10A NCAC 09 .1718 · Violation

Name of Operation: LITTLE BLESSINGS CHILDCARE Facility ID: 76000484 Consultant: LORI RIERSON Operation Type: Family CC Home Case Number: Visit Date: 1/21/2026 Number Present: 4 Completed Date: 1/21/2026 Age: From 1 To 2 Total Minutes: 110 Time In: 10:00 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today an unannounced annual compliance visit was conducted. A checklist was used to note childcare requirements monitored today, and a copy was left with you. The last annual compliance visit was conducted 2/4/25. This family childcare home currently operates with a two (2) star license issued 11/12/19. The owner/operator Lisa Grooms assisted me during today’s visit. The home was placed in inactive status from 2/10/25 – 9/2/25. Five preschool children are enrolled. Care is provided for first shift. Four preschool children were present today. The files for three new children were reviewed. The children use two downstairs rooms and bathroom as designated childcare spaces. A full assessment of applicable childcare requirements was conducted today. The following violations were observed today: Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. The provider's training expired 4/2025. She was on inactive status until 9/2/25. The training was completed 9/18/25. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. The provider's training expired 4/2025. She was on inactive status until 9/2/25. The training was completed 9/18/25. .1703(a)(3) 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. An aerosol can of disinfectant and an air freshener were stored in an unlocked cabinet in the kitchen area. .1719 (a)(7) 811 Baby food, snack items, and meal items sent from home, for each individual child, were not dated and labeled with the child's name. A bottle and sippy cups in the refrigerator brought from home by the children were not labeled with each child's name and the date. .1706(o) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. The file for one child did not have the signed copy of the policy on file. .1726(b)&(c) You were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Each violation cited was discussed with Ms. Grooms. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received on or before 2/4/26. 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: All family childcare homes with a two – five star rated license are required to choose a Pathway for obtaining a new rated license. We discussed these options today and completed the Pathways decision form. I will schedule a technical assistance visit to review each pathway in detail and your options. We discussed the Emergency Preparedness Plan today. You completed the training on 10/29/25. The online plan must be completed by 2/28/26. The website is https://rmp.nc.gov. Once all bullet items are green, you will save, publish and print your plan. We reviewed requirements for daily schedules and activity plans today. You may combine the two into one document. All the requirements for each must be met. It must reflect blocks of time for the required developmentally appropriate activities. They must reflect the five developmental domains in the NC Foundations for Early Learning book. You may refer to NC Childcare rule 10A NCAC 09 .1718(6) and (c) for the rule requirements. We discussed the use of screen time today. Children under three years of age are not allowed to use screen time. Children over three may have screen time up to thirty minutes per day. It must be for a developmental purpose and the child’s time recorded on a screen time log. Family childcare home providers must visit the Clean Classrooms for Carolina Kids to register for the asbestos training and testing. You will login to the same account used for your lead water testing. The website is https://www.cleanwaterforuskids.org/en/carolina/. The lead water test completed reflected trace amounts of lead. Remediation was not required but was recommended. You stated you use water filtration in your home. The emergency medical care plan should be updated. Line two can state call 911 or child’s doctor. The posted ITS/SIDS policy was not current. A current policy must be posted and provided to parents if a child under twelve months enrolls. Any bottles or cups from home must have the child’s name and date. A separate cup must be used for each meal unless they are washed in a dishwasher or three compartment sink in between uses. We discussed the CACFP requirements for beverages served at meal times. Children cannot be served juice during lunch. They are required to be provided milk or a milk substitute if documentation is on file for the reason of the substitution. We discussed the requirements if you decided to administer medication. You would need to develop a medication administration policy. The parents of all enrolled children must receive the policy and a signed/dated copy placed in the child’s file. The policy must be added to the parent handbook. Aerosol cans or those with warnings in addition to ‘Keep Out Of Reach Of Children’ must be in locked storage. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. 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’ tab *QRIS Updates If you have and questions or concerns, please call me at 336-816-4826, or email lori.rierson@dhhs.nc.gov or my licensing supervisor Kaye Adkins at kaye.adkins@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 .1725 · Violation

Name of Operation: LITTLE BLESSINGS CHILDCARE Facility ID: 76000484 Consultant: MONA NDIAYE Operation Type: Family CC Home Case Number: Visit Date: 2/4/2025 Number Present: 3 Completed Date: 2/4/2025 Age: From 0 To 2 Total Minutes: 90 Time In: 10:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for compliance during an annual compliance visit. The program currently operates with a two star license that was issued on November 12, 2019. The last annual compliance visit was conducted February 8, 2024. Upon arrival at the home, I was greeted by the provider, Lisa Grooms, who was present with three preschool children. The children were observed participating in free play in the designated child care space. During the visit I monitored indoor and outdoor space. The provider uses the finished basement of the home as the playroom space. The space included a variety of age appropriate toys and materials. The provider’s license and required information was posted. The provider’s file, children’s files, outdoor inspection and fire drill report were reviewed. There was one new children enrolled since the last visit. The provider only provides transportation for emergencies. The provider stated there are no other residents in the home besides her daughter and husband, listed on the verification sheet. Your compliance history is 94% before this visit. The following violations were observed Violation Number Comment Rule 907 Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats, was not available. One of the provider's dogs did not have a current rabies vaccination on file. .1719(b)(1) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. The provider has not completed her health and safety trainings as required every 5 years. .1703(d)(2) 2058 The family child care home operator did not collect and submit samples of water from each outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health. The provider has not started the process. 10A NCAC 09 .1725(a)(2) The above violations must be corrected immediately and a letter must be sent to me no later than February 16, 2025 stating how each item was corrected. This letter may be e-mailed to me at mona.ndiaye@dhhs.nc.gov If I do not receive your letter by February 16, 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 situation has 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 Visit the website, https://www.cleanwaterforuskids.org/en/carolina/ to begin the process for your water testing. Health and safety training must be completed every five years, visit the DCDEE website for more information. The safe sleep policy has been updated, visit the DCDEE website, to get a sample of the updated policy. 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.

10A NCAC 09 .1705 · Violation

Name of Operation: LITTLE BLESSINGS CHILDCARE Facility ID: 76000484 Consultant: MONA NDIAYE Operation Type: Family CC Home Case Number: Visit Date: 2/8/2024 Number Present: 5 Completed Date: 2/8/2024 Age: From 0 To 2 Total Minutes: 95 Time In: 10:45 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for compliance during an annual compliance visit. The program currently operates with a Two Star Child Care License that was issued on November 12, 2019. The last Annual Compliance Visit was conducted March 7, 2023. Upon arrival at the home, I was greeted by the provider, Lisa Grooms, who was present with five preschool children. The provider was feeding the children lunch. During the visit I monitored indoor and outdoor spaces. The home is a tri level house, the lower level is used as the childcare space, this space has a bathroom available for the children. The space included a variety of age appropriate toys and materials. The outdoor play area was fenced and contained a variety of play equipment. The provider’s license and parental information were posted. The provider’s file, children’s files, outdoor inspection and fire drill reports were reviewed. The provider does not provide transportation. The following violations were observed: Violation Number Comment Rule 908 Health questionnaire was not completed annually.The provider's health questionnaire was do 4/ 13/2023. .1703(a)(1) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The provider completed 2 hours of training, the provider is required to have 8 hours. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The provider's ITS SIDS training expired 9/2023. .1703(a)(4) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. There was foam flooring in the play area used by children under the age of three. .1719(a)(18) The above violations must be corrected immediately and a letter must be sent to me no later than February 20, 2024 stating how each item was corrected. This letter may be e-mailed to me at mona.ndiaye@dhhs.nc.gov If I do not receive your letter by February 20, 2024 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 situation has 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. Consultation It has been 5 years since you completed the initial health and safety training, it is time for you to completed the required training again. UPDATES -DCDEE has announced their plan to resume the Star Rated License process. Facilities have been divided into 3 Cohorts. Each cohort will have a preparation year and an assessment year. Your facility is in Cohort 1. Your preparation year began July 1, 2023 and will end on June 30, 2024. Your assessment year begins July 1, 2024. The preparation year is an opportunity to focus on your Star Rated License and consider strategies to help maintain or increase your star rating. It could be helpful to consider areas where refresher information might be helpful. These ideas can then be incorporated into ongoing training and/or professional development plans as you prepare for your assessment year when the regular star rated license reassessment process is required. 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. 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.

GS 110-91 · Violation

Name of Operation: LITTLE BLESSINGS CHILDCARE Facility ID: 76000484 Consultant: MONA NDIAYE Operation Type: Family CC Home Case Number: Visit Date: 2/8/2024 Number Present: 5 Completed Date: 2/8/2024 Age: From 0 To 2 Total Minutes: 95 Time In: 10:45 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for compliance during an annual compliance visit. The program currently operates with a Two Star Child Care License that was issued on November 12, 2019. The last Annual Compliance Visit was conducted March 7, 2023. Upon arrival at the home, I was greeted by the provider, Lisa Grooms, who was present with five preschool children. The provider was feeding the children lunch. During the visit I monitored indoor and outdoor spaces. The home is a tri level house, the lower level is used as the childcare space, this space has a bathroom available for the children. The space included a variety of age appropriate toys and materials. The outdoor play area was fenced and contained a variety of play equipment. The provider’s license and parental information were posted. The provider’s file, children’s files, outdoor inspection and fire drill reports were reviewed. The provider does not provide transportation. The following violations were observed: Violation Number Comment Rule 908 Health questionnaire was not completed annually.The provider's health questionnaire was do 4/ 13/2023. .1703(a)(1) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The provider completed 2 hours of training, the provider is required to have 8 hours. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The provider's ITS SIDS training expired 9/2023. .1703(a)(4) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. There was foam flooring in the play area used by children under the age of three. .1719(a)(18) The above violations must be corrected immediately and a letter must be sent to me no later than February 20, 2024 stating how each item was corrected. This letter may be e-mailed to me at mona.ndiaye@dhhs.nc.gov If I do not receive your letter by February 20, 2024 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 situation has 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. Consultation It has been 5 years since you completed the initial health and safety training, it is time for you to completed the required training again. UPDATES -DCDEE has announced their plan to resume the Star Rated License process. Facilities have been divided into 3 Cohorts. Each cohort will have a preparation year and an assessment year. Your facility is in Cohort 1. Your preparation year began July 1, 2023 and will end on June 30, 2024. Your assessment year begins July 1, 2024. The preparation year is an opportunity to focus on your Star Rated License and consider strategies to help maintain or increase your star rating. It could be helpful to consider areas where refresher information might be helpful. These ideas can then be incorporated into ongoing training and/or professional development plans as you prepare for your assessment year when the regular star rated license reassessment process is required. 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. 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