been sent home. This violation has been corrected and is in compliance. Item #858 – There were no plastic garbage bags accessible to children during the visit today. We discussed grape tomatoes would need to be cut to not pose a choking hazard to children under three years of age. We discussed the CACFP choking resource regarding choking. A letter of compliance is due on or before 5/15/25. Item #887 – Sleep check documentation for 5/1/25 through today was reviewed during the visit, along with additional sleep check documentation that dated back to 4/1/25. This violation has been corrected and is in compliance. Item #892 – This item was corrected during the visit on 5/1/25. Item #898 – This item was corrected during the visit on 5/1/25. Item #1034 – All staff have a current annual health questionnaire on file. This violation has been corrected and is in compliance. Item #1035 – All staff have a current emergency information form on file. This violation has been corrected and is in compliance. Item #1044 – A written plan of how staff will complete the DCDEE Criminal Background Check process prior to expiration of their qualification letter has not been received. We discussed that the application process in the ABCMS system can be started up to six months prior to expiration. The letter of compliance is due to be received on or before 5/15/25. Item #1052 – You stated the training certificates for staff need to be located. A letter of compliance is due on or before 5/15/25. Item #1811 – A written statement has not been received as to how a shelter-in-place drill or lockdown drill will be completed every three months. A letter of compliance is due to be received on or before 5/15/25. Item #1850 – A smoking and tobacco restriction poster has been posted at the entrance of the center. This violation has been corrected and is in compliance. We discussed you can find the smoking and tobacco restriction poster at the NC Health and Safety Resource Center online for an updated version. Item #1898 – Staff member A. F. must complete all health and safety trainings. A letter of compliance is due on or before 5/15/25. The children were observed in free play and lunch. The lunch today was a hamburger with lettuce and tomato, baked beans, French fries, applesauce, and milk. The EPR plan is due to be updated on or before 7/31/25. The last entry date on the incident log was 5/16/24. The last sanitation inspection was completed on 5/8/25 with twenty-six (26) demerits for an Approved classification. 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. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements observed today: Violation Number Comment Rule 853 Incident logs were not completed and maintained as required. The incident log has not been maintained since 5/16/24. .0802(g)(1-6) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. Based on the North Carolina Child Care Fire Inspection report, the following NC fire codes are not being met: #16 – No storage of clothing/personal effects in corridors and lobbies; #19 – Exits free of obstructions; and #25 – All exits and their access (i.e. aisles and corridors) free of obstructions. GS 110-91 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 could 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 • Signed statement of compliance I must receive your compliance statement on or before 5/23/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Achieving Compliance – rule references are noted in the cited violations *NC Fire Codes – Item #899 The storage clothing and materials in the hallway only allows between twenty-two (22) inches and thirty-eight 38 inches of floor space for exiting. Storage needs to be cleared from the hallway to allow for safe exiting of children in case of an emergency. We discussed the children’s cubbies and hooks with children’s items are excluded from the storage that needs to be removed. *Incident Log – Item #853 The incident reports must be documented on the incident log. Consultation: Due to the number of violations, an administrative action may be recommended for the child care facility. Additional follow-up visits may be conducted. We discussed that C. Day has a valid DCDEE CBC qualification letter on file that expires on 7/20/25. It is recommended to start the DCDEE CBC application process now. The qualification letter cannot expire. A safe and healthy environment is vital to the growth and development of children. We discussed that clean walls, ceilings, doors, and windows provide this healthy environment. With the sanitation inspection that was completed on 5/8/25, we discussed that a plan needs to be put in place to correct all demerits. Sanitation requirements are part of licensing requirements. Openings in the decking are hazards to children, such as entrapment. We discussed the importance of maintaining the decking and keeping the slats intact to allow for less than 3.5 inches. Plastic bags are a safety hazard for children, such as choking or suffocation. Easily torn plastic cannot be accessible to children under three years of age. The feeding plan is a tool of communication between parents and teachers. It is important to update the form as the child’s needs change. This helps not only the teacher, but also any substitutes that may be in the classroom. Daily records of arrival and departure times allow for accurate accounts of how many children are in care at any given time. We discussed that children must be signed in as they arrive and signed out when they leave. It is recommended that parents sign their child in or out and teacher’s follow up to be sure it has been completed. Current activity plans allow staff to have a guide of what activities are to be implemented each day and throughout the week. It also helps any substitute staff know what activities are planned to implement the documented activities with children in the absence of the main teacher. A current menu allows parents to know what their child will be offered during care. Any substitutions that are made must be written on the menu prior to serving the food to children. If a child had a reaction to a certain food, the menu would help identify the potential source. Updating staff paperwork, such as the health questionnaire or emergency medical care information, provides accurate information in case of an emergency with staff while at the facility. It is recommended to implement staff training plans that help staff understand how many on-going training hours they need annually and what resources they have to take approved trainings. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, 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 .0901 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/1/2025 Number Present: 33 Completed Date: 5/1/2025 Age: From 0 To 11 Total Minutes: 365 Time In: 10:25 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Bonnie Mathis, Licensing Supervisor, accompanied me on the visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Monica Houck, Lead Child Care Consultant and Bonnie Mathis, Licensing Supervisor, and also signed by Cindy Day, Administrator, during the visit. A signed copy of the visit summary was left on-site for you. Cindy Day, Administrator, was on-site and available to answer and ask questions. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78%) percent as of 4/30/25. The child care facility is operated as a sole proprietorship with Cindy Day as the sole proprietor. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Permit type – Four Star License dated 7/17/19, capacity of one hundred (100) children ages 0-12 years. Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios, meets enhanced space, and approved for transportation. The last fire drill was practiced on 4/8/25. The last shelter-in-place drill was practiced on 4/10/25. The last playground inspection was documented in April 2025. The last fire inspection was approved on 9/20/24 for daytime care only. The previously approved fire inspection was 7/3/23. The last sanitation inspection was conducted on 11/18/24 with twenty-one (21) demerits for a Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/10/24 with no hazards. The staff and training worksheet was not available today. A full review of all staff files was conducted; however, a document was not created to capture all the information. Children were observed in free play, large group activities, routine care, lunch, and rest time. The lunch today was cheese lasagna, lettuce, grape tomatoes, applesauce, a roll, and milk. You stated the last transportation for children occurred around four years ago. You have requested to no longer be approved for transportation. During the visit, transportation was deselected in the Regulatory system and the child care facility is no longer approved for transportation. If you request to be approved for transportation in the future, you will need to contact the child care consultant with at least a thirty days notice and the consultant will need to make a visit to the child care facility to determine if the facility can be approved for transporation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on 9/20/24, which was more than 12 months from the previous inspection that was completed on 7/3/23. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Sixteen of nineteen children had documented times of arrival from spaces #2, #3, and #5. 10A NCAC 09 .0302(d)(4) 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. In space #6, the classroom for school-age children, the staff/child ratios chart was not posted. .0713(a)(10), (c) & (f)(3); .2818(e) 428 A current activity plan was not posted for each group of children for reference. In space #2, the classroom with four and five year old children, the activity plan was dated 11/11/24 through 11/16/24. GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. The teacher in space #2, the classroom with four and five year old children, stated she offers screen time daily prior to lunch. Screen time was not documented on a log or activity plan. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The posted menu was dated 8/19/24 through 8/23/24. 10A NCAC 09 .0901(b) 542 The written feeding plan was not modified as the child's needs changed. There was a written feeding plan for an infant dated 9/20/24 and has not been modified as the child's needs changed. The teacher stated the infant is now eating baby food and was not documented on the written feeding plan. 10 NCAC 09 .0902(a) 544 Screen time was offered to children under three years of age. In space #3, the classroom with two and three year old children, screen time with children's song videos was offered through the teacher's cell phone from approximately 11:05am to 11:15am prior to lunch. .0510(f) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Per the sanitation inspection dated 11/18/24 and through observations today: there were ceilings stained in all rooms and bathrooms; there were ceiling leaks present in multiple rooms and all bathrooms; the bathroom ceiling material was falling in space #3, the classroom with two and three year old children; there was ceiling stripping in the infant room; there is a large hole in the ceiling in the laundry room and above the handwash sink in space #2, the classroom with four and five year old children; the carpet in space #6, the classroom with school-age children, is dirty and damaged; the vinyl floor in space #6 is damaged; walls in multiple areas around both buildings, inside and outside, are damaged; there is a hole present around plumbing in the bathroom floor in space #6; and there are holes in the wall behind and above the changing table in space #5, the classroom with infant and one year old children. 15A NCAC 18A .2825(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. There are multiple areas in the decking, outdoor space #4 that slats are missing causing approximately six inches of space between slats. The front gate and the back gate for playground space #5 has approximately four to five inch gaps. .0605(g) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. There is fencing missing on space #5, the playground for school-age children. The fencing has been replaced with lattice that is less than four feet in height and the lattice has mostly detached from the building to allow for an opening to walk outside the fenced area. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There was a gallon of bleach in an unlocked cabinet in space #3, the classroom with two and three year old children. There was a gallon of bleach stored on top of the refrigerator in space #6, the classroom with school-age children. There was an aerosol disinfectant in space #6 unlocked and located under a shelf. In space #4, there was a lysol disinfectant located in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Aerosol sunscreen was stored in an unlocked bookbag and in a cabinet in space #4. Aerosol sunscreen was stored unlocked in space #3. Little Remedies saline mist was stored unlocked in a cabinet next to the changing table and lotion was on top of a shelf accessible to children in space #4. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, the classroom with two and three year old children, there was a Desitin diaper cream that had an expired medication authorization form from 10/25/24. Also in space #3, there was a sunscreen and a diaper rash cream that did not have a medication authorization form and the teacher stated that the medications had not been sent home. In space #5, the classroom with infant and one year old children, there were two children's ibuprofen, one orajel, one diaper rash paste, and saline spray drops that did not have a medication authorization form and the teacher stated the medication had not been sent home. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic garbage bags full of materials were stored through the hallway floor and pathway to the classrooms. In space #3, the classroom with two and three year old children, there were two mats stored in a plastic garbage bag on the floor. Grape tomatoes were served to children in space #3, the classroom with two and three year old children. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #5, the classroom with infants and one year old children, there was no documentation of visually checking on sleeping infants aged 12 months or younger. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in space #5, the classroom with infant and one year old children. .0606(b) 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. A hot glue gun was stored unplugged less than five feet from the floor and accessible to children. .0604(e) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. All staff did not have an updated health questionnaire on file. The last HQ was completed on 7/12/23. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. All staff did not have updated emergency information on file. The last dated emergency information for each staff was dated 7/12/23. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One (1) employee C.L. CBC qualification expired on 11/7/24. A valid recheck was issued on 11/12/24. A CBC must be completed prior to the expiration. G.S. 110-90.2(b) & .2703(n)&(o) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. No staff completed annual in-service training since May 2024. .1103(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was practiced on 5/16/24 and a shelter in place was practiced on 9/29/24, which is greater than three (3) months apart. .0604(u);.0302(d)(8) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. No smoking and tobacco restriction was not posted at the entrance of the center. .0604(i) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff member A.F. did not complete Health and Safety training by 7/24/24. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. 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 5/15/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck 151 Creekview Rd Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Technical Assistance for Compliance – rule references can be found in the cited violations * A fire inspection is to be completed once every 12 months. Recommend creating a reminder process to ensure the Fire Marshall is contacted prior to the month of the previous fire inspection. *Several hazardous products to include medication, lotion and cleaning supplies were not stored appropriately. Recommend creating a daily checklist and reviewing this with staff to ensure all hazardous products including those under pressure are stored in a locked storage. *Recommend providing a staff record checklist in each’s staff file to ensure all staff have accurate paperwork on file. This form can be located on the Division’s website at www.ncchildcare.ncdhhs.gov under provider documents. Required in-service training is to be completed annually and Health/Safety training is to be completed every five (5) years. *Safe sleep checks must be completed daily and maintained on file for thirty (30) days. Discuss this with all staff that work in a classroom with children 12 months of age and younger. Create a system where the safe sleep checks are stored for up to thirty (30) days. Recommend reaching out to the Birth-Kindergarten Specialist, Hope Buckner for assistance as needed at Buckner.Hope@swcdcinc.org. *Medication must be returned within 72 hours after the course of treatment. Recommend assigning a staff member to oversee medication administration in the facility. Permission to administer medication, which includes sunscreen, diaper ointments and saline solutions is required to accompany each medication. The permission form must indicate a valid time period in which the medication is to be administered, such as up to a year for non-prescription topical ointments, up to six months for chronic medications and for the course of treatment of a medication. *There are several gaps in the railing at the preschool and fencing throughout both fenced spaces. Gaps must be less than 3 ½” or greater than 9” to prevent entrapments. This is a safety concern. Recommend contacting a fencing professional that can enclose the gaps throughout the outdoor area. Lattice or additional pickets can be added to the railing to ensure there are no entrapments. *Sanitation - The areas in the buildings poor repaired must be repaired and meet sanitation requirements. We discussed that you have a grant for the school-age classroom to repair the roof which have caused a lot of leaking and water damage. *The four foot fencing is required as a safety measure to ensure children have a safe place to play. A fence at least four feet in height needs to be added between the building gap and the rest of the fencing on playground space #5. *The screen time log was provided to you during the visit today. The log can be used for individual screen time or large group screen time activities. The activity plan can also be used for large group screen time activities. Consultation is provided as follows: *It was observed that parents were driving up to the building to pick up their child. Per the center’s departure procedures, parents or the responsible individual is to come to the door or gate to pick up their child. Parents are to walk their child into the building and sign in at arrival. It is important the operator follows the written policies to ensure children are safe at all times. If the center’s arrival and departure policies are no longer accurate, a new policy is required. *Emergency medical care, EPR review staff evaluations and professional development plans must be completed with all staff no later than 5/15/25. *There is concern regarding the amount of storage located in the hallway/corridors. Per fire codes no storage of clothing/personal effects are to be located in corridors & lobbies. *Please make sure staff and training worksheets are completed prior to an upcoming annual compliance visit. This tracking system assists you with ensuring adequate paperwork is on file and assists the consultant to conduct the audit timely. The child care consultant provides an email with the information and notice of the upcoming visit annually. *The Challenging Behaviors Helpline flyer was provided to you today during the visit. We discussed that there are challenging behaviors with school-age children that you would like some help with solutions. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 monica.houck@dhhs.nc.gov or 828.273-4569, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0302 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/1/2025 Number Present: 33 Completed Date: 5/1/2025 Age: From 0 To 11 Total Minutes: 365 Time In: 10:25 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Bonnie Mathis, Licensing Supervisor, accompanied me on the visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Monica Houck, Lead Child Care Consultant and Bonnie Mathis, Licensing Supervisor, and also signed by Cindy Day, Administrator, during the visit. A signed copy of the visit summary was left on-site for you. Cindy Day, Administrator, was on-site and available to answer and ask questions. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78%) percent as of 4/30/25. The child care facility is operated as a sole proprietorship with Cindy Day as the sole proprietor. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Permit type – Four Star License dated 7/17/19, capacity of one hundred (100) children ages 0-12 years. Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios, meets enhanced space, and approved for transportation. The last fire drill was practiced on 4/8/25. The last shelter-in-place drill was practiced on 4/10/25. The last playground inspection was documented in April 2025. The last fire inspection was approved on 9/20/24 for daytime care only. The previously approved fire inspection was 7/3/23. The last sanitation inspection was conducted on 11/18/24 with twenty-one (21) demerits for a Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/10/24 with no hazards. The staff and training worksheet was not available today. A full review of all staff files was conducted; however, a document was not created to capture all the information. Children were observed in free play, large group activities, routine care, lunch, and rest time. The lunch today was cheese lasagna, lettuce, grape tomatoes, applesauce, a roll, and milk. You stated the last transportation for children occurred around four years ago. You have requested to no longer be approved for transportation. During the visit, transportation was deselected in the Regulatory system and the child care facility is no longer approved for transportation. If you request to be approved for transportation in the future, you will need to contact the child care consultant with at least a thirty days notice and the consultant will need to make a visit to the child care facility to determine if the facility can be approved for transporation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on 9/20/24, which was more than 12 months from the previous inspection that was completed on 7/3/23. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Sixteen of nineteen children had documented times of arrival from spaces #2, #3, and #5. 10A NCAC 09 .0302(d)(4) 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. In space #6, the classroom for school-age children, the staff/child ratios chart was not posted. .0713(a)(10), (c) & (f)(3); .2818(e) 428 A current activity plan was not posted for each group of children for reference. In space #2, the classroom with four and five year old children, the activity plan was dated 11/11/24 through 11/16/24. GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. The teacher in space #2, the classroom with four and five year old children, stated she offers screen time daily prior to lunch. Screen time was not documented on a log or activity plan. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The posted menu was dated 8/19/24 through 8/23/24. 10A NCAC 09 .0901(b) 542 The written feeding plan was not modified as the child's needs changed. There was a written feeding plan for an infant dated 9/20/24 and has not been modified as the child's needs changed. The teacher stated the infant is now eating baby food and was not documented on the written feeding plan. 10 NCAC 09 .0902(a) 544 Screen time was offered to children under three years of age. In space #3, the classroom with two and three year old children, screen time with children's song videos was offered through the teacher's cell phone from approximately 11:05am to 11:15am prior to lunch. .0510(f) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Per the sanitation inspection dated 11/18/24 and through observations today: there were ceilings stained in all rooms and bathrooms; there were ceiling leaks present in multiple rooms and all bathrooms; the bathroom ceiling material was falling in space #3, the classroom with two and three year old children; there was ceiling stripping in the infant room; there is a large hole in the ceiling in the laundry room and above the handwash sink in space #2, the classroom with four and five year old children; the carpet in space #6, the classroom with school-age children, is dirty and damaged; the vinyl floor in space #6 is damaged; walls in multiple areas around both buildings, inside and outside, are damaged; there is a hole present around plumbing in the bathroom floor in space #6; and there are holes in the wall behind and above the changing table in space #5, the classroom with infant and one year old children. 15A NCAC 18A .2825(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. There are multiple areas in the decking, outdoor space #4 that slats are missing causing approximately six inches of space between slats. The front gate and the back gate for playground space #5 has approximately four to five inch gaps. .0605(g) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. There is fencing missing on space #5, the playground for school-age children. The fencing has been replaced with lattice that is less than four feet in height and the lattice has mostly detached from the building to allow for an opening to walk outside the fenced area. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There was a gallon of bleach in an unlocked cabinet in space #3, the classroom with two and three year old children. There was a gallon of bleach stored on top of the refrigerator in space #6, the classroom with school-age children. There was an aerosol disinfectant in space #6 unlocked and located under a shelf. In space #4, there was a lysol disinfectant located in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Aerosol sunscreen was stored in an unlocked bookbag and in a cabinet in space #4. Aerosol sunscreen was stored unlocked in space #3. Little Remedies saline mist was stored unlocked in a cabinet next to the changing table and lotion was on top of a shelf accessible to children in space #4. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, the classroom with two and three year old children, there was a Desitin diaper cream that had an expired medication authorization form from 10/25/24. Also in space #3, there was a sunscreen and a diaper rash cream that did not have a medication authorization form and the teacher stated that the medications had not been sent home. In space #5, the classroom with infant and one year old children, there were two children's ibuprofen, one orajel, one diaper rash paste, and saline spray drops that did not have a medication authorization form and the teacher stated the medication had not been sent home. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic garbage bags full of materials were stored through the hallway floor and pathway to the classrooms. In space #3, the classroom with two and three year old children, there were two mats stored in a plastic garbage bag on the floor. Grape tomatoes were served to children in space #3, the classroom with two and three year old children. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #5, the classroom with infants and one year old children, there was no documentation of visually checking on sleeping infants aged 12 months or younger. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in space #5, the classroom with infant and one year old children. .0606(b) 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. A hot glue gun was stored unplugged less than five feet from the floor and accessible to children. .0604(e) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. All staff did not have an updated health questionnaire on file. The last HQ was completed on 7/12/23. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. All staff did not have updated emergency information on file. The last dated emergency information for each staff was dated 7/12/23. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One (1) employee C.L. CBC qualification expired on 11/7/24. A valid recheck was issued on 11/12/24. A CBC must be completed prior to the expiration. G.S. 110-90.2(b) & .2703(n)&(o) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. No staff completed annual in-service training since May 2024. .1103(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was practiced on 5/16/24 and a shelter in place was practiced on 9/29/24, which is greater than three (3) months apart. .0604(u);.0302(d)(8) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. No smoking and tobacco restriction was not posted at the entrance of the center. .0604(i) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff member A.F. did not complete Health and Safety training by 7/24/24. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. 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 5/15/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck 151 Creekview Rd Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Technical Assistance for Compliance – rule references can be found in the cited violations * A fire inspection is to be completed once every 12 months. Recommend creating a reminder process to ensure the Fire Marshall is contacted prior to the month of the previous fire inspection. *Several hazardous products to include medication, lotion and cleaning supplies were not stored appropriately. Recommend creating a daily checklist and reviewing this with staff to ensure all hazardous products including those under pressure are stored in a locked storage. *Recommend providing a staff record checklist in each’s staff file to ensure all staff have accurate paperwork on file. This form can be located on the Division’s website at www.ncchildcare.ncdhhs.gov under provider documents. Required in-service training is to be completed annually and Health/Safety training is to be completed every five (5) years. *Safe sleep checks must be completed daily and maintained on file for thirty (30) days. Discuss this with all staff that work in a classroom with children 12 months of age and younger. Create a system where the safe sleep checks are stored for up to thirty (30) days. Recommend reaching out to the Birth-Kindergarten Specialist, Hope Buckner for assistance as needed at Buckner.Hope@swcdcinc.org. *Medication must be returned within 72 hours after the course of treatment. Recommend assigning a staff member to oversee medication administration in the facility. Permission to administer medication, which includes sunscreen, diaper ointments and saline solutions is required to accompany each medication. The permission form must indicate a valid time period in which the medication is to be administered, such as up to a year for non-prescription topical ointments, up to six months for chronic medications and for the course of treatment of a medication. *There are several gaps in the railing at the preschool and fencing throughout both fenced spaces. Gaps must be less than 3 ½” or greater than 9” to prevent entrapments. This is a safety concern. Recommend contacting a fencing professional that can enclose the gaps throughout the outdoor area. Lattice or additional pickets can be added to the railing to ensure there are no entrapments. *Sanitation - The areas in the buildings poor repaired must be repaired and meet sanitation requirements. We discussed that you have a grant for the school-age classroom to repair the roof which have caused a lot of leaking and water damage. *The four foot fencing is required as a safety measure to ensure children have a safe place to play. A fence at least four feet in height needs to be added between the building gap and the rest of the fencing on playground space #5. *The screen time log was provided to you during the visit today. The log can be used for individual screen time or large group screen time activities. The activity plan can also be used for large group screen time activities. Consultation is provided as follows: *It was observed that parents were driving up to the building to pick up their child. Per the center’s departure procedures, parents or the responsible individual is to come to the door or gate to pick up their child. Parents are to walk their child into the building and sign in at arrival. It is important the operator follows the written policies to ensure children are safe at all times. If the center’s arrival and departure policies are no longer accurate, a new policy is required. *Emergency medical care, EPR review staff evaluations and professional development plans must be completed with all staff no later than 5/15/25. *There is concern regarding the amount of storage located in the hallway/corridors. Per fire codes no storage of clothing/personal effects are to be located in corridors & lobbies. *Please make sure staff and training worksheets are completed prior to an upcoming annual compliance visit. This tracking system assists you with ensuring adequate paperwork is on file and assists the consultant to conduct the audit timely. The child care consultant provides an email with the information and notice of the upcoming visit annually. *The Challenging Behaviors Helpline flyer was provided to you today during the visit. We discussed that there are challenging behaviors with school-age children that you would like some help with solutions. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 monica.houck@dhhs.nc.gov or 828.273-4569, 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: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/1/2025 Number Present: 33 Completed Date: 5/1/2025 Age: From 0 To 11 Total Minutes: 365 Time In: 10:25 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Bonnie Mathis, Licensing Supervisor, accompanied me on the visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Monica Houck, Lead Child Care Consultant and Bonnie Mathis, Licensing Supervisor, and also signed by Cindy Day, Administrator, during the visit. A signed copy of the visit summary was left on-site for you. Cindy Day, Administrator, was on-site and available to answer and ask questions. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78%) percent as of 4/30/25. The child care facility is operated as a sole proprietorship with Cindy Day as the sole proprietor. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Permit type – Four Star License dated 7/17/19, capacity of one hundred (100) children ages 0-12 years. Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios, meets enhanced space, and approved for transportation. The last fire drill was practiced on 4/8/25. The last shelter-in-place drill was practiced on 4/10/25. The last playground inspection was documented in April 2025. The last fire inspection was approved on 9/20/24 for daytime care only. The previously approved fire inspection was 7/3/23. The last sanitation inspection was conducted on 11/18/24 with twenty-one (21) demerits for a Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/10/24 with no hazards. The staff and training worksheet was not available today. A full review of all staff files was conducted; however, a document was not created to capture all the information. Children were observed in free play, large group activities, routine care, lunch, and rest time. The lunch today was cheese lasagna, lettuce, grape tomatoes, applesauce, a roll, and milk. You stated the last transportation for children occurred around four years ago. You have requested to no longer be approved for transportation. During the visit, transportation was deselected in the Regulatory system and the child care facility is no longer approved for transportation. If you request to be approved for transportation in the future, you will need to contact the child care consultant with at least a thirty days notice and the consultant will need to make a visit to the child care facility to determine if the facility can be approved for transporation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on 9/20/24, which was more than 12 months from the previous inspection that was completed on 7/3/23. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Sixteen of nineteen children had documented times of arrival from spaces #2, #3, and #5. 10A NCAC 09 .0302(d)(4) 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. In space #6, the classroom for school-age children, the staff/child ratios chart was not posted. .0713(a)(10), (c) & (f)(3); .2818(e) 428 A current activity plan was not posted for each group of children for reference. In space #2, the classroom with four and five year old children, the activity plan was dated 11/11/24 through 11/16/24. GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. The teacher in space #2, the classroom with four and five year old children, stated she offers screen time daily prior to lunch. Screen time was not documented on a log or activity plan. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The posted menu was dated 8/19/24 through 8/23/24. 10A NCAC 09 .0901(b) 542 The written feeding plan was not modified as the child's needs changed. There was a written feeding plan for an infant dated 9/20/24 and has not been modified as the child's needs changed. The teacher stated the infant is now eating baby food and was not documented on the written feeding plan. 10 NCAC 09 .0902(a) 544 Screen time was offered to children under three years of age. In space #3, the classroom with two and three year old children, screen time with children's song videos was offered through the teacher's cell phone from approximately 11:05am to 11:15am prior to lunch. .0510(f) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Per the sanitation inspection dated 11/18/24 and through observations today: there were ceilings stained in all rooms and bathrooms; there were ceiling leaks present in multiple rooms and all bathrooms; the bathroom ceiling material was falling in space #3, the classroom with two and three year old children; there was ceiling stripping in the infant room; there is a large hole in the ceiling in the laundry room and above the handwash sink in space #2, the classroom with four and five year old children; the carpet in space #6, the classroom with school-age children, is dirty and damaged; the vinyl floor in space #6 is damaged; walls in multiple areas around both buildings, inside and outside, are damaged; there is a hole present around plumbing in the bathroom floor in space #6; and there are holes in the wall behind and above the changing table in space #5, the classroom with infant and one year old children. 15A NCAC 18A .2825(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. There are multiple areas in the decking, outdoor space #4 that slats are missing causing approximately six inches of space between slats. The front gate and the back gate for playground space #5 has approximately four to five inch gaps. .0605(g) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. There is fencing missing on space #5, the playground for school-age children. The fencing has been replaced with lattice that is less than four feet in height and the lattice has mostly detached from the building to allow for an opening to walk outside the fenced area. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There was a gallon of bleach in an unlocked cabinet in space #3, the classroom with two and three year old children. There was a gallon of bleach stored on top of the refrigerator in space #6, the classroom with school-age children. There was an aerosol disinfectant in space #6 unlocked and located under a shelf. In space #4, there was a lysol disinfectant located in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Aerosol sunscreen was stored in an unlocked bookbag and in a cabinet in space #4. Aerosol sunscreen was stored unlocked in space #3. Little Remedies saline mist was stored unlocked in a cabinet next to the changing table and lotion was on top of a shelf accessible to children in space #4. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, the classroom with two and three year old children, there was a Desitin diaper cream that had an expired medication authorization form from 10/25/24. Also in space #3, there was a sunscreen and a diaper rash cream that did not have a medication authorization form and the teacher stated that the medications had not been sent home. In space #5, the classroom with infant and one year old children, there were two children's ibuprofen, one orajel, one diaper rash paste, and saline spray drops that did not have a medication authorization form and the teacher stated the medication had not been sent home. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic garbage bags full of materials were stored through the hallway floor and pathway to the classrooms. In space #3, the classroom with two and three year old children, there were two mats stored in a plastic garbage bag on the floor. Grape tomatoes were served to children in space #3, the classroom with two and three year old children. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #5, the classroom with infants and one year old children, there was no documentation of visually checking on sleeping infants aged 12 months or younger. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in space #5, the classroom with infant and one year old children. .0606(b) 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. A hot glue gun was stored unplugged less than five feet from the floor and accessible to children. .0604(e) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. All staff did not have an updated health questionnaire on file. The last HQ was completed on 7/12/23. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. All staff did not have updated emergency information on file. The last dated emergency information for each staff was dated 7/12/23. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One (1) employee C.L. CBC qualification expired on 11/7/24. A valid recheck was issued on 11/12/24. A CBC must be completed prior to the expiration. G.S. 110-90.2(b) & .2703(n)&(o) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. No staff completed annual in-service training since May 2024. .1103(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was practiced on 5/16/24 and a shelter in place was practiced on 9/29/24, which is greater than three (3) months apart. .0604(u);.0302(d)(8) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. No smoking and tobacco restriction was not posted at the entrance of the center. .0604(i) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff member A.F. did not complete Health and Safety training by 7/24/24. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. 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 5/15/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck 151 Creekview Rd Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Technical Assistance for Compliance – rule references can be found in the cited violations * A fire inspection is to be completed once every 12 months. Recommend creating a reminder process to ensure the Fire Marshall is contacted prior to the month of the previous fire inspection. *Several hazardous products to include medication, lotion and cleaning supplies were not stored appropriately. Recommend creating a daily checklist and reviewing this with staff to ensure all hazardous products including those under pressure are stored in a locked storage. *Recommend providing a staff record checklist in each’s staff file to ensure all staff have accurate paperwork on file. This form can be located on the Division’s website at www.ncchildcare.ncdhhs.gov under provider documents. Required in-service training is to be completed annually and Health/Safety training is to be completed every five (5) years. *Safe sleep checks must be completed daily and maintained on file for thirty (30) days. Discuss this with all staff that work in a classroom with children 12 months of age and younger. Create a system where the safe sleep checks are stored for up to thirty (30) days. Recommend reaching out to the Birth-Kindergarten Specialist, Hope Buckner for assistance as needed at Buckner.Hope@swcdcinc.org. *Medication must be returned within 72 hours after the course of treatment. Recommend assigning a staff member to oversee medication administration in the facility. Permission to administer medication, which includes sunscreen, diaper ointments and saline solutions is required to accompany each medication. The permission form must indicate a valid time period in which the medication is to be administered, such as up to a year for non-prescription topical ointments, up to six months for chronic medications and for the course of treatment of a medication. *There are several gaps in the railing at the preschool and fencing throughout both fenced spaces. Gaps must be less than 3 ½” or greater than 9” to prevent entrapments. This is a safety concern. Recommend contacting a fencing professional that can enclose the gaps throughout the outdoor area. Lattice or additional pickets can be added to the railing to ensure there are no entrapments. *Sanitation - The areas in the buildings poor repaired must be repaired and meet sanitation requirements. We discussed that you have a grant for the school-age classroom to repair the roof which have caused a lot of leaking and water damage. *The four foot fencing is required as a safety measure to ensure children have a safe place to play. A fence at least four feet in height needs to be added between the building gap and the rest of the fencing on playground space #5. *The screen time log was provided to you during the visit today. The log can be used for individual screen time or large group screen time activities. The activity plan can also be used for large group screen time activities. Consultation is provided as follows: *It was observed that parents were driving up to the building to pick up their child. Per the center’s departure procedures, parents or the responsible individual is to come to the door or gate to pick up their child. Parents are to walk their child into the building and sign in at arrival. It is important the operator follows the written policies to ensure children are safe at all times. If the center’s arrival and departure policies are no longer accurate, a new policy is required. *Emergency medical care, EPR review staff evaluations and professional development plans must be completed with all staff no later than 5/15/25. *There is concern regarding the amount of storage located in the hallway/corridors. Per fire codes no storage of clothing/personal effects are to be located in corridors & lobbies. *Please make sure staff and training worksheets are completed prior to an upcoming annual compliance visit. This tracking system assists you with ensuring adequate paperwork is on file and assists the consultant to conduct the audit timely. The child care consultant provides an email with the information and notice of the upcoming visit annually. *The Challenging Behaviors Helpline flyer was provided to you today during the visit. We discussed that there are challenging behaviors with school-age children that you would like some help with solutions. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 monica.houck@dhhs.nc.gov or 828.273-4569, 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: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/1/2025 Number Present: 33 Completed Date: 5/1/2025 Age: From 0 To 11 Total Minutes: 365 Time In: 10:25 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Bonnie Mathis, Licensing Supervisor, accompanied me on the visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Monica Houck, Lead Child Care Consultant and Bonnie Mathis, Licensing Supervisor, and also signed by Cindy Day, Administrator, during the visit. A signed copy of the visit summary was left on-site for you. Cindy Day, Administrator, was on-site and available to answer and ask questions. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78%) percent as of 4/30/25. The child care facility is operated as a sole proprietorship with Cindy Day as the sole proprietor. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Permit type – Four Star License dated 7/17/19, capacity of one hundred (100) children ages 0-12 years. Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios, meets enhanced space, and approved for transportation. The last fire drill was practiced on 4/8/25. The last shelter-in-place drill was practiced on 4/10/25. The last playground inspection was documented in April 2025. The last fire inspection was approved on 9/20/24 for daytime care only. The previously approved fire inspection was 7/3/23. The last sanitation inspection was conducted on 11/18/24 with twenty-one (21) demerits for a Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/10/24 with no hazards. The staff and training worksheet was not available today. A full review of all staff files was conducted; however, a document was not created to capture all the information. Children were observed in free play, large group activities, routine care, lunch, and rest time. The lunch today was cheese lasagna, lettuce, grape tomatoes, applesauce, a roll, and milk. You stated the last transportation for children occurred around four years ago. You have requested to no longer be approved for transportation. During the visit, transportation was deselected in the Regulatory system and the child care facility is no longer approved for transportation. If you request to be approved for transportation in the future, you will need to contact the child care consultant with at least a thirty days notice and the consultant will need to make a visit to the child care facility to determine if the facility can be approved for transporation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on 9/20/24, which was more than 12 months from the previous inspection that was completed on 7/3/23. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Sixteen of nineteen children had documented times of arrival from spaces #2, #3, and #5. 10A NCAC 09 .0302(d)(4) 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. In space #6, the classroom for school-age children, the staff/child ratios chart was not posted. .0713(a)(10), (c) & (f)(3); .2818(e) 428 A current activity plan was not posted for each group of children for reference. In space #2, the classroom with four and five year old children, the activity plan was dated 11/11/24 through 11/16/24. GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. The teacher in space #2, the classroom with four and five year old children, stated she offers screen time daily prior to lunch. Screen time was not documented on a log or activity plan. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The posted menu was dated 8/19/24 through 8/23/24. 10A NCAC 09 .0901(b) 542 The written feeding plan was not modified as the child's needs changed. There was a written feeding plan for an infant dated 9/20/24 and has not been modified as the child's needs changed. The teacher stated the infant is now eating baby food and was not documented on the written feeding plan. 10 NCAC 09 .0902(a) 544 Screen time was offered to children under three years of age. In space #3, the classroom with two and three year old children, screen time with children's song videos was offered through the teacher's cell phone from approximately 11:05am to 11:15am prior to lunch. .0510(f) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Per the sanitation inspection dated 11/18/24 and through observations today: there were ceilings stained in all rooms and bathrooms; there were ceiling leaks present in multiple rooms and all bathrooms; the bathroom ceiling material was falling in space #3, the classroom with two and three year old children; there was ceiling stripping in the infant room; there is a large hole in the ceiling in the laundry room and above the handwash sink in space #2, the classroom with four and five year old children; the carpet in space #6, the classroom with school-age children, is dirty and damaged; the vinyl floor in space #6 is damaged; walls in multiple areas around both buildings, inside and outside, are damaged; there is a hole present around plumbing in the bathroom floor in space #6; and there are holes in the wall behind and above the changing table in space #5, the classroom with infant and one year old children. 15A NCAC 18A .2825(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. There are multiple areas in the decking, outdoor space #4 that slats are missing causing approximately six inches of space between slats. The front gate and the back gate for playground space #5 has approximately four to five inch gaps. .0605(g) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. There is fencing missing on space #5, the playground for school-age children. The fencing has been replaced with lattice that is less than four feet in height and the lattice has mostly detached from the building to allow for an opening to walk outside the fenced area. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There was a gallon of bleach in an unlocked cabinet in space #3, the classroom with two and three year old children. There was a gallon of bleach stored on top of the refrigerator in space #6, the classroom with school-age children. There was an aerosol disinfectant in space #6 unlocked and located under a shelf. In space #4, there was a lysol disinfectant located in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Aerosol sunscreen was stored in an unlocked bookbag and in a cabinet in space #4. Aerosol sunscreen was stored unlocked in space #3. Little Remedies saline mist was stored unlocked in a cabinet next to the changing table and lotion was on top of a shelf accessible to children in space #4. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, the classroom with two and three year old children, there was a Desitin diaper cream that had an expired medication authorization form from 10/25/24. Also in space #3, there was a sunscreen and a diaper rash cream that did not have a medication authorization form and the teacher stated that the medications had not been sent home. In space #5, the classroom with infant and one year old children, there were two children's ibuprofen, one orajel, one diaper rash paste, and saline spray drops that did not have a medication authorization form and the teacher stated the medication had not been sent home. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic garbage bags full of materials were stored through the hallway floor and pathway to the classrooms. In space #3, the classroom with two and three year old children, there were two mats stored in a plastic garbage bag on the floor. Grape tomatoes were served to children in space #3, the classroom with two and three year old children. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #5, the classroom with infants and one year old children, there was no documentation of visually checking on sleeping infants aged 12 months or younger. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in space #5, the classroom with infant and one year old children. .0606(b) 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. A hot glue gun was stored unplugged less than five feet from the floor and accessible to children. .0604(e) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. All staff did not have an updated health questionnaire on file. The last HQ was completed on 7/12/23. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. All staff did not have updated emergency information on file. The last dated emergency information for each staff was dated 7/12/23. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One (1) employee C.L. CBC qualification expired on 11/7/24. A valid recheck was issued on 11/12/24. A CBC must be completed prior to the expiration. G.S. 110-90.2(b) & .2703(n)&(o) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. No staff completed annual in-service training since May 2024. .1103(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was practiced on 5/16/24 and a shelter in place was practiced on 9/29/24, which is greater than three (3) months apart. .0604(u);.0302(d)(8) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. No smoking and tobacco restriction was not posted at the entrance of the center. .0604(i) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff member A.F. did not complete Health and Safety training by 7/24/24. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. 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 5/15/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck 151 Creekview Rd Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Technical Assistance for Compliance – rule references can be found in the cited violations * A fire inspection is to be completed once every 12 months. Recommend creating a reminder process to ensure the Fire Marshall is contacted prior to the month of the previous fire inspection. *Several hazardous products to include medication, lotion and cleaning supplies were not stored appropriately. Recommend creating a daily checklist and reviewing this with staff to ensure all hazardous products including those under pressure are stored in a locked storage. *Recommend providing a staff record checklist in each’s staff file to ensure all staff have accurate paperwork on file. This form can be located on the Division’s website at www.ncchildcare.ncdhhs.gov under provider documents. Required in-service training is to be completed annually and Health/Safety training is to be completed every five (5) years. *Safe sleep checks must be completed daily and maintained on file for thirty (30) days. Discuss this with all staff that work in a classroom with children 12 months of age and younger. Create a system where the safe sleep checks are stored for up to thirty (30) days. Recommend reaching out to the Birth-Kindergarten Specialist, Hope Buckner for assistance as needed at Buckner.Hope@swcdcinc.org. *Medication must be returned within 72 hours after the course of treatment. Recommend assigning a staff member to oversee medication administration in the facility. Permission to administer medication, which includes sunscreen, diaper ointments and saline solutions is required to accompany each medication. The permission form must indicate a valid time period in which the medication is to be administered, such as up to a year for non-prescription topical ointments, up to six months for chronic medications and for the course of treatment of a medication. *There are several gaps in the railing at the preschool and fencing throughout both fenced spaces. Gaps must be less than 3 ½” or greater than 9” to prevent entrapments. This is a safety concern. Recommend contacting a fencing professional that can enclose the gaps throughout the outdoor area. Lattice or additional pickets can be added to the railing to ensure there are no entrapments. *Sanitation - The areas in the buildings poor repaired must be repaired and meet sanitation requirements. We discussed that you have a grant for the school-age classroom to repair the roof which have caused a lot of leaking and water damage. *The four foot fencing is required as a safety measure to ensure children have a safe place to play. A fence at least four feet in height needs to be added between the building gap and the rest of the fencing on playground space #5. *The screen time log was provided to you during the visit today. The log can be used for individual screen time or large group screen time activities. The activity plan can also be used for large group screen time activities. Consultation is provided as follows: *It was observed that parents were driving up to the building to pick up their child. Per the center’s departure procedures, parents or the responsible individual is to come to the door or gate to pick up their child. Parents are to walk their child into the building and sign in at arrival. It is important the operator follows the written policies to ensure children are safe at all times. If the center’s arrival and departure policies are no longer accurate, a new policy is required. *Emergency medical care, EPR review staff evaluations and professional development plans must be completed with all staff no later than 5/15/25. *There is concern regarding the amount of storage located in the hallway/corridors. Per fire codes no storage of clothing/personal effects are to be located in corridors & lobbies. *Please make sure staff and training worksheets are completed prior to an upcoming annual compliance visit. This tracking system assists you with ensuring adequate paperwork is on file and assists the consultant to conduct the audit timely. The child care consultant provides an email with the information and notice of the upcoming visit annually. *The Challenging Behaviors Helpline flyer was provided to you today during the visit. We discussed that there are challenging behaviors with school-age children that you would like some help with solutions. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 monica.houck@dhhs.nc.gov or 828.273-4569, 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: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/1/2025 Number Present: 33 Completed Date: 5/1/2025 Age: From 0 To 11 Total Minutes: 365 Time In: 10:25 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Bonnie Mathis, Licensing Supervisor, accompanied me on the visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Monica Houck, Lead Child Care Consultant and Bonnie Mathis, Licensing Supervisor, and also signed by Cindy Day, Administrator, during the visit. A signed copy of the visit summary was left on-site for you. Cindy Day, Administrator, was on-site and available to answer and ask questions. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78%) percent as of 4/30/25. The child care facility is operated as a sole proprietorship with Cindy Day as the sole proprietor. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Permit type – Four Star License dated 7/17/19, capacity of one hundred (100) children ages 0-12 years. Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios, meets enhanced space, and approved for transportation. The last fire drill was practiced on 4/8/25. The last shelter-in-place drill was practiced on 4/10/25. The last playground inspection was documented in April 2025. The last fire inspection was approved on 9/20/24 for daytime care only. The previously approved fire inspection was 7/3/23. The last sanitation inspection was conducted on 11/18/24 with twenty-one (21) demerits for a Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/10/24 with no hazards. The staff and training worksheet was not available today. A full review of all staff files was conducted; however, a document was not created to capture all the information. Children were observed in free play, large group activities, routine care, lunch, and rest time. The lunch today was cheese lasagna, lettuce, grape tomatoes, applesauce, a roll, and milk. You stated the last transportation for children occurred around four years ago. You have requested to no longer be approved for transportation. During the visit, transportation was deselected in the Regulatory system and the child care facility is no longer approved for transportation. If you request to be approved for transportation in the future, you will need to contact the child care consultant with at least a thirty days notice and the consultant will need to make a visit to the child care facility to determine if the facility can be approved for transporation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on 9/20/24, which was more than 12 months from the previous inspection that was completed on 7/3/23. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Sixteen of nineteen children had documented times of arrival from spaces #2, #3, and #5. 10A NCAC 09 .0302(d)(4) 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. In space #6, the classroom for school-age children, the staff/child ratios chart was not posted. .0713(a)(10), (c) & (f)(3); .2818(e) 428 A current activity plan was not posted for each group of children for reference. In space #2, the classroom with four and five year old children, the activity plan was dated 11/11/24 through 11/16/24. GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. The teacher in space #2, the classroom with four and five year old children, stated she offers screen time daily prior to lunch. Screen time was not documented on a log or activity plan. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The posted menu was dated 8/19/24 through 8/23/24. 10A NCAC 09 .0901(b) 542 The written feeding plan was not modified as the child's needs changed. There was a written feeding plan for an infant dated 9/20/24 and has not been modified as the child's needs changed. The teacher stated the infant is now eating baby food and was not documented on the written feeding plan. 10 NCAC 09 .0902(a) 544 Screen time was offered to children under three years of age. In space #3, the classroom with two and three year old children, screen time with children's song videos was offered through the teacher's cell phone from approximately 11:05am to 11:15am prior to lunch. .0510(f) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Per the sanitation inspection dated 11/18/24 and through observations today: there were ceilings stained in all rooms and bathrooms; there were ceiling leaks present in multiple rooms and all bathrooms; the bathroom ceiling material was falling in space #3, the classroom with two and three year old children; there was ceiling stripping in the infant room; there is a large hole in the ceiling in the laundry room and above the handwash sink in space #2, the classroom with four and five year old children; the carpet in space #6, the classroom with school-age children, is dirty and damaged; the vinyl floor in space #6 is damaged; walls in multiple areas around both buildings, inside and outside, are damaged; there is a hole present around plumbing in the bathroom floor in space #6; and there are holes in the wall behind and above the changing table in space #5, the classroom with infant and one year old children. 15A NCAC 18A .2825(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. There are multiple areas in the decking, outdoor space #4 that slats are missing causing approximately six inches of space between slats. The front gate and the back gate for playground space #5 has approximately four to five inch gaps. .0605(g) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. There is fencing missing on space #5, the playground for school-age children. The fencing has been replaced with lattice that is less than four feet in height and the lattice has mostly detached from the building to allow for an opening to walk outside the fenced area. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There was a gallon of bleach in an unlocked cabinet in space #3, the classroom with two and three year old children. There was a gallon of bleach stored on top of the refrigerator in space #6, the classroom with school-age children. There was an aerosol disinfectant in space #6 unlocked and located under a shelf. In space #4, there was a lysol disinfectant located in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Aerosol sunscreen was stored in an unlocked bookbag and in a cabinet in space #4. Aerosol sunscreen was stored unlocked in space #3. Little Remedies saline mist was stored unlocked in a cabinet next to the changing table and lotion was on top of a shelf accessible to children in space #4. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, the classroom with two and three year old children, there was a Desitin diaper cream that had an expired medication authorization form from 10/25/24. Also in space #3, there was a sunscreen and a diaper rash cream that did not have a medication authorization form and the teacher stated that the medications had not been sent home. In space #5, the classroom with infant and one year old children, there were two children's ibuprofen, one orajel, one diaper rash paste, and saline spray drops that did not have a medication authorization form and the teacher stated the medication had not been sent home. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic garbage bags full of materials were stored through the hallway floor and pathway to the classrooms. In space #3, the classroom with two and three year old children, there were two mats stored in a plastic garbage bag on the floor. Grape tomatoes were served to children in space #3, the classroom with two and three year old children. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #5, the classroom with infants and one year old children, there was no documentation of visually checking on sleeping infants aged 12 months or younger. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in space #5, the classroom with infant and one year old children. .0606(b) 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. A hot glue gun was stored unplugged less than five feet from the floor and accessible to children. .0604(e) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. All staff did not have an updated health questionnaire on file. The last HQ was completed on 7/12/23. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. All staff did not have updated emergency information on file. The last dated emergency information for each staff was dated 7/12/23. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One (1) employee C.L. CBC qualification expired on 11/7/24. A valid recheck was issued on 11/12/24. A CBC must be completed prior to the expiration. G.S. 110-90.2(b) & .2703(n)&(o) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. No staff completed annual in-service training since May 2024. .1103(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was practiced on 5/16/24 and a shelter in place was practiced on 9/29/24, which is greater than three (3) months apart. .0604(u);.0302(d)(8) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. No smoking and tobacco restriction was not posted at the entrance of the center. .0604(i) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff member A.F. did not complete Health and Safety training by 7/24/24. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. 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 5/15/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck 151 Creekview Rd Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Technical Assistance for Compliance – rule references can be found in the cited violations * A fire inspection is to be completed once every 12 months. Recommend creating a reminder process to ensure the Fire Marshall is contacted prior to the month of the previous fire inspection. *Several hazardous products to include medication, lotion and cleaning supplies were not stored appropriately. Recommend creating a daily checklist and reviewing this with staff to ensure all hazardous products including those under pressure are stored in a locked storage. *Recommend providing a staff record checklist in each’s staff file to ensure all staff have accurate paperwork on file. This form can be located on the Division’s website at www.ncchildcare.ncdhhs.gov under provider documents. Required in-service training is to be completed annually and Health/Safety training is to be completed every five (5) years. *Safe sleep checks must be completed daily and maintained on file for thirty (30) days. Discuss this with all staff that work in a classroom with children 12 months of age and younger. Create a system where the safe sleep checks are stored for up to thirty (30) days. Recommend reaching out to the Birth-Kindergarten Specialist, Hope Buckner for assistance as needed at Buckner.Hope@swcdcinc.org. *Medication must be returned within 72 hours after the course of treatment. Recommend assigning a staff member to oversee medication administration in the facility. Permission to administer medication, which includes sunscreen, diaper ointments and saline solutions is required to accompany each medication. The permission form must indicate a valid time period in which the medication is to be administered, such as up to a year for non-prescription topical ointments, up to six months for chronic medications and for the course of treatment of a medication. *There are several gaps in the railing at the preschool and fencing throughout both fenced spaces. Gaps must be less than 3 ½” or greater than 9” to prevent entrapments. This is a safety concern. Recommend contacting a fencing professional that can enclose the gaps throughout the outdoor area. Lattice or additional pickets can be added to the railing to ensure there are no entrapments. *Sanitation - The areas in the buildings poor repaired must be repaired and meet sanitation requirements. We discussed that you have a grant for the school-age classroom to repair the roof which have caused a lot of leaking and water damage. *The four foot fencing is required as a safety measure to ensure children have a safe place to play. A fence at least four feet in height needs to be added between the building gap and the rest of the fencing on playground space #5. *The screen time log was provided to you during the visit today. The log can be used for individual screen time or large group screen time activities. The activity plan can also be used for large group screen time activities. Consultation is provided as follows: *It was observed that parents were driving up to the building to pick up their child. Per the center’s departure procedures, parents or the responsible individual is to come to the door or gate to pick up their child. Parents are to walk their child into the building and sign in at arrival. It is important the operator follows the written policies to ensure children are safe at all times. If the center’s arrival and departure policies are no longer accurate, a new policy is required. *Emergency medical care, EPR review staff evaluations and professional development plans must be completed with all staff no later than 5/15/25. *There is concern regarding the amount of storage located in the hallway/corridors. Per fire codes no storage of clothing/personal effects are to be located in corridors & lobbies. *Please make sure staff and training worksheets are completed prior to an upcoming annual compliance visit. This tracking system assists you with ensuring adequate paperwork is on file and assists the consultant to conduct the audit timely. The child care consultant provides an email with the information and notice of the upcoming visit annually. *The Challenging Behaviors Helpline flyer was provided to you today during the visit. We discussed that there are challenging behaviors with school-age children that you would like some help with solutions. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 monica.houck@dhhs.nc.gov or 828.273-4569, 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: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/1/2025 Number Present: 33 Completed Date: 5/1/2025 Age: From 0 To 11 Total Minutes: 365 Time In: 10:25 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Bonnie Mathis, Licensing Supervisor, accompanied me on the visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Monica Houck, Lead Child Care Consultant and Bonnie Mathis, Licensing Supervisor, and also signed by Cindy Day, Administrator, during the visit. A signed copy of the visit summary was left on-site for you. Cindy Day, Administrator, was on-site and available to answer and ask questions. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78%) percent as of 4/30/25. The child care facility is operated as a sole proprietorship with Cindy Day as the sole proprietor. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Permit type – Four Star License dated 7/17/19, capacity of one hundred (100) children ages 0-12 years. Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios, meets enhanced space, and approved for transportation. The last fire drill was practiced on 4/8/25. The last shelter-in-place drill was practiced on 4/10/25. The last playground inspection was documented in April 2025. The last fire inspection was approved on 9/20/24 for daytime care only. The previously approved fire inspection was 7/3/23. The last sanitation inspection was conducted on 11/18/24 with twenty-one (21) demerits for a Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/10/24 with no hazards. The staff and training worksheet was not available today. A full review of all staff files was conducted; however, a document was not created to capture all the information. Children were observed in free play, large group activities, routine care, lunch, and rest time. The lunch today was cheese lasagna, lettuce, grape tomatoes, applesauce, a roll, and milk. You stated the last transportation for children occurred around four years ago. You have requested to no longer be approved for transportation. During the visit, transportation was deselected in the Regulatory system and the child care facility is no longer approved for transportation. If you request to be approved for transportation in the future, you will need to contact the child care consultant with at least a thirty days notice and the consultant will need to make a visit to the child care facility to determine if the facility can be approved for transporation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on 9/20/24, which was more than 12 months from the previous inspection that was completed on 7/3/23. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Sixteen of nineteen children had documented times of arrival from spaces #2, #3, and #5. 10A NCAC 09 .0302(d)(4) 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. In space #6, the classroom for school-age children, the staff/child ratios chart was not posted. .0713(a)(10), (c) & (f)(3); .2818(e) 428 A current activity plan was not posted for each group of children for reference. In space #2, the classroom with four and five year old children, the activity plan was dated 11/11/24 through 11/16/24. GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. The teacher in space #2, the classroom with four and five year old children, stated she offers screen time daily prior to lunch. Screen time was not documented on a log or activity plan. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The posted menu was dated 8/19/24 through 8/23/24. 10A NCAC 09 .0901(b) 542 The written feeding plan was not modified as the child's needs changed. There was a written feeding plan for an infant dated 9/20/24 and has not been modified as the child's needs changed. The teacher stated the infant is now eating baby food and was not documented on the written feeding plan. 10 NCAC 09 .0902(a) 544 Screen time was offered to children under three years of age. In space #3, the classroom with two and three year old children, screen time with children's song videos was offered through the teacher's cell phone from approximately 11:05am to 11:15am prior to lunch. .0510(f) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Per the sanitation inspection dated 11/18/24 and through observations today: there were ceilings stained in all rooms and bathrooms; there were ceiling leaks present in multiple rooms and all bathrooms; the bathroom ceiling material was falling in space #3, the classroom with two and three year old children; there was ceiling stripping in the infant room; there is a large hole in the ceiling in the laundry room and above the handwash sink in space #2, the classroom with four and five year old children; the carpet in space #6, the classroom with school-age children, is dirty and damaged; the vinyl floor in space #6 is damaged; walls in multiple areas around both buildings, inside and outside, are damaged; there is a hole present around plumbing in the bathroom floor in space #6; and there are holes in the wall behind and above the changing table in space #5, the classroom with infant and one year old children. 15A NCAC 18A .2825(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. There are multiple areas in the decking, outdoor space #4 that slats are missing causing approximately six inches of space between slats. The front gate and the back gate for playground space #5 has approximately four to five inch gaps. .0605(g) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. There is fencing missing on space #5, the playground for school-age children. The fencing has been replaced with lattice that is less than four feet in height and the lattice has mostly detached from the building to allow for an opening to walk outside the fenced area. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There was a gallon of bleach in an unlocked cabinet in space #3, the classroom with two and three year old children. There was a gallon of bleach stored on top of the refrigerator in space #6, the classroom with school-age children. There was an aerosol disinfectant in space #6 unlocked and located under a shelf. In space #4, there was a lysol disinfectant located in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Aerosol sunscreen was stored in an unlocked bookbag and in a cabinet in space #4. Aerosol sunscreen was stored unlocked in space #3. Little Remedies saline mist was stored unlocked in a cabinet next to the changing table and lotion was on top of a shelf accessible to children in space #4. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, the classroom with two and three year old children, there was a Desitin diaper cream that had an expired medication authorization form from 10/25/24. Also in space #3, there was a sunscreen and a diaper rash cream that did not have a medication authorization form and the teacher stated that the medications had not been sent home. In space #5, the classroom with infant and one year old children, there were two children's ibuprofen, one orajel, one diaper rash paste, and saline spray drops that did not have a medication authorization form and the teacher stated the medication had not been sent home. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic garbage bags full of materials were stored through the hallway floor and pathway to the classrooms. In space #3, the classroom with two and three year old children, there were two mats stored in a plastic garbage bag on the floor. Grape tomatoes were served to children in space #3, the classroom with two and three year old children. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #5, the classroom with infants and one year old children, there was no documentation of visually checking on sleeping infants aged 12 months or younger. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in space #5, the classroom with infant and one year old children. .0606(b) 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. A hot glue gun was stored unplugged less than five feet from the floor and accessible to children. .0604(e) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. All staff did not have an updated health questionnaire on file. The last HQ was completed on 7/12/23. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. All staff did not have updated emergency information on file. The last dated emergency information for each staff was dated 7/12/23. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One (1) employee C.L. CBC qualification expired on 11/7/24. A valid recheck was issued on 11/12/24. A CBC must be completed prior to the expiration. G.S. 110-90.2(b) & .2703(n)&(o) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. No staff completed annual in-service training since May 2024. .1103(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was practiced on 5/16/24 and a shelter in place was practiced on 9/29/24, which is greater than three (3) months apart. .0604(u);.0302(d)(8) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. No smoking and tobacco restriction was not posted at the entrance of the center. .0604(i) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff member A.F. did not complete Health and Safety training by 7/24/24. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. 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 5/15/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck 151 Creekview Rd Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Technical Assistance for Compliance – rule references can be found in the cited violations * A fire inspection is to be completed once every 12 months. Recommend creating a reminder process to ensure the Fire Marshall is contacted prior to the month of the previous fire inspection. *Several hazardous products to include medication, lotion and cleaning supplies were not stored appropriately. Recommend creating a daily checklist and reviewing this with staff to ensure all hazardous products including those under pressure are stored in a locked storage. *Recommend providing a staff record checklist in each’s staff file to ensure all staff have accurate paperwork on file. This form can be located on the Division’s website at www.ncchildcare.ncdhhs.gov under provider documents. Required in-service training is to be completed annually and Health/Safety training is to be completed every five (5) years. *Safe sleep checks must be completed daily and maintained on file for thirty (30) days. Discuss this with all staff that work in a classroom with children 12 months of age and younger. Create a system where the safe sleep checks are stored for up to thirty (30) days. Recommend reaching out to the Birth-Kindergarten Specialist, Hope Buckner for assistance as needed at Buckner.Hope@swcdcinc.org. *Medication must be returned within 72 hours after the course of treatment. Recommend assigning a staff member to oversee medication administration in the facility. Permission to administer medication, which includes sunscreen, diaper ointments and saline solutions is required to accompany each medication. The permission form must indicate a valid time period in which the medication is to be administered, such as up to a year for non-prescription topical ointments, up to six months for chronic medications and for the course of treatment of a medication. *There are several gaps in the railing at the preschool and fencing throughout both fenced spaces. Gaps must be less than 3 ½” or greater than 9” to prevent entrapments. This is a safety concern. Recommend contacting a fencing professional that can enclose the gaps throughout the outdoor area. Lattice or additional pickets can be added to the railing to ensure there are no entrapments. *Sanitation - The areas in the buildings poor repaired must be repaired and meet sanitation requirements. We discussed that you have a grant for the school-age classroom to repair the roof which have caused a lot of leaking and water damage. *The four foot fencing is required as a safety measure to ensure children have a safe place to play. A fence at least four feet in height needs to be added between the building gap and the rest of the fencing on playground space #5. *The screen time log was provided to you during the visit today. The log can be used for individual screen time or large group screen time activities. The activity plan can also be used for large group screen time activities. Consultation is provided as follows: *It was observed that parents were driving up to the building to pick up their child. Per the center’s departure procedures, parents or the responsible individual is to come to the door or gate to pick up their child. Parents are to walk their child into the building and sign in at arrival. It is important the operator follows the written policies to ensure children are safe at all times. If the center’s arrival and departure policies are no longer accurate, a new policy is required. *Emergency medical care, EPR review staff evaluations and professional development plans must be completed with all staff no later than 5/15/25. *There is concern regarding the amount of storage located in the hallway/corridors. Per fire codes no storage of clothing/personal effects are to be located in corridors & lobbies. *Please make sure staff and training worksheets are completed prior to an upcoming annual compliance visit. This tracking system assists you with ensuring adequate paperwork is on file and assists the consultant to conduct the audit timely. The child care consultant provides an email with the information and notice of the upcoming visit annually. *The Challenging Behaviors Helpline flyer was provided to you today during the visit. We discussed that there are challenging behaviors with school-age children that you would like some help with solutions. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 monica.houck@dhhs.nc.gov or 828.273-4569, 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: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/1/2025 Number Present: 33 Completed Date: 5/1/2025 Age: From 0 To 11 Total Minutes: 365 Time In: 10:25 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Bonnie Mathis, Licensing Supervisor, accompanied me on the visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Monica Houck, Lead Child Care Consultant and Bonnie Mathis, Licensing Supervisor, and also signed by Cindy Day, Administrator, during the visit. A signed copy of the visit summary was left on-site for you. Cindy Day, Administrator, was on-site and available to answer and ask questions. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78%) percent as of 4/30/25. The child care facility is operated as a sole proprietorship with Cindy Day as the sole proprietor. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Permit type – Four Star License dated 7/17/19, capacity of one hundred (100) children ages 0-12 years. Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios, meets enhanced space, and approved for transportation. The last fire drill was practiced on 4/8/25. The last shelter-in-place drill was practiced on 4/10/25. The last playground inspection was documented in April 2025. The last fire inspection was approved on 9/20/24 for daytime care only. The previously approved fire inspection was 7/3/23. The last sanitation inspection was conducted on 11/18/24 with twenty-one (21) demerits for a Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/10/24 with no hazards. The staff and training worksheet was not available today. A full review of all staff files was conducted; however, a document was not created to capture all the information. Children were observed in free play, large group activities, routine care, lunch, and rest time. The lunch today was cheese lasagna, lettuce, grape tomatoes, applesauce, a roll, and milk. You stated the last transportation for children occurred around four years ago. You have requested to no longer be approved for transportation. During the visit, transportation was deselected in the Regulatory system and the child care facility is no longer approved for transportation. If you request to be approved for transportation in the future, you will need to contact the child care consultant with at least a thirty days notice and the consultant will need to make a visit to the child care facility to determine if the facility can be approved for transporation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on 9/20/24, which was more than 12 months from the previous inspection that was completed on 7/3/23. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Sixteen of nineteen children had documented times of arrival from spaces #2, #3, and #5. 10A NCAC 09 .0302(d)(4) 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. In space #6, the classroom for school-age children, the staff/child ratios chart was not posted. .0713(a)(10), (c) & (f)(3); .2818(e) 428 A current activity plan was not posted for each group of children for reference. In space #2, the classroom with four and five year old children, the activity plan was dated 11/11/24 through 11/16/24. GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. The teacher in space #2, the classroom with four and five year old children, stated she offers screen time daily prior to lunch. Screen time was not documented on a log or activity plan. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The posted menu was dated 8/19/24 through 8/23/24. 10A NCAC 09 .0901(b) 542 The written feeding plan was not modified as the child's needs changed. There was a written feeding plan for an infant dated 9/20/24 and has not been modified as the child's needs changed. The teacher stated the infant is now eating baby food and was not documented on the written feeding plan. 10 NCAC 09 .0902(a) 544 Screen time was offered to children under three years of age. In space #3, the classroom with two and three year old children, screen time with children's song videos was offered through the teacher's cell phone from approximately 11:05am to 11:15am prior to lunch. .0510(f) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Per the sanitation inspection dated 11/18/24 and through observations today: there were ceilings stained in all rooms and bathrooms; there were ceiling leaks present in multiple rooms and all bathrooms; the bathroom ceiling material was falling in space #3, the classroom with two and three year old children; there was ceiling stripping in the infant room; there is a large hole in the ceiling in the laundry room and above the handwash sink in space #2, the classroom with four and five year old children; the carpet in space #6, the classroom with school-age children, is dirty and damaged; the vinyl floor in space #6 is damaged; walls in multiple areas around both buildings, inside and outside, are damaged; there is a hole present around plumbing in the bathroom floor in space #6; and there are holes in the wall behind and above the changing table in space #5, the classroom with infant and one year old children. 15A NCAC 18A .2825(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. There are multiple areas in the decking, outdoor space #4 that slats are missing causing approximately six inches of space between slats. The front gate and the back gate for playground space #5 has approximately four to five inch gaps. .0605(g) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. There is fencing missing on space #5, the playground for school-age children. The fencing has been replaced with lattice that is less than four feet in height and the lattice has mostly detached from the building to allow for an opening to walk outside the fenced area. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There was a gallon of bleach in an unlocked cabinet in space #3, the classroom with two and three year old children. There was a gallon of bleach stored on top of the refrigerator in space #6, the classroom with school-age children. There was an aerosol disinfectant in space #6 unlocked and located under a shelf. In space #4, there was a lysol disinfectant located in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Aerosol sunscreen was stored in an unlocked bookbag and in a cabinet in space #4. Aerosol sunscreen was stored unlocked in space #3. Little Remedies saline mist was stored unlocked in a cabinet next to the changing table and lotion was on top of a shelf accessible to children in space #4. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, the classroom with two and three year old children, there was a Desitin diaper cream that had an expired medication authorization form from 10/25/24. Also in space #3, there was a sunscreen and a diaper rash cream that did not have a medication authorization form and the teacher stated that the medications had not been sent home. In space #5, the classroom with infant and one year old children, there were two children's ibuprofen, one orajel, one diaper rash paste, and saline spray drops that did not have a medication authorization form and the teacher stated the medication had not been sent home. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic garbage bags full of materials were stored through the hallway floor and pathway to the classrooms. In space #3, the classroom with two and three year old children, there were two mats stored in a plastic garbage bag on the floor. Grape tomatoes were served to children in space #3, the classroom with two and three year old children. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #5, the classroom with infants and one year old children, there was no documentation of visually checking on sleeping infants aged 12 months or younger. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in space #5, the classroom with infant and one year old children. .0606(b) 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. A hot glue gun was stored unplugged less than five feet from the floor and accessible to children. .0604(e) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. All staff did not have an updated health questionnaire on file. The last HQ was completed on 7/12/23. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. All staff did not have updated emergency information on file. The last dated emergency information for each staff was dated 7/12/23. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One (1) employee C.L. CBC qualification expired on 11/7/24. A valid recheck was issued on 11/12/24. A CBC must be completed prior to the expiration. G.S. 110-90.2(b) & .2703(n)&(o) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. No staff completed annual in-service training since May 2024. .1103(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was practiced on 5/16/24 and a shelter in place was practiced on 9/29/24, which is greater than three (3) months apart. .0604(u);.0302(d)(8) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. No smoking and tobacco restriction was not posted at the entrance of the center. .0604(i) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff member A.F. did not complete Health and Safety training by 7/24/24. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. 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 5/15/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck 151 Creekview Rd Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Technical Assistance for Compliance – rule references can be found in the cited violations * A fire inspection is to be completed once every 12 months. Recommend creating a reminder process to ensure the Fire Marshall is contacted prior to the month of the previous fire inspection. *Several hazardous products to include medication, lotion and cleaning supplies were not stored appropriately. Recommend creating a daily checklist and reviewing this with staff to ensure all hazardous products including those under pressure are stored in a locked storage. *Recommend providing a staff record checklist in each’s staff file to ensure all staff have accurate paperwork on file. This form can be located on the Division’s website at www.ncchildcare.ncdhhs.gov under provider documents. Required in-service training is to be completed annually and Health/Safety training is to be completed every five (5) years. *Safe sleep checks must be completed daily and maintained on file for thirty (30) days. Discuss this with all staff that work in a classroom with children 12 months of age and younger. Create a system where the safe sleep checks are stored for up to thirty (30) days. Recommend reaching out to the Birth-Kindergarten Specialist, Hope Buckner for assistance as needed at Buckner.Hope@swcdcinc.org. *Medication must be returned within 72 hours after the course of treatment. Recommend assigning a staff member to oversee medication administration in the facility. Permission to administer medication, which includes sunscreen, diaper ointments and saline solutions is required to accompany each medication. The permission form must indicate a valid time period in which the medication is to be administered, such as up to a year for non-prescription topical ointments, up to six months for chronic medications and for the course of treatment of a medication. *There are several gaps in the railing at the preschool and fencing throughout both fenced spaces. Gaps must be less than 3 ½” or greater than 9” to prevent entrapments. This is a safety concern. Recommend contacting a fencing professional that can enclose the gaps throughout the outdoor area. Lattice or additional pickets can be added to the railing to ensure there are no entrapments. *Sanitation - The areas in the buildings poor repaired must be repaired and meet sanitation requirements. We discussed that you have a grant for the school-age classroom to repair the roof which have caused a lot of leaking and water damage. *The four foot fencing is required as a safety measure to ensure children have a safe place to play. A fence at least four feet in height needs to be added between the building gap and the rest of the fencing on playground space #5. *The screen time log was provided to you during the visit today. The log can be used for individual screen time or large group screen time activities. The activity plan can also be used for large group screen time activities. Consultation is provided as follows: *It was observed that parents were driving up to the building to pick up their child. Per the center’s departure procedures, parents or the responsible individual is to come to the door or gate to pick up their child. Parents are to walk their child into the building and sign in at arrival. It is important the operator follows the written policies to ensure children are safe at all times. If the center’s arrival and departure policies are no longer accurate, a new policy is required. *Emergency medical care, EPR review staff evaluations and professional development plans must be completed with all staff no later than 5/15/25. *There is concern regarding the amount of storage located in the hallway/corridors. Per fire codes no storage of clothing/personal effects are to be located in corridors & lobbies. *Please make sure staff and training worksheets are completed prior to an upcoming annual compliance visit. This tracking system assists you with ensuring adequate paperwork is on file and assists the consultant to conduct the audit timely. The child care consultant provides an email with the information and notice of the upcoming visit annually. *The Challenging Behaviors Helpline flyer was provided to you today during the visit. We discussed that there are challenging behaviors with school-age children that you would like some help with solutions. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 monica.houck@dhhs.nc.gov or 828.273-4569, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
GS 110-91 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/1/2025 Number Present: 33 Completed Date: 5/1/2025 Age: From 0 To 11 Total Minutes: 365 Time In: 10:25 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Bonnie Mathis, Licensing Supervisor, accompanied me on the visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Monica Houck, Lead Child Care Consultant and Bonnie Mathis, Licensing Supervisor, and also signed by Cindy Day, Administrator, during the visit. A signed copy of the visit summary was left on-site for you. Cindy Day, Administrator, was on-site and available to answer and ask questions. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78%) percent as of 4/30/25. The child care facility is operated as a sole proprietorship with Cindy Day as the sole proprietor. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Permit type – Four Star License dated 7/17/19, capacity of one hundred (100) children ages 0-12 years. Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios, meets enhanced space, and approved for transportation. The last fire drill was practiced on 4/8/25. The last shelter-in-place drill was practiced on 4/10/25. The last playground inspection was documented in April 2025. The last fire inspection was approved on 9/20/24 for daytime care only. The previously approved fire inspection was 7/3/23. The last sanitation inspection was conducted on 11/18/24 with twenty-one (21) demerits for a Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/10/24 with no hazards. The staff and training worksheet was not available today. A full review of all staff files was conducted; however, a document was not created to capture all the information. Children were observed in free play, large group activities, routine care, lunch, and rest time. The lunch today was cheese lasagna, lettuce, grape tomatoes, applesauce, a roll, and milk. You stated the last transportation for children occurred around four years ago. You have requested to no longer be approved for transportation. During the visit, transportation was deselected in the Regulatory system and the child care facility is no longer approved for transportation. If you request to be approved for transportation in the future, you will need to contact the child care consultant with at least a thirty days notice and the consultant will need to make a visit to the child care facility to determine if the facility can be approved for transporation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on 9/20/24, which was more than 12 months from the previous inspection that was completed on 7/3/23. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Sixteen of nineteen children had documented times of arrival from spaces #2, #3, and #5. 10A NCAC 09 .0302(d)(4) 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. In space #6, the classroom for school-age children, the staff/child ratios chart was not posted. .0713(a)(10), (c) & (f)(3); .2818(e) 428 A current activity plan was not posted for each group of children for reference. In space #2, the classroom with four and five year old children, the activity plan was dated 11/11/24 through 11/16/24. GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. The teacher in space #2, the classroom with four and five year old children, stated she offers screen time daily prior to lunch. Screen time was not documented on a log or activity plan. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The posted menu was dated 8/19/24 through 8/23/24. 10A NCAC 09 .0901(b) 542 The written feeding plan was not modified as the child's needs changed. There was a written feeding plan for an infant dated 9/20/24 and has not been modified as the child's needs changed. The teacher stated the infant is now eating baby food and was not documented on the written feeding plan. 10 NCAC 09 .0902(a) 544 Screen time was offered to children under three years of age. In space #3, the classroom with two and three year old children, screen time with children's song videos was offered through the teacher's cell phone from approximately 11:05am to 11:15am prior to lunch. .0510(f) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Per the sanitation inspection dated 11/18/24 and through observations today: there were ceilings stained in all rooms and bathrooms; there were ceiling leaks present in multiple rooms and all bathrooms; the bathroom ceiling material was falling in space #3, the classroom with two and three year old children; there was ceiling stripping in the infant room; there is a large hole in the ceiling in the laundry room and above the handwash sink in space #2, the classroom with four and five year old children; the carpet in space #6, the classroom with school-age children, is dirty and damaged; the vinyl floor in space #6 is damaged; walls in multiple areas around both buildings, inside and outside, are damaged; there is a hole present around plumbing in the bathroom floor in space #6; and there are holes in the wall behind and above the changing table in space #5, the classroom with infant and one year old children. 15A NCAC 18A .2825(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. There are multiple areas in the decking, outdoor space #4 that slats are missing causing approximately six inches of space between slats. The front gate and the back gate for playground space #5 has approximately four to five inch gaps. .0605(g) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. There is fencing missing on space #5, the playground for school-age children. The fencing has been replaced with lattice that is less than four feet in height and the lattice has mostly detached from the building to allow for an opening to walk outside the fenced area. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There was a gallon of bleach in an unlocked cabinet in space #3, the classroom with two and three year old children. There was a gallon of bleach stored on top of the refrigerator in space #6, the classroom with school-age children. There was an aerosol disinfectant in space #6 unlocked and located under a shelf. In space #4, there was a lysol disinfectant located in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Aerosol sunscreen was stored in an unlocked bookbag and in a cabinet in space #4. Aerosol sunscreen was stored unlocked in space #3. Little Remedies saline mist was stored unlocked in a cabinet next to the changing table and lotion was on top of a shelf accessible to children in space #4. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, the classroom with two and three year old children, there was a Desitin diaper cream that had an expired medication authorization form from 10/25/24. Also in space #3, there was a sunscreen and a diaper rash cream that did not have a medication authorization form and the teacher stated that the medications had not been sent home. In space #5, the classroom with infant and one year old children, there were two children's ibuprofen, one orajel, one diaper rash paste, and saline spray drops that did not have a medication authorization form and the teacher stated the medication had not been sent home. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic garbage bags full of materials were stored through the hallway floor and pathway to the classrooms. In space #3, the classroom with two and three year old children, there were two mats stored in a plastic garbage bag on the floor. Grape tomatoes were served to children in space #3, the classroom with two and three year old children. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #5, the classroom with infants and one year old children, there was no documentation of visually checking on sleeping infants aged 12 months or younger. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in space #5, the classroom with infant and one year old children. .0606(b) 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. A hot glue gun was stored unplugged less than five feet from the floor and accessible to children. .0604(e) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. All staff did not have an updated health questionnaire on file. The last HQ was completed on 7/12/23. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. All staff did not have updated emergency information on file. The last dated emergency information for each staff was dated 7/12/23. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One (1) employee C.L. CBC qualification expired on 11/7/24. A valid recheck was issued on 11/12/24. A CBC must be completed prior to the expiration. G.S. 110-90.2(b) & .2703(n)&(o) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. No staff completed annual in-service training since May 2024. .1103(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was practiced on 5/16/24 and a shelter in place was practiced on 9/29/24, which is greater than three (3) months apart. .0604(u);.0302(d)(8) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. No smoking and tobacco restriction was not posted at the entrance of the center. .0604(i) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff member A.F. did not complete Health and Safety training by 7/24/24. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. 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 5/15/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck 151 Creekview Rd Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Technical Assistance for Compliance – rule references can be found in the cited violations * A fire inspection is to be completed once every 12 months. Recommend creating a reminder process to ensure the Fire Marshall is contacted prior to the month of the previous fire inspection. *Several hazardous products to include medication, lotion and cleaning supplies were not stored appropriately. Recommend creating a daily checklist and reviewing this with staff to ensure all hazardous products including those under pressure are stored in a locked storage. *Recommend providing a staff record checklist in each’s staff file to ensure all staff have accurate paperwork on file. This form can be located on the Division’s website at www.ncchildcare.ncdhhs.gov under provider documents. Required in-service training is to be completed annually and Health/Safety training is to be completed every five (5) years. *Safe sleep checks must be completed daily and maintained on file for thirty (30) days. Discuss this with all staff that work in a classroom with children 12 months of age and younger. Create a system where the safe sleep checks are stored for up to thirty (30) days. Recommend reaching out to the Birth-Kindergarten Specialist, Hope Buckner for assistance as needed at Buckner.Hope@swcdcinc.org. *Medication must be returned within 72 hours after the course of treatment. Recommend assigning a staff member to oversee medication administration in the facility. Permission to administer medication, which includes sunscreen, diaper ointments and saline solutions is required to accompany each medication. The permission form must indicate a valid time period in which the medication is to be administered, such as up to a year for non-prescription topical ointments, up to six months for chronic medications and for the course of treatment of a medication. *There are several gaps in the railing at the preschool and fencing throughout both fenced spaces. Gaps must be less than 3 ½” or greater than 9” to prevent entrapments. This is a safety concern. Recommend contacting a fencing professional that can enclose the gaps throughout the outdoor area. Lattice or additional pickets can be added to the railing to ensure there are no entrapments. *Sanitation - The areas in the buildings poor repaired must be repaired and meet sanitation requirements. We discussed that you have a grant for the school-age classroom to repair the roof which have caused a lot of leaking and water damage. *The four foot fencing is required as a safety measure to ensure children have a safe place to play. A fence at least four feet in height needs to be added between the building gap and the rest of the fencing on playground space #5. *The screen time log was provided to you during the visit today. The log can be used for individual screen time or large group screen time activities. The activity plan can also be used for large group screen time activities. Consultation is provided as follows: *It was observed that parents were driving up to the building to pick up their child. Per the center’s departure procedures, parents or the responsible individual is to come to the door or gate to pick up their child. Parents are to walk their child into the building and sign in at arrival. It is important the operator follows the written policies to ensure children are safe at all times. If the center’s arrival and departure policies are no longer accurate, a new policy is required. *Emergency medical care, EPR review staff evaluations and professional development plans must be completed with all staff no later than 5/15/25. *There is concern regarding the amount of storage located in the hallway/corridors. Per fire codes no storage of clothing/personal effects are to be located in corridors & lobbies. *Please make sure staff and training worksheets are completed prior to an upcoming annual compliance visit. This tracking system assists you with ensuring adequate paperwork is on file and assists the consultant to conduct the audit timely. The child care consultant provides an email with the information and notice of the upcoming visit annually. *The Challenging Behaviors Helpline flyer was provided to you today during the visit. We discussed that there are challenging behaviors with school-age children that you would like some help with solutions. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 monica.houck@dhhs.nc.gov or 828.273-4569, 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: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/1/2025 Number Present: 33 Completed Date: 5/1/2025 Age: From 0 To 11 Total Minutes: 365 Time In: 10:25 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Bonnie Mathis, Licensing Supervisor, accompanied me on the visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Monica Houck, Lead Child Care Consultant and Bonnie Mathis, Licensing Supervisor, and also signed by Cindy Day, Administrator, during the visit. A signed copy of the visit summary was left on-site for you. Cindy Day, Administrator, was on-site and available to answer and ask questions. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78%) percent as of 4/30/25. The child care facility is operated as a sole proprietorship with Cindy Day as the sole proprietor. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Permit type – Four Star License dated 7/17/19, capacity of one hundred (100) children ages 0-12 years. Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios, meets enhanced space, and approved for transportation. The last fire drill was practiced on 4/8/25. The last shelter-in-place drill was practiced on 4/10/25. The last playground inspection was documented in April 2025. The last fire inspection was approved on 9/20/24 for daytime care only. The previously approved fire inspection was 7/3/23. The last sanitation inspection was conducted on 11/18/24 with twenty-one (21) demerits for a Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/10/24 with no hazards. The staff and training worksheet was not available today. A full review of all staff files was conducted; however, a document was not created to capture all the information. Children were observed in free play, large group activities, routine care, lunch, and rest time. The lunch today was cheese lasagna, lettuce, grape tomatoes, applesauce, a roll, and milk. You stated the last transportation for children occurred around four years ago. You have requested to no longer be approved for transportation. During the visit, transportation was deselected in the Regulatory system and the child care facility is no longer approved for transportation. If you request to be approved for transportation in the future, you will need to contact the child care consultant with at least a thirty days notice and the consultant will need to make a visit to the child care facility to determine if the facility can be approved for transporation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on 9/20/24, which was more than 12 months from the previous inspection that was completed on 7/3/23. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Sixteen of nineteen children had documented times of arrival from spaces #2, #3, and #5. 10A NCAC 09 .0302(d)(4) 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. In space #6, the classroom for school-age children, the staff/child ratios chart was not posted. .0713(a)(10), (c) & (f)(3); .2818(e) 428 A current activity plan was not posted for each group of children for reference. In space #2, the classroom with four and five year old children, the activity plan was dated 11/11/24 through 11/16/24. GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. The teacher in space #2, the classroom with four and five year old children, stated she offers screen time daily prior to lunch. Screen time was not documented on a log or activity plan. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The posted menu was dated 8/19/24 through 8/23/24. 10A NCAC 09 .0901(b) 542 The written feeding plan was not modified as the child's needs changed. There was a written feeding plan for an infant dated 9/20/24 and has not been modified as the child's needs changed. The teacher stated the infant is now eating baby food and was not documented on the written feeding plan. 10 NCAC 09 .0902(a) 544 Screen time was offered to children under three years of age. In space #3, the classroom with two and three year old children, screen time with children's song videos was offered through the teacher's cell phone from approximately 11:05am to 11:15am prior to lunch. .0510(f) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Per the sanitation inspection dated 11/18/24 and through observations today: there were ceilings stained in all rooms and bathrooms; there were ceiling leaks present in multiple rooms and all bathrooms; the bathroom ceiling material was falling in space #3, the classroom with two and three year old children; there was ceiling stripping in the infant room; there is a large hole in the ceiling in the laundry room and above the handwash sink in space #2, the classroom with four and five year old children; the carpet in space #6, the classroom with school-age children, is dirty and damaged; the vinyl floor in space #6 is damaged; walls in multiple areas around both buildings, inside and outside, are damaged; there is a hole present around plumbing in the bathroom floor in space #6; and there are holes in the wall behind and above the changing table in space #5, the classroom with infant and one year old children. 15A NCAC 18A .2825(a) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. There are multiple areas in the decking, outdoor space #4 that slats are missing causing approximately six inches of space between slats. The front gate and the back gate for playground space #5 has approximately four to five inch gaps. .0605(g) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. There is fencing missing on space #5, the playground for school-age children. The fencing has been replaced with lattice that is less than four feet in height and the lattice has mostly detached from the building to allow for an opening to walk outside the fenced area. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There was a gallon of bleach in an unlocked cabinet in space #3, the classroom with two and three year old children. There was a gallon of bleach stored on top of the refrigerator in space #6, the classroom with school-age children. There was an aerosol disinfectant in space #6 unlocked and located under a shelf. In space #4, there was a lysol disinfectant located in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Aerosol sunscreen was stored in an unlocked bookbag and in a cabinet in space #4. Aerosol sunscreen was stored unlocked in space #3. Little Remedies saline mist was stored unlocked in a cabinet next to the changing table and lotion was on top of a shelf accessible to children in space #4. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, the classroom with two and three year old children, there was a Desitin diaper cream that had an expired medication authorization form from 10/25/24. Also in space #3, there was a sunscreen and a diaper rash cream that did not have a medication authorization form and the teacher stated that the medications had not been sent home. In space #5, the classroom with infant and one year old children, there were two children's ibuprofen, one orajel, one diaper rash paste, and saline spray drops that did not have a medication authorization form and the teacher stated the medication had not been sent home. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic garbage bags full of materials were stored through the hallway floor and pathway to the classrooms. In space #3, the classroom with two and three year old children, there were two mats stored in a plastic garbage bag on the floor. Grape tomatoes were served to children in space #3, the classroom with two and three year old children. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #5, the classroom with infants and one year old children, there was no documentation of visually checking on sleeping infants aged 12 months or younger. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in space #5, the classroom with infant and one year old children. .0606(b) 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. A hot glue gun was stored unplugged less than five feet from the floor and accessible to children. .0604(e) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. All staff did not have an updated health questionnaire on file. The last HQ was completed on 7/12/23. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. All staff did not have updated emergency information on file. The last dated emergency information for each staff was dated 7/12/23. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One (1) employee C.L. CBC qualification expired on 11/7/24. A valid recheck was issued on 11/12/24. A CBC must be completed prior to the expiration. G.S. 110-90.2(b) & .2703(n)&(o) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. No staff completed annual in-service training since May 2024. .1103(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was practiced on 5/16/24 and a shelter in place was practiced on 9/29/24, which is greater than three (3) months apart. .0604(u);.0302(d)(8) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. No smoking and tobacco restriction was not posted at the entrance of the center. .0604(i) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff member A.F. did not complete Health and Safety training by 7/24/24. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. 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 5/15/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck 151 Creekview Rd Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Technical Assistance for Compliance – rule references can be found in the cited violations * A fire inspection is to be completed once every 12 months. Recommend creating a reminder process to ensure the Fire Marshall is contacted prior to the month of the previous fire inspection. *Several hazardous products to include medication, lotion and cleaning supplies were not stored appropriately. Recommend creating a daily checklist and reviewing this with staff to ensure all hazardous products including those under pressure are stored in a locked storage. *Recommend providing a staff record checklist in each’s staff file to ensure all staff have accurate paperwork on file. This form can be located on the Division’s website at www.ncchildcare.ncdhhs.gov under provider documents. Required in-service training is to be completed annually and Health/Safety training is to be completed every five (5) years. *Safe sleep checks must be completed daily and maintained on file for thirty (30) days. Discuss this with all staff that work in a classroom with children 12 months of age and younger. Create a system where the safe sleep checks are stored for up to thirty (30) days. Recommend reaching out to the Birth-Kindergarten Specialist, Hope Buckner for assistance as needed at Buckner.Hope@swcdcinc.org. *Medication must be returned within 72 hours after the course of treatment. Recommend assigning a staff member to oversee medication administration in the facility. Permission to administer medication, which includes sunscreen, diaper ointments and saline solutions is required to accompany each medication. The permission form must indicate a valid time period in which the medication is to be administered, such as up to a year for non-prescription topical ointments, up to six months for chronic medications and for the course of treatment of a medication. *There are several gaps in the railing at the preschool and fencing throughout both fenced spaces. Gaps must be less than 3 ½” or greater than 9” to prevent entrapments. This is a safety concern. Recommend contacting a fencing professional that can enclose the gaps throughout the outdoor area. Lattice or additional pickets can be added to the railing to ensure there are no entrapments. *Sanitation - The areas in the buildings poor repaired must be repaired and meet sanitation requirements. We discussed that you have a grant for the school-age classroom to repair the roof which have caused a lot of leaking and water damage. *The four foot fencing is required as a safety measure to ensure children have a safe place to play. A fence at least four feet in height needs to be added between the building gap and the rest of the fencing on playground space #5. *The screen time log was provided to you during the visit today. The log can be used for individual screen time or large group screen time activities. The activity plan can also be used for large group screen time activities. Consultation is provided as follows: *It was observed that parents were driving up to the building to pick up their child. Per the center’s departure procedures, parents or the responsible individual is to come to the door or gate to pick up their child. Parents are to walk their child into the building and sign in at arrival. It is important the operator follows the written policies to ensure children are safe at all times. If the center’s arrival and departure policies are no longer accurate, a new policy is required. *Emergency medical care, EPR review staff evaluations and professional development plans must be completed with all staff no later than 5/15/25. *There is concern regarding the amount of storage located in the hallway/corridors. Per fire codes no storage of clothing/personal effects are to be located in corridors & lobbies. *Please make sure staff and training worksheets are completed prior to an upcoming annual compliance visit. This tracking system assists you with ensuring adequate paperwork is on file and assists the consultant to conduct the audit timely. The child care consultant provides an email with the information and notice of the upcoming visit annually. *The Challenging Behaviors Helpline flyer was provided to you today during the visit. We discussed that there are challenging behaviors with school-age children that you would like some help with solutions. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 monica.houck@dhhs.nc.gov or 828.273-4569, 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. 110-106 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: MORGAN BROCK Operation Type: Center Case Number: 0524-098A Visit Date: 5/14/2024 Number Present: 30 Completed Date: 5/14/2024 Age: From 1 To 12 Total Minutes: 180 Time In: 12:15 PM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Cindy Day, administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Day and one additional staff member. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and confirmed during today’s visit. Violation Number Comment Rule 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. On May 7, 2024, a seventeen-year-old staff member was left alone with children and counted in staff/child ratio. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1030 Application for employment and date of birth was not on file for all staff. The application for employment for one staff member was not available for review. .0302(d)(1)(A) Violations must be corrected immediately. Within one week (May 21, 2024), you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Morgan Brock, Investigations Consultant, morgan.brock@dhhs.nc.gov You may contact me at Morgan Brock, Investigations Consultant, 828-788-0011, morgan.brock@dhhs.nc.gov or Natosha Lambeth, Western Investigations Team Supervisor, natosha.lambeth@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-91 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: MORGAN BROCK Operation Type: Center Case Number: 0524-098A Visit Date: 5/14/2024 Number Present: 30 Completed Date: 5/14/2024 Age: From 1 To 12 Total Minutes: 180 Time In: 12:15 PM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Cindy Day, administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Day and one additional staff member. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and confirmed during today’s visit. Violation Number Comment Rule 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. On May 7, 2024, a seventeen-year-old staff member was left alone with children and counted in staff/child ratio. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1030 Application for employment and date of birth was not on file for all staff. The application for employment for one staff member was not available for review. .0302(d)(1)(A) Violations must be corrected immediately. Within one week (May 21, 2024), you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Morgan Brock, Investigations Consultant, morgan.brock@dhhs.nc.gov You may contact me at Morgan Brock, Investigations Consultant, 828-788-0011, morgan.brock@dhhs.nc.gov or Natosha Lambeth, Western Investigations Team Supervisor, natosha.lambeth@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0304 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/10/2024 Number Present: 17 Completed Date: 5/10/2024 Age: From 0 To 4 Total Minutes: 165 Time In: 11:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced Observations: Observations: The purpose of today’s Annual Compliance Follow-up visit was to follow up on supervision written during your Annual Compliance visit on 5/8/24. Today there were seventeen (17) children with three (3) teachers and one (1) administrator. Cindy Day, Administrator, was present during my visit. I observed the toddler classroom where two (2) children were napping, and the third child was being settled down. Both the protective barrier and the door were closed to the classroom. The room was well supervised. The children napping were all supervised by teachers in classrooms while they slept. Teachers were up walking and checking on children. It was observed all children were properly supervised. The following violations were documented today. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC was not reviewed with A.F.. Her hire date was 7/10/23. 10A NCAC 09 .0802(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A.F. did not have Staff orientation for the first 6 weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A.F. did not have Staff orientation for the first two (2) weeks of employment on file. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.A.F. did not have operational and Personnel policies in their file. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. A.F. had not reviewed the EPR. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A.F. did not sign a shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A.F. did not have Recognizing and Responding to Suspicions of Child Maltreatment training and her hire date was 7/10/23. .1102(g) Technical Assistance Item 1874 anyone that is going to be caring for children and counted in staff/child ratio must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. Note: A.F. did not sign a shaken Baby Syndrome and Abusive Head Trauma policy. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Staff Orientation Item 1045 and Item 1067 all staff must complete the required orientation training listed on the Documentation of Staff Orientation Child Care Centers form within the required timeframe. Note: A.F. did not have Staff orientation in file. According to 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Operational and Personnel Policies Item 1233-Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. Note: A.F. did not have operational and Personnel policies in their file. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Note: A.F. did not have operational and Personnel policies in their file.(f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. A.F. each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Recognizing and Responding Item 1897: Recognizing and Responding to Suspicions of Child Maltreatment Training: the training must be completed within ninety (90) days of employment. Note: A.F. has not taken Recognizing and responding to suspicions of Child Maltreatment and her date of hire is 7/24/23. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. EPR Plan Item 1825- All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Note: A.F. did not review the EPR plan and was employed on 7/10/23. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item 0862 -The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Note: The EMC plan was not reviewed with A.F. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/24/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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: No children can be in the office because it is unlicensed space. 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. 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 Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0514 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/10/2024 Number Present: 17 Completed Date: 5/10/2024 Age: From 0 To 4 Total Minutes: 165 Time In: 11:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced Observations: Observations: The purpose of today’s Annual Compliance Follow-up visit was to follow up on supervision written during your Annual Compliance visit on 5/8/24. Today there were seventeen (17) children with three (3) teachers and one (1) administrator. Cindy Day, Administrator, was present during my visit. I observed the toddler classroom where two (2) children were napping, and the third child was being settled down. Both the protective barrier and the door were closed to the classroom. The room was well supervised. The children napping were all supervised by teachers in classrooms while they slept. Teachers were up walking and checking on children. It was observed all children were properly supervised. The following violations were documented today. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC was not reviewed with A.F.. Her hire date was 7/10/23. 10A NCAC 09 .0802(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A.F. did not have Staff orientation for the first 6 weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A.F. did not have Staff orientation for the first two (2) weeks of employment on file. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.A.F. did not have operational and Personnel policies in their file. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. A.F. had not reviewed the EPR. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A.F. did not sign a shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A.F. did not have Recognizing and Responding to Suspicions of Child Maltreatment training and her hire date was 7/10/23. .1102(g) Technical Assistance Item 1874 anyone that is going to be caring for children and counted in staff/child ratio must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. Note: A.F. did not sign a shaken Baby Syndrome and Abusive Head Trauma policy. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Staff Orientation Item 1045 and Item 1067 all staff must complete the required orientation training listed on the Documentation of Staff Orientation Child Care Centers form within the required timeframe. Note: A.F. did not have Staff orientation in file. According to 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Operational and Personnel Policies Item 1233-Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. Note: A.F. did not have operational and Personnel policies in their file. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Note: A.F. did not have operational and Personnel policies in their file.(f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. A.F. each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Recognizing and Responding Item 1897: Recognizing and Responding to Suspicions of Child Maltreatment Training: the training must be completed within ninety (90) days of employment. Note: A.F. has not taken Recognizing and responding to suspicions of Child Maltreatment and her date of hire is 7/24/23. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. EPR Plan Item 1825- All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Note: A.F. did not review the EPR plan and was employed on 7/10/23. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item 0862 -The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Note: The EMC plan was not reviewed with A.F. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/24/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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: No children can be in the office because it is unlicensed space. 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. 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 Sidney.McCrory@dhhs.nc.gov or 828.550.7655, 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 .0607 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/10/2024 Number Present: 17 Completed Date: 5/10/2024 Age: From 0 To 4 Total Minutes: 165 Time In: 11:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced Observations: Observations: The purpose of today’s Annual Compliance Follow-up visit was to follow up on supervision written during your Annual Compliance visit on 5/8/24. Today there were seventeen (17) children with three (3) teachers and one (1) administrator. Cindy Day, Administrator, was present during my visit. I observed the toddler classroom where two (2) children were napping, and the third child was being settled down. Both the protective barrier and the door were closed to the classroom. The room was well supervised. The children napping were all supervised by teachers in classrooms while they slept. Teachers were up walking and checking on children. It was observed all children were properly supervised. The following violations were documented today. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC was not reviewed with A.F.. Her hire date was 7/10/23. 10A NCAC 09 .0802(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A.F. did not have Staff orientation for the first 6 weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A.F. did not have Staff orientation for the first two (2) weeks of employment on file. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.A.F. did not have operational and Personnel policies in their file. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. A.F. had not reviewed the EPR. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A.F. did not sign a shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A.F. did not have Recognizing and Responding to Suspicions of Child Maltreatment training and her hire date was 7/10/23. .1102(g) Technical Assistance Item 1874 anyone that is going to be caring for children and counted in staff/child ratio must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. Note: A.F. did not sign a shaken Baby Syndrome and Abusive Head Trauma policy. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Staff Orientation Item 1045 and Item 1067 all staff must complete the required orientation training listed on the Documentation of Staff Orientation Child Care Centers form within the required timeframe. Note: A.F. did not have Staff orientation in file. According to 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Operational and Personnel Policies Item 1233-Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. Note: A.F. did not have operational and Personnel policies in their file. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Note: A.F. did not have operational and Personnel policies in their file.(f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. A.F. each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Recognizing and Responding Item 1897: Recognizing and Responding to Suspicions of Child Maltreatment Training: the training must be completed within ninety (90) days of employment. Note: A.F. has not taken Recognizing and responding to suspicions of Child Maltreatment and her date of hire is 7/24/23. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. EPR Plan Item 1825- All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Note: A.F. did not review the EPR plan and was employed on 7/10/23. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item 0862 -The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Note: The EMC plan was not reviewed with A.F. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/24/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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: No children can be in the office because it is unlicensed space. 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. 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 Sidney.McCrory@dhhs.nc.gov or 828.550.7655, 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 .0608 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/10/2024 Number Present: 17 Completed Date: 5/10/2024 Age: From 0 To 4 Total Minutes: 165 Time In: 11:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced Observations: Observations: The purpose of today’s Annual Compliance Follow-up visit was to follow up on supervision written during your Annual Compliance visit on 5/8/24. Today there were seventeen (17) children with three (3) teachers and one (1) administrator. Cindy Day, Administrator, was present during my visit. I observed the toddler classroom where two (2) children were napping, and the third child was being settled down. Both the protective barrier and the door were closed to the classroom. The room was well supervised. The children napping were all supervised by teachers in classrooms while they slept. Teachers were up walking and checking on children. It was observed all children were properly supervised. The following violations were documented today. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC was not reviewed with A.F.. Her hire date was 7/10/23. 10A NCAC 09 .0802(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A.F. did not have Staff orientation for the first 6 weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A.F. did not have Staff orientation for the first two (2) weeks of employment on file. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.A.F. did not have operational and Personnel policies in their file. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. A.F. had not reviewed the EPR. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A.F. did not sign a shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A.F. did not have Recognizing and Responding to Suspicions of Child Maltreatment training and her hire date was 7/10/23. .1102(g) Technical Assistance Item 1874 anyone that is going to be caring for children and counted in staff/child ratio must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. Note: A.F. did not sign a shaken Baby Syndrome and Abusive Head Trauma policy. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Staff Orientation Item 1045 and Item 1067 all staff must complete the required orientation training listed on the Documentation of Staff Orientation Child Care Centers form within the required timeframe. Note: A.F. did not have Staff orientation in file. According to 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Operational and Personnel Policies Item 1233-Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. Note: A.F. did not have operational and Personnel policies in their file. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Note: A.F. did not have operational and Personnel policies in their file.(f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. A.F. each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Recognizing and Responding Item 1897: Recognizing and Responding to Suspicions of Child Maltreatment Training: the training must be completed within ninety (90) days of employment. Note: A.F. has not taken Recognizing and responding to suspicions of Child Maltreatment and her date of hire is 7/24/23. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. EPR Plan Item 1825- All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Note: A.F. did not review the EPR plan and was employed on 7/10/23. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item 0862 -The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Note: The EMC plan was not reviewed with A.F. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/24/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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: No children can be in the office because it is unlicensed space. 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. 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 Sidney.McCrory@dhhs.nc.gov or 828.550.7655, 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 .0802 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/10/2024 Number Present: 17 Completed Date: 5/10/2024 Age: From 0 To 4 Total Minutes: 165 Time In: 11:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced Observations: Observations: The purpose of today’s Annual Compliance Follow-up visit was to follow up on supervision written during your Annual Compliance visit on 5/8/24. Today there were seventeen (17) children with three (3) teachers and one (1) administrator. Cindy Day, Administrator, was present during my visit. I observed the toddler classroom where two (2) children were napping, and the third child was being settled down. Both the protective barrier and the door were closed to the classroom. The room was well supervised. The children napping were all supervised by teachers in classrooms while they slept. Teachers were up walking and checking on children. It was observed all children were properly supervised. The following violations were documented today. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC was not reviewed with A.F.. Her hire date was 7/10/23. 10A NCAC 09 .0802(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A.F. did not have Staff orientation for the first 6 weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A.F. did not have Staff orientation for the first two (2) weeks of employment on file. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.A.F. did not have operational and Personnel policies in their file. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. A.F. had not reviewed the EPR. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A.F. did not sign a shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A.F. did not have Recognizing and Responding to Suspicions of Child Maltreatment training and her hire date was 7/10/23. .1102(g) Technical Assistance Item 1874 anyone that is going to be caring for children and counted in staff/child ratio must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. Note: A.F. did not sign a shaken Baby Syndrome and Abusive Head Trauma policy. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Staff Orientation Item 1045 and Item 1067 all staff must complete the required orientation training listed on the Documentation of Staff Orientation Child Care Centers form within the required timeframe. Note: A.F. did not have Staff orientation in file. According to 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Operational and Personnel Policies Item 1233-Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. Note: A.F. did not have operational and Personnel policies in their file. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Note: A.F. did not have operational and Personnel policies in their file.(f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. A.F. each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Recognizing and Responding Item 1897: Recognizing and Responding to Suspicions of Child Maltreatment Training: the training must be completed within ninety (90) days of employment. Note: A.F. has not taken Recognizing and responding to suspicions of Child Maltreatment and her date of hire is 7/24/23. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. EPR Plan Item 1825- All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Note: A.F. did not review the EPR plan and was employed on 7/10/23. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item 0862 -The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Note: The EMC plan was not reviewed with A.F. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/24/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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: No children can be in the office because it is unlicensed space. 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. 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 Sidney.McCrory@dhhs.nc.gov or 828.550.7655, 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 .1101 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/10/2024 Number Present: 17 Completed Date: 5/10/2024 Age: From 0 To 4 Total Minutes: 165 Time In: 11:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced Observations: Observations: The purpose of today’s Annual Compliance Follow-up visit was to follow up on supervision written during your Annual Compliance visit on 5/8/24. Today there were seventeen (17) children with three (3) teachers and one (1) administrator. Cindy Day, Administrator, was present during my visit. I observed the toddler classroom where two (2) children were napping, and the third child was being settled down. Both the protective barrier and the door were closed to the classroom. The room was well supervised. The children napping were all supervised by teachers in classrooms while they slept. Teachers were up walking and checking on children. It was observed all children were properly supervised. The following violations were documented today. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC was not reviewed with A.F.. Her hire date was 7/10/23. 10A NCAC 09 .0802(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A.F. did not have Staff orientation for the first 6 weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A.F. did not have Staff orientation for the first two (2) weeks of employment on file. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.A.F. did not have operational and Personnel policies in their file. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. A.F. had not reviewed the EPR. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A.F. did not sign a shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A.F. did not have Recognizing and Responding to Suspicions of Child Maltreatment training and her hire date was 7/10/23. .1102(g) Technical Assistance Item 1874 anyone that is going to be caring for children and counted in staff/child ratio must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. Note: A.F. did not sign a shaken Baby Syndrome and Abusive Head Trauma policy. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Staff Orientation Item 1045 and Item 1067 all staff must complete the required orientation training listed on the Documentation of Staff Orientation Child Care Centers form within the required timeframe. Note: A.F. did not have Staff orientation in file. According to 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Operational and Personnel Policies Item 1233-Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. Note: A.F. did not have operational and Personnel policies in their file. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Note: A.F. did not have operational and Personnel policies in their file.(f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. A.F. each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Recognizing and Responding Item 1897: Recognizing and Responding to Suspicions of Child Maltreatment Training: the training must be completed within ninety (90) days of employment. Note: A.F. has not taken Recognizing and responding to suspicions of Child Maltreatment and her date of hire is 7/24/23. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. EPR Plan Item 1825- All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Note: A.F. did not review the EPR plan and was employed on 7/10/23. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item 0862 -The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Note: The EMC plan was not reviewed with A.F. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/24/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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: No children can be in the office because it is unlicensed space. 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. 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 Sidney.McCrory@dhhs.nc.gov or 828.550.7655, 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: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/10/2024 Number Present: 17 Completed Date: 5/10/2024 Age: From 0 To 4 Total Minutes: 165 Time In: 11:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced Observations: Observations: The purpose of today’s Annual Compliance Follow-up visit was to follow up on supervision written during your Annual Compliance visit on 5/8/24. Today there were seventeen (17) children with three (3) teachers and one (1) administrator. Cindy Day, Administrator, was present during my visit. I observed the toddler classroom where two (2) children were napping, and the third child was being settled down. Both the protective barrier and the door were closed to the classroom. The room was well supervised. The children napping were all supervised by teachers in classrooms while they slept. Teachers were up walking and checking on children. It was observed all children were properly supervised. The following violations were documented today. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC was not reviewed with A.F.. Her hire date was 7/10/23. 10A NCAC 09 .0802(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A.F. did not have Staff orientation for the first 6 weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A.F. did not have Staff orientation for the first two (2) weeks of employment on file. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.A.F. did not have operational and Personnel policies in their file. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. A.F. had not reviewed the EPR. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A.F. did not sign a shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A.F. did not have Recognizing and Responding to Suspicions of Child Maltreatment training and her hire date was 7/10/23. .1102(g) Technical Assistance Item 1874 anyone that is going to be caring for children and counted in staff/child ratio must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. Note: A.F. did not sign a shaken Baby Syndrome and Abusive Head Trauma policy. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Staff Orientation Item 1045 and Item 1067 all staff must complete the required orientation training listed on the Documentation of Staff Orientation Child Care Centers form within the required timeframe. Note: A.F. did not have Staff orientation in file. According to 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Operational and Personnel Policies Item 1233-Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. Note: A.F. did not have operational and Personnel policies in their file. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Note: A.F. did not have operational and Personnel policies in their file.(f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. A.F. each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Recognizing and Responding Item 1897: Recognizing and Responding to Suspicions of Child Maltreatment Training: the training must be completed within ninety (90) days of employment. Note: A.F. has not taken Recognizing and responding to suspicions of Child Maltreatment and her date of hire is 7/24/23. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. EPR Plan Item 1825- All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Note: A.F. did not review the EPR plan and was employed on 7/10/23. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item 0862 -The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Note: The EMC plan was not reviewed with A.F. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/24/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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: No children can be in the office because it is unlicensed space. 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. 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 Sidney.McCrory@dhhs.nc.gov or 828.550.7655, 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: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/10/2024 Number Present: 17 Completed Date: 5/10/2024 Age: From 0 To 4 Total Minutes: 165 Time In: 11:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced Observations: Observations: The purpose of today’s Annual Compliance Follow-up visit was to follow up on supervision written during your Annual Compliance visit on 5/8/24. Today there were seventeen (17) children with three (3) teachers and one (1) administrator. Cindy Day, Administrator, was present during my visit. I observed the toddler classroom where two (2) children were napping, and the third child was being settled down. Both the protective barrier and the door were closed to the classroom. The room was well supervised. The children napping were all supervised by teachers in classrooms while they slept. Teachers were up walking and checking on children. It was observed all children were properly supervised. The following violations were documented today. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC was not reviewed with A.F.. Her hire date was 7/10/23. 10A NCAC 09 .0802(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A.F. did not have Staff orientation for the first 6 weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A.F. did not have Staff orientation for the first two (2) weeks of employment on file. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.A.F. did not have operational and Personnel policies in their file. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. A.F. had not reviewed the EPR. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A.F. did not sign a shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A.F. did not have Recognizing and Responding to Suspicions of Child Maltreatment training and her hire date was 7/10/23. .1102(g) Technical Assistance Item 1874 anyone that is going to be caring for children and counted in staff/child ratio must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. Note: A.F. did not sign a shaken Baby Syndrome and Abusive Head Trauma policy. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Staff Orientation Item 1045 and Item 1067 all staff must complete the required orientation training listed on the Documentation of Staff Orientation Child Care Centers form within the required timeframe. Note: A.F. did not have Staff orientation in file. According to 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Operational and Personnel Policies Item 1233-Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. Note: A.F. did not have operational and Personnel policies in their file. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Note: A.F. did not have operational and Personnel policies in their file.(f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. A.F. each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Recognizing and Responding Item 1897: Recognizing and Responding to Suspicions of Child Maltreatment Training: the training must be completed within ninety (90) days of employment. Note: A.F. has not taken Recognizing and responding to suspicions of Child Maltreatment and her date of hire is 7/24/23. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. EPR Plan Item 1825- All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Note: A.F. did not review the EPR plan and was employed on 7/10/23. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item 0862 -The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Note: The EMC plan was not reviewed with A.F. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/24/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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: No children can be in the office because it is unlicensed space. 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. 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 Sidney.McCrory@dhhs.nc.gov or 828.550.7655, 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: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/10/2024 Number Present: 17 Completed Date: 5/10/2024 Age: From 0 To 4 Total Minutes: 165 Time In: 11:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced Observations: Observations: The purpose of today’s Annual Compliance Follow-up visit was to follow up on supervision written during your Annual Compliance visit on 5/8/24. Today there were seventeen (17) children with three (3) teachers and one (1) administrator. Cindy Day, Administrator, was present during my visit. I observed the toddler classroom where two (2) children were napping, and the third child was being settled down. Both the protective barrier and the door were closed to the classroom. The room was well supervised. The children napping were all supervised by teachers in classrooms while they slept. Teachers were up walking and checking on children. It was observed all children were properly supervised. The following violations were documented today. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC was not reviewed with A.F.. Her hire date was 7/10/23. 10A NCAC 09 .0802(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A.F. did not have Staff orientation for the first 6 weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A.F. did not have Staff orientation for the first two (2) weeks of employment on file. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.A.F. did not have operational and Personnel policies in their file. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. A.F. had not reviewed the EPR. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A.F. did not sign a shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A.F. did not have Recognizing and Responding to Suspicions of Child Maltreatment training and her hire date was 7/10/23. .1102(g) Technical Assistance Item 1874 anyone that is going to be caring for children and counted in staff/child ratio must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. Note: A.F. did not sign a shaken Baby Syndrome and Abusive Head Trauma policy. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Staff Orientation Item 1045 and Item 1067 all staff must complete the required orientation training listed on the Documentation of Staff Orientation Child Care Centers form within the required timeframe. Note: A.F. did not have Staff orientation in file. According to 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Operational and Personnel Policies Item 1233-Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. Note: A.F. did not have operational and Personnel policies in their file. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Note: A.F. did not have operational and Personnel policies in their file.(f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. A.F. each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Recognizing and Responding Item 1897: Recognizing and Responding to Suspicions of Child Maltreatment Training: the training must be completed within ninety (90) days of employment. Note: A.F. has not taken Recognizing and responding to suspicions of Child Maltreatment and her date of hire is 7/24/23. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. EPR Plan Item 1825- All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Note: A.F. did not review the EPR plan and was employed on 7/10/23. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item 0862 -The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Note: The EMC plan was not reviewed with A.F. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/24/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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: No children can be in the office because it is unlicensed space. 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. 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 Sidney.McCrory@dhhs.nc.gov or 828.550.7655, 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 .0102 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 22 Completed Date: 5/8/2024 Age: From 1 To 5 Total Minutes: 240 Time In: 12:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit . A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed Cindy Day, Administrator. Kaoru Eddins, Child Care Consultant, accompanied me on todays visit. An electronic signed copy of the visit summary was left on-site. Today, Cindy Day, Administrator, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percentage as of 5/8/24. Permit type – Four Star Child Care Center 7/13/19. Special Services/Restrictions – Daytime care only; Meets Enhanced space ; Meets Enhanced ratios. The last annual compliance visit was conducted on 7/10/23. The last fire drill was practiced on 4/24/24. The last shelter-in-place drill was practiced on 1/12/23. The last playground inspection was documented on 4/9/24. The last fire inspection was approved on 7/03/23. The last sanitation inspection was conducted on 4/29/24 with twenty-eight (28) demerits for a Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I introduced my presence to the Administrator. I observed the group with one- to two-year-old children engaged in center play activities while one infant was still asleep in the crib. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. 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/ We have reviewed one(1) staff file in full, four (4) files partially and three(3) children's files. Staff interaction with children were adequate. The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. In space #4, the teacher was nodding off while the children were taking a nap. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted in the classrooms were dated 2/19/24- 2/23/24. 10A NCAC 09 .0901(b) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The molding in the afterschool area was covered in mold in the back left space of the building 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information.A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Boudreaux's Butt Paste in space #5 expired in 11/2023. .0803(12) 853 Incident logs were not completed and maintained as required. No incident log was not completed. They were in children’s files but not documented in a log. .0802(g)(1-6) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The facility's EMC plan was last reviewed with staff members on 9/22/22. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Four (4) Employees did not have an annual staff evaluation (AE) and staff development plan (SDP). The date of the last AE and SDP completed was 10/29/22. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The facility's EPR plan was last reviewed with staff members on 9/22/22. .0607(e) Walls and ceilings not in good repair Item 620- All walls and ceilings, including doors and windows, were not kept clean and in good repair. Note: The modeling in the afterschool area was covered in mold in the back left space of the building. We discussed replacing this molding with new modeling since it was very old. This would correct the problem. 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In childcare centers, the walls, and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Item 0862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Note: EMC plan was not reviewed with all staff since 2022. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan Supervision Item 303-Children were not adequately supervised at all times. Note: One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. This classroom door should also be closed to help with children who can move the barrier. According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request Medications Item 847: Medication: Permission to Administer Medication form is required for all medications. Note: A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. According to 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Incident Log Item 0853 Incident logs were not completed and maintained as required. Note: No incident log was not completed. They were in children’s files but not documented in a log. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division Fire Drill Item 805 Fire drill must be conducted monthly and recorded on the fire drill log. Note: The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Activity Plan Item #428-A current activity plan was not posted for each group of children for reference. In the classroom for children ages two (2) to three (3) years and in the classroom for children ages three (3) to five (5) years the activity plan that was posted was dated 11-16-2020. Note: A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. Make sure all teachers have a new lesson plan up every Monday. You could do a Monday walk through to help them get in the habit. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Missed Emergency Drill Item 1811- an emergency drill either a “shelter-in-place’ or lockdown must be completed every three months. Note: The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. On the day you do the preschools emergency drill make it a habbit to do the afterschool to keep you in a routine. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Staff Evaluation Item 1232- Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Note: Four (4) Employees did not have a staff evaluation since 10/29/22. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (a) Each center shall have written policies that describe the operation of the center (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/22/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.McCrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed your low staffed and have been stying in a class room. We discussed C.L. Will need a new CBC 11/7/24. We discussed you will have the afterschool kids do a clean up to get the clutter under control in their area. 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 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 Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@d If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0302 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 22 Completed Date: 5/8/2024 Age: From 1 To 5 Total Minutes: 240 Time In: 12:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit . A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed Cindy Day, Administrator. Kaoru Eddins, Child Care Consultant, accompanied me on todays visit. An electronic signed copy of the visit summary was left on-site. Today, Cindy Day, Administrator, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percentage as of 5/8/24. Permit type – Four Star Child Care Center 7/13/19. Special Services/Restrictions – Daytime care only; Meets Enhanced space ; Meets Enhanced ratios. The last annual compliance visit was conducted on 7/10/23. The last fire drill was practiced on 4/24/24. The last shelter-in-place drill was practiced on 1/12/23. The last playground inspection was documented on 4/9/24. The last fire inspection was approved on 7/03/23. The last sanitation inspection was conducted on 4/29/24 with twenty-eight (28) demerits for a Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I introduced my presence to the Administrator. I observed the group with one- to two-year-old children engaged in center play activities while one infant was still asleep in the crib. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. 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/ We have reviewed one(1) staff file in full, four (4) files partially and three(3) children's files. Staff interaction with children were adequate. The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. In space #4, the teacher was nodding off while the children were taking a nap. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted in the classrooms were dated 2/19/24- 2/23/24. 10A NCAC 09 .0901(b) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The molding in the afterschool area was covered in mold in the back left space of the building 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information.A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Boudreaux's Butt Paste in space #5 expired in 11/2023. .0803(12) 853 Incident logs were not completed and maintained as required. No incident log was not completed. They were in children’s files but not documented in a log. .0802(g)(1-6) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The facility's EMC plan was last reviewed with staff members on 9/22/22. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Four (4) Employees did not have an annual staff evaluation (AE) and staff development plan (SDP). The date of the last AE and SDP completed was 10/29/22. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The facility's EPR plan was last reviewed with staff members on 9/22/22. .0607(e) Walls and ceilings not in good repair Item 620- All walls and ceilings, including doors and windows, were not kept clean and in good repair. Note: The modeling in the afterschool area was covered in mold in the back left space of the building. We discussed replacing this molding with new modeling since it was very old. This would correct the problem. 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In childcare centers, the walls, and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Item 0862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Note: EMC plan was not reviewed with all staff since 2022. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan Supervision Item 303-Children were not adequately supervised at all times. Note: One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. This classroom door should also be closed to help with children who can move the barrier. According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request Medications Item 847: Medication: Permission to Administer Medication form is required for all medications. Note: A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. According to 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Incident Log Item 0853 Incident logs were not completed and maintained as required. Note: No incident log was not completed. They were in children’s files but not documented in a log. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division Fire Drill Item 805 Fire drill must be conducted monthly and recorded on the fire drill log. Note: The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Activity Plan Item #428-A current activity plan was not posted for each group of children for reference. In the classroom for children ages two (2) to three (3) years and in the classroom for children ages three (3) to five (5) years the activity plan that was posted was dated 11-16-2020. Note: A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. Make sure all teachers have a new lesson plan up every Monday. You could do a Monday walk through to help them get in the habit. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Missed Emergency Drill Item 1811- an emergency drill either a “shelter-in-place’ or lockdown must be completed every three months. Note: The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. On the day you do the preschools emergency drill make it a habbit to do the afterschool to keep you in a routine. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Staff Evaluation Item 1232- Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Note: Four (4) Employees did not have a staff evaluation since 10/29/22. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (a) Each center shall have written policies that describe the operation of the center (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/22/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.McCrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed your low staffed and have been stying in a class room. We discussed C.L. Will need a new CBC 11/7/24. We discussed you will have the afterschool kids do a clean up to get the clutter under control in their area. 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 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 Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@d 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: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 22 Completed Date: 5/8/2024 Age: From 1 To 5 Total Minutes: 240 Time In: 12:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit . A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed Cindy Day, Administrator. Kaoru Eddins, Child Care Consultant, accompanied me on todays visit. An electronic signed copy of the visit summary was left on-site. Today, Cindy Day, Administrator, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percentage as of 5/8/24. Permit type – Four Star Child Care Center 7/13/19. Special Services/Restrictions – Daytime care only; Meets Enhanced space ; Meets Enhanced ratios. The last annual compliance visit was conducted on 7/10/23. The last fire drill was practiced on 4/24/24. The last shelter-in-place drill was practiced on 1/12/23. The last playground inspection was documented on 4/9/24. The last fire inspection was approved on 7/03/23. The last sanitation inspection was conducted on 4/29/24 with twenty-eight (28) demerits for a Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I introduced my presence to the Administrator. I observed the group with one- to two-year-old children engaged in center play activities while one infant was still asleep in the crib. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. 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/ We have reviewed one(1) staff file in full, four (4) files partially and three(3) children's files. Staff interaction with children were adequate. The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. In space #4, the teacher was nodding off while the children were taking a nap. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted in the classrooms were dated 2/19/24- 2/23/24. 10A NCAC 09 .0901(b) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The molding in the afterschool area was covered in mold in the back left space of the building 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information.A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Boudreaux's Butt Paste in space #5 expired in 11/2023. .0803(12) 853 Incident logs were not completed and maintained as required. No incident log was not completed. They were in children’s files but not documented in a log. .0802(g)(1-6) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The facility's EMC plan was last reviewed with staff members on 9/22/22. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Four (4) Employees did not have an annual staff evaluation (AE) and staff development plan (SDP). The date of the last AE and SDP completed was 10/29/22. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The facility's EPR plan was last reviewed with staff members on 9/22/22. .0607(e) Walls and ceilings not in good repair Item 620- All walls and ceilings, including doors and windows, were not kept clean and in good repair. Note: The modeling in the afterschool area was covered in mold in the back left space of the building. We discussed replacing this molding with new modeling since it was very old. This would correct the problem. 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In childcare centers, the walls, and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Item 0862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Note: EMC plan was not reviewed with all staff since 2022. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan Supervision Item 303-Children were not adequately supervised at all times. Note: One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. This classroom door should also be closed to help with children who can move the barrier. According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request Medications Item 847: Medication: Permission to Administer Medication form is required for all medications. Note: A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. According to 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Incident Log Item 0853 Incident logs were not completed and maintained as required. Note: No incident log was not completed. They were in children’s files but not documented in a log. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division Fire Drill Item 805 Fire drill must be conducted monthly and recorded on the fire drill log. Note: The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Activity Plan Item #428-A current activity plan was not posted for each group of children for reference. In the classroom for children ages two (2) to three (3) years and in the classroom for children ages three (3) to five (5) years the activity plan that was posted was dated 11-16-2020. Note: A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. Make sure all teachers have a new lesson plan up every Monday. You could do a Monday walk through to help them get in the habit. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Missed Emergency Drill Item 1811- an emergency drill either a “shelter-in-place’ or lockdown must be completed every three months. Note: The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. On the day you do the preschools emergency drill make it a habbit to do the afterschool to keep you in a routine. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Staff Evaluation Item 1232- Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Note: Four (4) Employees did not have a staff evaluation since 10/29/22. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (a) Each center shall have written policies that describe the operation of the center (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/22/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.McCrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed your low staffed and have been stying in a class room. We discussed C.L. Will need a new CBC 11/7/24. We discussed you will have the afterschool kids do a clean up to get the clutter under control in their area. 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 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 Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@d If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0508 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 22 Completed Date: 5/8/2024 Age: From 1 To 5 Total Minutes: 240 Time In: 12:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit . A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed Cindy Day, Administrator. Kaoru Eddins, Child Care Consultant, accompanied me on todays visit. An electronic signed copy of the visit summary was left on-site. Today, Cindy Day, Administrator, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percentage as of 5/8/24. Permit type – Four Star Child Care Center 7/13/19. Special Services/Restrictions – Daytime care only; Meets Enhanced space ; Meets Enhanced ratios. The last annual compliance visit was conducted on 7/10/23. The last fire drill was practiced on 4/24/24. The last shelter-in-place drill was practiced on 1/12/23. The last playground inspection was documented on 4/9/24. The last fire inspection was approved on 7/03/23. The last sanitation inspection was conducted on 4/29/24 with twenty-eight (28) demerits for a Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I introduced my presence to the Administrator. I observed the group with one- to two-year-old children engaged in center play activities while one infant was still asleep in the crib. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. 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/ We have reviewed one(1) staff file in full, four (4) files partially and three(3) children's files. Staff interaction with children were adequate. The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. In space #4, the teacher was nodding off while the children were taking a nap. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted in the classrooms were dated 2/19/24- 2/23/24. 10A NCAC 09 .0901(b) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The molding in the afterschool area was covered in mold in the back left space of the building 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information.A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Boudreaux's Butt Paste in space #5 expired in 11/2023. .0803(12) 853 Incident logs were not completed and maintained as required. No incident log was not completed. They were in children’s files but not documented in a log. .0802(g)(1-6) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The facility's EMC plan was last reviewed with staff members on 9/22/22. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Four (4) Employees did not have an annual staff evaluation (AE) and staff development plan (SDP). The date of the last AE and SDP completed was 10/29/22. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The facility's EPR plan was last reviewed with staff members on 9/22/22. .0607(e) Walls and ceilings not in good repair Item 620- All walls and ceilings, including doors and windows, were not kept clean and in good repair. Note: The modeling in the afterschool area was covered in mold in the back left space of the building. We discussed replacing this molding with new modeling since it was very old. This would correct the problem. 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In childcare centers, the walls, and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Item 0862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Note: EMC plan was not reviewed with all staff since 2022. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan Supervision Item 303-Children were not adequately supervised at all times. Note: One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. This classroom door should also be closed to help with children who can move the barrier. According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request Medications Item 847: Medication: Permission to Administer Medication form is required for all medications. Note: A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. According to 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Incident Log Item 0853 Incident logs were not completed and maintained as required. Note: No incident log was not completed. They were in children’s files but not documented in a log. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division Fire Drill Item 805 Fire drill must be conducted monthly and recorded on the fire drill log. Note: The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Activity Plan Item #428-A current activity plan was not posted for each group of children for reference. In the classroom for children ages two (2) to three (3) years and in the classroom for children ages three (3) to five (5) years the activity plan that was posted was dated 11-16-2020. Note: A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. Make sure all teachers have a new lesson plan up every Monday. You could do a Monday walk through to help them get in the habit. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Missed Emergency Drill Item 1811- an emergency drill either a “shelter-in-place’ or lockdown must be completed every three months. Note: The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. On the day you do the preschools emergency drill make it a habbit to do the afterschool to keep you in a routine. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Staff Evaluation Item 1232- Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Note: Four (4) Employees did not have a staff evaluation since 10/29/22. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (a) Each center shall have written policies that describe the operation of the center (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/22/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.McCrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed your low staffed and have been stying in a class room. We discussed C.L. Will need a new CBC 11/7/24. We discussed you will have the afterschool kids do a clean up to get the clutter under control in their area. 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 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 Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@d If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0514 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 22 Completed Date: 5/8/2024 Age: From 1 To 5 Total Minutes: 240 Time In: 12:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit . A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed Cindy Day, Administrator. Kaoru Eddins, Child Care Consultant, accompanied me on todays visit. An electronic signed copy of the visit summary was left on-site. Today, Cindy Day, Administrator, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percentage as of 5/8/24. Permit type – Four Star Child Care Center 7/13/19. Special Services/Restrictions – Daytime care only; Meets Enhanced space ; Meets Enhanced ratios. The last annual compliance visit was conducted on 7/10/23. The last fire drill was practiced on 4/24/24. The last shelter-in-place drill was practiced on 1/12/23. The last playground inspection was documented on 4/9/24. The last fire inspection was approved on 7/03/23. The last sanitation inspection was conducted on 4/29/24 with twenty-eight (28) demerits for a Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I introduced my presence to the Administrator. I observed the group with one- to two-year-old children engaged in center play activities while one infant was still asleep in the crib. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. 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/ We have reviewed one(1) staff file in full, four (4) files partially and three(3) children's files. Staff interaction with children were adequate. The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. In space #4, the teacher was nodding off while the children were taking a nap. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted in the classrooms were dated 2/19/24- 2/23/24. 10A NCAC 09 .0901(b) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The molding in the afterschool area was covered in mold in the back left space of the building 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information.A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Boudreaux's Butt Paste in space #5 expired in 11/2023. .0803(12) 853 Incident logs were not completed and maintained as required. No incident log was not completed. They were in children’s files but not documented in a log. .0802(g)(1-6) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The facility's EMC plan was last reviewed with staff members on 9/22/22. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Four (4) Employees did not have an annual staff evaluation (AE) and staff development plan (SDP). The date of the last AE and SDP completed was 10/29/22. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The facility's EPR plan was last reviewed with staff members on 9/22/22. .0607(e) Walls and ceilings not in good repair Item 620- All walls and ceilings, including doors and windows, were not kept clean and in good repair. Note: The modeling in the afterschool area was covered in mold in the back left space of the building. We discussed replacing this molding with new modeling since it was very old. This would correct the problem. 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In childcare centers, the walls, and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Item 0862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Note: EMC plan was not reviewed with all staff since 2022. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan Supervision Item 303-Children were not adequately supervised at all times. Note: One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. This classroom door should also be closed to help with children who can move the barrier. According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request Medications Item 847: Medication: Permission to Administer Medication form is required for all medications. Note: A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. According to 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Incident Log Item 0853 Incident logs were not completed and maintained as required. Note: No incident log was not completed. They were in children’s files but not documented in a log. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division Fire Drill Item 805 Fire drill must be conducted monthly and recorded on the fire drill log. Note: The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Activity Plan Item #428-A current activity plan was not posted for each group of children for reference. In the classroom for children ages two (2) to three (3) years and in the classroom for children ages three (3) to five (5) years the activity plan that was posted was dated 11-16-2020. Note: A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. Make sure all teachers have a new lesson plan up every Monday. You could do a Monday walk through to help them get in the habit. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Missed Emergency Drill Item 1811- an emergency drill either a “shelter-in-place’ or lockdown must be completed every three months. Note: The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. On the day you do the preschools emergency drill make it a habbit to do the afterschool to keep you in a routine. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Staff Evaluation Item 1232- Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Note: Four (4) Employees did not have a staff evaluation since 10/29/22. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (a) Each center shall have written policies that describe the operation of the center (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/22/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.McCrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed your low staffed and have been stying in a class room. We discussed C.L. Will need a new CBC 11/7/24. We discussed you will have the afterschool kids do a clean up to get the clutter under control in their area. 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 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 Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@d 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: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 22 Completed Date: 5/8/2024 Age: From 1 To 5 Total Minutes: 240 Time In: 12:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit . A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed Cindy Day, Administrator. Kaoru Eddins, Child Care Consultant, accompanied me on todays visit. An electronic signed copy of the visit summary was left on-site. Today, Cindy Day, Administrator, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percentage as of 5/8/24. Permit type – Four Star Child Care Center 7/13/19. Special Services/Restrictions – Daytime care only; Meets Enhanced space ; Meets Enhanced ratios. The last annual compliance visit was conducted on 7/10/23. The last fire drill was practiced on 4/24/24. The last shelter-in-place drill was practiced on 1/12/23. The last playground inspection was documented on 4/9/24. The last fire inspection was approved on 7/03/23. The last sanitation inspection was conducted on 4/29/24 with twenty-eight (28) demerits for a Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I introduced my presence to the Administrator. I observed the group with one- to two-year-old children engaged in center play activities while one infant was still asleep in the crib. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. 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/ We have reviewed one(1) staff file in full, four (4) files partially and three(3) children's files. Staff interaction with children were adequate. The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. In space #4, the teacher was nodding off while the children were taking a nap. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted in the classrooms were dated 2/19/24- 2/23/24. 10A NCAC 09 .0901(b) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The molding in the afterschool area was covered in mold in the back left space of the building 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information.A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Boudreaux's Butt Paste in space #5 expired in 11/2023. .0803(12) 853 Incident logs were not completed and maintained as required. No incident log was not completed. They were in children’s files but not documented in a log. .0802(g)(1-6) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The facility's EMC plan was last reviewed with staff members on 9/22/22. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Four (4) Employees did not have an annual staff evaluation (AE) and staff development plan (SDP). The date of the last AE and SDP completed was 10/29/22. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The facility's EPR plan was last reviewed with staff members on 9/22/22. .0607(e) Walls and ceilings not in good repair Item 620- All walls and ceilings, including doors and windows, were not kept clean and in good repair. Note: The modeling in the afterschool area was covered in mold in the back left space of the building. We discussed replacing this molding with new modeling since it was very old. This would correct the problem. 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In childcare centers, the walls, and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Item 0862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Note: EMC plan was not reviewed with all staff since 2022. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan Supervision Item 303-Children were not adequately supervised at all times. Note: One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. This classroom door should also be closed to help with children who can move the barrier. According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request Medications Item 847: Medication: Permission to Administer Medication form is required for all medications. Note: A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. According to 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Incident Log Item 0853 Incident logs were not completed and maintained as required. Note: No incident log was not completed. They were in children’s files but not documented in a log. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division Fire Drill Item 805 Fire drill must be conducted monthly and recorded on the fire drill log. Note: The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Activity Plan Item #428-A current activity plan was not posted for each group of children for reference. In the classroom for children ages two (2) to three (3) years and in the classroom for children ages three (3) to five (5) years the activity plan that was posted was dated 11-16-2020. Note: A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. Make sure all teachers have a new lesson plan up every Monday. You could do a Monday walk through to help them get in the habit. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Missed Emergency Drill Item 1811- an emergency drill either a “shelter-in-place’ or lockdown must be completed every three months. Note: The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. On the day you do the preschools emergency drill make it a habbit to do the afterschool to keep you in a routine. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Staff Evaluation Item 1232- Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Note: Four (4) Employees did not have a staff evaluation since 10/29/22. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (a) Each center shall have written policies that describe the operation of the center (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/22/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.McCrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed your low staffed and have been stying in a class room. We discussed C.L. Will need a new CBC 11/7/24. We discussed you will have the afterschool kids do a clean up to get the clutter under control in their area. 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 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 Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@d 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 .0802 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 22 Completed Date: 5/8/2024 Age: From 1 To 5 Total Minutes: 240 Time In: 12:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit . A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed Cindy Day, Administrator. Kaoru Eddins, Child Care Consultant, accompanied me on todays visit. An electronic signed copy of the visit summary was left on-site. Today, Cindy Day, Administrator, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percentage as of 5/8/24. Permit type – Four Star Child Care Center 7/13/19. Special Services/Restrictions – Daytime care only; Meets Enhanced space ; Meets Enhanced ratios. The last annual compliance visit was conducted on 7/10/23. The last fire drill was practiced on 4/24/24. The last shelter-in-place drill was practiced on 1/12/23. The last playground inspection was documented on 4/9/24. The last fire inspection was approved on 7/03/23. The last sanitation inspection was conducted on 4/29/24 with twenty-eight (28) demerits for a Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I introduced my presence to the Administrator. I observed the group with one- to two-year-old children engaged in center play activities while one infant was still asleep in the crib. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. 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/ We have reviewed one(1) staff file in full, four (4) files partially and three(3) children's files. Staff interaction with children were adequate. The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. In space #4, the teacher was nodding off while the children were taking a nap. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted in the classrooms were dated 2/19/24- 2/23/24. 10A NCAC 09 .0901(b) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The molding in the afterschool area was covered in mold in the back left space of the building 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information.A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Boudreaux's Butt Paste in space #5 expired in 11/2023. .0803(12) 853 Incident logs were not completed and maintained as required. No incident log was not completed. They were in children’s files but not documented in a log. .0802(g)(1-6) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The facility's EMC plan was last reviewed with staff members on 9/22/22. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Four (4) Employees did not have an annual staff evaluation (AE) and staff development plan (SDP). The date of the last AE and SDP completed was 10/29/22. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The facility's EPR plan was last reviewed with staff members on 9/22/22. .0607(e) Walls and ceilings not in good repair Item 620- All walls and ceilings, including doors and windows, were not kept clean and in good repair. Note: The modeling in the afterschool area was covered in mold in the back left space of the building. We discussed replacing this molding with new modeling since it was very old. This would correct the problem. 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In childcare centers, the walls, and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Item 0862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Note: EMC plan was not reviewed with all staff since 2022. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan Supervision Item 303-Children were not adequately supervised at all times. Note: One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. This classroom door should also be closed to help with children who can move the barrier. According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request Medications Item 847: Medication: Permission to Administer Medication form is required for all medications. Note: A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. According to 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Incident Log Item 0853 Incident logs were not completed and maintained as required. Note: No incident log was not completed. They were in children’s files but not documented in a log. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division Fire Drill Item 805 Fire drill must be conducted monthly and recorded on the fire drill log. Note: The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Activity Plan Item #428-A current activity plan was not posted for each group of children for reference. In the classroom for children ages two (2) to three (3) years and in the classroom for children ages three (3) to five (5) years the activity plan that was posted was dated 11-16-2020. Note: A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. Make sure all teachers have a new lesson plan up every Monday. You could do a Monday walk through to help them get in the habit. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Missed Emergency Drill Item 1811- an emergency drill either a “shelter-in-place’ or lockdown must be completed every three months. Note: The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. On the day you do the preschools emergency drill make it a habbit to do the afterschool to keep you in a routine. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Staff Evaluation Item 1232- Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Note: Four (4) Employees did not have a staff evaluation since 10/29/22. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (a) Each center shall have written policies that describe the operation of the center (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/22/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.McCrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed your low staffed and have been stying in a class room. We discussed C.L. Will need a new CBC 11/7/24. We discussed you will have the afterschool kids do a clean up to get the clutter under control in their area. 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 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 Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@d If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0803 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 22 Completed Date: 5/8/2024 Age: From 1 To 5 Total Minutes: 240 Time In: 12:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit . A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed Cindy Day, Administrator. Kaoru Eddins, Child Care Consultant, accompanied me on todays visit. An electronic signed copy of the visit summary was left on-site. Today, Cindy Day, Administrator, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percentage as of 5/8/24. Permit type – Four Star Child Care Center 7/13/19. Special Services/Restrictions – Daytime care only; Meets Enhanced space ; Meets Enhanced ratios. The last annual compliance visit was conducted on 7/10/23. The last fire drill was practiced on 4/24/24. The last shelter-in-place drill was practiced on 1/12/23. The last playground inspection was documented on 4/9/24. The last fire inspection was approved on 7/03/23. The last sanitation inspection was conducted on 4/29/24 with twenty-eight (28) demerits for a Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I introduced my presence to the Administrator. I observed the group with one- to two-year-old children engaged in center play activities while one infant was still asleep in the crib. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. 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/ We have reviewed one(1) staff file in full, four (4) files partially and three(3) children's files. Staff interaction with children were adequate. The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. In space #4, the teacher was nodding off while the children were taking a nap. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted in the classrooms were dated 2/19/24- 2/23/24. 10A NCAC 09 .0901(b) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The molding in the afterschool area was covered in mold in the back left space of the building 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information.A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Boudreaux's Butt Paste in space #5 expired in 11/2023. .0803(12) 853 Incident logs were not completed and maintained as required. No incident log was not completed. They were in children’s files but not documented in a log. .0802(g)(1-6) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The facility's EMC plan was last reviewed with staff members on 9/22/22. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Four (4) Employees did not have an annual staff evaluation (AE) and staff development plan (SDP). The date of the last AE and SDP completed was 10/29/22. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The facility's EPR plan was last reviewed with staff members on 9/22/22. .0607(e) Walls and ceilings not in good repair Item 620- All walls and ceilings, including doors and windows, were not kept clean and in good repair. Note: The modeling in the afterschool area was covered in mold in the back left space of the building. We discussed replacing this molding with new modeling since it was very old. This would correct the problem. 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In childcare centers, the walls, and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Item 0862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Note: EMC plan was not reviewed with all staff since 2022. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan Supervision Item 303-Children were not adequately supervised at all times. Note: One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. This classroom door should also be closed to help with children who can move the barrier. According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request Medications Item 847: Medication: Permission to Administer Medication form is required for all medications. Note: A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. According to 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Incident Log Item 0853 Incident logs were not completed and maintained as required. Note: No incident log was not completed. They were in children’s files but not documented in a log. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division Fire Drill Item 805 Fire drill must be conducted monthly and recorded on the fire drill log. Note: The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Activity Plan Item #428-A current activity plan was not posted for each group of children for reference. In the classroom for children ages two (2) to three (3) years and in the classroom for children ages three (3) to five (5) years the activity plan that was posted was dated 11-16-2020. Note: A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. Make sure all teachers have a new lesson plan up every Monday. You could do a Monday walk through to help them get in the habit. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Missed Emergency Drill Item 1811- an emergency drill either a “shelter-in-place’ or lockdown must be completed every three months. Note: The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. On the day you do the preschools emergency drill make it a habbit to do the afterschool to keep you in a routine. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Staff Evaluation Item 1232- Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Note: Four (4) Employees did not have a staff evaluation since 10/29/22. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (a) Each center shall have written policies that describe the operation of the center (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/22/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.McCrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed your low staffed and have been stying in a class room. We discussed C.L. Will need a new CBC 11/7/24. We discussed you will have the afterschool kids do a clean up to get the clutter under control in their area. 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 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 Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@d 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 .0901 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 22 Completed Date: 5/8/2024 Age: From 1 To 5 Total Minutes: 240 Time In: 12:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit . A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed Cindy Day, Administrator. Kaoru Eddins, Child Care Consultant, accompanied me on todays visit. An electronic signed copy of the visit summary was left on-site. Today, Cindy Day, Administrator, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percentage as of 5/8/24. Permit type – Four Star Child Care Center 7/13/19. Special Services/Restrictions – Daytime care only; Meets Enhanced space ; Meets Enhanced ratios. The last annual compliance visit was conducted on 7/10/23. The last fire drill was practiced on 4/24/24. The last shelter-in-place drill was practiced on 1/12/23. The last playground inspection was documented on 4/9/24. The last fire inspection was approved on 7/03/23. The last sanitation inspection was conducted on 4/29/24 with twenty-eight (28) demerits for a Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I introduced my presence to the Administrator. I observed the group with one- to two-year-old children engaged in center play activities while one infant was still asleep in the crib. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. 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/ We have reviewed one(1) staff file in full, four (4) files partially and three(3) children's files. Staff interaction with children were adequate. The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. In space #4, the teacher was nodding off while the children were taking a nap. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted in the classrooms were dated 2/19/24- 2/23/24. 10A NCAC 09 .0901(b) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The molding in the afterschool area was covered in mold in the back left space of the building 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information.A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Boudreaux's Butt Paste in space #5 expired in 11/2023. .0803(12) 853 Incident logs were not completed and maintained as required. No incident log was not completed. They were in children’s files but not documented in a log. .0802(g)(1-6) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The facility's EMC plan was last reviewed with staff members on 9/22/22. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Four (4) Employees did not have an annual staff evaluation (AE) and staff development plan (SDP). The date of the last AE and SDP completed was 10/29/22. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The facility's EPR plan was last reviewed with staff members on 9/22/22. .0607(e) Walls and ceilings not in good repair Item 620- All walls and ceilings, including doors and windows, were not kept clean and in good repair. Note: The modeling in the afterschool area was covered in mold in the back left space of the building. We discussed replacing this molding with new modeling since it was very old. This would correct the problem. 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In childcare centers, the walls, and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Item 0862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Note: EMC plan was not reviewed with all staff since 2022. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan Supervision Item 303-Children were not adequately supervised at all times. Note: One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. This classroom door should also be closed to help with children who can move the barrier. According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request Medications Item 847: Medication: Permission to Administer Medication form is required for all medications. Note: A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. According to 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Incident Log Item 0853 Incident logs were not completed and maintained as required. Note: No incident log was not completed. They were in children’s files but not documented in a log. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division Fire Drill Item 805 Fire drill must be conducted monthly and recorded on the fire drill log. Note: The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Activity Plan Item #428-A current activity plan was not posted for each group of children for reference. In the classroom for children ages two (2) to three (3) years and in the classroom for children ages three (3) to five (5) years the activity plan that was posted was dated 11-16-2020. Note: A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. Make sure all teachers have a new lesson plan up every Monday. You could do a Monday walk through to help them get in the habit. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Missed Emergency Drill Item 1811- an emergency drill either a “shelter-in-place’ or lockdown must be completed every three months. Note: The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. On the day you do the preschools emergency drill make it a habbit to do the afterschool to keep you in a routine. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Staff Evaluation Item 1232- Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Note: Four (4) Employees did not have a staff evaluation since 10/29/22. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (a) Each center shall have written policies that describe the operation of the center (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/22/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.McCrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed your low staffed and have been stying in a class room. We discussed C.L. Will need a new CBC 11/7/24. We discussed you will have the afterschool kids do a clean up to get the clutter under control in their area. 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 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 Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@d 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: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 22 Completed Date: 5/8/2024 Age: From 1 To 5 Total Minutes: 240 Time In: 12:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit . A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed Cindy Day, Administrator. Kaoru Eddins, Child Care Consultant, accompanied me on todays visit. An electronic signed copy of the visit summary was left on-site. Today, Cindy Day, Administrator, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percentage as of 5/8/24. Permit type – Four Star Child Care Center 7/13/19. Special Services/Restrictions – Daytime care only; Meets Enhanced space ; Meets Enhanced ratios. The last annual compliance visit was conducted on 7/10/23. The last fire drill was practiced on 4/24/24. The last shelter-in-place drill was practiced on 1/12/23. The last playground inspection was documented on 4/9/24. The last fire inspection was approved on 7/03/23. The last sanitation inspection was conducted on 4/29/24 with twenty-eight (28) demerits for a Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I introduced my presence to the Administrator. I observed the group with one- to two-year-old children engaged in center play activities while one infant was still asleep in the crib. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. 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/ We have reviewed one(1) staff file in full, four (4) files partially and three(3) children's files. Staff interaction with children were adequate. The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. In space #4, the teacher was nodding off while the children were taking a nap. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted in the classrooms were dated 2/19/24- 2/23/24. 10A NCAC 09 .0901(b) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The molding in the afterschool area was covered in mold in the back left space of the building 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information.A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Boudreaux's Butt Paste in space #5 expired in 11/2023. .0803(12) 853 Incident logs were not completed and maintained as required. No incident log was not completed. They were in children’s files but not documented in a log. .0802(g)(1-6) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The facility's EMC plan was last reviewed with staff members on 9/22/22. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Four (4) Employees did not have an annual staff evaluation (AE) and staff development plan (SDP). The date of the last AE and SDP completed was 10/29/22. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The facility's EPR plan was last reviewed with staff members on 9/22/22. .0607(e) Walls and ceilings not in good repair Item 620- All walls and ceilings, including doors and windows, were not kept clean and in good repair. Note: The modeling in the afterschool area was covered in mold in the back left space of the building. We discussed replacing this molding with new modeling since it was very old. This would correct the problem. 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In childcare centers, the walls, and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Item 0862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Note: EMC plan was not reviewed with all staff since 2022. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan Supervision Item 303-Children were not adequately supervised at all times. Note: One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. This classroom door should also be closed to help with children who can move the barrier. According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request Medications Item 847: Medication: Permission to Administer Medication form is required for all medications. Note: A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. According to 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Incident Log Item 0853 Incident logs were not completed and maintained as required. Note: No incident log was not completed. They were in children’s files but not documented in a log. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division Fire Drill Item 805 Fire drill must be conducted monthly and recorded on the fire drill log. Note: The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Activity Plan Item #428-A current activity plan was not posted for each group of children for reference. In the classroom for children ages two (2) to three (3) years and in the classroom for children ages three (3) to five (5) years the activity plan that was posted was dated 11-16-2020. Note: A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. Make sure all teachers have a new lesson plan up every Monday. You could do a Monday walk through to help them get in the habit. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Missed Emergency Drill Item 1811- an emergency drill either a “shelter-in-place’ or lockdown must be completed every three months. Note: The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. On the day you do the preschools emergency drill make it a habbit to do the afterschool to keep you in a routine. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Staff Evaluation Item 1232- Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Note: Four (4) Employees did not have a staff evaluation since 10/29/22. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (a) Each center shall have written policies that describe the operation of the center (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/22/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.McCrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed your low staffed and have been stying in a class room. We discussed C.L. Will need a new CBC 11/7/24. We discussed you will have the afterschool kids do a clean up to get the clutter under control in their area. 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 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 Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@d 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: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 22 Completed Date: 5/8/2024 Age: From 1 To 5 Total Minutes: 240 Time In: 12:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit . A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed Cindy Day, Administrator. Kaoru Eddins, Child Care Consultant, accompanied me on todays visit. An electronic signed copy of the visit summary was left on-site. Today, Cindy Day, Administrator, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percentage as of 5/8/24. Permit type – Four Star Child Care Center 7/13/19. Special Services/Restrictions – Daytime care only; Meets Enhanced space ; Meets Enhanced ratios. The last annual compliance visit was conducted on 7/10/23. The last fire drill was practiced on 4/24/24. The last shelter-in-place drill was practiced on 1/12/23. The last playground inspection was documented on 4/9/24. The last fire inspection was approved on 7/03/23. The last sanitation inspection was conducted on 4/29/24 with twenty-eight (28) demerits for a Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I introduced my presence to the Administrator. I observed the group with one- to two-year-old children engaged in center play activities while one infant was still asleep in the crib. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. 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/ We have reviewed one(1) staff file in full, four (4) files partially and three(3) children's files. Staff interaction with children were adequate. The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. In space #4, the teacher was nodding off while the children were taking a nap. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted in the classrooms were dated 2/19/24- 2/23/24. 10A NCAC 09 .0901(b) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The molding in the afterschool area was covered in mold in the back left space of the building 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information.A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Boudreaux's Butt Paste in space #5 expired in 11/2023. .0803(12) 853 Incident logs were not completed and maintained as required. No incident log was not completed. They were in children’s files but not documented in a log. .0802(g)(1-6) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The facility's EMC plan was last reviewed with staff members on 9/22/22. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Four (4) Employees did not have an annual staff evaluation (AE) and staff development plan (SDP). The date of the last AE and SDP completed was 10/29/22. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The facility's EPR plan was last reviewed with staff members on 9/22/22. .0607(e) Walls and ceilings not in good repair Item 620- All walls and ceilings, including doors and windows, were not kept clean and in good repair. Note: The modeling in the afterschool area was covered in mold in the back left space of the building. We discussed replacing this molding with new modeling since it was very old. This would correct the problem. 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In childcare centers, the walls, and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Item 0862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Note: EMC plan was not reviewed with all staff since 2022. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan Supervision Item 303-Children were not adequately supervised at all times. Note: One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. This classroom door should also be closed to help with children who can move the barrier. According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request Medications Item 847: Medication: Permission to Administer Medication form is required for all medications. Note: A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. According to 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Incident Log Item 0853 Incident logs were not completed and maintained as required. Note: No incident log was not completed. They were in children’s files but not documented in a log. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division Fire Drill Item 805 Fire drill must be conducted monthly and recorded on the fire drill log. Note: The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Activity Plan Item #428-A current activity plan was not posted for each group of children for reference. In the classroom for children ages two (2) to three (3) years and in the classroom for children ages three (3) to five (5) years the activity plan that was posted was dated 11-16-2020. Note: A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. Make sure all teachers have a new lesson plan up every Monday. You could do a Monday walk through to help them get in the habit. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Missed Emergency Drill Item 1811- an emergency drill either a “shelter-in-place’ or lockdown must be completed every three months. Note: The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. On the day you do the preschools emergency drill make it a habbit to do the afterschool to keep you in a routine. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Staff Evaluation Item 1232- Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Note: Four (4) Employees did not have a staff evaluation since 10/29/22. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (a) Each center shall have written policies that describe the operation of the center (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/22/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.McCrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed your low staffed and have been stying in a class room. We discussed C.L. Will need a new CBC 11/7/24. We discussed you will have the afterschool kids do a clean up to get the clutter under control in their area. 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 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 Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@d 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 .1801 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 22 Completed Date: 5/8/2024 Age: From 1 To 5 Total Minutes: 240 Time In: 12:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit . A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed Cindy Day, Administrator. Kaoru Eddins, Child Care Consultant, accompanied me on todays visit. An electronic signed copy of the visit summary was left on-site. Today, Cindy Day, Administrator, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percentage as of 5/8/24. Permit type – Four Star Child Care Center 7/13/19. Special Services/Restrictions – Daytime care only; Meets Enhanced space ; Meets Enhanced ratios. The last annual compliance visit was conducted on 7/10/23. The last fire drill was practiced on 4/24/24. The last shelter-in-place drill was practiced on 1/12/23. The last playground inspection was documented on 4/9/24. The last fire inspection was approved on 7/03/23. The last sanitation inspection was conducted on 4/29/24 with twenty-eight (28) demerits for a Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I introduced my presence to the Administrator. I observed the group with one- to two-year-old children engaged in center play activities while one infant was still asleep in the crib. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. 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/ We have reviewed one(1) staff file in full, four (4) files partially and three(3) children's files. Staff interaction with children were adequate. The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. In space #4, the teacher was nodding off while the children were taking a nap. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted in the classrooms were dated 2/19/24- 2/23/24. 10A NCAC 09 .0901(b) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The molding in the afterschool area was covered in mold in the back left space of the building 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information.A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Boudreaux's Butt Paste in space #5 expired in 11/2023. .0803(12) 853 Incident logs were not completed and maintained as required. No incident log was not completed. They were in children’s files but not documented in a log. .0802(g)(1-6) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The facility's EMC plan was last reviewed with staff members on 9/22/22. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Four (4) Employees did not have an annual staff evaluation (AE) and staff development plan (SDP). The date of the last AE and SDP completed was 10/29/22. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The facility's EPR plan was last reviewed with staff members on 9/22/22. .0607(e) Walls and ceilings not in good repair Item 620- All walls and ceilings, including doors and windows, were not kept clean and in good repair. Note: The modeling in the afterschool area was covered in mold in the back left space of the building. We discussed replacing this molding with new modeling since it was very old. This would correct the problem. 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In childcare centers, the walls, and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Item 0862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Note: EMC plan was not reviewed with all staff since 2022. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan Supervision Item 303-Children were not adequately supervised at all times. Note: One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. This classroom door should also be closed to help with children who can move the barrier. According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request Medications Item 847: Medication: Permission to Administer Medication form is required for all medications. Note: A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. According to 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Incident Log Item 0853 Incident logs were not completed and maintained as required. Note: No incident log was not completed. They were in children’s files but not documented in a log. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division Fire Drill Item 805 Fire drill must be conducted monthly and recorded on the fire drill log. Note: The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Activity Plan Item #428-A current activity plan was not posted for each group of children for reference. In the classroom for children ages two (2) to three (3) years and in the classroom for children ages three (3) to five (5) years the activity plan that was posted was dated 11-16-2020. Note: A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. Make sure all teachers have a new lesson plan up every Monday. You could do a Monday walk through to help them get in the habit. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Missed Emergency Drill Item 1811- an emergency drill either a “shelter-in-place’ or lockdown must be completed every three months. Note: The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. On the day you do the preschools emergency drill make it a habbit to do the afterschool to keep you in a routine. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Staff Evaluation Item 1232- Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Note: Four (4) Employees did not have a staff evaluation since 10/29/22. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (a) Each center shall have written policies that describe the operation of the center (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/22/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.McCrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed your low staffed and have been stying in a class room. We discussed C.L. Will need a new CBC 11/7/24. We discussed you will have the afterschool kids do a clean up to get the clutter under control in their area. 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 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 Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@d 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: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 22 Completed Date: 5/8/2024 Age: From 1 To 5 Total Minutes: 240 Time In: 12:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit . A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed Cindy Day, Administrator. Kaoru Eddins, Child Care Consultant, accompanied me on todays visit. An electronic signed copy of the visit summary was left on-site. Today, Cindy Day, Administrator, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percentage as of 5/8/24. Permit type – Four Star Child Care Center 7/13/19. Special Services/Restrictions – Daytime care only; Meets Enhanced space ; Meets Enhanced ratios. The last annual compliance visit was conducted on 7/10/23. The last fire drill was practiced on 4/24/24. The last shelter-in-place drill was practiced on 1/12/23. The last playground inspection was documented on 4/9/24. The last fire inspection was approved on 7/03/23. The last sanitation inspection was conducted on 4/29/24 with twenty-eight (28) demerits for a Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I introduced my presence to the Administrator. I observed the group with one- to two-year-old children engaged in center play activities while one infant was still asleep in the crib. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. 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/ We have reviewed one(1) staff file in full, four (4) files partially and three(3) children's files. Staff interaction with children were adequate. The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. In space #4, the teacher was nodding off while the children were taking a nap. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted in the classrooms were dated 2/19/24- 2/23/24. 10A NCAC 09 .0901(b) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The molding in the afterschool area was covered in mold in the back left space of the building 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information.A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Boudreaux's Butt Paste in space #5 expired in 11/2023. .0803(12) 853 Incident logs were not completed and maintained as required. No incident log was not completed. They were in children’s files but not documented in a log. .0802(g)(1-6) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The facility's EMC plan was last reviewed with staff members on 9/22/22. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Four (4) Employees did not have an annual staff evaluation (AE) and staff development plan (SDP). The date of the last AE and SDP completed was 10/29/22. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The facility's EPR plan was last reviewed with staff members on 9/22/22. .0607(e) Walls and ceilings not in good repair Item 620- All walls and ceilings, including doors and windows, were not kept clean and in good repair. Note: The modeling in the afterschool area was covered in mold in the back left space of the building. We discussed replacing this molding with new modeling since it was very old. This would correct the problem. 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In childcare centers, the walls, and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Item 0862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Note: EMC plan was not reviewed with all staff since 2022. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan Supervision Item 303-Children were not adequately supervised at all times. Note: One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. This classroom door should also be closed to help with children who can move the barrier. According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request Medications Item 847: Medication: Permission to Administer Medication form is required for all medications. Note: A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. According to 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Incident Log Item 0853 Incident logs were not completed and maintained as required. Note: No incident log was not completed. They were in children’s files but not documented in a log. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division Fire Drill Item 805 Fire drill must be conducted monthly and recorded on the fire drill log. Note: The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Activity Plan Item #428-A current activity plan was not posted for each group of children for reference. In the classroom for children ages two (2) to three (3) years and in the classroom for children ages three (3) to five (5) years the activity plan that was posted was dated 11-16-2020. Note: A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. Make sure all teachers have a new lesson plan up every Monday. You could do a Monday walk through to help them get in the habit. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Missed Emergency Drill Item 1811- an emergency drill either a “shelter-in-place’ or lockdown must be completed every three months. Note: The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. On the day you do the preschools emergency drill make it a habbit to do the afterschool to keep you in a routine. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Staff Evaluation Item 1232- Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Note: Four (4) Employees did not have a staff evaluation since 10/29/22. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (a) Each center shall have written policies that describe the operation of the center (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/22/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.McCrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed your low staffed and have been stying in a class room. We discussed C.L. Will need a new CBC 11/7/24. We discussed you will have the afterschool kids do a clean up to get the clutter under control in their area. 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 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 Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@d If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
GS 110-91 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 22 Completed Date: 5/8/2024 Age: From 1 To 5 Total Minutes: 240 Time In: 12:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit . A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed Cindy Day, Administrator. Kaoru Eddins, Child Care Consultant, accompanied me on todays visit. An electronic signed copy of the visit summary was left on-site. Today, Cindy Day, Administrator, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percentage as of 5/8/24. Permit type – Four Star Child Care Center 7/13/19. Special Services/Restrictions – Daytime care only; Meets Enhanced space ; Meets Enhanced ratios. The last annual compliance visit was conducted on 7/10/23. The last fire drill was practiced on 4/24/24. The last shelter-in-place drill was practiced on 1/12/23. The last playground inspection was documented on 4/9/24. The last fire inspection was approved on 7/03/23. The last sanitation inspection was conducted on 4/29/24 with twenty-eight (28) demerits for a Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I introduced my presence to the Administrator. I observed the group with one- to two-year-old children engaged in center play activities while one infant was still asleep in the crib. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. 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/ We have reviewed one(1) staff file in full, four (4) files partially and three(3) children's files. Staff interaction with children were adequate. The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. In space #4, the teacher was nodding off while the children were taking a nap. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted in the classrooms were dated 2/19/24- 2/23/24. 10A NCAC 09 .0901(b) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The molding in the afterschool area was covered in mold in the back left space of the building 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information.A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Boudreaux's Butt Paste in space #5 expired in 11/2023. .0803(12) 853 Incident logs were not completed and maintained as required. No incident log was not completed. They were in children’s files but not documented in a log. .0802(g)(1-6) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The facility's EMC plan was last reviewed with staff members on 9/22/22. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Four (4) Employees did not have an annual staff evaluation (AE) and staff development plan (SDP). The date of the last AE and SDP completed was 10/29/22. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The facility's EPR plan was last reviewed with staff members on 9/22/22. .0607(e) Walls and ceilings not in good repair Item 620- All walls and ceilings, including doors and windows, were not kept clean and in good repair. Note: The modeling in the afterschool area was covered in mold in the back left space of the building. We discussed replacing this molding with new modeling since it was very old. This would correct the problem. 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In childcare centers, the walls, and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Item 0862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Note: EMC plan was not reviewed with all staff since 2022. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan Supervision Item 303-Children were not adequately supervised at all times. Note: One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. This classroom door should also be closed to help with children who can move the barrier. According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request Medications Item 847: Medication: Permission to Administer Medication form is required for all medications. Note: A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. According to 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Incident Log Item 0853 Incident logs were not completed and maintained as required. Note: No incident log was not completed. They were in children’s files but not documented in a log. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division Fire Drill Item 805 Fire drill must be conducted monthly and recorded on the fire drill log. Note: The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Activity Plan Item #428-A current activity plan was not posted for each group of children for reference. In the classroom for children ages two (2) to three (3) years and in the classroom for children ages three (3) to five (5) years the activity plan that was posted was dated 11-16-2020. Note: A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. Make sure all teachers have a new lesson plan up every Monday. You could do a Monday walk through to help them get in the habit. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Missed Emergency Drill Item 1811- an emergency drill either a “shelter-in-place’ or lockdown must be completed every three months. Note: The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. On the day you do the preschools emergency drill make it a habbit to do the afterschool to keep you in a routine. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Staff Evaluation Item 1232- Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Note: Four (4) Employees did not have a staff evaluation since 10/29/22. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (a) Each center shall have written policies that describe the operation of the center (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/22/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.McCrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed your low staffed and have been stying in a class room. We discussed C.L. Will need a new CBC 11/7/24. We discussed you will have the afterschool kids do a clean up to get the clutter under control in their area. 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 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 Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@d 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: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 22 Completed Date: 5/8/2024 Age: From 1 To 5 Total Minutes: 240 Time In: 12:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit . A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed Cindy Day, Administrator. Kaoru Eddins, Child Care Consultant, accompanied me on todays visit. An electronic signed copy of the visit summary was left on-site. Today, Cindy Day, Administrator, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percentage as of 5/8/24. Permit type – Four Star Child Care Center 7/13/19. Special Services/Restrictions – Daytime care only; Meets Enhanced space ; Meets Enhanced ratios. The last annual compliance visit was conducted on 7/10/23. The last fire drill was practiced on 4/24/24. The last shelter-in-place drill was practiced on 1/12/23. The last playground inspection was documented on 4/9/24. The last fire inspection was approved on 7/03/23. The last sanitation inspection was conducted on 4/29/24 with twenty-eight (28) demerits for a Approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I introduced my presence to the Administrator. I observed the group with one- to two-year-old children engaged in center play activities while one infant was still asleep in the crib. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. In space #3, the children had snacks after nap. Today’s menu was apple sauce, rice crackers and water. The menu for this week was not posted. The menu was dated 2/19/24-2/23/24. After the snack, the children Transitioned to free play. The children played with manipulatives and house keeping accessories. In space #2, the children played with train tracks, toy vehicles and pretend people. 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/ We have reviewed one(1) staff file in full, four (4) files partially and three(3) children's files. Staff interaction with children were adequate. The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. In space #4, the teacher was nodding off while the children were taking a nap. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted in the classrooms were dated 2/19/24- 2/23/24. 10A NCAC 09 .0901(b) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The molding in the afterschool area was covered in mold in the back left space of the building 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information.A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Boudreaux's Butt Paste in space #5 expired in 11/2023. .0803(12) 853 Incident logs were not completed and maintained as required. No incident log was not completed. They were in children’s files but not documented in a log. .0802(g)(1-6) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The facility's EMC plan was last reviewed with staff members on 9/22/22. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Four (4) Employees did not have an annual staff evaluation (AE) and staff development plan (SDP). The date of the last AE and SDP completed was 10/29/22. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The facility's EPR plan was last reviewed with staff members on 9/22/22. .0607(e) Walls and ceilings not in good repair Item 620- All walls and ceilings, including doors and windows, were not kept clean and in good repair. Note: The modeling in the afterschool area was covered in mold in the back left space of the building. We discussed replacing this molding with new modeling since it was very old. This would correct the problem. 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In childcare centers, the walls, and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Item 0862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Note: EMC plan was not reviewed with all staff since 2022. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan Supervision Item 303-Children were not adequately supervised at all times. Note: One staff left the classroom with one to two year old children to bring me paper work while another staff change a diaper in the classroom. The Staff in the classroom had her back to children and two children walked out of the classroom and down the hall to find their teacher in supervised. This classroom door should also be closed to help with children who can move the barrier. According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request Medications Item 847: Medication: Permission to Administer Medication form is required for all medications. Note: A child had a sunscreen in their classroom that did not have a matching form with the correct brand name. According to 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Incident Log Item 0853 Incident logs were not completed and maintained as required. Note: No incident log was not completed. They were in children’s files but not documented in a log. According to 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division Fire Drill Item 805 Fire drill must be conducted monthly and recorded on the fire drill log. Note: The After school program has not done a fire drill this school year. This program needs to run their own fire drill so the afterschool children know their plan of action in an emergency. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Activity Plan Item #428-A current activity plan was not posted for each group of children for reference. In the classroom for children ages two (2) to three (3) years and in the classroom for children ages three (3) to five (5) years the activity plan that was posted was dated 11-16-2020. Note: A current activity plan was not posted in space two (2) it was dated 4/15/24-4/19/24. Make sure all teachers have a new lesson plan up every Monday. You could do a Monday walk through to help them get in the habit. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Missed Emergency Drill Item 1811- an emergency drill either a “shelter-in-place’ or lockdown must be completed every three months. Note: The last Lockdown was completed on 1/12/24. Make sure emergency drills are done every three months. No Lockdowns have been done this year for the afterschool program. On the day you do the preschools emergency drill make it a habbit to do the afterschool to keep you in a routine. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Staff Evaluation Item 1232- Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Note: Four (4) Employees did not have a staff evaluation since 10/29/22. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (a) Each center shall have written policies that describe the operation of the center (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/22/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.McCrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed your low staffed and have been stying in a class room. We discussed C.L. Will need a new CBC 11/7/24. We discussed you will have the afterschool kids do a clean up to get the clutter under control in their area. 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 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 Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@d 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 .0601 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/10/2023 Number Present: 30 Completed Date: 7/10/2023 Age: From 1 To 12 Total Minutes: 420 Time In: 10:30 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Cindy Day, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, the administrator, Cindy Day, accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 7/10/2023. Permit type – Four Star Special Services/Restrictions – Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 7/12/22. The last fire drill was practiced on 6/23/23. The last shelter-in-place drill was practiced on 5/12/23. The last playground inspection was documented on 7/10/23. The last fire inspection was approved on 7/03/23. The last sanitation inspection was conducted on 4/25/23 with seventeen (17) demerits for an approved rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. I observed the group with two- to three-year-old children preparing for a health lunch of pizza, corn, apple sauce and milk. The room with two and three-year old children were washing hands and preparing for snacks while engaging with their teacher. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Upon arrival a young child came out of the preschool building and walked unsupervised to the afterschool building. The teacher in room four (4) put the children down for nap and then pulled a chair out side the classroom and engaged with her phone. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted for each group of children for reference. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The building that houses the afterschool program has chipping ceilings and wall paint. The exterior has chipping and splintering wood. The back door is rusted, and the window frame is loose. The bathroom has rusted pipes and discolored wall tiles. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. The Afterschool Playground has a gate that can not be held together properly because of the large gap. The Preschool playground has broken lattes pieces with sharp edges where children can stick their hands through it. Metal skirting around the building that is on the playground with children is broken and rusted with large gaps around the entire bottom on the back side of playground. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space four (4) there were wet wipes in reach of children. In space three (3) diapers were in an unlock changing table still in their plastic. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. All staffs first Aid had expired in April. They are scheduled to take it 7/12/22. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. All staffs CPR had expired in April. They are scheduled to take it 7/12/22. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Five staff did not have on going training. .1103(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Four staff members had expired Health and Safety that had training. .1103(b) Technical assistance was provided as follows: The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 7/10/2023. The following violations were documented during today’s visit. Technical assistance was provided as follows: Walls and ceilings not in good repair Item 620- All walls and ceilings, including doors and windows, were not kept clean and in good repair. Note: The building that houses the afterschool program has chipping ceilings and wall paint. The exterior has chipping and splintering wood. The back door is rusted, and the window frame is loose. The bathroom has rusted pipes and discolored wall tiles. The Preschool building has a broken glass window on the back side in the one-year-old room. This window is not able to be reached by children. According to 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In childcare centers, the walls, and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Safe Indoor/Outdoor Environment Item 807-A safe indoor and outdoor environment was not provided for the children. Note: The Afterschool Playground has a gate that can not be held together properly because of the large gap. The Preschool playground has multiple broken lattes pieces with sharp edges where children can stick their hands through it. Metal skirting around the building that is on the playground with children is broken and rusted with large gaps around the entire bottom on the back side of playground. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer’s instructions shall be kept on file or electronically accessible, if available. (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. (d) All broken equipment or furnishings referenced in Paragraph (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. (e) Each child care center shall provide equipment and furnishings that are child-size or that can be adapted use by children. Chairs and tables shall be of appropriate height for the children who will be using them. Item-1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience Note: Five staff did not have on going training. According to 10A NCAC 09 .1103 ON-GOING TRAINING REQUIREMENTS (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Required Training Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement 15 clock hours If none of the other criteria in this chart apply 20 clock hours Supervision Item 303-Children were not adequately supervised at all times. Note: Upon arrival a young child came out of the preschool building and walked unsupervised to the afterschool building. The teacher in room four (4) put the children down for nap and then pulled a chair out side the classroom and engaged with her phone According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that. The teacher in space four (4) put here children on their cots to sleep to then pulled a chair out side the room and texted or played on her phone. (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Plastics Item 0858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Note: In space four (4) there were wet wipes in reach of children. In space three (3) diapers were in an unlock changing table still in their plastic. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Activity Plan Item #428-A current activity plan was not posted for each group of children for reference. Note: The classroom for children ages three (3) to four (4)-year old had an activity plan that was posted and was dated 6/12/23 to 6/16/23. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Health and Safety Training Item 1899-Staff did not complete the health and safety training within one year of employment Note: Four staff members had expired Health and Safety that had training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new First AID and CPR Item 1048 and 1049 All staff that provide direct care must completed First Aid and CPR training within ninety (90) days of employment and it must be renewed on or before expiration date. Note: All staffs CPR and First Aid had expired in April. They are scheduled to take it 7/12/22. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's Effective April 1, 2022 55 completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 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 7/24/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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. 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 Sidney.mccrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 verball 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 7/5/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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. 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 Sidney.mccrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0304 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/10/2023 Number Present: 30 Completed Date: 7/10/2023 Age: From 1 To 12 Total Minutes: 420 Time In: 10:30 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Cindy Day, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, the administrator, Cindy Day, accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 7/10/2023. Permit type – Four Star Special Services/Restrictions – Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 7/12/22. The last fire drill was practiced on 6/23/23. The last shelter-in-place drill was practiced on 5/12/23. The last playground inspection was documented on 7/10/23. The last fire inspection was approved on 7/03/23. The last sanitation inspection was conducted on 4/25/23 with seventeen (17) demerits for an approved rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. I observed the group with two- to three-year-old children preparing for a health lunch of pizza, corn, apple sauce and milk. The room with two and three-year old children were washing hands and preparing for snacks while engaging with their teacher. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Upon arrival a young child came out of the preschool building and walked unsupervised to the afterschool building. The teacher in room four (4) put the children down for nap and then pulled a chair out side the classroom and engaged with her phone. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted for each group of children for reference. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The building that houses the afterschool program has chipping ceilings and wall paint. The exterior has chipping and splintering wood. The back door is rusted, and the window frame is loose. The bathroom has rusted pipes and discolored wall tiles. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. The Afterschool Playground has a gate that can not be held together properly because of the large gap. The Preschool playground has broken lattes pieces with sharp edges where children can stick their hands through it. Metal skirting around the building that is on the playground with children is broken and rusted with large gaps around the entire bottom on the back side of playground. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space four (4) there were wet wipes in reach of children. In space three (3) diapers were in an unlock changing table still in their plastic. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. All staffs first Aid had expired in April. They are scheduled to take it 7/12/22. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. All staffs CPR had expired in April. They are scheduled to take it 7/12/22. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Five staff did not have on going training. .1103(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Four staff members had expired Health and Safety that had training. .1103(b) Technical assistance was provided as follows: The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 7/10/2023. The following violations were documented during today’s visit. Technical assistance was provided as follows: Walls and ceilings not in good repair Item 620- All walls and ceilings, including doors and windows, were not kept clean and in good repair. Note: The building that houses the afterschool program has chipping ceilings and wall paint. The exterior has chipping and splintering wood. The back door is rusted, and the window frame is loose. The bathroom has rusted pipes and discolored wall tiles. The Preschool building has a broken glass window on the back side in the one-year-old room. This window is not able to be reached by children. According to 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In childcare centers, the walls, and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Safe Indoor/Outdoor Environment Item 807-A safe indoor and outdoor environment was not provided for the children. Note: The Afterschool Playground has a gate that can not be held together properly because of the large gap. The Preschool playground has multiple broken lattes pieces with sharp edges where children can stick their hands through it. Metal skirting around the building that is on the playground with children is broken and rusted with large gaps around the entire bottom on the back side of playground. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer’s instructions shall be kept on file or electronically accessible, if available. (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. (d) All broken equipment or furnishings referenced in Paragraph (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. (e) Each child care center shall provide equipment and furnishings that are child-size or that can be adapted use by children. Chairs and tables shall be of appropriate height for the children who will be using them. Item-1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience Note: Five staff did not have on going training. According to 10A NCAC 09 .1103 ON-GOING TRAINING REQUIREMENTS (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Required Training Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement 15 clock hours If none of the other criteria in this chart apply 20 clock hours Supervision Item 303-Children were not adequately supervised at all times. Note: Upon arrival a young child came out of the preschool building and walked unsupervised to the afterschool building. The teacher in room four (4) put the children down for nap and then pulled a chair out side the classroom and engaged with her phone According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that. The teacher in space four (4) put here children on their cots to sleep to then pulled a chair out side the room and texted or played on her phone. (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Plastics Item 0858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Note: In space four (4) there were wet wipes in reach of children. In space three (3) diapers were in an unlock changing table still in their plastic. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Activity Plan Item #428-A current activity plan was not posted for each group of children for reference. Note: The classroom for children ages three (3) to four (4)-year old had an activity plan that was posted and was dated 6/12/23 to 6/16/23. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Health and Safety Training Item 1899-Staff did not complete the health and safety training within one year of employment Note: Four staff members had expired Health and Safety that had training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new First AID and CPR Item 1048 and 1049 All staff that provide direct care must completed First Aid and CPR training within ninety (90) days of employment and it must be renewed on or before expiration date. Note: All staffs CPR and First Aid had expired in April. They are scheduled to take it 7/12/22. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's Effective April 1, 2022 55 completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 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 7/24/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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. 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 Sidney.mccrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 verball 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 7/5/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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. 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 Sidney.mccrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0508 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/10/2023 Number Present: 30 Completed Date: 7/10/2023 Age: From 1 To 12 Total Minutes: 420 Time In: 10:30 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Cindy Day, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, the administrator, Cindy Day, accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 7/10/2023. Permit type – Four Star Special Services/Restrictions – Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 7/12/22. The last fire drill was practiced on 6/23/23. The last shelter-in-place drill was practiced on 5/12/23. The last playground inspection was documented on 7/10/23. The last fire inspection was approved on 7/03/23. The last sanitation inspection was conducted on 4/25/23 with seventeen (17) demerits for an approved rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. I observed the group with two- to three-year-old children preparing for a health lunch of pizza, corn, apple sauce and milk. The room with two and three-year old children were washing hands and preparing for snacks while engaging with their teacher. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Upon arrival a young child came out of the preschool building and walked unsupervised to the afterschool building. The teacher in room four (4) put the children down for nap and then pulled a chair out side the classroom and engaged with her phone. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted for each group of children for reference. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The building that houses the afterschool program has chipping ceilings and wall paint. The exterior has chipping and splintering wood. The back door is rusted, and the window frame is loose. The bathroom has rusted pipes and discolored wall tiles. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. The Afterschool Playground has a gate that can not be held together properly because of the large gap. The Preschool playground has broken lattes pieces with sharp edges where children can stick their hands through it. Metal skirting around the building that is on the playground with children is broken and rusted with large gaps around the entire bottom on the back side of playground. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space four (4) there were wet wipes in reach of children. In space three (3) diapers were in an unlock changing table still in their plastic. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. All staffs first Aid had expired in April. They are scheduled to take it 7/12/22. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. All staffs CPR had expired in April. They are scheduled to take it 7/12/22. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Five staff did not have on going training. .1103(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Four staff members had expired Health and Safety that had training. .1103(b) Technical assistance was provided as follows: The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 7/10/2023. The following violations were documented during today’s visit. Technical assistance was provided as follows: Walls and ceilings not in good repair Item 620- All walls and ceilings, including doors and windows, were not kept clean and in good repair. Note: The building that houses the afterschool program has chipping ceilings and wall paint. The exterior has chipping and splintering wood. The back door is rusted, and the window frame is loose. The bathroom has rusted pipes and discolored wall tiles. The Preschool building has a broken glass window on the back side in the one-year-old room. This window is not able to be reached by children. According to 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In childcare centers, the walls, and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Safe Indoor/Outdoor Environment Item 807-A safe indoor and outdoor environment was not provided for the children. Note: The Afterschool Playground has a gate that can not be held together properly because of the large gap. The Preschool playground has multiple broken lattes pieces with sharp edges where children can stick their hands through it. Metal skirting around the building that is on the playground with children is broken and rusted with large gaps around the entire bottom on the back side of playground. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer’s instructions shall be kept on file or electronically accessible, if available. (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. (d) All broken equipment or furnishings referenced in Paragraph (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. (e) Each child care center shall provide equipment and furnishings that are child-size or that can be adapted use by children. Chairs and tables shall be of appropriate height for the children who will be using them. Item-1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience Note: Five staff did not have on going training. According to 10A NCAC 09 .1103 ON-GOING TRAINING REQUIREMENTS (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Required Training Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement 15 clock hours If none of the other criteria in this chart apply 20 clock hours Supervision Item 303-Children were not adequately supervised at all times. Note: Upon arrival a young child came out of the preschool building and walked unsupervised to the afterschool building. The teacher in room four (4) put the children down for nap and then pulled a chair out side the classroom and engaged with her phone According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that. The teacher in space four (4) put here children on their cots to sleep to then pulled a chair out side the room and texted or played on her phone. (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Plastics Item 0858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Note: In space four (4) there were wet wipes in reach of children. In space three (3) diapers were in an unlock changing table still in their plastic. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Activity Plan Item #428-A current activity plan was not posted for each group of children for reference. Note: The classroom for children ages three (3) to four (4)-year old had an activity plan that was posted and was dated 6/12/23 to 6/16/23. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Health and Safety Training Item 1899-Staff did not complete the health and safety training within one year of employment Note: Four staff members had expired Health and Safety that had training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new First AID and CPR Item 1048 and 1049 All staff that provide direct care must completed First Aid and CPR training within ninety (90) days of employment and it must be renewed on or before expiration date. Note: All staffs CPR and First Aid had expired in April. They are scheduled to take it 7/12/22. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's Effective April 1, 2022 55 completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 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 7/24/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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. 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 Sidney.mccrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 verball 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 7/5/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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. 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 Sidney.mccrory@dhhs.nc.gov or 828.550.7655, 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 .0601 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/10/2023 Number Present: 30 Completed Date: 7/10/2023 Age: From 1 To 12 Total Minutes: 420 Time In: 10:30 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Cindy Day, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, the administrator, Cindy Day, accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 7/10/2023. Permit type – Four Star Special Services/Restrictions – Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 7/12/22. The last fire drill was practiced on 6/23/23. The last shelter-in-place drill was practiced on 5/12/23. The last playground inspection was documented on 7/10/23. The last fire inspection was approved on 7/03/23. The last sanitation inspection was conducted on 4/25/23 with seventeen (17) demerits for an approved rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. I observed the group with two- to three-year-old children preparing for a health lunch of pizza, corn, apple sauce and milk. The room with two and three-year old children were washing hands and preparing for snacks while engaging with their teacher. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Upon arrival a young child came out of the preschool building and walked unsupervised to the afterschool building. The teacher in room four (4) put the children down for nap and then pulled a chair out side the classroom and engaged with her phone. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted for each group of children for reference. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The building that houses the afterschool program has chipping ceilings and wall paint. The exterior has chipping and splintering wood. The back door is rusted, and the window frame is loose. The bathroom has rusted pipes and discolored wall tiles. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. The Afterschool Playground has a gate that can not be held together properly because of the large gap. The Preschool playground has broken lattes pieces with sharp edges where children can stick their hands through it. Metal skirting around the building that is on the playground with children is broken and rusted with large gaps around the entire bottom on the back side of playground. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space four (4) there were wet wipes in reach of children. In space three (3) diapers were in an unlock changing table still in their plastic. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. All staffs first Aid had expired in April. They are scheduled to take it 7/12/22. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. All staffs CPR had expired in April. They are scheduled to take it 7/12/22. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Five staff did not have on going training. .1103(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Four staff members had expired Health and Safety that had training. .1103(b) Technical assistance was provided as follows: The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 7/10/2023. The following violations were documented during today’s visit. Technical assistance was provided as follows: Walls and ceilings not in good repair Item 620- All walls and ceilings, including doors and windows, were not kept clean and in good repair. Note: The building that houses the afterschool program has chipping ceilings and wall paint. The exterior has chipping and splintering wood. The back door is rusted, and the window frame is loose. The bathroom has rusted pipes and discolored wall tiles. The Preschool building has a broken glass window on the back side in the one-year-old room. This window is not able to be reached by children. According to 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In childcare centers, the walls, and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Safe Indoor/Outdoor Environment Item 807-A safe indoor and outdoor environment was not provided for the children. Note: The Afterschool Playground has a gate that can not be held together properly because of the large gap. The Preschool playground has multiple broken lattes pieces with sharp edges where children can stick their hands through it. Metal skirting around the building that is on the playground with children is broken and rusted with large gaps around the entire bottom on the back side of playground. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer’s instructions shall be kept on file or electronically accessible, if available. (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. (d) All broken equipment or furnishings referenced in Paragraph (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. (e) Each child care center shall provide equipment and furnishings that are child-size or that can be adapted use by children. Chairs and tables shall be of appropriate height for the children who will be using them. Item-1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience Note: Five staff did not have on going training. According to 10A NCAC 09 .1103 ON-GOING TRAINING REQUIREMENTS (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Required Training Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement 15 clock hours If none of the other criteria in this chart apply 20 clock hours Supervision Item 303-Children were not adequately supervised at all times. Note: Upon arrival a young child came out of the preschool building and walked unsupervised to the afterschool building. The teacher in room four (4) put the children down for nap and then pulled a chair out side the classroom and engaged with her phone According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that. The teacher in space four (4) put here children on their cots to sleep to then pulled a chair out side the room and texted or played on her phone. (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Plastics Item 0858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Note: In space four (4) there were wet wipes in reach of children. In space three (3) diapers were in an unlock changing table still in their plastic. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Activity Plan Item #428-A current activity plan was not posted for each group of children for reference. Note: The classroom for children ages three (3) to four (4)-year old had an activity plan that was posted and was dated 6/12/23 to 6/16/23. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Health and Safety Training Item 1899-Staff did not complete the health and safety training within one year of employment Note: Four staff members had expired Health and Safety that had training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new First AID and CPR Item 1048 and 1049 All staff that provide direct care must completed First Aid and CPR training within ninety (90) days of employment and it must be renewed on or before expiration date. Note: All staffs CPR and First Aid had expired in April. They are scheduled to take it 7/12/22. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's Effective April 1, 2022 55 completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 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 7/24/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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. 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 Sidney.mccrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 verball 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 7/5/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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. 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 Sidney.mccrory@dhhs.nc.gov or 828.550.7655, 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: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/10/2023 Number Present: 30 Completed Date: 7/10/2023 Age: From 1 To 12 Total Minutes: 420 Time In: 10:30 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Cindy Day, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, the administrator, Cindy Day, accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 7/10/2023. Permit type – Four Star Special Services/Restrictions – Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 7/12/22. The last fire drill was practiced on 6/23/23. The last shelter-in-place drill was practiced on 5/12/23. The last playground inspection was documented on 7/10/23. The last fire inspection was approved on 7/03/23. The last sanitation inspection was conducted on 4/25/23 with seventeen (17) demerits for an approved rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. I observed the group with two- to three-year-old children preparing for a health lunch of pizza, corn, apple sauce and milk. The room with two and three-year old children were washing hands and preparing for snacks while engaging with their teacher. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Upon arrival a young child came out of the preschool building and walked unsupervised to the afterschool building. The teacher in room four (4) put the children down for nap and then pulled a chair out side the classroom and engaged with her phone. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted for each group of children for reference. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The building that houses the afterschool program has chipping ceilings and wall paint. The exterior has chipping and splintering wood. The back door is rusted, and the window frame is loose. The bathroom has rusted pipes and discolored wall tiles. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. The Afterschool Playground has a gate that can not be held together properly because of the large gap. The Preschool playground has broken lattes pieces with sharp edges where children can stick their hands through it. Metal skirting around the building that is on the playground with children is broken and rusted with large gaps around the entire bottom on the back side of playground. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space four (4) there were wet wipes in reach of children. In space three (3) diapers were in an unlock changing table still in their plastic. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. All staffs first Aid had expired in April. They are scheduled to take it 7/12/22. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. All staffs CPR had expired in April. They are scheduled to take it 7/12/22. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Five staff did not have on going training. .1103(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Four staff members had expired Health and Safety that had training. .1103(b) Technical assistance was provided as follows: The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 7/10/2023. The following violations were documented during today’s visit. Technical assistance was provided as follows: Walls and ceilings not in good repair Item 620- All walls and ceilings, including doors and windows, were not kept clean and in good repair. Note: The building that houses the afterschool program has chipping ceilings and wall paint. The exterior has chipping and splintering wood. The back door is rusted, and the window frame is loose. The bathroom has rusted pipes and discolored wall tiles. The Preschool building has a broken glass window on the back side in the one-year-old room. This window is not able to be reached by children. According to 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In childcare centers, the walls, and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Safe Indoor/Outdoor Environment Item 807-A safe indoor and outdoor environment was not provided for the children. Note: The Afterschool Playground has a gate that can not be held together properly because of the large gap. The Preschool playground has multiple broken lattes pieces with sharp edges where children can stick their hands through it. Metal skirting around the building that is on the playground with children is broken and rusted with large gaps around the entire bottom on the back side of playground. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer’s instructions shall be kept on file or electronically accessible, if available. (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. (d) All broken equipment or furnishings referenced in Paragraph (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. (e) Each child care center shall provide equipment and furnishings that are child-size or that can be adapted use by children. Chairs and tables shall be of appropriate height for the children who will be using them. Item-1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience Note: Five staff did not have on going training. According to 10A NCAC 09 .1103 ON-GOING TRAINING REQUIREMENTS (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Required Training Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement 15 clock hours If none of the other criteria in this chart apply 20 clock hours Supervision Item 303-Children were not adequately supervised at all times. Note: Upon arrival a young child came out of the preschool building and walked unsupervised to the afterschool building. The teacher in room four (4) put the children down for nap and then pulled a chair out side the classroom and engaged with her phone According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that. The teacher in space four (4) put here children on their cots to sleep to then pulled a chair out side the room and texted or played on her phone. (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Plastics Item 0858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Note: In space four (4) there were wet wipes in reach of children. In space three (3) diapers were in an unlock changing table still in their plastic. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Activity Plan Item #428-A current activity plan was not posted for each group of children for reference. Note: The classroom for children ages three (3) to four (4)-year old had an activity plan that was posted and was dated 6/12/23 to 6/16/23. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Health and Safety Training Item 1899-Staff did not complete the health and safety training within one year of employment Note: Four staff members had expired Health and Safety that had training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new First AID and CPR Item 1048 and 1049 All staff that provide direct care must completed First Aid and CPR training within ninety (90) days of employment and it must be renewed on or before expiration date. Note: All staffs CPR and First Aid had expired in April. They are scheduled to take it 7/12/22. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's Effective April 1, 2022 55 completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 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 7/24/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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. 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 Sidney.mccrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 verball 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 7/5/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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. 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 Sidney.mccrory@dhhs.nc.gov or 828.550.7655, 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: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/10/2023 Number Present: 30 Completed Date: 7/10/2023 Age: From 1 To 12 Total Minutes: 420 Time In: 10:30 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Cindy Day, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, the administrator, Cindy Day, accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 7/10/2023. Permit type – Four Star Special Services/Restrictions – Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 7/12/22. The last fire drill was practiced on 6/23/23. The last shelter-in-place drill was practiced on 5/12/23. The last playground inspection was documented on 7/10/23. The last fire inspection was approved on 7/03/23. The last sanitation inspection was conducted on 4/25/23 with seventeen (17) demerits for an approved rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. I observed the group with two- to three-year-old children preparing for a health lunch of pizza, corn, apple sauce and milk. The room with two and three-year old children were washing hands and preparing for snacks while engaging with their teacher. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Upon arrival a young child came out of the preschool building and walked unsupervised to the afterschool building. The teacher in room four (4) put the children down for nap and then pulled a chair out side the classroom and engaged with her phone. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted for each group of children for reference. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The building that houses the afterschool program has chipping ceilings and wall paint. The exterior has chipping and splintering wood. The back door is rusted, and the window frame is loose. The bathroom has rusted pipes and discolored wall tiles. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. The Afterschool Playground has a gate that can not be held together properly because of the large gap. The Preschool playground has broken lattes pieces with sharp edges where children can stick their hands through it. Metal skirting around the building that is on the playground with children is broken and rusted with large gaps around the entire bottom on the back side of playground. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space four (4) there were wet wipes in reach of children. In space three (3) diapers were in an unlock changing table still in their plastic. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. All staffs first Aid had expired in April. They are scheduled to take it 7/12/22. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. All staffs CPR had expired in April. They are scheduled to take it 7/12/22. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Five staff did not have on going training. .1103(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Four staff members had expired Health and Safety that had training. .1103(b) Technical assistance was provided as follows: The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 7/10/2023. The following violations were documented during today’s visit. Technical assistance was provided as follows: Walls and ceilings not in good repair Item 620- All walls and ceilings, including doors and windows, were not kept clean and in good repair. Note: The building that houses the afterschool program has chipping ceilings and wall paint. The exterior has chipping and splintering wood. The back door is rusted, and the window frame is loose. The bathroom has rusted pipes and discolored wall tiles. The Preschool building has a broken glass window on the back side in the one-year-old room. This window is not able to be reached by children. According to 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In childcare centers, the walls, and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Safe Indoor/Outdoor Environment Item 807-A safe indoor and outdoor environment was not provided for the children. Note: The Afterschool Playground has a gate that can not be held together properly because of the large gap. The Preschool playground has multiple broken lattes pieces with sharp edges where children can stick their hands through it. Metal skirting around the building that is on the playground with children is broken and rusted with large gaps around the entire bottom on the back side of playground. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer’s instructions shall be kept on file or electronically accessible, if available. (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. (d) All broken equipment or furnishings referenced in Paragraph (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. (e) Each child care center shall provide equipment and furnishings that are child-size or that can be adapted use by children. Chairs and tables shall be of appropriate height for the children who will be using them. Item-1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience Note: Five staff did not have on going training. According to 10A NCAC 09 .1103 ON-GOING TRAINING REQUIREMENTS (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Required Training Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement 15 clock hours If none of the other criteria in this chart apply 20 clock hours Supervision Item 303-Children were not adequately supervised at all times. Note: Upon arrival a young child came out of the preschool building and walked unsupervised to the afterschool building. The teacher in room four (4) put the children down for nap and then pulled a chair out side the classroom and engaged with her phone According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that. The teacher in space four (4) put here children on their cots to sleep to then pulled a chair out side the room and texted or played on her phone. (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Plastics Item 0858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Note: In space four (4) there were wet wipes in reach of children. In space three (3) diapers were in an unlock changing table still in their plastic. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Activity Plan Item #428-A current activity plan was not posted for each group of children for reference. Note: The classroom for children ages three (3) to four (4)-year old had an activity plan that was posted and was dated 6/12/23 to 6/16/23. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Health and Safety Training Item 1899-Staff did not complete the health and safety training within one year of employment Note: Four staff members had expired Health and Safety that had training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new First AID and CPR Item 1048 and 1049 All staff that provide direct care must completed First Aid and CPR training within ninety (90) days of employment and it must be renewed on or before expiration date. Note: All staffs CPR and First Aid had expired in April. They are scheduled to take it 7/12/22. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's Effective April 1, 2022 55 completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 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 7/24/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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. 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 Sidney.mccrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 verball 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 7/5/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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. 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 Sidney.mccrory@dhhs.nc.gov or 828.550.7655, 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 .1103 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/10/2023 Number Present: 30 Completed Date: 7/10/2023 Age: From 1 To 12 Total Minutes: 420 Time In: 10:30 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Cindy Day, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, the administrator, Cindy Day, accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 7/10/2023. Permit type – Four Star Special Services/Restrictions – Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 7/12/22. The last fire drill was practiced on 6/23/23. The last shelter-in-place drill was practiced on 5/12/23. The last playground inspection was documented on 7/10/23. The last fire inspection was approved on 7/03/23. The last sanitation inspection was conducted on 4/25/23 with seventeen (17) demerits for an approved rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. I observed the group with two- to three-year-old children preparing for a health lunch of pizza, corn, apple sauce and milk. The room with two and three-year old children were washing hands and preparing for snacks while engaging with their teacher. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Upon arrival a young child came out of the preschool building and walked unsupervised to the afterschool building. The teacher in room four (4) put the children down for nap and then pulled a chair out side the classroom and engaged with her phone. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted for each group of children for reference. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The building that houses the afterschool program has chipping ceilings and wall paint. The exterior has chipping and splintering wood. The back door is rusted, and the window frame is loose. The bathroom has rusted pipes and discolored wall tiles. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. The Afterschool Playground has a gate that can not be held together properly because of the large gap. The Preschool playground has broken lattes pieces with sharp edges where children can stick their hands through it. Metal skirting around the building that is on the playground with children is broken and rusted with large gaps around the entire bottom on the back side of playground. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space four (4) there were wet wipes in reach of children. In space three (3) diapers were in an unlock changing table still in their plastic. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. All staffs first Aid had expired in April. They are scheduled to take it 7/12/22. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. All staffs CPR had expired in April. They are scheduled to take it 7/12/22. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Five staff did not have on going training. .1103(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Four staff members had expired Health and Safety that had training. .1103(b) Technical assistance was provided as follows: The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 7/10/2023. The following violations were documented during today’s visit. Technical assistance was provided as follows: Walls and ceilings not in good repair Item 620- All walls and ceilings, including doors and windows, were not kept clean and in good repair. Note: The building that houses the afterschool program has chipping ceilings and wall paint. The exterior has chipping and splintering wood. The back door is rusted, and the window frame is loose. The bathroom has rusted pipes and discolored wall tiles. The Preschool building has a broken glass window on the back side in the one-year-old room. This window is not able to be reached by children. According to 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In childcare centers, the walls, and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Safe Indoor/Outdoor Environment Item 807-A safe indoor and outdoor environment was not provided for the children. Note: The Afterschool Playground has a gate that can not be held together properly because of the large gap. The Preschool playground has multiple broken lattes pieces with sharp edges where children can stick their hands through it. Metal skirting around the building that is on the playground with children is broken and rusted with large gaps around the entire bottom on the back side of playground. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer’s instructions shall be kept on file or electronically accessible, if available. (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. (d) All broken equipment or furnishings referenced in Paragraph (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. (e) Each child care center shall provide equipment and furnishings that are child-size or that can be adapted use by children. Chairs and tables shall be of appropriate height for the children who will be using them. Item-1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience Note: Five staff did not have on going training. According to 10A NCAC 09 .1103 ON-GOING TRAINING REQUIREMENTS (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Required Training Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement 15 clock hours If none of the other criteria in this chart apply 20 clock hours Supervision Item 303-Children were not adequately supervised at all times. Note: Upon arrival a young child came out of the preschool building and walked unsupervised to the afterschool building. The teacher in room four (4) put the children down for nap and then pulled a chair out side the classroom and engaged with her phone According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that. The teacher in space four (4) put here children on their cots to sleep to then pulled a chair out side the room and texted or played on her phone. (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Plastics Item 0858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Note: In space four (4) there were wet wipes in reach of children. In space three (3) diapers were in an unlock changing table still in their plastic. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Activity Plan Item #428-A current activity plan was not posted for each group of children for reference. Note: The classroom for children ages three (3) to four (4)-year old had an activity plan that was posted and was dated 6/12/23 to 6/16/23. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Health and Safety Training Item 1899-Staff did not complete the health and safety training within one year of employment Note: Four staff members had expired Health and Safety that had training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new First AID and CPR Item 1048 and 1049 All staff that provide direct care must completed First Aid and CPR training within ninety (90) days of employment and it must be renewed on or before expiration date. Note: All staffs CPR and First Aid had expired in April. They are scheduled to take it 7/12/22. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's Effective April 1, 2022 55 completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 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 7/24/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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. 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 Sidney.mccrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 verball 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 7/5/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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. 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 Sidney.mccrory@dhhs.nc.gov or 828.550.7655, 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: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/10/2023 Number Present: 30 Completed Date: 7/10/2023 Age: From 1 To 12 Total Minutes: 420 Time In: 10:30 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Cindy Day, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, the administrator, Cindy Day, accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 7/10/2023. Permit type – Four Star Special Services/Restrictions – Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 7/12/22. The last fire drill was practiced on 6/23/23. The last shelter-in-place drill was practiced on 5/12/23. The last playground inspection was documented on 7/10/23. The last fire inspection was approved on 7/03/23. The last sanitation inspection was conducted on 4/25/23 with seventeen (17) demerits for an approved rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. I observed the group with two- to three-year-old children preparing for a health lunch of pizza, corn, apple sauce and milk. The room with two and three-year old children were washing hands and preparing for snacks while engaging with their teacher. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Upon arrival a young child came out of the preschool building and walked unsupervised to the afterschool building. The teacher in room four (4) put the children down for nap and then pulled a chair out side the classroom and engaged with her phone. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted for each group of children for reference. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The building that houses the afterschool program has chipping ceilings and wall paint. The exterior has chipping and splintering wood. The back door is rusted, and the window frame is loose. The bathroom has rusted pipes and discolored wall tiles. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. The Afterschool Playground has a gate that can not be held together properly because of the large gap. The Preschool playground has broken lattes pieces with sharp edges where children can stick their hands through it. Metal skirting around the building that is on the playground with children is broken and rusted with large gaps around the entire bottom on the back side of playground. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space four (4) there were wet wipes in reach of children. In space three (3) diapers were in an unlock changing table still in their plastic. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. All staffs first Aid had expired in April. They are scheduled to take it 7/12/22. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. All staffs CPR had expired in April. They are scheduled to take it 7/12/22. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Five staff did not have on going training. .1103(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Four staff members had expired Health and Safety that had training. .1103(b) Technical assistance was provided as follows: The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 7/10/2023. The following violations were documented during today’s visit. Technical assistance was provided as follows: Walls and ceilings not in good repair Item 620- All walls and ceilings, including doors and windows, were not kept clean and in good repair. Note: The building that houses the afterschool program has chipping ceilings and wall paint. The exterior has chipping and splintering wood. The back door is rusted, and the window frame is loose. The bathroom has rusted pipes and discolored wall tiles. The Preschool building has a broken glass window on the back side in the one-year-old room. This window is not able to be reached by children. According to 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In childcare centers, the walls, and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Safe Indoor/Outdoor Environment Item 807-A safe indoor and outdoor environment was not provided for the children. Note: The Afterschool Playground has a gate that can not be held together properly because of the large gap. The Preschool playground has multiple broken lattes pieces with sharp edges where children can stick their hands through it. Metal skirting around the building that is on the playground with children is broken and rusted with large gaps around the entire bottom on the back side of playground. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer’s instructions shall be kept on file or electronically accessible, if available. (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. (d) All broken equipment or furnishings referenced in Paragraph (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. (e) Each child care center shall provide equipment and furnishings that are child-size or that can be adapted use by children. Chairs and tables shall be of appropriate height for the children who will be using them. Item-1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience Note: Five staff did not have on going training. According to 10A NCAC 09 .1103 ON-GOING TRAINING REQUIREMENTS (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Required Training Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement 15 clock hours If none of the other criteria in this chart apply 20 clock hours Supervision Item 303-Children were not adequately supervised at all times. Note: Upon arrival a young child came out of the preschool building and walked unsupervised to the afterschool building. The teacher in room four (4) put the children down for nap and then pulled a chair out side the classroom and engaged with her phone According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that. The teacher in space four (4) put here children on their cots to sleep to then pulled a chair out side the room and texted or played on her phone. (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Plastics Item 0858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Note: In space four (4) there were wet wipes in reach of children. In space three (3) diapers were in an unlock changing table still in their plastic. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Activity Plan Item #428-A current activity plan was not posted for each group of children for reference. Note: The classroom for children ages three (3) to four (4)-year old had an activity plan that was posted and was dated 6/12/23 to 6/16/23. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Health and Safety Training Item 1899-Staff did not complete the health and safety training within one year of employment Note: Four staff members had expired Health and Safety that had training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new First AID and CPR Item 1048 and 1049 All staff that provide direct care must completed First Aid and CPR training within ninety (90) days of employment and it must be renewed on or before expiration date. Note: All staffs CPR and First Aid had expired in April. They are scheduled to take it 7/12/22. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's Effective April 1, 2022 55 completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 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 7/24/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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. 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 Sidney.mccrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 verball 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 7/5/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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. 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 Sidney.mccrory@dhhs.nc.gov or 828.550.7655, 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 .1801 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/10/2023 Number Present: 30 Completed Date: 7/10/2023 Age: From 1 To 12 Total Minutes: 420 Time In: 10:30 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Cindy Day, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, the administrator, Cindy Day, accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 7/10/2023. Permit type – Four Star Special Services/Restrictions – Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 7/12/22. The last fire drill was practiced on 6/23/23. The last shelter-in-place drill was practiced on 5/12/23. The last playground inspection was documented on 7/10/23. The last fire inspection was approved on 7/03/23. The last sanitation inspection was conducted on 4/25/23 with seventeen (17) demerits for an approved rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. I observed the group with two- to three-year-old children preparing for a health lunch of pizza, corn, apple sauce and milk. The room with two and three-year old children were washing hands and preparing for snacks while engaging with their teacher. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Upon arrival a young child came out of the preschool building and walked unsupervised to the afterschool building. The teacher in room four (4) put the children down for nap and then pulled a chair out side the classroom and engaged with her phone. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted for each group of children for reference. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The building that houses the afterschool program has chipping ceilings and wall paint. The exterior has chipping and splintering wood. The back door is rusted, and the window frame is loose. The bathroom has rusted pipes and discolored wall tiles. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. The Afterschool Playground has a gate that can not be held together properly because of the large gap. The Preschool playground has broken lattes pieces with sharp edges where children can stick their hands through it. Metal skirting around the building that is on the playground with children is broken and rusted with large gaps around the entire bottom on the back side of playground. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space four (4) there were wet wipes in reach of children. In space three (3) diapers were in an unlock changing table still in their plastic. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. All staffs first Aid had expired in April. They are scheduled to take it 7/12/22. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. All staffs CPR had expired in April. They are scheduled to take it 7/12/22. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Five staff did not have on going training. .1103(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Four staff members had expired Health and Safety that had training. .1103(b) Technical assistance was provided as follows: The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 7/10/2023. The following violations were documented during today’s visit. Technical assistance was provided as follows: Walls and ceilings not in good repair Item 620- All walls and ceilings, including doors and windows, were not kept clean and in good repair. Note: The building that houses the afterschool program has chipping ceilings and wall paint. The exterior has chipping and splintering wood. The back door is rusted, and the window frame is loose. The bathroom has rusted pipes and discolored wall tiles. The Preschool building has a broken glass window on the back side in the one-year-old room. This window is not able to be reached by children. According to 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In childcare centers, the walls, and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Safe Indoor/Outdoor Environment Item 807-A safe indoor and outdoor environment was not provided for the children. Note: The Afterschool Playground has a gate that can not be held together properly because of the large gap. The Preschool playground has multiple broken lattes pieces with sharp edges where children can stick their hands through it. Metal skirting around the building that is on the playground with children is broken and rusted with large gaps around the entire bottom on the back side of playground. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer’s instructions shall be kept on file or electronically accessible, if available. (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. (d) All broken equipment or furnishings referenced in Paragraph (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. (e) Each child care center shall provide equipment and furnishings that are child-size or that can be adapted use by children. Chairs and tables shall be of appropriate height for the children who will be using them. Item-1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience Note: Five staff did not have on going training. According to 10A NCAC 09 .1103 ON-GOING TRAINING REQUIREMENTS (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Required Training Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement 15 clock hours If none of the other criteria in this chart apply 20 clock hours Supervision Item 303-Children were not adequately supervised at all times. Note: Upon arrival a young child came out of the preschool building and walked unsupervised to the afterschool building. The teacher in room four (4) put the children down for nap and then pulled a chair out side the classroom and engaged with her phone According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that. The teacher in space four (4) put here children on their cots to sleep to then pulled a chair out side the room and texted or played on her phone. (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Plastics Item 0858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Note: In space four (4) there were wet wipes in reach of children. In space three (3) diapers were in an unlock changing table still in their plastic. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Activity Plan Item #428-A current activity plan was not posted for each group of children for reference. Note: The classroom for children ages three (3) to four (4)-year old had an activity plan that was posted and was dated 6/12/23 to 6/16/23. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Health and Safety Training Item 1899-Staff did not complete the health and safety training within one year of employment Note: Four staff members had expired Health and Safety that had training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new First AID and CPR Item 1048 and 1049 All staff that provide direct care must completed First Aid and CPR training within ninety (90) days of employment and it must be renewed on or before expiration date. Note: All staffs CPR and First Aid had expired in April. They are scheduled to take it 7/12/22. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's Effective April 1, 2022 55 completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 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 7/24/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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. 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 Sidney.mccrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 verball 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 7/5/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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. 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 Sidney.mccrory@dhhs.nc.gov or 828.550.7655, 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: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/10/2023 Number Present: 30 Completed Date: 7/10/2023 Age: From 1 To 12 Total Minutes: 420 Time In: 10:30 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Cindy Day, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, the administrator, Cindy Day, accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 7/10/2023. Permit type – Four Star Special Services/Restrictions – Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 7/12/22. The last fire drill was practiced on 6/23/23. The last shelter-in-place drill was practiced on 5/12/23. The last playground inspection was documented on 7/10/23. The last fire inspection was approved on 7/03/23. The last sanitation inspection was conducted on 4/25/23 with seventeen (17) demerits for an approved rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. I observed the group with two- to three-year-old children preparing for a health lunch of pizza, corn, apple sauce and milk. The room with two and three-year old children were washing hands and preparing for snacks while engaging with their teacher. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Upon arrival a young child came out of the preschool building and walked unsupervised to the afterschool building. The teacher in room four (4) put the children down for nap and then pulled a chair out side the classroom and engaged with her phone. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted for each group of children for reference. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The building that houses the afterschool program has chipping ceilings and wall paint. The exterior has chipping and splintering wood. The back door is rusted, and the window frame is loose. The bathroom has rusted pipes and discolored wall tiles. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. The Afterschool Playground has a gate that can not be held together properly because of the large gap. The Preschool playground has broken lattes pieces with sharp edges where children can stick their hands through it. Metal skirting around the building that is on the playground with children is broken and rusted with large gaps around the entire bottom on the back side of playground. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space four (4) there were wet wipes in reach of children. In space three (3) diapers were in an unlock changing table still in their plastic. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. All staffs first Aid had expired in April. They are scheduled to take it 7/12/22. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. All staffs CPR had expired in April. They are scheduled to take it 7/12/22. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Five staff did not have on going training. .1103(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Four staff members had expired Health and Safety that had training. .1103(b) Technical assistance was provided as follows: The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 7/10/2023. The following violations were documented during today’s visit. Technical assistance was provided as follows: Walls and ceilings not in good repair Item 620- All walls and ceilings, including doors and windows, were not kept clean and in good repair. Note: The building that houses the afterschool program has chipping ceilings and wall paint. The exterior has chipping and splintering wood. The back door is rusted, and the window frame is loose. The bathroom has rusted pipes and discolored wall tiles. The Preschool building has a broken glass window on the back side in the one-year-old room. This window is not able to be reached by children. According to 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In childcare centers, the walls, and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Safe Indoor/Outdoor Environment Item 807-A safe indoor and outdoor environment was not provided for the children. Note: The Afterschool Playground has a gate that can not be held together properly because of the large gap. The Preschool playground has multiple broken lattes pieces with sharp edges where children can stick their hands through it. Metal skirting around the building that is on the playground with children is broken and rusted with large gaps around the entire bottom on the back side of playground. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer’s instructions shall be kept on file or electronically accessible, if available. (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. (d) All broken equipment or furnishings referenced in Paragraph (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. (e) Each child care center shall provide equipment and furnishings that are child-size or that can be adapted use by children. Chairs and tables shall be of appropriate height for the children who will be using them. Item-1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience Note: Five staff did not have on going training. According to 10A NCAC 09 .1103 ON-GOING TRAINING REQUIREMENTS (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Required Training Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement 15 clock hours If none of the other criteria in this chart apply 20 clock hours Supervision Item 303-Children were not adequately supervised at all times. Note: Upon arrival a young child came out of the preschool building and walked unsupervised to the afterschool building. The teacher in room four (4) put the children down for nap and then pulled a chair out side the classroom and engaged with her phone According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that. The teacher in space four (4) put here children on their cots to sleep to then pulled a chair out side the room and texted or played on her phone. (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Plastics Item 0858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Note: In space four (4) there were wet wipes in reach of children. In space three (3) diapers were in an unlock changing table still in their plastic. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Activity Plan Item #428-A current activity plan was not posted for each group of children for reference. Note: The classroom for children ages three (3) to four (4)-year old had an activity plan that was posted and was dated 6/12/23 to 6/16/23. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Health and Safety Training Item 1899-Staff did not complete the health and safety training within one year of employment Note: Four staff members had expired Health and Safety that had training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new First AID and CPR Item 1048 and 1049 All staff that provide direct care must completed First Aid and CPR training within ninety (90) days of employment and it must be renewed on or before expiration date. Note: All staffs CPR and First Aid had expired in April. They are scheduled to take it 7/12/22. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's Effective April 1, 2022 55 completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 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 7/24/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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. 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 Sidney.mccrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 verball 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 7/5/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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. 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 Sidney.mccrory@dhhs.nc.gov or 828.550.7655, 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: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/10/2023 Number Present: 30 Completed Date: 7/10/2023 Age: From 1 To 12 Total Minutes: 420 Time In: 10:30 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Cindy Day, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, the administrator, Cindy Day, accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 7/10/2023. Permit type – Four Star Special Services/Restrictions – Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 7/12/22. The last fire drill was practiced on 6/23/23. The last shelter-in-place drill was practiced on 5/12/23. The last playground inspection was documented on 7/10/23. The last fire inspection was approved on 7/03/23. The last sanitation inspection was conducted on 4/25/23 with seventeen (17) demerits for an approved rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. I observed the group with two- to three-year-old children preparing for a health lunch of pizza, corn, apple sauce and milk. The room with two and three-year old children were washing hands and preparing for snacks while engaging with their teacher. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Upon arrival a young child came out of the preschool building and walked unsupervised to the afterschool building. The teacher in room four (4) put the children down for nap and then pulled a chair out side the classroom and engaged with her phone. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted for each group of children for reference. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The building that houses the afterschool program has chipping ceilings and wall paint. The exterior has chipping and splintering wood. The back door is rusted, and the window frame is loose. The bathroom has rusted pipes and discolored wall tiles. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. The Afterschool Playground has a gate that can not be held together properly because of the large gap. The Preschool playground has broken lattes pieces with sharp edges where children can stick their hands through it. Metal skirting around the building that is on the playground with children is broken and rusted with large gaps around the entire bottom on the back side of playground. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space four (4) there were wet wipes in reach of children. In space three (3) diapers were in an unlock changing table still in their plastic. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. All staffs first Aid had expired in April. They are scheduled to take it 7/12/22. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. All staffs CPR had expired in April. They are scheduled to take it 7/12/22. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Five staff did not have on going training. .1103(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Four staff members had expired Health and Safety that had training. .1103(b) Technical assistance was provided as follows: The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 7/10/2023. The following violations were documented during today’s visit. Technical assistance was provided as follows: Walls and ceilings not in good repair Item 620- All walls and ceilings, including doors and windows, were not kept clean and in good repair. Note: The building that houses the afterschool program has chipping ceilings and wall paint. The exterior has chipping and splintering wood. The back door is rusted, and the window frame is loose. The bathroom has rusted pipes and discolored wall tiles. The Preschool building has a broken glass window on the back side in the one-year-old room. This window is not able to be reached by children. According to 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In childcare centers, the walls, and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Safe Indoor/Outdoor Environment Item 807-A safe indoor and outdoor environment was not provided for the children. Note: The Afterschool Playground has a gate that can not be held together properly because of the large gap. The Preschool playground has multiple broken lattes pieces with sharp edges where children can stick their hands through it. Metal skirting around the building that is on the playground with children is broken and rusted with large gaps around the entire bottom on the back side of playground. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer’s instructions shall be kept on file or electronically accessible, if available. (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. (d) All broken equipment or furnishings referenced in Paragraph (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. (e) Each child care center shall provide equipment and furnishings that are child-size or that can be adapted use by children. Chairs and tables shall be of appropriate height for the children who will be using them. Item-1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience Note: Five staff did not have on going training. According to 10A NCAC 09 .1103 ON-GOING TRAINING REQUIREMENTS (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Required Training Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement 15 clock hours If none of the other criteria in this chart apply 20 clock hours Supervision Item 303-Children were not adequately supervised at all times. Note: Upon arrival a young child came out of the preschool building and walked unsupervised to the afterschool building. The teacher in room four (4) put the children down for nap and then pulled a chair out side the classroom and engaged with her phone According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that. The teacher in space four (4) put here children on their cots to sleep to then pulled a chair out side the room and texted or played on her phone. (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Plastics Item 0858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Note: In space four (4) there were wet wipes in reach of children. In space three (3) diapers were in an unlock changing table still in their plastic. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Activity Plan Item #428-A current activity plan was not posted for each group of children for reference. Note: The classroom for children ages three (3) to four (4)-year old had an activity plan that was posted and was dated 6/12/23 to 6/16/23. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Health and Safety Training Item 1899-Staff did not complete the health and safety training within one year of employment Note: Four staff members had expired Health and Safety that had training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new First AID and CPR Item 1048 and 1049 All staff that provide direct care must completed First Aid and CPR training within ninety (90) days of employment and it must be renewed on or before expiration date. Note: All staffs CPR and First Aid had expired in April. They are scheduled to take it 7/12/22. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's Effective April 1, 2022 55 completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 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 7/24/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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. 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 Sidney.mccrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 verball 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 7/5/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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. 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 Sidney.mccrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
GS 110-91 · Violation
Name of Operation: TINY TOTS CREATIVE LEARNING CENTER Facility ID: 20000052 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/10/2023 Number Present: 30 Completed Date: 7/10/2023 Age: From 1 To 12 Total Minutes: 420 Time In: 10:30 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Cindy Day, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, the administrator, Cindy Day, accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 7/10/2023. Permit type – Four Star Special Services/Restrictions – Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 7/12/22. The last fire drill was practiced on 6/23/23. The last shelter-in-place drill was practiced on 5/12/23. The last playground inspection was documented on 7/10/23. The last fire inspection was approved on 7/03/23. The last sanitation inspection was conducted on 4/25/23 with seventeen (17) demerits for an approved rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. I observed the group with two- to three-year-old children preparing for a health lunch of pizza, corn, apple sauce and milk. The room with two and three-year old children were washing hands and preparing for snacks while engaging with their teacher. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Upon arrival a young child came out of the preschool building and walked unsupervised to the afterschool building. The teacher in room four (4) put the children down for nap and then pulled a chair out side the classroom and engaged with her phone. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted for each group of children for reference. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The building that houses the afterschool program has chipping ceilings and wall paint. The exterior has chipping and splintering wood. The back door is rusted, and the window frame is loose. The bathroom has rusted pipes and discolored wall tiles. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. The Afterschool Playground has a gate that can not be held together properly because of the large gap. The Preschool playground has broken lattes pieces with sharp edges where children can stick their hands through it. Metal skirting around the building that is on the playground with children is broken and rusted with large gaps around the entire bottom on the back side of playground. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space four (4) there were wet wipes in reach of children. In space three (3) diapers were in an unlock changing table still in their plastic. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. All staffs first Aid had expired in April. They are scheduled to take it 7/12/22. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. All staffs CPR had expired in April. They are scheduled to take it 7/12/22. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Five staff did not have on going training. .1103(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Four staff members had expired Health and Safety that had training. .1103(b) Technical assistance was provided as follows: The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 7/10/2023. The following violations were documented during today’s visit. Technical assistance was provided as follows: Walls and ceilings not in good repair Item 620- All walls and ceilings, including doors and windows, were not kept clean and in good repair. Note: The building that houses the afterschool program has chipping ceilings and wall paint. The exterior has chipping and splintering wood. The back door is rusted, and the window frame is loose. The bathroom has rusted pipes and discolored wall tiles. The Preschool building has a broken glass window on the back side in the one-year-old room. This window is not able to be reached by children. According to 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In childcare centers, the walls, and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be easily cleanable and free of peeling, flaking, chalking, or otherwise deteriorating paint. Safe Indoor/Outdoor Environment Item 807-A safe indoor and outdoor environment was not provided for the children. Note: The Afterschool Playground has a gate that can not be held together properly because of the large gap. The Preschool playground has multiple broken lattes pieces with sharp edges where children can stick their hands through it. Metal skirting around the building that is on the playground with children is broken and rusted with large gaps around the entire bottom on the back side of playground. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer’s instructions shall be kept on file or electronically accessible, if available. (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. (d) All broken equipment or furnishings referenced in Paragraph (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. (e) Each child care center shall provide equipment and furnishings that are child-size or that can be adapted use by children. Chairs and tables shall be of appropriate height for the children who will be using them. Item-1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience Note: Five staff did not have on going training. According to 10A NCAC 09 .1103 ON-GOING TRAINING REQUIREMENTS (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Required Training Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement 15 clock hours If none of the other criteria in this chart apply 20 clock hours Supervision Item 303-Children were not adequately supervised at all times. Note: Upon arrival a young child came out of the preschool building and walked unsupervised to the afterschool building. The teacher in room four (4) put the children down for nap and then pulled a chair out side the classroom and engaged with her phone According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that. The teacher in space four (4) put here children on their cots to sleep to then pulled a chair out side the room and texted or played on her phone. (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Plastics Item 0858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Note: In space four (4) there were wet wipes in reach of children. In space three (3) diapers were in an unlock changing table still in their plastic. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Activity Plan Item #428-A current activity plan was not posted for each group of children for reference. Note: The classroom for children ages three (3) to four (4)-year old had an activity plan that was posted and was dated 6/12/23 to 6/16/23. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Health and Safety Training Item 1899-Staff did not complete the health and safety training within one year of employment Note: Four staff members had expired Health and Safety that had training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new First AID and CPR Item 1048 and 1049 All staff that provide direct care must completed First Aid and CPR training within ninety (90) days of employment and it must be renewed on or before expiration date. Note: All staffs CPR and First Aid had expired in April. They are scheduled to take it 7/12/22. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's Effective April 1, 2022 55 completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 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 7/24/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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. 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 Sidney.mccrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 verball 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 7/5/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville, NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@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. 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 Sidney.mccrory@dhhs.nc.gov or 828.550.7655, 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
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