10A NCAC 09 .0701 · Violation

Name of Operation: CLOVERDALE CHILD CARE MINISTRIES Facility ID: 76000454 Consultant: LORI RIERSON Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 20 Completed Date: 8/19/2025 Age: From 0 To 4 Total Minutes: 190 Time In: 09:30 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced Today a routine unannounced visit was conducted. The last annual compliance visit was conducted 3/6/25. Currently this program operates with a GS110 Notice of Compliance issued 3/24/25. The president David Perry is serving as interim director and assisted me. Sharlene Lawrence, center director, is no longer employed at the center. I conducted an assisted walk-through of the center. The last sanitation inspection was completed 4/14/25 with a ‘Superior’ classification and 8 demerits. The last fire inspection was conducted on 6/18/25. Children were observed playing in activity areas and routine care activities. The files for one new staff member was reviewed. A partial assessment of applicable childcare requirements was conducted today. The following violation(s) were documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The interim director did not have a medical statement on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The interim director did not have a TB test on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. New staff member M. Williams did not have a check on file from DCDEE. G.S. 110-90.2(b) 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). Interim director D. Perry did not have a current qualification letter on file. G.S. 110-90.2(b) & .2703(n)&(o) You were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Each violation cited was discussed with Ms. Lawrence. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received on or before 9/2/25. The letter must include the following: *Facility Name and ID number *List of each violation number *How each violation was corrected All items must be included, or the corrective action letter will be returned for corrections. All requested documentation must accompany the Corrective Action Letter. The letter can be emailed to lori.rierson@dhhs.nc.gov. CONSULTATION AND RESOURCES: We discussed the annual review of the center’s Emergency Preparedness Plan. The website is https://rmp.nc.gov. You should contact the previous director to see if you can obtain the NCID used to create and maintain the plan. If you do not see your center’s plan, it may be archived if it has not been accessed within twelve months. If the previous NCID does not work, you must contact Risk Management to have it reset. The number is 800-367-2229. Once you make any revisions, publish the plan and print the first page for your records. We reviewed the requirements for therapists that come into the classrooms. Therapists are required to obtain a criminal background letter through DCDEE. You must have a on file for review at your center. A Preservice Requirements for Administrators form was left with you today. Once a new administrator is hired, complete this form and send it to me. I assisted you in creating an NCID today. Allow 24 hours for the new NCID to go into effect. You will then need to login to ncchildcare.ncdhhs.gov, click Provider, Background Checks, then Childcare Background Checks. Use your NCID to login, create an application, you must pay at the end. You will then go to your local fingerprinting office. It is best to go where they are electronically submitted. Once the fingerprinting is completed, it should only take 3-5 business days to receive your letter. You must log back into the portal after a few days to check your status. Once your letter appears, you must print it and have it in your file. New staff member M. Williams submitted her information for a DCDEE criminal background letter during my visit today. She may not return to work until a valid qualification letter is received from DCDEE. Documents and forms for DCDEE licensure can be found at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. AGENCY NEWS AND UPDATES: Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: *’What’s New’ If you have and questions or concerns, please call me at 336-816-4826, or email lori.rierson@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: ratio. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: CLOVERDALE CHILD CARE MINISTRIES Facility ID: 76000454 Consultant: LORI RIERSON Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 20 Completed Date: 8/19/2025 Age: From 0 To 4 Total Minutes: 190 Time In: 09:30 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced Today a routine unannounced visit was conducted. The last annual compliance visit was conducted 3/6/25. Currently this program operates with a GS110 Notice of Compliance issued 3/24/25. The president David Perry is serving as interim director and assisted me. Sharlene Lawrence, center director, is no longer employed at the center. I conducted an assisted walk-through of the center. The last sanitation inspection was completed 4/14/25 with a ‘Superior’ classification and 8 demerits. The last fire inspection was conducted on 6/18/25. Children were observed playing in activity areas and routine care activities. The files for one new staff member was reviewed. A partial assessment of applicable childcare requirements was conducted today. The following violation(s) were documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The interim director did not have a medical statement on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The interim director did not have a TB test on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. New staff member M. Williams did not have a check on file from DCDEE. G.S. 110-90.2(b) 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). Interim director D. Perry did not have a current qualification letter on file. G.S. 110-90.2(b) & .2703(n)&(o) You were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Each violation cited was discussed with Ms. Lawrence. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received on or before 9/2/25. The letter must include the following: *Facility Name and ID number *List of each violation number *How each violation was corrected All items must be included, or the corrective action letter will be returned for corrections. All requested documentation must accompany the Corrective Action Letter. The letter can be emailed to lori.rierson@dhhs.nc.gov. CONSULTATION AND RESOURCES: We discussed the annual review of the center’s Emergency Preparedness Plan. The website is https://rmp.nc.gov. You should contact the previous director to see if you can obtain the NCID used to create and maintain the plan. If you do not see your center’s plan, it may be archived if it has not been accessed within twelve months. If the previous NCID does not work, you must contact Risk Management to have it reset. The number is 800-367-2229. Once you make any revisions, publish the plan and print the first page for your records. We reviewed the requirements for therapists that come into the classrooms. Therapists are required to obtain a criminal background letter through DCDEE. You must have a on file for review at your center. A Preservice Requirements for Administrators form was left with you today. Once a new administrator is hired, complete this form and send it to me. I assisted you in creating an NCID today. Allow 24 hours for the new NCID to go into effect. You will then need to login to ncchildcare.ncdhhs.gov, click Provider, Background Checks, then Childcare Background Checks. Use your NCID to login, create an application, you must pay at the end. You will then go to your local fingerprinting office. It is best to go where they are electronically submitted. Once the fingerprinting is completed, it should only take 3-5 business days to receive your letter. You must log back into the portal after a few days to check your status. Once your letter appears, you must print it and have it in your file. New staff member M. Williams submitted her information for a DCDEE criminal background letter during my visit today. She may not return to work until a valid qualification letter is received from DCDEE. Documents and forms for DCDEE licensure can be found at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. AGENCY NEWS AND UPDATES: Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: *’What’s New’ If you have and questions or concerns, please call me at 336-816-4826, or email lori.rierson@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: CLOVERDALE CHILD CARE MINISTRIES Facility ID: 76000454 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 3/6/2025 Number Present: 22 Completed Date: 3/6/2025 Age: From 1 To 5 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for child care requirements applicable to a child care center during an unannounced annual compliance visit. Upon my arrival I was greeted by the Administrator, Sharlene Lawerence , she assisted me during today’s visit. I completed a walk-through of the classroom spaces, Enrollment and attendance was documented, and observations were made. The children were observed participating in free play in their classrooms. The last annual compliance visit was conducted March 19, 2024. The center is operating under a Notice of Compliance that was issued May 8, 2024Permit restrictions were in compliance. The last sanitation inspection was conducted November 18, 2024 the center received a Superior rating. Fire drills and playground inspections were monitored. The last fire inspection was conducted June 25, 2024. Two new staff files and three children’s files were monitored. Your compliance history is 95%, this may change following today’s visit. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. The following violations were observed during today’s visit. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.The snack menu did not have the required amount of components. 10A NCAC 09 .0901(a) 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. The were several medications that were expired and/or were not returned to parent after course of treatment. .0803(12) 853 Incident logs were not completed and maintained as required. An incident log was not on file. .0802(g)(1-6) 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 current questionnaires on file. .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. Two new staff did not have emergency information on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff did not have a current criminal background check. G.S. 110-90.2(b) 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 staff had a criminal background check on file that expired in January 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child did not have a medical report on file. See children's records form. GS 110-91(1);.0302(d)(2); .0304(g) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One child did not have a signed policy on file.See children's records form. .1804(c) 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. Two new staff did not have this on file. .0608(d)(1-4) 1909 The Prevention of Shaken Baby Syndrome Policy was changed and the center did not give in writing a notice of the change to the children's parents 14 days prior to implementing the new policy and/or a statement from the parent acknowledging the receipt and explanation of the change in policy was not in the child's file. Two children did not have a signed policy on file. See children's records form. .0608(c) The above violations must be corrected immediately, and a letter must be sent to me no later than March 20, 2025 stating how each item was corrected and a plan to maintain compliance with the requirement. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation and your plan to keep each item in compliance. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by March 20, 2025 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the violations have not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Technical Assistance • A new Director started in December 2024. The space for infants has been set up and approved. The space is currently a toddler space , so the space calculations remain the same. The classroom has a capacity of 11, but with infants, the group size should not exceed 10. The Director plans to have only two infants in care. • We reviewed safe sleep guidelines, including sleep position charts, feeding schedules, and bottle/feeding requirements. It was noted that there is no thermometer in the refrigerator in the classroom. A thermometer should be placed in the refrigerator before caring for infants. The safe sleep policy should also be posted in the classroom before infants are cared for. Both the Director and teacher have completed the required ITS SIDS training. Send documentation of the posting of the safe sleep policy and thermometer and a new permit will be submitted adding care for infants. • We discussed medication policies: o Use a separate form for each medication. o Always check expiration dates, especially for emergency medications, as they may not be used often. o Return unused medication to parents within 72 hours of treatment completion. o It's recommended to have only one diaper cream on file at a time per child. • We talked about updating staff and children's files: o Set a specific day for all staff to update health questionnaires and emergency contact information. o One new staff member does not have a criminal background check on file, it must be completed before they care for children. This staff member cannot return to work until the check is on file. o Another staff member did not renew their criminal background check on time. They have 14 days to submit the updated check. If not done within the deadline, the teacher cannot work. Go to the DCDEE website and get a copy of the incident log, this form is located under the provider tab under provider documents. All incidents must be recorded on this log. Complete your staff and training worksheets and send them to me by March 12, 2025. This form can be found on the DCDEE website. During today's visit I reviewed with you the process for completing the form, if you need assistance please contact me. Complete the preservice form and return it to me by March 12, 2025. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or 336-580-2527 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: CLOVERDALE CHILD CARE MINISTRIES Facility ID: 76000454 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 3/6/2025 Number Present: 22 Completed Date: 3/6/2025 Age: From 1 To 5 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for child care requirements applicable to a child care center during an unannounced annual compliance visit. Upon my arrival I was greeted by the Administrator, Sharlene Lawerence , she assisted me during today’s visit. I completed a walk-through of the classroom spaces, Enrollment and attendance was documented, and observations were made. The children were observed participating in free play in their classrooms. The last annual compliance visit was conducted March 19, 2024. The center is operating under a Notice of Compliance that was issued May 8, 2024Permit restrictions were in compliance. The last sanitation inspection was conducted November 18, 2024 the center received a Superior rating. Fire drills and playground inspections were monitored. The last fire inspection was conducted June 25, 2024. Two new staff files and three children’s files were monitored. Your compliance history is 95%, this may change following today’s visit. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. The following violations were observed during today’s visit. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.The snack menu did not have the required amount of components. 10A NCAC 09 .0901(a) 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. The were several medications that were expired and/or were not returned to parent after course of treatment. .0803(12) 853 Incident logs were not completed and maintained as required. An incident log was not on file. .0802(g)(1-6) 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 current questionnaires on file. .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. Two new staff did not have emergency information on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff did not have a current criminal background check. G.S. 110-90.2(b) 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 staff had a criminal background check on file that expired in January 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child did not have a medical report on file. See children's records form. GS 110-91(1);.0302(d)(2); .0304(g) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One child did not have a signed policy on file.See children's records form. .1804(c) 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. Two new staff did not have this on file. .0608(d)(1-4) 1909 The Prevention of Shaken Baby Syndrome Policy was changed and the center did not give in writing a notice of the change to the children's parents 14 days prior to implementing the new policy and/or a statement from the parent acknowledging the receipt and explanation of the change in policy was not in the child's file. Two children did not have a signed policy on file. See children's records form. .0608(c) The above violations must be corrected immediately, and a letter must be sent to me no later than March 20, 2025 stating how each item was corrected and a plan to maintain compliance with the requirement. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation and your plan to keep each item in compliance. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by March 20, 2025 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the violations have not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Technical Assistance • A new Director started in December 2024. The space for infants has been set up and approved. The space is currently a toddler space , so the space calculations remain the same. The classroom has a capacity of 11, but with infants, the group size should not exceed 10. The Director plans to have only two infants in care. • We reviewed safe sleep guidelines, including sleep position charts, feeding schedules, and bottle/feeding requirements. It was noted that there is no thermometer in the refrigerator in the classroom. A thermometer should be placed in the refrigerator before caring for infants. The safe sleep policy should also be posted in the classroom before infants are cared for. Both the Director and teacher have completed the required ITS SIDS training. Send documentation of the posting of the safe sleep policy and thermometer and a new permit will be submitted adding care for infants. • We discussed medication policies: o Use a separate form for each medication. o Always check expiration dates, especially for emergency medications, as they may not be used often. o Return unused medication to parents within 72 hours of treatment completion. o It's recommended to have only one diaper cream on file at a time per child. • We talked about updating staff and children's files: o Set a specific day for all staff to update health questionnaires and emergency contact information. o One new staff member does not have a criminal background check on file, it must be completed before they care for children. This staff member cannot return to work until the check is on file. o Another staff member did not renew their criminal background check on time. They have 14 days to submit the updated check. If not done within the deadline, the teacher cannot work. Go to the DCDEE website and get a copy of the incident log, this form is located under the provider tab under provider documents. All incidents must be recorded on this log. Complete your staff and training worksheets and send them to me by March 12, 2025. This form can be found on the DCDEE website. During today's visit I reviewed with you the process for completing the form, if you need assistance please contact me. Complete the preservice form and return it to me by March 12, 2025. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or 336-580-2527 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: CLOVERDALE CHILD CARE MINISTRIES Facility ID: 76000454 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 3/6/2025 Number Present: 22 Completed Date: 3/6/2025 Age: From 1 To 5 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for child care requirements applicable to a child care center during an unannounced annual compliance visit. Upon my arrival I was greeted by the Administrator, Sharlene Lawerence , she assisted me during today’s visit. I completed a walk-through of the classroom spaces, Enrollment and attendance was documented, and observations were made. The children were observed participating in free play in their classrooms. The last annual compliance visit was conducted March 19, 2024. The center is operating under a Notice of Compliance that was issued May 8, 2024Permit restrictions were in compliance. The last sanitation inspection was conducted November 18, 2024 the center received a Superior rating. Fire drills and playground inspections were monitored. The last fire inspection was conducted June 25, 2024. Two new staff files and three children’s files were monitored. Your compliance history is 95%, this may change following today’s visit. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. The following violations were observed during today’s visit. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.The snack menu did not have the required amount of components. 10A NCAC 09 .0901(a) 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. The were several medications that were expired and/or were not returned to parent after course of treatment. .0803(12) 853 Incident logs were not completed and maintained as required. An incident log was not on file. .0802(g)(1-6) 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 current questionnaires on file. .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. Two new staff did not have emergency information on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff did not have a current criminal background check. G.S. 110-90.2(b) 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 staff had a criminal background check on file that expired in January 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child did not have a medical report on file. See children's records form. GS 110-91(1);.0302(d)(2); .0304(g) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One child did not have a signed policy on file.See children's records form. .1804(c) 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. Two new staff did not have this on file. .0608(d)(1-4) 1909 The Prevention of Shaken Baby Syndrome Policy was changed and the center did not give in writing a notice of the change to the children's parents 14 days prior to implementing the new policy and/or a statement from the parent acknowledging the receipt and explanation of the change in policy was not in the child's file. Two children did not have a signed policy on file. See children's records form. .0608(c) The above violations must be corrected immediately, and a letter must be sent to me no later than March 20, 2025 stating how each item was corrected and a plan to maintain compliance with the requirement. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation and your plan to keep each item in compliance. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by March 20, 2025 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the violations have not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Technical Assistance • A new Director started in December 2024. The space for infants has been set up and approved. The space is currently a toddler space , so the space calculations remain the same. The classroom has a capacity of 11, but with infants, the group size should not exceed 10. The Director plans to have only two infants in care. • We reviewed safe sleep guidelines, including sleep position charts, feeding schedules, and bottle/feeding requirements. It was noted that there is no thermometer in the refrigerator in the classroom. A thermometer should be placed in the refrigerator before caring for infants. The safe sleep policy should also be posted in the classroom before infants are cared for. Both the Director and teacher have completed the required ITS SIDS training. Send documentation of the posting of the safe sleep policy and thermometer and a new permit will be submitted adding care for infants. • We discussed medication policies: o Use a separate form for each medication. o Always check expiration dates, especially for emergency medications, as they may not be used often. o Return unused medication to parents within 72 hours of treatment completion. o It's recommended to have only one diaper cream on file at a time per child. • We talked about updating staff and children's files: o Set a specific day for all staff to update health questionnaires and emergency contact information. o One new staff member does not have a criminal background check on file, it must be completed before they care for children. This staff member cannot return to work until the check is on file. o Another staff member did not renew their criminal background check on time. They have 14 days to submit the updated check. If not done within the deadline, the teacher cannot work. Go to the DCDEE website and get a copy of the incident log, this form is located under the provider tab under provider documents. All incidents must be recorded on this log. Complete your staff and training worksheets and send them to me by March 12, 2025. This form can be found on the DCDEE website. During today's visit I reviewed with you the process for completing the form, if you need assistance please contact me. Complete the preservice form and return it to me by March 12, 2025. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or 336-580-2527 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