Annette's Day Care

G.S. 110-90 · Violation

Name of Operation: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAITLYN MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 6/4/2026 Number Present: 4 Completed Date: 6/4/2026 Age: From 0 To 3 Total Minutes: 280 Time In: 09:20 AM Time Out: 02:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Annette Sprouse, Operator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Sprouse was present and available to ask and answer questions throughout the visit today. 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 ninety-three percent (93%) as of 6/1/26. Ms. Sprouse operates the facility as a sole proprietorship. Permit type – Three (3) star license issued 9/5/17. Special Services/Restrictions – 1st shift (daytime care), 2nd shift, maximum of 5 preschool children at any time, serves no more than 2 infants under age 1. The last annual compliance visit was conducted on 6/11/25. The last fire drill was practiced on 5/11/26. The last lockdown drill was practiced on 5/11/26. The last playground inspection was documented on 5/11/26. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/22/24 without hazards. Lead paint and asbestos testing was completed on 10/14/25. The program does not provide transportation. Upon arrival I was greeted by Ms. Sprouse. Children built towers with interlocking blocks, rolled toy vehicles across various surfaces and explored various age-appropriate manipulatives. Children then transitioned to lunch. Lunch today consisted of grilled cheese sandwich, carrots, cantaloup and milk. Interactions were positive and nurturing, supervision was adequate. 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 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. Hand tools including a pipe cutter, hammers, a battery and boxes of nails and screws were observed on a work bench on the patio in the outdoor learning environment. A jar of batteries was observed on a side table in the dining room. .1719 (a) (1) 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. Two (2) aerosol chemicals were observed on top of the refrigerator in the kitchen. One (1) aerosol cleaner was observed in a box on a work bench on the patio in the outdoor learning environment. .1719 (a)(7) 716 Electrical outlets not in use were not covered. Two (2) outlets in the dining room and two (2) outlets in the kitchen were uncovered. 10A NCAC .1719(a)(27) 816 Each child's hands were not washed before and after eating. Children’s hands were not washed prior to eating lunch. .1725(a)(7)(B) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. The times of arrival for children were not documented as they arrived to the facility. .1721(e)(6) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. One (1) child, enrollment date 6/3/26, did not have a signed acknowledgement that the parent received the summary of the NC Child Care Law. GS 110-102 1818 Operator did not implement and follow the written safe sleep policy adopted to maintain a safe sleep environment. Visual sleep checks were conducted but were not documented for one (1) infant. An infant was placed on a pillow with a blanket to sleep. G.S. 110-91(15);.1724(a)(1-12) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One (1) household member, J. Sprouse, was not connected to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. One (1) bottle of witch hazel and a bag with an assortment of creams and ointments was observed in the bathroom behind a mirror. Two (2) tubes of hand cream, one (1) bottle of rose hip spray and one (1) stick of deodorant was observed on the bar in the kitchen. Five (5) bottle of essential oils and one (1) container of disinfecting wipes were observed in the dining room. .1719(a)(6) 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. One (1) child, aged twelve months old, did not have an infant feeding plan on file. .1706(i) 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 signed acknowledgment of receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy was not on file for three (3) children. .1726(b)&(c) Technical assistance was provided as follows: Item #702 and #706: To reach compliance with these items, all products and tools listed above must be placed in locked storage. This was unable to be completed during the visit today. In your letter of compliance, please include a statement that indicates all aerosol chemicals, hand tools and boxes of nails and screws have been placed in locked storage. Item #716: The outlets were covered during the visit today. This is corrected. No further corrective action is needed for this item. Item #816: According to Child Care Rule .1725(a)(7)(B), children’s hands must be washed before and after eating. In your letter of compliance, include a plan for how you will ensure children’s hands are washed prior to eating meals and snacks. Item #921: The arrival times of children were added to the sign in/out sheet during the visit today. This is corrected. No further corrective action is needed. Item #1704: To reach compliance with this item, the parents of the one (1) child must sign an acknowledgement that they received the Summary of the NC Child Care Law. Item #1818: We discussed the sleep checks must be documented every fifteen (15) minutes. We discussed using the timer function on your phone to set a timer every fifteen (15) minutes when the infant goes to sleep. Additionally, we discussed the infant must be placed on their back in the pack n play once they fall asleep. You expressed concerns that the child may need a wedge as they are propped up at home. For children under 6 months old, you must obtain a sleep position waiver signed by a medical professional in order to provide a wedge or any other supports for sleep. A copy of the sleep position waiver has been provided to you in the email containing this visit summary. You can give this waiver to the parent and they can have the doctor sign the form in order for you to use a wedge. In your letter of compliance, include a statement that indicates how you will ensure sleep checks are conducted and documented on the sleep chart every fifteen minutes. Additionally, include a statement that indicates the infant child is placed on their back in the pack n play or has a sleep position waiver on file that provides instructions to use alternative sleep positions. Item #1847: To reach compliance with this item, J. Sprouse must be connected to the facility in the ABCMS Provider Portal. A Technical Assistance document was provided to you in the email containing this visit summary that provides step by step instructions on how to connect the household member. Item #1940: The items were placed in areas inaccessible to children during the visit today. This is corrected. No further corrective action is needed for this item. Item #1990: Infant feeding plans are required for children under 15 months old. To reach compliance with this item, have the parents of the one (1) child complete the infant feeding plan and return to you. Item #2031: To reach compliance with this item, the parents of the three (3) children must sign the policy acknowledgment. In your letter of compliance, include a statement that indicates the policy has been signed by the parents of the three (3) children. 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# • 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 5/18/26. 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: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed your on-going training hours requirement. Plan to complete 2.5 hours of on-going training prior to the end of the month to remain in compliance. You will be due to complete health and safety training by June 2027. I highly recommend you being working on these hours. To access Health and Safety Trainings: -go to dcdeemoodle.nc.gov -login -scroll down to the bottom of the page -type "ccdf" into the search -enroll For Medications in Child Care, search "medications" on the moodle home page. For Recognizing and Responding to Suspicions of Child Maltreatment, go to preventchildabusenc.org Rated License: We reviewed Pathway 1: Program Assessment and Pathway 2: Classroom and Instructional Quality. We discussed for Pathway 1, the FCCERS assessment would be conducted but you would only use the scores to set goals for the Continuous Quality Improvement plan. Pathway 2 would have yearly requirements regarding curriculum and child observations. We also discussed the possibility of moving to one (1) star. If you would like to do this, please reach out your CACFP representative to discuss any impacts that may have on your food program. If you would like to move forward with reducing to 1 star, you can send me a written request, via email. Approved Space: 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. Health and Safety Training: 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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. 110-91 · Violation

Name of Operation: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAITLYN MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 6/4/2026 Number Present: 4 Completed Date: 6/4/2026 Age: From 0 To 3 Total Minutes: 280 Time In: 09:20 AM Time Out: 02:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Annette Sprouse, Operator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Sprouse was present and available to ask and answer questions throughout the visit today. 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 ninety-three percent (93%) as of 6/1/26. Ms. Sprouse operates the facility as a sole proprietorship. Permit type – Three (3) star license issued 9/5/17. Special Services/Restrictions – 1st shift (daytime care), 2nd shift, maximum of 5 preschool children at any time, serves no more than 2 infants under age 1. The last annual compliance visit was conducted on 6/11/25. The last fire drill was practiced on 5/11/26. The last lockdown drill was practiced on 5/11/26. The last playground inspection was documented on 5/11/26. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/22/24 without hazards. Lead paint and asbestos testing was completed on 10/14/25. The program does not provide transportation. Upon arrival I was greeted by Ms. Sprouse. Children built towers with interlocking blocks, rolled toy vehicles across various surfaces and explored various age-appropriate manipulatives. Children then transitioned to lunch. Lunch today consisted of grilled cheese sandwich, carrots, cantaloup and milk. Interactions were positive and nurturing, supervision was adequate. 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 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. Hand tools including a pipe cutter, hammers, a battery and boxes of nails and screws were observed on a work bench on the patio in the outdoor learning environment. A jar of batteries was observed on a side table in the dining room. .1719 (a) (1) 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. Two (2) aerosol chemicals were observed on top of the refrigerator in the kitchen. One (1) aerosol cleaner was observed in a box on a work bench on the patio in the outdoor learning environment. .1719 (a)(7) 716 Electrical outlets not in use were not covered. Two (2) outlets in the dining room and two (2) outlets in the kitchen were uncovered. 10A NCAC .1719(a)(27) 816 Each child's hands were not washed before and after eating. Children’s hands were not washed prior to eating lunch. .1725(a)(7)(B) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. The times of arrival for children were not documented as they arrived to the facility. .1721(e)(6) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. One (1) child, enrollment date 6/3/26, did not have a signed acknowledgement that the parent received the summary of the NC Child Care Law. GS 110-102 1818 Operator did not implement and follow the written safe sleep policy adopted to maintain a safe sleep environment. Visual sleep checks were conducted but were not documented for one (1) infant. An infant was placed on a pillow with a blanket to sleep. G.S. 110-91(15);.1724(a)(1-12) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One (1) household member, J. Sprouse, was not connected to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. One (1) bottle of witch hazel and a bag with an assortment of creams and ointments was observed in the bathroom behind a mirror. Two (2) tubes of hand cream, one (1) bottle of rose hip spray and one (1) stick of deodorant was observed on the bar in the kitchen. Five (5) bottle of essential oils and one (1) container of disinfecting wipes were observed in the dining room. .1719(a)(6) 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. One (1) child, aged twelve months old, did not have an infant feeding plan on file. .1706(i) 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 signed acknowledgment of receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy was not on file for three (3) children. .1726(b)&(c) Technical assistance was provided as follows: Item #702 and #706: To reach compliance with these items, all products and tools listed above must be placed in locked storage. This was unable to be completed during the visit today. In your letter of compliance, please include a statement that indicates all aerosol chemicals, hand tools and boxes of nails and screws have been placed in locked storage. Item #716: The outlets were covered during the visit today. This is corrected. No further corrective action is needed for this item. Item #816: According to Child Care Rule .1725(a)(7)(B), children’s hands must be washed before and after eating. In your letter of compliance, include a plan for how you will ensure children’s hands are washed prior to eating meals and snacks. Item #921: The arrival times of children were added to the sign in/out sheet during the visit today. This is corrected. No further corrective action is needed. Item #1704: To reach compliance with this item, the parents of the one (1) child must sign an acknowledgement that they received the Summary of the NC Child Care Law. Item #1818: We discussed the sleep checks must be documented every fifteen (15) minutes. We discussed using the timer function on your phone to set a timer every fifteen (15) minutes when the infant goes to sleep. Additionally, we discussed the infant must be placed on their back in the pack n play once they fall asleep. You expressed concerns that the child may need a wedge as they are propped up at home. For children under 6 months old, you must obtain a sleep position waiver signed by a medical professional in order to provide a wedge or any other supports for sleep. A copy of the sleep position waiver has been provided to you in the email containing this visit summary. You can give this waiver to the parent and they can have the doctor sign the form in order for you to use a wedge. In your letter of compliance, include a statement that indicates how you will ensure sleep checks are conducted and documented on the sleep chart every fifteen minutes. Additionally, include a statement that indicates the infant child is placed on their back in the pack n play or has a sleep position waiver on file that provides instructions to use alternative sleep positions. Item #1847: To reach compliance with this item, J. Sprouse must be connected to the facility in the ABCMS Provider Portal. A Technical Assistance document was provided to you in the email containing this visit summary that provides step by step instructions on how to connect the household member. Item #1940: The items were placed in areas inaccessible to children during the visit today. This is corrected. No further corrective action is needed for this item. Item #1990: Infant feeding plans are required for children under 15 months old. To reach compliance with this item, have the parents of the one (1) child complete the infant feeding plan and return to you. Item #2031: To reach compliance with this item, the parents of the three (3) children must sign the policy acknowledgment. In your letter of compliance, include a statement that indicates the policy has been signed by the parents of the three (3) children. 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# • 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 5/18/26. 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: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed your on-going training hours requirement. Plan to complete 2.5 hours of on-going training prior to the end of the month to remain in compliance. You will be due to complete health and safety training by June 2027. I highly recommend you being working on these hours. To access Health and Safety Trainings: -go to dcdeemoodle.nc.gov -login -scroll down to the bottom of the page -type "ccdf" into the search -enroll For Medications in Child Care, search "medications" on the moodle home page. For Recognizing and Responding to Suspicions of Child Maltreatment, go to preventchildabusenc.org Rated License: We reviewed Pathway 1: Program Assessment and Pathway 2: Classroom and Instructional Quality. We discussed for Pathway 1, the FCCERS assessment would be conducted but you would only use the scores to set goals for the Continuous Quality Improvement plan. Pathway 2 would have yearly requirements regarding curriculum and child observations. We also discussed the possibility of moving to one (1) star. If you would like to do this, please reach out your CACFP representative to discuss any impacts that may have on your food program. If you would like to move forward with reducing to 1 star, you can send me a written request, via email. Approved Space: 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. Health and Safety Training: 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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 110-102 · Violation

Name of Operation: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAITLYN MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 6/4/2026 Number Present: 4 Completed Date: 6/4/2026 Age: From 0 To 3 Total Minutes: 280 Time In: 09:20 AM Time Out: 02:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Annette Sprouse, Operator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Sprouse was present and available to ask and answer questions throughout the visit today. 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 ninety-three percent (93%) as of 6/1/26. Ms. Sprouse operates the facility as a sole proprietorship. Permit type – Three (3) star license issued 9/5/17. Special Services/Restrictions – 1st shift (daytime care), 2nd shift, maximum of 5 preschool children at any time, serves no more than 2 infants under age 1. The last annual compliance visit was conducted on 6/11/25. The last fire drill was practiced on 5/11/26. The last lockdown drill was practiced on 5/11/26. The last playground inspection was documented on 5/11/26. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/22/24 without hazards. Lead paint and asbestos testing was completed on 10/14/25. The program does not provide transportation. Upon arrival I was greeted by Ms. Sprouse. Children built towers with interlocking blocks, rolled toy vehicles across various surfaces and explored various age-appropriate manipulatives. Children then transitioned to lunch. Lunch today consisted of grilled cheese sandwich, carrots, cantaloup and milk. Interactions were positive and nurturing, supervision was adequate. 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 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. Hand tools including a pipe cutter, hammers, a battery and boxes of nails and screws were observed on a work bench on the patio in the outdoor learning environment. A jar of batteries was observed on a side table in the dining room. .1719 (a) (1) 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. Two (2) aerosol chemicals were observed on top of the refrigerator in the kitchen. One (1) aerosol cleaner was observed in a box on a work bench on the patio in the outdoor learning environment. .1719 (a)(7) 716 Electrical outlets not in use were not covered. Two (2) outlets in the dining room and two (2) outlets in the kitchen were uncovered. 10A NCAC .1719(a)(27) 816 Each child's hands were not washed before and after eating. Children’s hands were not washed prior to eating lunch. .1725(a)(7)(B) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. The times of arrival for children were not documented as they arrived to the facility. .1721(e)(6) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. One (1) child, enrollment date 6/3/26, did not have a signed acknowledgement that the parent received the summary of the NC Child Care Law. GS 110-102 1818 Operator did not implement and follow the written safe sleep policy adopted to maintain a safe sleep environment. Visual sleep checks were conducted but were not documented for one (1) infant. An infant was placed on a pillow with a blanket to sleep. G.S. 110-91(15);.1724(a)(1-12) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One (1) household member, J. Sprouse, was not connected to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. One (1) bottle of witch hazel and a bag with an assortment of creams and ointments was observed in the bathroom behind a mirror. Two (2) tubes of hand cream, one (1) bottle of rose hip spray and one (1) stick of deodorant was observed on the bar in the kitchen. Five (5) bottle of essential oils and one (1) container of disinfecting wipes were observed in the dining room. .1719(a)(6) 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. One (1) child, aged twelve months old, did not have an infant feeding plan on file. .1706(i) 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 signed acknowledgment of receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy was not on file for three (3) children. .1726(b)&(c) Technical assistance was provided as follows: Item #702 and #706: To reach compliance with these items, all products and tools listed above must be placed in locked storage. This was unable to be completed during the visit today. In your letter of compliance, please include a statement that indicates all aerosol chemicals, hand tools and boxes of nails and screws have been placed in locked storage. Item #716: The outlets were covered during the visit today. This is corrected. No further corrective action is needed for this item. Item #816: According to Child Care Rule .1725(a)(7)(B), children’s hands must be washed before and after eating. In your letter of compliance, include a plan for how you will ensure children’s hands are washed prior to eating meals and snacks. Item #921: The arrival times of children were added to the sign in/out sheet during the visit today. This is corrected. No further corrective action is needed. Item #1704: To reach compliance with this item, the parents of the one (1) child must sign an acknowledgement that they received the Summary of the NC Child Care Law. Item #1818: We discussed the sleep checks must be documented every fifteen (15) minutes. We discussed using the timer function on your phone to set a timer every fifteen (15) minutes when the infant goes to sleep. Additionally, we discussed the infant must be placed on their back in the pack n play once they fall asleep. You expressed concerns that the child may need a wedge as they are propped up at home. For children under 6 months old, you must obtain a sleep position waiver signed by a medical professional in order to provide a wedge or any other supports for sleep. A copy of the sleep position waiver has been provided to you in the email containing this visit summary. You can give this waiver to the parent and they can have the doctor sign the form in order for you to use a wedge. In your letter of compliance, include a statement that indicates how you will ensure sleep checks are conducted and documented on the sleep chart every fifteen minutes. Additionally, include a statement that indicates the infant child is placed on their back in the pack n play or has a sleep position waiver on file that provides instructions to use alternative sleep positions. Item #1847: To reach compliance with this item, J. Sprouse must be connected to the facility in the ABCMS Provider Portal. A Technical Assistance document was provided to you in the email containing this visit summary that provides step by step instructions on how to connect the household member. Item #1940: The items were placed in areas inaccessible to children during the visit today. This is corrected. No further corrective action is needed for this item. Item #1990: Infant feeding plans are required for children under 15 months old. To reach compliance with this item, have the parents of the one (1) child complete the infant feeding plan and return to you. Item #2031: To reach compliance with this item, the parents of the three (3) children must sign the policy acknowledgment. In your letter of compliance, include a statement that indicates the policy has been signed by the parents of the three (3) children. 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# • 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 5/18/26. 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: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed your on-going training hours requirement. Plan to complete 2.5 hours of on-going training prior to the end of the month to remain in compliance. You will be due to complete health and safety training by June 2027. I highly recommend you being working on these hours. To access Health and Safety Trainings: -go to dcdeemoodle.nc.gov -login -scroll down to the bottom of the page -type "ccdf" into the search -enroll For Medications in Child Care, search "medications" on the moodle home page. For Recognizing and Responding to Suspicions of Child Maltreatment, go to preventchildabusenc.org Rated License: We reviewed Pathway 1: Program Assessment and Pathway 2: Classroom and Instructional Quality. We discussed for Pathway 1, the FCCERS assessment would be conducted but you would only use the scores to set goals for the Continuous Quality Improvement plan. Pathway 2 would have yearly requirements regarding curriculum and child observations. We also discussed the possibility of moving to one (1) star. If you would like to do this, please reach out your CACFP representative to discuss any impacts that may have on your food program. If you would like to move forward with reducing to 1 star, you can send me a written request, via email. Approved Space: 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. Health and Safety Training: 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAITLYN MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 6/4/2026 Number Present: 4 Completed Date: 6/4/2026 Age: From 0 To 3 Total Minutes: 280 Time In: 09:20 AM Time Out: 02:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Annette Sprouse, Operator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Sprouse was present and available to ask and answer questions throughout the visit today. 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 ninety-three percent (93%) as of 6/1/26. Ms. Sprouse operates the facility as a sole proprietorship. Permit type – Three (3) star license issued 9/5/17. Special Services/Restrictions – 1st shift (daytime care), 2nd shift, maximum of 5 preschool children at any time, serves no more than 2 infants under age 1. The last annual compliance visit was conducted on 6/11/25. The last fire drill was practiced on 5/11/26. The last lockdown drill was practiced on 5/11/26. The last playground inspection was documented on 5/11/26. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/22/24 without hazards. Lead paint and asbestos testing was completed on 10/14/25. The program does not provide transportation. Upon arrival I was greeted by Ms. Sprouse. Children built towers with interlocking blocks, rolled toy vehicles across various surfaces and explored various age-appropriate manipulatives. Children then transitioned to lunch. Lunch today consisted of grilled cheese sandwich, carrots, cantaloup and milk. Interactions were positive and nurturing, supervision was adequate. 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 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. Hand tools including a pipe cutter, hammers, a battery and boxes of nails and screws were observed on a work bench on the patio in the outdoor learning environment. A jar of batteries was observed on a side table in the dining room. .1719 (a) (1) 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. Two (2) aerosol chemicals were observed on top of the refrigerator in the kitchen. One (1) aerosol cleaner was observed in a box on a work bench on the patio in the outdoor learning environment. .1719 (a)(7) 716 Electrical outlets not in use were not covered. Two (2) outlets in the dining room and two (2) outlets in the kitchen were uncovered. 10A NCAC .1719(a)(27) 816 Each child's hands were not washed before and after eating. Children’s hands were not washed prior to eating lunch. .1725(a)(7)(B) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. The times of arrival for children were not documented as they arrived to the facility. .1721(e)(6) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. One (1) child, enrollment date 6/3/26, did not have a signed acknowledgement that the parent received the summary of the NC Child Care Law. GS 110-102 1818 Operator did not implement and follow the written safe sleep policy adopted to maintain a safe sleep environment. Visual sleep checks were conducted but were not documented for one (1) infant. An infant was placed on a pillow with a blanket to sleep. G.S. 110-91(15);.1724(a)(1-12) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One (1) household member, J. Sprouse, was not connected to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. One (1) bottle of witch hazel and a bag with an assortment of creams and ointments was observed in the bathroom behind a mirror. Two (2) tubes of hand cream, one (1) bottle of rose hip spray and one (1) stick of deodorant was observed on the bar in the kitchen. Five (5) bottle of essential oils and one (1) container of disinfecting wipes were observed in the dining room. .1719(a)(6) 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. One (1) child, aged twelve months old, did not have an infant feeding plan on file. .1706(i) 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 signed acknowledgment of receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy was not on file for three (3) children. .1726(b)&(c) Technical assistance was provided as follows: Item #702 and #706: To reach compliance with these items, all products and tools listed above must be placed in locked storage. This was unable to be completed during the visit today. In your letter of compliance, please include a statement that indicates all aerosol chemicals, hand tools and boxes of nails and screws have been placed in locked storage. Item #716: The outlets were covered during the visit today. This is corrected. No further corrective action is needed for this item. Item #816: According to Child Care Rule .1725(a)(7)(B), children’s hands must be washed before and after eating. In your letter of compliance, include a plan for how you will ensure children’s hands are washed prior to eating meals and snacks. Item #921: The arrival times of children were added to the sign in/out sheet during the visit today. This is corrected. No further corrective action is needed. Item #1704: To reach compliance with this item, the parents of the one (1) child must sign an acknowledgement that they received the Summary of the NC Child Care Law. Item #1818: We discussed the sleep checks must be documented every fifteen (15) minutes. We discussed using the timer function on your phone to set a timer every fifteen (15) minutes when the infant goes to sleep. Additionally, we discussed the infant must be placed on their back in the pack n play once they fall asleep. You expressed concerns that the child may need a wedge as they are propped up at home. For children under 6 months old, you must obtain a sleep position waiver signed by a medical professional in order to provide a wedge or any other supports for sleep. A copy of the sleep position waiver has been provided to you in the email containing this visit summary. You can give this waiver to the parent and they can have the doctor sign the form in order for you to use a wedge. In your letter of compliance, include a statement that indicates how you will ensure sleep checks are conducted and documented on the sleep chart every fifteen minutes. Additionally, include a statement that indicates the infant child is placed on their back in the pack n play or has a sleep position waiver on file that provides instructions to use alternative sleep positions. Item #1847: To reach compliance with this item, J. Sprouse must be connected to the facility in the ABCMS Provider Portal. A Technical Assistance document was provided to you in the email containing this visit summary that provides step by step instructions on how to connect the household member. Item #1940: The items were placed in areas inaccessible to children during the visit today. This is corrected. No further corrective action is needed for this item. Item #1990: Infant feeding plans are required for children under 15 months old. To reach compliance with this item, have the parents of the one (1) child complete the infant feeding plan and return to you. Item #2031: To reach compliance with this item, the parents of the three (3) children must sign the policy acknowledgment. In your letter of compliance, include a statement that indicates the policy has been signed by the parents of the three (3) children. 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# • 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 5/18/26. 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: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed your on-going training hours requirement. Plan to complete 2.5 hours of on-going training prior to the end of the month to remain in compliance. You will be due to complete health and safety training by June 2027. I highly recommend you being working on these hours. To access Health and Safety Trainings: -go to dcdeemoodle.nc.gov -login -scroll down to the bottom of the page -type "ccdf" into the search -enroll For Medications in Child Care, search "medications" on the moodle home page. For Recognizing and Responding to Suspicions of Child Maltreatment, go to preventchildabusenc.org Rated License: We reviewed Pathway 1: Program Assessment and Pathway 2: Classroom and Instructional Quality. We discussed for Pathway 1, the FCCERS assessment would be conducted but you would only use the scores to set goals for the Continuous Quality Improvement plan. Pathway 2 would have yearly requirements regarding curriculum and child observations. We also discussed the possibility of moving to one (1) star. If you would like to do this, please reach out your CACFP representative to discuss any impacts that may have on your food program. If you would like to move forward with reducing to 1 star, you can send me a written request, via email. Approved Space: 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. Health and Safety Training: 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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 .1718 · Violation

Name of Operation: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAITLYN MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 6/11/2025 Number Present: 3 Completed Date: 6/11/2025 Age: From 1 To 6 Total Minutes: 225 Time In: 10:45 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Ms. Sprouse was available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, group size, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 6/9/25. The facility operates as a sole proprietorship. Permit type – Three (3) star Family CC Home license issued 9/5/17 Special Services/Restrictions – 1st shift (daytime care), second shift (2nd shift), maximum of 5 preschool children at any time, serves no more than 2 infants under age 1. The last annual compliance visit was conducted on 6/18/24. The last fire drill was practiced on 5/8/25. The last lockdown drill was practiced on 5/8/25. The last playground inspection was documented on 5/14/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/22/24 without hazards. Lead paint and asbestos testing has not been completed. The survey is under review by RTI. The program does not provide transportation. Upon arrival I was greeted by Ms. Sprouse. Children were playing in the outdoor learning environment. Children built small structures with small interlocking blocks and observed insects. Children then transitioned indoors. Once inside, children cut various shapes of playdoh with cookie cutters and various other tools. Children then transitioned to nap. Interactions were positive and nurturing. Supervision was adequate. I used the Family Child Care Home Item Number Listing 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 716 Electrical outlets not in use were not covered. Two (2) outlets were uncovered in the living room. 10A NCAC .1719(a)(27) 908 Health questionnaire was not completed annually. The last health questionnaire was completed 1/12/24. .1703(a)(1) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. The arrival times for three (3) children were not documented during the visit today. .1721(e)(6) 1804 Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. The safe sleep policy was not posted. .1724(b) 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. Two (2) baby wipes packages that contained choking and suffocation warnings were observed on a chair, accessible to children. .1719(a)(18) Technical assistance was provided as follows: Item #908: The health questionnaire was updated during the visit today. Moving forward, plan to update the health questionnaire annually. We discussed if there are no changes, you can indicate this and sign and date the same form. Item #716 and Item #1922 The outlets were covered during the visit today. This is corrected. The wipes were moved to a location five feet up. Moving forward, plan to scan the caregiving space daily to ensure hazards are addressed prior to children arriving. We discussed reviewing the label on baby wipes moving forward, as many brands have added a choking/suffocation hazard warning label on them. Item # 921 The arrival times were added to the sign in sheet during the visit today. Moving forward plan to document the arrival times of children as they enter the facility. Item #1804 The safe sleep policy was posted during the visit today. This is corrected. Moving forward, plan to scan posted item periodically and replace any items that have fallen down or gone missing. 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 was required to be completed by May 31, 2025. The survey is currently under review for Lead in Paint and Asbestos testing. Continue to work with Clean Classrooms for Carolina Kids to ensure testing is completed per requirements. Criminal Background Check Provider Portal: 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 and household members 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. Consultation is provided as follows: We discussed activity plans. Please see the rules below for requirements. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: (8) A written activity plan that shall: (C) Reflect that children have at least four different activities daily, at least one of which is outdoors, if weather conditions permit, as specified in G.S. 110-91(12) as follows: (i) art and other creative play; (ii) children's books; (iii) blocks and block building; (iv) manipulatives; and (v) family living and dramatic play. (D) Provide materials and opportunities at least weekly, indoors or outdoors, for the following: (i) music and rhythm; (ii) science and nature; and (iii) sand and water play. Pet Acknowledgement Forms: We discussed the pet acknowledgement forms in children’s files. The dog has been added to the forms and reviewed with the parents. Plan to have the parents sign and date the forms again, acknowledging the addition of the dog. Approved Space: 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. Health and Safety Training: 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 Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAITLYN MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 6/11/2025 Number Present: 3 Completed Date: 6/11/2025 Age: From 1 To 6 Total Minutes: 225 Time In: 10:45 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Ms. Sprouse was available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, group size, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 6/9/25. The facility operates as a sole proprietorship. Permit type – Three (3) star Family CC Home license issued 9/5/17 Special Services/Restrictions – 1st shift (daytime care), second shift (2nd shift), maximum of 5 preschool children at any time, serves no more than 2 infants under age 1. The last annual compliance visit was conducted on 6/18/24. The last fire drill was practiced on 5/8/25. The last lockdown drill was practiced on 5/8/25. The last playground inspection was documented on 5/14/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/22/24 without hazards. Lead paint and asbestos testing has not been completed. The survey is under review by RTI. The program does not provide transportation. Upon arrival I was greeted by Ms. Sprouse. Children were playing in the outdoor learning environment. Children built small structures with small interlocking blocks and observed insects. Children then transitioned indoors. Once inside, children cut various shapes of playdoh with cookie cutters and various other tools. Children then transitioned to nap. Interactions were positive and nurturing. Supervision was adequate. I used the Family Child Care Home Item Number Listing 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 716 Electrical outlets not in use were not covered. Two (2) outlets were uncovered in the living room. 10A NCAC .1719(a)(27) 908 Health questionnaire was not completed annually. The last health questionnaire was completed 1/12/24. .1703(a)(1) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. The arrival times for three (3) children were not documented during the visit today. .1721(e)(6) 1804 Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. The safe sleep policy was not posted. .1724(b) 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. Two (2) baby wipes packages that contained choking and suffocation warnings were observed on a chair, accessible to children. .1719(a)(18) Technical assistance was provided as follows: Item #908: The health questionnaire was updated during the visit today. Moving forward, plan to update the health questionnaire annually. We discussed if there are no changes, you can indicate this and sign and date the same form. Item #716 and Item #1922 The outlets were covered during the visit today. This is corrected. The wipes were moved to a location five feet up. Moving forward, plan to scan the caregiving space daily to ensure hazards are addressed prior to children arriving. We discussed reviewing the label on baby wipes moving forward, as many brands have added a choking/suffocation hazard warning label on them. Item # 921 The arrival times were added to the sign in sheet during the visit today. Moving forward plan to document the arrival times of children as they enter the facility. Item #1804 The safe sleep policy was posted during the visit today. This is corrected. Moving forward, plan to scan posted item periodically and replace any items that have fallen down or gone missing. 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 was required to be completed by May 31, 2025. The survey is currently under review for Lead in Paint and Asbestos testing. Continue to work with Clean Classrooms for Carolina Kids to ensure testing is completed per requirements. Criminal Background Check Provider Portal: 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 and household members 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. Consultation is provided as follows: We discussed activity plans. Please see the rules below for requirements. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: (8) A written activity plan that shall: (C) Reflect that children have at least four different activities daily, at least one of which is outdoors, if weather conditions permit, as specified in G.S. 110-91(12) as follows: (i) art and other creative play; (ii) children's books; (iii) blocks and block building; (iv) manipulatives; and (v) family living and dramatic play. (D) Provide materials and opportunities at least weekly, indoors or outdoors, for the following: (i) music and rhythm; (ii) science and nature; and (iii) sand and water play. Pet Acknowledgement Forms: We discussed the pet acknowledgement forms in children’s files. The dog has been added to the forms and reviewed with the parents. Plan to have the parents sign and date the forms again, acknowledging the addition of the dog. Approved Space: 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. Health and Safety Training: 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 Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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. 110-91 · Violation

Name of Operation: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAITLYN MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 6/11/2025 Number Present: 3 Completed Date: 6/11/2025 Age: From 1 To 6 Total Minutes: 225 Time In: 10:45 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Ms. Sprouse was available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, group size, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 6/9/25. The facility operates as a sole proprietorship. Permit type – Three (3) star Family CC Home license issued 9/5/17 Special Services/Restrictions – 1st shift (daytime care), second shift (2nd shift), maximum of 5 preschool children at any time, serves no more than 2 infants under age 1. The last annual compliance visit was conducted on 6/18/24. The last fire drill was practiced on 5/8/25. The last lockdown drill was practiced on 5/8/25. The last playground inspection was documented on 5/14/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/22/24 without hazards. Lead paint and asbestos testing has not been completed. The survey is under review by RTI. The program does not provide transportation. Upon arrival I was greeted by Ms. Sprouse. Children were playing in the outdoor learning environment. Children built small structures with small interlocking blocks and observed insects. Children then transitioned indoors. Once inside, children cut various shapes of playdoh with cookie cutters and various other tools. Children then transitioned to nap. Interactions were positive and nurturing. Supervision was adequate. I used the Family Child Care Home Item Number Listing 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 716 Electrical outlets not in use were not covered. Two (2) outlets were uncovered in the living room. 10A NCAC .1719(a)(27) 908 Health questionnaire was not completed annually. The last health questionnaire was completed 1/12/24. .1703(a)(1) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. The arrival times for three (3) children were not documented during the visit today. .1721(e)(6) 1804 Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. The safe sleep policy was not posted. .1724(b) 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. Two (2) baby wipes packages that contained choking and suffocation warnings were observed on a chair, accessible to children. .1719(a)(18) Technical assistance was provided as follows: Item #908: The health questionnaire was updated during the visit today. Moving forward, plan to update the health questionnaire annually. We discussed if there are no changes, you can indicate this and sign and date the same form. Item #716 and Item #1922 The outlets were covered during the visit today. This is corrected. The wipes were moved to a location five feet up. Moving forward, plan to scan the caregiving space daily to ensure hazards are addressed prior to children arriving. We discussed reviewing the label on baby wipes moving forward, as many brands have added a choking/suffocation hazard warning label on them. Item # 921 The arrival times were added to the sign in sheet during the visit today. Moving forward plan to document the arrival times of children as they enter the facility. Item #1804 The safe sleep policy was posted during the visit today. This is corrected. Moving forward, plan to scan posted item periodically and replace any items that have fallen down or gone missing. 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 was required to be completed by May 31, 2025. The survey is currently under review for Lead in Paint and Asbestos testing. Continue to work with Clean Classrooms for Carolina Kids to ensure testing is completed per requirements. Criminal Background Check Provider Portal: 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 and household members 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. Consultation is provided as follows: We discussed activity plans. Please see the rules below for requirements. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: (8) A written activity plan that shall: (C) Reflect that children have at least four different activities daily, at least one of which is outdoors, if weather conditions permit, as specified in G.S. 110-91(12) as follows: (i) art and other creative play; (ii) children's books; (iii) blocks and block building; (iv) manipulatives; and (v) family living and dramatic play. (D) Provide materials and opportunities at least weekly, indoors or outdoors, for the following: (i) music and rhythm; (ii) science and nature; and (iii) sand and water play. Pet Acknowledgement Forms: We discussed the pet acknowledgement forms in children’s files. The dog has been added to the forms and reviewed with the parents. Plan to have the parents sign and date the forms again, acknowledging the addition of the dog. Approved Space: 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. Health and Safety Training: 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 Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAITLYN MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 2/26/2025 Number Present: 3 Completed Date: 2/26/2025 Age: From 2 To 3 Total Minutes: 135 Time In: 09:15 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Annette Sprouse, Operator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Sprouse was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, CPR / First Aid, special training, CBC qualification, ITS – SIDS, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate / approved space, program records, license posted, and permit restrictions. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 2/24/25. The last fire drill was practiced on 2/10/25. The last emergency drill, lockdown drill, was practiced on 2/10/25. The Emergency Medical Care Plan was posted and current. Upon arrival I was greeted by Ms. Sprouse. Children were engaged in free choice play. Children built small structures with magna tiles, engaged in pretend play with dinosaur figurines and drew pictures on a rainbow board. Children then transitioned to eat snack of bananas, crackers and milk. Interactions were positive and nurturing. Supervision was adequate. 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 cited during the visit today: Violation Number Comment Rule 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. A lawn mower and tiller were accessible to children in the outdoor learning environment. A generator was accessible to children in the dining room. .1719 (a) (1) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Arrival and departure times were not documented for children on 2/24/25-2/26/25. .1721(e)(6) 1831 A valid qualification letter was not on file and available for review at the facility. The qualifying letter was not on file for the operator and one (1) household member. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) Technical Assistance provided as follows: Item #921: The arrival and departure times were documented during the visit. This was corrected. Moving forward, plan to maintain documentation of arrival and departure times daily. Item #702 Plan to move the lawn mower, tiller and generator so that they are inaccessible to children during the operating hours of the child care program. Item #1831 The qualifying letter must be on file for the operator and all household members. We discussed you can search in your email for the letters or log in to the ABCMS portal that you used to apply for the background check. Here is the link: https://ncabcms.nc.gov/DCDEE/Applicant/ Once you retrieve the letters, plan to print and keep on file. 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 3/12/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that some follow up for the lead in paint and asbestos test may be needed with Clean Classrooms for Carolina Kids. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to log in and access contacts for support with this. QRIS Modernization: The QRIS (or Star Rated License system) is currently undergoing some changes. The period for public comment is open until 4/4/25. Plan to visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more about the changes coming. Comments should be directed to: Child Care Commission 2201 Mail Service Center Raleigh, NC 27699-2201 Attn: Julie Peck Julie.peck@dhhs.nc.gov ABCMS Provider Portal: North Carolina child care administrators and FCCH operators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members and household members. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. Please note, this is a requirement for ALL facilities. Administrators and FCCH operators must complete the training in Moodle to gain access to the Portal and start linking staff to your facility. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAITLYN MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 2/26/2025 Number Present: 3 Completed Date: 2/26/2025 Age: From 2 To 3 Total Minutes: 135 Time In: 09:15 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Annette Sprouse, Operator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Sprouse was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, CPR / First Aid, special training, CBC qualification, ITS – SIDS, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate / approved space, program records, license posted, and permit restrictions. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 2/24/25. The last fire drill was practiced on 2/10/25. The last emergency drill, lockdown drill, was practiced on 2/10/25. The Emergency Medical Care Plan was posted and current. Upon arrival I was greeted by Ms. Sprouse. Children were engaged in free choice play. Children built small structures with magna tiles, engaged in pretend play with dinosaur figurines and drew pictures on a rainbow board. Children then transitioned to eat snack of bananas, crackers and milk. Interactions were positive and nurturing. Supervision was adequate. 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 cited during the visit today: Violation Number Comment Rule 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. A lawn mower and tiller were accessible to children in the outdoor learning environment. A generator was accessible to children in the dining room. .1719 (a) (1) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Arrival and departure times were not documented for children on 2/24/25-2/26/25. .1721(e)(6) 1831 A valid qualification letter was not on file and available for review at the facility. The qualifying letter was not on file for the operator and one (1) household member. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) Technical Assistance provided as follows: Item #921: The arrival and departure times were documented during the visit. This was corrected. Moving forward, plan to maintain documentation of arrival and departure times daily. Item #702 Plan to move the lawn mower, tiller and generator so that they are inaccessible to children during the operating hours of the child care program. Item #1831 The qualifying letter must be on file for the operator and all household members. We discussed you can search in your email for the letters or log in to the ABCMS portal that you used to apply for the background check. Here is the link: https://ncabcms.nc.gov/DCDEE/Applicant/ Once you retrieve the letters, plan to print and keep on file. 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 3/12/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that some follow up for the lead in paint and asbestos test may be needed with Clean Classrooms for Carolina Kids. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to log in and access contacts for support with this. QRIS Modernization: The QRIS (or Star Rated License system) is currently undergoing some changes. The period for public comment is open until 4/4/25. Plan to visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more about the changes coming. Comments should be directed to: Child Care Commission 2201 Mail Service Center Raleigh, NC 27699-2201 Attn: Julie Peck Julie.peck@dhhs.nc.gov ABCMS Provider Portal: North Carolina child care administrators and FCCH operators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members and household members. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. Please note, this is a requirement for ALL facilities. Administrators and FCCH operators must complete the training in Moodle to gain access to the Portal and start linking staff to your facility. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAITLYN MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 6/26/2024 Number Present: 4 Completed Date: 6/26/2024 Age: From 1 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an Annual Compliance follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Annette Sprouse, Operator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Sprouse was present and available to ask and answer questions throughout the visit today. Limited monitoring was conducted today including staff/child ratio, permit restrictions, capacity, and supervision During the Annual Compliance visit on 6/18/24, five (5) violations of child care requirements were cited, including one (1) violation regarding capacity. Upon arrival, I was greeted by Ms. Sprouse. Children were engaged in free play and were observed engaged in pretend play with animal figurines and toy barn, rolling toy vehicles down ramps and building small structures with large interlocking blocks. Four (4) preschool aged children were present ages 1 to 5. One (1) additional preschool aged child is scheduled to come today but had not arrived during the visit. We reviewed enrollment for the remaining days of the week. Two (2) preschool aged children are scheduled to attend on Mondays, four (4) preschool aged children are scheduled to attend on Tuesdays, five (5) preschool aged children are scheduled to attend on Wednesdays, five (5) preschool aged children are scheduled to attend on Thursdays and two (2) preschool aged children are scheduled to attend on Fridays. We discussed all violations cited from the Annual Compliance visit on 6/18/24/24. As a reminder, you have until 7/2/24 to reach compliance for all items. Please see below: Item #102: Four (4) preschool aged children were present, meeting the requirements in G.S. 110-91(7)(b) regarding capacity for Family Child Care Homes. This is corrected today. Item #1306: An ITS-SIDS training has not been scheduled. We discussed that an extension may not be possible for this training. An ITS-SIDS training is available through Buncombe Partnership for Child on 7/11/24. We discussed that you plan to sign up for this training today. Because this training is after the due date for compliance from the Annual Compliance visit on 6/18/24, a repeat violation will be cited today. The new due date for compliance for this item is 7/10/24. Plan to send an email to me, requesting the extension for one (1) day to complete the training. Alternatively, you can plan to reach out to our Child Care Health Consultants to see if a sooner training is available. Chrissy Wolfe 828.424.0562 chrissy.wolfe@mahec.net Robin Worley 828-772-0504 robin.worley@mahec.net Item #1704: The one (1) child’s file contained the signed acknowledgement of the Summary of NC Child Care Rule. This is corrected today. Item #1828: The two (2) children’s files contained signed acknowledgement of receipt of the facility’s operational policies. This is corrected today. Item #2031: The three (3) children’s files contained signed acknowledgment of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. This is corrected today. 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 violation was cited during today’s visit: Violation Number Comment Rule 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The ITS-SIDS training for operator A. Sprouse expired on 11/5/23. .1703(a)(4) Technical Assistance provided as follows: Item #1306 Plan to register for the ITS-SIDS training on 7/11/24 through Buncombe Partnership for Children. Plan to send me an email with a request for extension for one (1) day to 7/11/24. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (4) Renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training; 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 7/10/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that you were following previous guidance and had the understanding that ITS-SIDS training was not needed unless infants were currently enrolled. Clarification was given today. Moving forward, plan to ensure you keep your ITS-SIDS training current to avoid future violations. Even though you do not currently have infants enrolled, as the operator, you must keep your ITS-SIDS training current. Due to the back-to-back violations regarding ITS-SIDS training, an Administrative Action may be recommended. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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. 110-91 · Violation

Name of Operation: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAITLYN MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 6/26/2024 Number Present: 4 Completed Date: 6/26/2024 Age: From 1 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an Annual Compliance follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Annette Sprouse, Operator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Sprouse was present and available to ask and answer questions throughout the visit today. Limited monitoring was conducted today including staff/child ratio, permit restrictions, capacity, and supervision During the Annual Compliance visit on 6/18/24, five (5) violations of child care requirements were cited, including one (1) violation regarding capacity. Upon arrival, I was greeted by Ms. Sprouse. Children were engaged in free play and were observed engaged in pretend play with animal figurines and toy barn, rolling toy vehicles down ramps and building small structures with large interlocking blocks. Four (4) preschool aged children were present ages 1 to 5. One (1) additional preschool aged child is scheduled to come today but had not arrived during the visit. We reviewed enrollment for the remaining days of the week. Two (2) preschool aged children are scheduled to attend on Mondays, four (4) preschool aged children are scheduled to attend on Tuesdays, five (5) preschool aged children are scheduled to attend on Wednesdays, five (5) preschool aged children are scheduled to attend on Thursdays and two (2) preschool aged children are scheduled to attend on Fridays. We discussed all violations cited from the Annual Compliance visit on 6/18/24/24. As a reminder, you have until 7/2/24 to reach compliance for all items. Please see below: Item #102: Four (4) preschool aged children were present, meeting the requirements in G.S. 110-91(7)(b) regarding capacity for Family Child Care Homes. This is corrected today. Item #1306: An ITS-SIDS training has not been scheduled. We discussed that an extension may not be possible for this training. An ITS-SIDS training is available through Buncombe Partnership for Child on 7/11/24. We discussed that you plan to sign up for this training today. Because this training is after the due date for compliance from the Annual Compliance visit on 6/18/24, a repeat violation will be cited today. The new due date for compliance for this item is 7/10/24. Plan to send an email to me, requesting the extension for one (1) day to complete the training. Alternatively, you can plan to reach out to our Child Care Health Consultants to see if a sooner training is available. Chrissy Wolfe 828.424.0562 chrissy.wolfe@mahec.net Robin Worley 828-772-0504 robin.worley@mahec.net Item #1704: The one (1) child’s file contained the signed acknowledgement of the Summary of NC Child Care Rule. This is corrected today. Item #1828: The two (2) children’s files contained signed acknowledgement of receipt of the facility’s operational policies. This is corrected today. Item #2031: The three (3) children’s files contained signed acknowledgment of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. This is corrected today. 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 violation was cited during today’s visit: Violation Number Comment Rule 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The ITS-SIDS training for operator A. Sprouse expired on 11/5/23. .1703(a)(4) Technical Assistance provided as follows: Item #1306 Plan to register for the ITS-SIDS training on 7/11/24 through Buncombe Partnership for Children. Plan to send me an email with a request for extension for one (1) day to 7/11/24. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (4) Renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training; 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 7/10/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that you were following previous guidance and had the understanding that ITS-SIDS training was not needed unless infants were currently enrolled. Clarification was given today. Moving forward, plan to ensure you keep your ITS-SIDS training current to avoid future violations. Even though you do not currently have infants enrolled, as the operator, you must keep your ITS-SIDS training current. Due to the back-to-back violations regarding ITS-SIDS training, an Administrative Action may be recommended. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAITLYN MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 6/26/2024 Number Present: 4 Completed Date: 6/26/2024 Age: From 1 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an Annual Compliance follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Annette Sprouse, Operator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Sprouse was present and available to ask and answer questions throughout the visit today. Limited monitoring was conducted today including staff/child ratio, permit restrictions, capacity, and supervision During the Annual Compliance visit on 6/18/24, five (5) violations of child care requirements were cited, including one (1) violation regarding capacity. Upon arrival, I was greeted by Ms. Sprouse. Children were engaged in free play and were observed engaged in pretend play with animal figurines and toy barn, rolling toy vehicles down ramps and building small structures with large interlocking blocks. Four (4) preschool aged children were present ages 1 to 5. One (1) additional preschool aged child is scheduled to come today but had not arrived during the visit. We reviewed enrollment for the remaining days of the week. Two (2) preschool aged children are scheduled to attend on Mondays, four (4) preschool aged children are scheduled to attend on Tuesdays, five (5) preschool aged children are scheduled to attend on Wednesdays, five (5) preschool aged children are scheduled to attend on Thursdays and two (2) preschool aged children are scheduled to attend on Fridays. We discussed all violations cited from the Annual Compliance visit on 6/18/24/24. As a reminder, you have until 7/2/24 to reach compliance for all items. Please see below: Item #102: Four (4) preschool aged children were present, meeting the requirements in G.S. 110-91(7)(b) regarding capacity for Family Child Care Homes. This is corrected today. Item #1306: An ITS-SIDS training has not been scheduled. We discussed that an extension may not be possible for this training. An ITS-SIDS training is available through Buncombe Partnership for Child on 7/11/24. We discussed that you plan to sign up for this training today. Because this training is after the due date for compliance from the Annual Compliance visit on 6/18/24, a repeat violation will be cited today. The new due date for compliance for this item is 7/10/24. Plan to send an email to me, requesting the extension for one (1) day to complete the training. Alternatively, you can plan to reach out to our Child Care Health Consultants to see if a sooner training is available. Chrissy Wolfe 828.424.0562 chrissy.wolfe@mahec.net Robin Worley 828-772-0504 robin.worley@mahec.net Item #1704: The one (1) child’s file contained the signed acknowledgement of the Summary of NC Child Care Rule. This is corrected today. Item #1828: The two (2) children’s files contained signed acknowledgement of receipt of the facility’s operational policies. This is corrected today. Item #2031: The three (3) children’s files contained signed acknowledgment of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. This is corrected today. 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 violation was cited during today’s visit: Violation Number Comment Rule 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The ITS-SIDS training for operator A. Sprouse expired on 11/5/23. .1703(a)(4) Technical Assistance provided as follows: Item #1306 Plan to register for the ITS-SIDS training on 7/11/24 through Buncombe Partnership for Children. Plan to send me an email with a request for extension for one (1) day to 7/11/24. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (4) Renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training; 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 7/10/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that you were following previous guidance and had the understanding that ITS-SIDS training was not needed unless infants were currently enrolled. Clarification was given today. Moving forward, plan to ensure you keep your ITS-SIDS training current to avoid future violations. Even though you do not currently have infants enrolled, as the operator, you must keep your ITS-SIDS training current. Due to the back-to-back violations regarding ITS-SIDS training, an Administrative Action may be recommended. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAITLYN MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 6/18/2024 Number Present: 3 Completed Date: 6/18/2024 Age: From 1 To 5 Total Minutes: 295 Time In: 09:35 AM Time Out: 02:30 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 compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Annette Sprouse, Operator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Sprouse was present and available to ask and answer questions throughout the visit today. 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 ninety-one percent (91%) as of 6/10/24. The facility is operated as a sole proprietorship. Permit type – Three (3) star license issued 9/5/17. Special Services/Restrictions – 1st shift (daytime care), 2nd shift , maximum of 5 preschool children at any time, serves no more than two (2) infants under age 1. The last annual compliance visit was conducted on 6/21/23. The last fire drill was practiced on 6/5/24. The last shelter-in-place drill was practiced on 4/9/24. The last playground inspection was documented on 6/5/24. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival I was greeted by Ms. Sprouse. Children were observed exploring, dinosaur puppets, animal figurines, rolling toy trucks and cars on various surfaces, and using various toys to cut and mold playdough. The children and Ms. Sprouse accompanied me outside to observe plants in the garden and used various tools to dig in dirt. Interactions were positive and nurturing. Supervision was adequate. 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 102 Number of preschool children exceeded five children, including the provider's own preschool children. Per review of attendance reports, six (6) preschool children were in attendance on 4/11/24 and 6/5/24. Per operator statement, six (6) preschool children are scheduled to attend on Wednesdays. GS 110-91(7)(b) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The ITS-SIDS training for operator A. Sprouse expired on 11/5/23. .1703(a)(4) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. One (1) children’s file did not have a signed acknowledgement of the receipt of the Summary of NC Child Care Law. GS 110-102 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. Two (2) children’s files did not contain a signed receipt of the operational policies. 10A NCAC 09. 1715(b) 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. Three (3) children’s file did not have a signed acknowledgement of receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy signature on file. .1726(b)&(c) Technical assistance was provided as follows: Item #102 We discussed that children are considered school age after they have their first day of Kindergarten. We discussed that you were told children were considered school age after they started preschool. Clarification was given today regarding this requirement. You stated you will plan to speak with families to adjust the schedule so that no more than five (5) preschoolers attend the facility at one time. (7) Staff-Child Ratio and Capacity for Child Care Facilities. – In determining the staff-child ratio in child care facilities, all children younger than 13 years old shall be counted. b. Family Child Care Home Capacity. – Of the children present at any one time in a family child care home, no more than five children shall be preschool-aged, including the operator's own preschool-age children. Item #1306 Plan to obtain an ITS-SIDS training immediately. We discussed opportunities through Southwestern Child Development Commission. Links to ITS-SIDS courses have been included in the email containing this visit summary. You can also reach out to our Child Care Health Consultants for additional training opportunities: Chrissy Wolfe 828.424.0562 chrissy.wolfe@mahec.net Robin Worley 828-772-0504 robin.worley@mahec.net 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (4) Renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training; Item #1704 Plan to obtain the signed acknowledgement of the summary of the law for the one (1) child. Plan to maintain this acknowledgement in the child’s file. § 110-102. Information for parents. The Secretary shall provide to each operator of a child care facility a summary of this Article for the parents, guardian, or full-time custodian of each child receiving child care in the facility to be distributed by the operator. Operators of child care facilities shall provide a copy of the summary to each child's parent, guardian, or full-time custodian before the child is enrolled in the child care facility. The child's parent, guardian, or full-time custodian shall sign a statement attesting that he or she received a copy of the summary before the child's enrollment. The summary shall include the name and address of the Secretary and the address of the Commission. The summary shall explain how parents may obtain information on individual child care facilities maintained in public files by the Division of Child Development and Early Education. The summary shall also include a statement regarding the mandatory duty prescribed in G.S. 7B-301 of any person suspecting child abuse or neglect has taken place in child care, or elsewhere, to report to the county Department of Social Services. The statement shall include the definitions of child abuse and neglect described in the Juvenile Code in G.S. 7B-101 and of child abuse described in the Criminal Code in G.S. 14-318.2 and G.S. 14-318.4. The statement shall stress that this reporting law does not require that the person reporting reveal the person's identity. The summary of this Article shall be posted with the facility's license in accordance with G.S. 110-99. Religious-sponsored programs operating pursuant to G.S. 110-106 shall post the summary in a prominent place at all times so that it is easily reviewed by parents. Item #1828 Plan to obtain the signed acknowledgement for the operational policies and maintain this signature in the children’s files. 10A NCAC 09 .1715 OPERATIONAL POLICIES (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. Item #2031 Plan to obtain a signed acknowledgement from the parents of the three (3) children. Plan to maintain this signed acknowledgement in the child’s file. 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. The acknowledgement shall contain the following and be maintained in the child's file for review by the Division: (1) the child's name; (2) the date the child first attended the home; (3) the date the operator's policy was given and explained to the parent; (4) the parent's name; (5) the parent's signature; and (6) the date the parent signed the acknowledgment. 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 6/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that the Summary of the Law and Emergency Medical Care plan are required to be posted in an area easily visible to parents and caregivers. Currently these items are on a clipboard, easily accessible to parents and caregivers. Plan to post these items for easy reference. We discussed completing sign in and out sheets as children arrive/depart. Plan to document the time rather than using a check. We discussed the requirements regarding updating the EPR plan. Even if there are no changes, the plan must be examined on an annual basis to ensure no updates are needed. The plan must be reviewed in the Risk Management Portal. Please visit https://rmp.nc.gov/portal/ to access your plan. If you cannot access the plan please call 1-800-367-2229 or 919-814-6365 or email dcdee.inservice.training@dhhs.nc.gov. All FCCH are required to have water tested for lead by December 31, 2024. We will begin to document violations beginning January 1, 2025. Please see the rule reference below for details on this requirement. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (2)collect and submit samples of water from each water 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. Results of the analysis shall be on file in the home. For operators that submit an application for licensure after the effective date of this Rule, water samples shall be collected by the operator and tested during the application process. For all other family child care homes, water samples shall be collected by the operator and tested within 12 months of the effective date of this Rule; You may still enroll in the Clean Classrooms for Carolina Kids initiative to receive funding for lead testing, removal and abatement if needed. Plan to visit https://www.cleanwaterforuskids.org/en/carolina/ to enroll in a webinar and get started in the enrollment process. The new deadline for enrollment is 11/1/24. 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. 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. Your facility is placed in cohort 1. You are currently in your Prep Year which will end 6/30/24. Your Reassessment year will be 7/1/24- 6/30/24. You stated that you will not participate in the Environment Rating Scales. We discussed that we can use education points to maintain your three star license. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAITLYN MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 6/18/2024 Number Present: 3 Completed Date: 6/18/2024 Age: From 1 To 5 Total Minutes: 295 Time In: 09:35 AM Time Out: 02:30 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 compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Annette Sprouse, Operator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Sprouse was present and available to ask and answer questions throughout the visit today. 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 ninety-one percent (91%) as of 6/10/24. The facility is operated as a sole proprietorship. Permit type – Three (3) star license issued 9/5/17. Special Services/Restrictions – 1st shift (daytime care), 2nd shift , maximum of 5 preschool children at any time, serves no more than two (2) infants under age 1. The last annual compliance visit was conducted on 6/21/23. The last fire drill was practiced on 6/5/24. The last shelter-in-place drill was practiced on 4/9/24. The last playground inspection was documented on 6/5/24. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival I was greeted by Ms. Sprouse. Children were observed exploring, dinosaur puppets, animal figurines, rolling toy trucks and cars on various surfaces, and using various toys to cut and mold playdough. The children and Ms. Sprouse accompanied me outside to observe plants in the garden and used various tools to dig in dirt. Interactions were positive and nurturing. Supervision was adequate. 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 102 Number of preschool children exceeded five children, including the provider's own preschool children. Per review of attendance reports, six (6) preschool children were in attendance on 4/11/24 and 6/5/24. Per operator statement, six (6) preschool children are scheduled to attend on Wednesdays. GS 110-91(7)(b) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The ITS-SIDS training for operator A. Sprouse expired on 11/5/23. .1703(a)(4) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. One (1) children’s file did not have a signed acknowledgement of the receipt of the Summary of NC Child Care Law. GS 110-102 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. Two (2) children’s files did not contain a signed receipt of the operational policies. 10A NCAC 09. 1715(b) 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. Three (3) children’s file did not have a signed acknowledgement of receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy signature on file. .1726(b)&(c) Technical assistance was provided as follows: Item #102 We discussed that children are considered school age after they have their first day of Kindergarten. We discussed that you were told children were considered school age after they started preschool. Clarification was given today regarding this requirement. You stated you will plan to speak with families to adjust the schedule so that no more than five (5) preschoolers attend the facility at one time. (7) Staff-Child Ratio and Capacity for Child Care Facilities. – In determining the staff-child ratio in child care facilities, all children younger than 13 years old shall be counted. b. Family Child Care Home Capacity. – Of the children present at any one time in a family child care home, no more than five children shall be preschool-aged, including the operator's own preschool-age children. Item #1306 Plan to obtain an ITS-SIDS training immediately. We discussed opportunities through Southwestern Child Development Commission. Links to ITS-SIDS courses have been included in the email containing this visit summary. You can also reach out to our Child Care Health Consultants for additional training opportunities: Chrissy Wolfe 828.424.0562 chrissy.wolfe@mahec.net Robin Worley 828-772-0504 robin.worley@mahec.net 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (4) Renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training; Item #1704 Plan to obtain the signed acknowledgement of the summary of the law for the one (1) child. Plan to maintain this acknowledgement in the child’s file. § 110-102. Information for parents. The Secretary shall provide to each operator of a child care facility a summary of this Article for the parents, guardian, or full-time custodian of each child receiving child care in the facility to be distributed by the operator. Operators of child care facilities shall provide a copy of the summary to each child's parent, guardian, or full-time custodian before the child is enrolled in the child care facility. The child's parent, guardian, or full-time custodian shall sign a statement attesting that he or she received a copy of the summary before the child's enrollment. The summary shall include the name and address of the Secretary and the address of the Commission. The summary shall explain how parents may obtain information on individual child care facilities maintained in public files by the Division of Child Development and Early Education. The summary shall also include a statement regarding the mandatory duty prescribed in G.S. 7B-301 of any person suspecting child abuse or neglect has taken place in child care, or elsewhere, to report to the county Department of Social Services. The statement shall include the definitions of child abuse and neglect described in the Juvenile Code in G.S. 7B-101 and of child abuse described in the Criminal Code in G.S. 14-318.2 and G.S. 14-318.4. The statement shall stress that this reporting law does not require that the person reporting reveal the person's identity. The summary of this Article shall be posted with the facility's license in accordance with G.S. 110-99. Religious-sponsored programs operating pursuant to G.S. 110-106 shall post the summary in a prominent place at all times so that it is easily reviewed by parents. Item #1828 Plan to obtain the signed acknowledgement for the operational policies and maintain this signature in the children’s files. 10A NCAC 09 .1715 OPERATIONAL POLICIES (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. Item #2031 Plan to obtain a signed acknowledgement from the parents of the three (3) children. Plan to maintain this signed acknowledgement in the child’s file. 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. The acknowledgement shall contain the following and be maintained in the child's file for review by the Division: (1) the child's name; (2) the date the child first attended the home; (3) the date the operator's policy was given and explained to the parent; (4) the parent's name; (5) the parent's signature; and (6) the date the parent signed the acknowledgment. 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 6/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that the Summary of the Law and Emergency Medical Care plan are required to be posted in an area easily visible to parents and caregivers. Currently these items are on a clipboard, easily accessible to parents and caregivers. Plan to post these items for easy reference. We discussed completing sign in and out sheets as children arrive/depart. Plan to document the time rather than using a check. We discussed the requirements regarding updating the EPR plan. Even if there are no changes, the plan must be examined on an annual basis to ensure no updates are needed. The plan must be reviewed in the Risk Management Portal. Please visit https://rmp.nc.gov/portal/ to access your plan. If you cannot access the plan please call 1-800-367-2229 or 919-814-6365 or email dcdee.inservice.training@dhhs.nc.gov. All FCCH are required to have water tested for lead by December 31, 2024. We will begin to document violations beginning January 1, 2025. Please see the rule reference below for details on this requirement. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (2)collect and submit samples of water from each water 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. Results of the analysis shall be on file in the home. For operators that submit an application for licensure after the effective date of this Rule, water samples shall be collected by the operator and tested during the application process. For all other family child care homes, water samples shall be collected by the operator and tested within 12 months of the effective date of this Rule; You may still enroll in the Clean Classrooms for Carolina Kids initiative to receive funding for lead testing, removal and abatement if needed. Plan to visit https://www.cleanwaterforuskids.org/en/carolina/ to enroll in a webinar and get started in the enrollment process. The new deadline for enrollment is 11/1/24. 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. 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. Your facility is placed in cohort 1. You are currently in your Prep Year which will end 6/30/24. Your Reassessment year will be 7/1/24- 6/30/24. You stated that you will not participate in the Environment Rating Scales. We discussed that we can use education points to maintain your three star license. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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 .1715 · Violation

Name of Operation: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAITLYN MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 6/18/2024 Number Present: 3 Completed Date: 6/18/2024 Age: From 1 To 5 Total Minutes: 295 Time In: 09:35 AM Time Out: 02:30 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 compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Annette Sprouse, Operator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Sprouse was present and available to ask and answer questions throughout the visit today. 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 ninety-one percent (91%) as of 6/10/24. The facility is operated as a sole proprietorship. Permit type – Three (3) star license issued 9/5/17. Special Services/Restrictions – 1st shift (daytime care), 2nd shift , maximum of 5 preschool children at any time, serves no more than two (2) infants under age 1. The last annual compliance visit was conducted on 6/21/23. The last fire drill was practiced on 6/5/24. The last shelter-in-place drill was practiced on 4/9/24. The last playground inspection was documented on 6/5/24. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival I was greeted by Ms. Sprouse. Children were observed exploring, dinosaur puppets, animal figurines, rolling toy trucks and cars on various surfaces, and using various toys to cut and mold playdough. The children and Ms. Sprouse accompanied me outside to observe plants in the garden and used various tools to dig in dirt. Interactions were positive and nurturing. Supervision was adequate. 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 102 Number of preschool children exceeded five children, including the provider's own preschool children. Per review of attendance reports, six (6) preschool children were in attendance on 4/11/24 and 6/5/24. Per operator statement, six (6) preschool children are scheduled to attend on Wednesdays. GS 110-91(7)(b) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The ITS-SIDS training for operator A. Sprouse expired on 11/5/23. .1703(a)(4) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. One (1) children’s file did not have a signed acknowledgement of the receipt of the Summary of NC Child Care Law. GS 110-102 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. Two (2) children’s files did not contain a signed receipt of the operational policies. 10A NCAC 09. 1715(b) 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. Three (3) children’s file did not have a signed acknowledgement of receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy signature on file. .1726(b)&(c) Technical assistance was provided as follows: Item #102 We discussed that children are considered school age after they have their first day of Kindergarten. We discussed that you were told children were considered school age after they started preschool. Clarification was given today regarding this requirement. You stated you will plan to speak with families to adjust the schedule so that no more than five (5) preschoolers attend the facility at one time. (7) Staff-Child Ratio and Capacity for Child Care Facilities. – In determining the staff-child ratio in child care facilities, all children younger than 13 years old shall be counted. b. Family Child Care Home Capacity. – Of the children present at any one time in a family child care home, no more than five children shall be preschool-aged, including the operator's own preschool-age children. Item #1306 Plan to obtain an ITS-SIDS training immediately. We discussed opportunities through Southwestern Child Development Commission. Links to ITS-SIDS courses have been included in the email containing this visit summary. You can also reach out to our Child Care Health Consultants for additional training opportunities: Chrissy Wolfe 828.424.0562 chrissy.wolfe@mahec.net Robin Worley 828-772-0504 robin.worley@mahec.net 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (4) Renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training; Item #1704 Plan to obtain the signed acknowledgement of the summary of the law for the one (1) child. Plan to maintain this acknowledgement in the child’s file. § 110-102. Information for parents. The Secretary shall provide to each operator of a child care facility a summary of this Article for the parents, guardian, or full-time custodian of each child receiving child care in the facility to be distributed by the operator. Operators of child care facilities shall provide a copy of the summary to each child's parent, guardian, or full-time custodian before the child is enrolled in the child care facility. The child's parent, guardian, or full-time custodian shall sign a statement attesting that he or she received a copy of the summary before the child's enrollment. The summary shall include the name and address of the Secretary and the address of the Commission. The summary shall explain how parents may obtain information on individual child care facilities maintained in public files by the Division of Child Development and Early Education. The summary shall also include a statement regarding the mandatory duty prescribed in G.S. 7B-301 of any person suspecting child abuse or neglect has taken place in child care, or elsewhere, to report to the county Department of Social Services. The statement shall include the definitions of child abuse and neglect described in the Juvenile Code in G.S. 7B-101 and of child abuse described in the Criminal Code in G.S. 14-318.2 and G.S. 14-318.4. The statement shall stress that this reporting law does not require that the person reporting reveal the person's identity. The summary of this Article shall be posted with the facility's license in accordance with G.S. 110-99. Religious-sponsored programs operating pursuant to G.S. 110-106 shall post the summary in a prominent place at all times so that it is easily reviewed by parents. Item #1828 Plan to obtain the signed acknowledgement for the operational policies and maintain this signature in the children’s files. 10A NCAC 09 .1715 OPERATIONAL POLICIES (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. Item #2031 Plan to obtain a signed acknowledgement from the parents of the three (3) children. Plan to maintain this signed acknowledgement in the child’s file. 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. The acknowledgement shall contain the following and be maintained in the child's file for review by the Division: (1) the child's name; (2) the date the child first attended the home; (3) the date the operator's policy was given and explained to the parent; (4) the parent's name; (5) the parent's signature; and (6) the date the parent signed the acknowledgment. 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 6/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that the Summary of the Law and Emergency Medical Care plan are required to be posted in an area easily visible to parents and caregivers. Currently these items are on a clipboard, easily accessible to parents and caregivers. Plan to post these items for easy reference. We discussed completing sign in and out sheets as children arrive/depart. Plan to document the time rather than using a check. We discussed the requirements regarding updating the EPR plan. Even if there are no changes, the plan must be examined on an annual basis to ensure no updates are needed. The plan must be reviewed in the Risk Management Portal. Please visit https://rmp.nc.gov/portal/ to access your plan. If you cannot access the plan please call 1-800-367-2229 or 919-814-6365 or email dcdee.inservice.training@dhhs.nc.gov. All FCCH are required to have water tested for lead by December 31, 2024. We will begin to document violations beginning January 1, 2025. Please see the rule reference below for details on this requirement. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (2)collect and submit samples of water from each water 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. Results of the analysis shall be on file in the home. For operators that submit an application for licensure after the effective date of this Rule, water samples shall be collected by the operator and tested during the application process. For all other family child care homes, water samples shall be collected by the operator and tested within 12 months of the effective date of this Rule; You may still enroll in the Clean Classrooms for Carolina Kids initiative to receive funding for lead testing, removal and abatement if needed. Plan to visit https://www.cleanwaterforuskids.org/en/carolina/ to enroll in a webinar and get started in the enrollment process. The new deadline for enrollment is 11/1/24. 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. 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. Your facility is placed in cohort 1. You are currently in your Prep Year which will end 6/30/24. Your Reassessment year will be 7/1/24- 6/30/24. You stated that you will not participate in the Environment Rating Scales. We discussed that we can use education points to maintain your three star license. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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 .1725 · Violation

Name of Operation: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAITLYN MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 6/18/2024 Number Present: 3 Completed Date: 6/18/2024 Age: From 1 To 5 Total Minutes: 295 Time In: 09:35 AM Time Out: 02:30 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 compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Annette Sprouse, Operator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Sprouse was present and available to ask and answer questions throughout the visit today. 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 ninety-one percent (91%) as of 6/10/24. The facility is operated as a sole proprietorship. Permit type – Three (3) star license issued 9/5/17. Special Services/Restrictions – 1st shift (daytime care), 2nd shift , maximum of 5 preschool children at any time, serves no more than two (2) infants under age 1. The last annual compliance visit was conducted on 6/21/23. The last fire drill was practiced on 6/5/24. The last shelter-in-place drill was practiced on 4/9/24. The last playground inspection was documented on 6/5/24. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival I was greeted by Ms. Sprouse. Children were observed exploring, dinosaur puppets, animal figurines, rolling toy trucks and cars on various surfaces, and using various toys to cut and mold playdough. The children and Ms. Sprouse accompanied me outside to observe plants in the garden and used various tools to dig in dirt. Interactions were positive and nurturing. Supervision was adequate. 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 102 Number of preschool children exceeded five children, including the provider's own preschool children. Per review of attendance reports, six (6) preschool children were in attendance on 4/11/24 and 6/5/24. Per operator statement, six (6) preschool children are scheduled to attend on Wednesdays. GS 110-91(7)(b) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The ITS-SIDS training for operator A. Sprouse expired on 11/5/23. .1703(a)(4) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. One (1) children’s file did not have a signed acknowledgement of the receipt of the Summary of NC Child Care Law. GS 110-102 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. Two (2) children’s files did not contain a signed receipt of the operational policies. 10A NCAC 09. 1715(b) 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. Three (3) children’s file did not have a signed acknowledgement of receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy signature on file. .1726(b)&(c) Technical assistance was provided as follows: Item #102 We discussed that children are considered school age after they have their first day of Kindergarten. We discussed that you were told children were considered school age after they started preschool. Clarification was given today regarding this requirement. You stated you will plan to speak with families to adjust the schedule so that no more than five (5) preschoolers attend the facility at one time. (7) Staff-Child Ratio and Capacity for Child Care Facilities. – In determining the staff-child ratio in child care facilities, all children younger than 13 years old shall be counted. b. Family Child Care Home Capacity. – Of the children present at any one time in a family child care home, no more than five children shall be preschool-aged, including the operator's own preschool-age children. Item #1306 Plan to obtain an ITS-SIDS training immediately. We discussed opportunities through Southwestern Child Development Commission. Links to ITS-SIDS courses have been included in the email containing this visit summary. You can also reach out to our Child Care Health Consultants for additional training opportunities: Chrissy Wolfe 828.424.0562 chrissy.wolfe@mahec.net Robin Worley 828-772-0504 robin.worley@mahec.net 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (4) Renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training; Item #1704 Plan to obtain the signed acknowledgement of the summary of the law for the one (1) child. Plan to maintain this acknowledgement in the child’s file. § 110-102. Information for parents. The Secretary shall provide to each operator of a child care facility a summary of this Article for the parents, guardian, or full-time custodian of each child receiving child care in the facility to be distributed by the operator. Operators of child care facilities shall provide a copy of the summary to each child's parent, guardian, or full-time custodian before the child is enrolled in the child care facility. The child's parent, guardian, or full-time custodian shall sign a statement attesting that he or she received a copy of the summary before the child's enrollment. The summary shall include the name and address of the Secretary and the address of the Commission. The summary shall explain how parents may obtain information on individual child care facilities maintained in public files by the Division of Child Development and Early Education. The summary shall also include a statement regarding the mandatory duty prescribed in G.S. 7B-301 of any person suspecting child abuse or neglect has taken place in child care, or elsewhere, to report to the county Department of Social Services. The statement shall include the definitions of child abuse and neglect described in the Juvenile Code in G.S. 7B-101 and of child abuse described in the Criminal Code in G.S. 14-318.2 and G.S. 14-318.4. The statement shall stress that this reporting law does not require that the person reporting reveal the person's identity. The summary of this Article shall be posted with the facility's license in accordance with G.S. 110-99. Religious-sponsored programs operating pursuant to G.S. 110-106 shall post the summary in a prominent place at all times so that it is easily reviewed by parents. Item #1828 Plan to obtain the signed acknowledgement for the operational policies and maintain this signature in the children’s files. 10A NCAC 09 .1715 OPERATIONAL POLICIES (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. Item #2031 Plan to obtain a signed acknowledgement from the parents of the three (3) children. Plan to maintain this signed acknowledgement in the child’s file. 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. The acknowledgement shall contain the following and be maintained in the child's file for review by the Division: (1) the child's name; (2) the date the child first attended the home; (3) the date the operator's policy was given and explained to the parent; (4) the parent's name; (5) the parent's signature; and (6) the date the parent signed the acknowledgment. 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 6/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that the Summary of the Law and Emergency Medical Care plan are required to be posted in an area easily visible to parents and caregivers. Currently these items are on a clipboard, easily accessible to parents and caregivers. Plan to post these items for easy reference. We discussed completing sign in and out sheets as children arrive/depart. Plan to document the time rather than using a check. We discussed the requirements regarding updating the EPR plan. Even if there are no changes, the plan must be examined on an annual basis to ensure no updates are needed. The plan must be reviewed in the Risk Management Portal. Please visit https://rmp.nc.gov/portal/ to access your plan. If you cannot access the plan please call 1-800-367-2229 or 919-814-6365 or email dcdee.inservice.training@dhhs.nc.gov. All FCCH are required to have water tested for lead by December 31, 2024. We will begin to document violations beginning January 1, 2025. Please see the rule reference below for details on this requirement. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (2)collect and submit samples of water from each water 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. Results of the analysis shall be on file in the home. For operators that submit an application for licensure after the effective date of this Rule, water samples shall be collected by the operator and tested during the application process. For all other family child care homes, water samples shall be collected by the operator and tested within 12 months of the effective date of this Rule; You may still enroll in the Clean Classrooms for Carolina Kids initiative to receive funding for lead testing, removal and abatement if needed. Plan to visit https://www.cleanwaterforuskids.org/en/carolina/ to enroll in a webinar and get started in the enrollment process. The new deadline for enrollment is 11/1/24. 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. 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. Your facility is placed in cohort 1. You are currently in your Prep Year which will end 6/30/24. Your Reassessment year will be 7/1/24- 6/30/24. You stated that you will not participate in the Environment Rating Scales. We discussed that we can use education points to maintain your three star license. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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 .1726 · Violation

Name of Operation: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAITLYN MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 6/18/2024 Number Present: 3 Completed Date: 6/18/2024 Age: From 1 To 5 Total Minutes: 295 Time In: 09:35 AM Time Out: 02:30 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 compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Annette Sprouse, Operator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Sprouse was present and available to ask and answer questions throughout the visit today. 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 ninety-one percent (91%) as of 6/10/24. The facility is operated as a sole proprietorship. Permit type – Three (3) star license issued 9/5/17. Special Services/Restrictions – 1st shift (daytime care), 2nd shift , maximum of 5 preschool children at any time, serves no more than two (2) infants under age 1. The last annual compliance visit was conducted on 6/21/23. The last fire drill was practiced on 6/5/24. The last shelter-in-place drill was practiced on 4/9/24. The last playground inspection was documented on 6/5/24. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival I was greeted by Ms. Sprouse. Children were observed exploring, dinosaur puppets, animal figurines, rolling toy trucks and cars on various surfaces, and using various toys to cut and mold playdough. The children and Ms. Sprouse accompanied me outside to observe plants in the garden and used various tools to dig in dirt. Interactions were positive and nurturing. Supervision was adequate. 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 102 Number of preschool children exceeded five children, including the provider's own preschool children. Per review of attendance reports, six (6) preschool children were in attendance on 4/11/24 and 6/5/24. Per operator statement, six (6) preschool children are scheduled to attend on Wednesdays. GS 110-91(7)(b) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The ITS-SIDS training for operator A. Sprouse expired on 11/5/23. .1703(a)(4) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. One (1) children’s file did not have a signed acknowledgement of the receipt of the Summary of NC Child Care Law. GS 110-102 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. Two (2) children’s files did not contain a signed receipt of the operational policies. 10A NCAC 09. 1715(b) 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. Three (3) children’s file did not have a signed acknowledgement of receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy signature on file. .1726(b)&(c) Technical assistance was provided as follows: Item #102 We discussed that children are considered school age after they have their first day of Kindergarten. We discussed that you were told children were considered school age after they started preschool. Clarification was given today regarding this requirement. You stated you will plan to speak with families to adjust the schedule so that no more than five (5) preschoolers attend the facility at one time. (7) Staff-Child Ratio and Capacity for Child Care Facilities. – In determining the staff-child ratio in child care facilities, all children younger than 13 years old shall be counted. b. Family Child Care Home Capacity. – Of the children present at any one time in a family child care home, no more than five children shall be preschool-aged, including the operator's own preschool-age children. Item #1306 Plan to obtain an ITS-SIDS training immediately. We discussed opportunities through Southwestern Child Development Commission. Links to ITS-SIDS courses have been included in the email containing this visit summary. You can also reach out to our Child Care Health Consultants for additional training opportunities: Chrissy Wolfe 828.424.0562 chrissy.wolfe@mahec.net Robin Worley 828-772-0504 robin.worley@mahec.net 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (4) Renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training; Item #1704 Plan to obtain the signed acknowledgement of the summary of the law for the one (1) child. Plan to maintain this acknowledgement in the child’s file. § 110-102. Information for parents. The Secretary shall provide to each operator of a child care facility a summary of this Article for the parents, guardian, or full-time custodian of each child receiving child care in the facility to be distributed by the operator. Operators of child care facilities shall provide a copy of the summary to each child's parent, guardian, or full-time custodian before the child is enrolled in the child care facility. The child's parent, guardian, or full-time custodian shall sign a statement attesting that he or she received a copy of the summary before the child's enrollment. The summary shall include the name and address of the Secretary and the address of the Commission. The summary shall explain how parents may obtain information on individual child care facilities maintained in public files by the Division of Child Development and Early Education. The summary shall also include a statement regarding the mandatory duty prescribed in G.S. 7B-301 of any person suspecting child abuse or neglect has taken place in child care, or elsewhere, to report to the county Department of Social Services. The statement shall include the definitions of child abuse and neglect described in the Juvenile Code in G.S. 7B-101 and of child abuse described in the Criminal Code in G.S. 14-318.2 and G.S. 14-318.4. The statement shall stress that this reporting law does not require that the person reporting reveal the person's identity. The summary of this Article shall be posted with the facility's license in accordance with G.S. 110-99. Religious-sponsored programs operating pursuant to G.S. 110-106 shall post the summary in a prominent place at all times so that it is easily reviewed by parents. Item #1828 Plan to obtain the signed acknowledgement for the operational policies and maintain this signature in the children’s files. 10A NCAC 09 .1715 OPERATIONAL POLICIES (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. Item #2031 Plan to obtain a signed acknowledgement from the parents of the three (3) children. Plan to maintain this signed acknowledgement in the child’s file. 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. The acknowledgement shall contain the following and be maintained in the child's file for review by the Division: (1) the child's name; (2) the date the child first attended the home; (3) the date the operator's policy was given and explained to the parent; (4) the parent's name; (5) the parent's signature; and (6) the date the parent signed the acknowledgment. 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 6/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that the Summary of the Law and Emergency Medical Care plan are required to be posted in an area easily visible to parents and caregivers. Currently these items are on a clipboard, easily accessible to parents and caregivers. Plan to post these items for easy reference. We discussed completing sign in and out sheets as children arrive/depart. Plan to document the time rather than using a check. We discussed the requirements regarding updating the EPR plan. Even if there are no changes, the plan must be examined on an annual basis to ensure no updates are needed. The plan must be reviewed in the Risk Management Portal. Please visit https://rmp.nc.gov/portal/ to access your plan. If you cannot access the plan please call 1-800-367-2229 or 919-814-6365 or email dcdee.inservice.training@dhhs.nc.gov. All FCCH are required to have water tested for lead by December 31, 2024. We will begin to document violations beginning January 1, 2025. Please see the rule reference below for details on this requirement. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (2)collect and submit samples of water from each water 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. Results of the analysis shall be on file in the home. For operators that submit an application for licensure after the effective date of this Rule, water samples shall be collected by the operator and tested during the application process. For all other family child care homes, water samples shall be collected by the operator and tested within 12 months of the effective date of this Rule; You may still enroll in the Clean Classrooms for Carolina Kids initiative to receive funding for lead testing, removal and abatement if needed. Plan to visit https://www.cleanwaterforuskids.org/en/carolina/ to enroll in a webinar and get started in the enrollment process. The new deadline for enrollment is 11/1/24. 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. 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. Your facility is placed in cohort 1. You are currently in your Prep Year which will end 6/30/24. Your Reassessment year will be 7/1/24- 6/30/24. You stated that you will not participate in the Environment Rating Scales. We discussed that we can use education points to maintain your three star license. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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. 1715 · Violation

Name of Operation: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAITLYN MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 6/18/2024 Number Present: 3 Completed Date: 6/18/2024 Age: From 1 To 5 Total Minutes: 295 Time In: 09:35 AM Time Out: 02:30 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 compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Annette Sprouse, Operator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Sprouse was present and available to ask and answer questions throughout the visit today. 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 ninety-one percent (91%) as of 6/10/24. The facility is operated as a sole proprietorship. Permit type – Three (3) star license issued 9/5/17. Special Services/Restrictions – 1st shift (daytime care), 2nd shift , maximum of 5 preschool children at any time, serves no more than two (2) infants under age 1. The last annual compliance visit was conducted on 6/21/23. The last fire drill was practiced on 6/5/24. The last shelter-in-place drill was practiced on 4/9/24. The last playground inspection was documented on 6/5/24. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival I was greeted by Ms. Sprouse. Children were observed exploring, dinosaur puppets, animal figurines, rolling toy trucks and cars on various surfaces, and using various toys to cut and mold playdough. The children and Ms. Sprouse accompanied me outside to observe plants in the garden and used various tools to dig in dirt. Interactions were positive and nurturing. Supervision was adequate. 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 102 Number of preschool children exceeded five children, including the provider's own preschool children. Per review of attendance reports, six (6) preschool children were in attendance on 4/11/24 and 6/5/24. Per operator statement, six (6) preschool children are scheduled to attend on Wednesdays. GS 110-91(7)(b) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The ITS-SIDS training for operator A. Sprouse expired on 11/5/23. .1703(a)(4) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. One (1) children’s file did not have a signed acknowledgement of the receipt of the Summary of NC Child Care Law. GS 110-102 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. Two (2) children’s files did not contain a signed receipt of the operational policies. 10A NCAC 09. 1715(b) 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. Three (3) children’s file did not have a signed acknowledgement of receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy signature on file. .1726(b)&(c) Technical assistance was provided as follows: Item #102 We discussed that children are considered school age after they have their first day of Kindergarten. We discussed that you were told children were considered school age after they started preschool. Clarification was given today regarding this requirement. You stated you will plan to speak with families to adjust the schedule so that no more than five (5) preschoolers attend the facility at one time. (7) Staff-Child Ratio and Capacity for Child Care Facilities. – In determining the staff-child ratio in child care facilities, all children younger than 13 years old shall be counted. b. Family Child Care Home Capacity. – Of the children present at any one time in a family child care home, no more than five children shall be preschool-aged, including the operator's own preschool-age children. Item #1306 Plan to obtain an ITS-SIDS training immediately. We discussed opportunities through Southwestern Child Development Commission. Links to ITS-SIDS courses have been included in the email containing this visit summary. You can also reach out to our Child Care Health Consultants for additional training opportunities: Chrissy Wolfe 828.424.0562 chrissy.wolfe@mahec.net Robin Worley 828-772-0504 robin.worley@mahec.net 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (4) Renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training; Item #1704 Plan to obtain the signed acknowledgement of the summary of the law for the one (1) child. Plan to maintain this acknowledgement in the child’s file. § 110-102. Information for parents. The Secretary shall provide to each operator of a child care facility a summary of this Article for the parents, guardian, or full-time custodian of each child receiving child care in the facility to be distributed by the operator. Operators of child care facilities shall provide a copy of the summary to each child's parent, guardian, or full-time custodian before the child is enrolled in the child care facility. The child's parent, guardian, or full-time custodian shall sign a statement attesting that he or she received a copy of the summary before the child's enrollment. The summary shall include the name and address of the Secretary and the address of the Commission. The summary shall explain how parents may obtain information on individual child care facilities maintained in public files by the Division of Child Development and Early Education. The summary shall also include a statement regarding the mandatory duty prescribed in G.S. 7B-301 of any person suspecting child abuse or neglect has taken place in child care, or elsewhere, to report to the county Department of Social Services. The statement shall include the definitions of child abuse and neglect described in the Juvenile Code in G.S. 7B-101 and of child abuse described in the Criminal Code in G.S. 14-318.2 and G.S. 14-318.4. The statement shall stress that this reporting law does not require that the person reporting reveal the person's identity. The summary of this Article shall be posted with the facility's license in accordance with G.S. 110-99. Religious-sponsored programs operating pursuant to G.S. 110-106 shall post the summary in a prominent place at all times so that it is easily reviewed by parents. Item #1828 Plan to obtain the signed acknowledgement for the operational policies and maintain this signature in the children’s files. 10A NCAC 09 .1715 OPERATIONAL POLICIES (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. Item #2031 Plan to obtain a signed acknowledgement from the parents of the three (3) children. Plan to maintain this signed acknowledgement in the child’s file. 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. The acknowledgement shall contain the following and be maintained in the child's file for review by the Division: (1) the child's name; (2) the date the child first attended the home; (3) the date the operator's policy was given and explained to the parent; (4) the parent's name; (5) the parent's signature; and (6) the date the parent signed the acknowledgment. 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 6/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that the Summary of the Law and Emergency Medical Care plan are required to be posted in an area easily visible to parents and caregivers. Currently these items are on a clipboard, easily accessible to parents and caregivers. Plan to post these items for easy reference. We discussed completing sign in and out sheets as children arrive/depart. Plan to document the time rather than using a check. We discussed the requirements regarding updating the EPR plan. Even if there are no changes, the plan must be examined on an annual basis to ensure no updates are needed. The plan must be reviewed in the Risk Management Portal. Please visit https://rmp.nc.gov/portal/ to access your plan. If you cannot access the plan please call 1-800-367-2229 or 919-814-6365 or email dcdee.inservice.training@dhhs.nc.gov. All FCCH are required to have water tested for lead by December 31, 2024. We will begin to document violations beginning January 1, 2025. Please see the rule reference below for details on this requirement. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (2)collect and submit samples of water from each water 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. Results of the analysis shall be on file in the home. For operators that submit an application for licensure after the effective date of this Rule, water samples shall be collected by the operator and tested during the application process. For all other family child care homes, water samples shall be collected by the operator and tested within 12 months of the effective date of this Rule; You may still enroll in the Clean Classrooms for Carolina Kids initiative to receive funding for lead testing, removal and abatement if needed. Plan to visit https://www.cleanwaterforuskids.org/en/carolina/ to enroll in a webinar and get started in the enrollment process. The new deadline for enrollment is 11/1/24. 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. 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. Your facility is placed in cohort 1. You are currently in your Prep Year which will end 6/30/24. Your Reassessment year will be 7/1/24- 6/30/24. You stated that you will not participate in the Environment Rating Scales. We discussed that we can use education points to maintain your three star license. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAITLYN MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 6/18/2024 Number Present: 3 Completed Date: 6/18/2024 Age: From 1 To 5 Total Minutes: 295 Time In: 09:35 AM Time Out: 02:30 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 compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Annette Sprouse, Operator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Sprouse was present and available to ask and answer questions throughout the visit today. 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 ninety-one percent (91%) as of 6/10/24. The facility is operated as a sole proprietorship. Permit type – Three (3) star license issued 9/5/17. Special Services/Restrictions – 1st shift (daytime care), 2nd shift , maximum of 5 preschool children at any time, serves no more than two (2) infants under age 1. The last annual compliance visit was conducted on 6/21/23. The last fire drill was practiced on 6/5/24. The last shelter-in-place drill was practiced on 4/9/24. The last playground inspection was documented on 6/5/24. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival I was greeted by Ms. Sprouse. Children were observed exploring, dinosaur puppets, animal figurines, rolling toy trucks and cars on various surfaces, and using various toys to cut and mold playdough. The children and Ms. Sprouse accompanied me outside to observe plants in the garden and used various tools to dig in dirt. Interactions were positive and nurturing. Supervision was adequate. 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 102 Number of preschool children exceeded five children, including the provider's own preschool children. Per review of attendance reports, six (6) preschool children were in attendance on 4/11/24 and 6/5/24. Per operator statement, six (6) preschool children are scheduled to attend on Wednesdays. GS 110-91(7)(b) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The ITS-SIDS training for operator A. Sprouse expired on 11/5/23. .1703(a)(4) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. One (1) children’s file did not have a signed acknowledgement of the receipt of the Summary of NC Child Care Law. GS 110-102 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. Two (2) children’s files did not contain a signed receipt of the operational policies. 10A NCAC 09. 1715(b) 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. Three (3) children’s file did not have a signed acknowledgement of receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy signature on file. .1726(b)&(c) Technical assistance was provided as follows: Item #102 We discussed that children are considered school age after they have their first day of Kindergarten. We discussed that you were told children were considered school age after they started preschool. Clarification was given today regarding this requirement. You stated you will plan to speak with families to adjust the schedule so that no more than five (5) preschoolers attend the facility at one time. (7) Staff-Child Ratio and Capacity for Child Care Facilities. – In determining the staff-child ratio in child care facilities, all children younger than 13 years old shall be counted. b. Family Child Care Home Capacity. – Of the children present at any one time in a family child care home, no more than five children shall be preschool-aged, including the operator's own preschool-age children. Item #1306 Plan to obtain an ITS-SIDS training immediately. We discussed opportunities through Southwestern Child Development Commission. Links to ITS-SIDS courses have been included in the email containing this visit summary. You can also reach out to our Child Care Health Consultants for additional training opportunities: Chrissy Wolfe 828.424.0562 chrissy.wolfe@mahec.net Robin Worley 828-772-0504 robin.worley@mahec.net 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (4) Renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training; Item #1704 Plan to obtain the signed acknowledgement of the summary of the law for the one (1) child. Plan to maintain this acknowledgement in the child’s file. § 110-102. Information for parents. The Secretary shall provide to each operator of a child care facility a summary of this Article for the parents, guardian, or full-time custodian of each child receiving child care in the facility to be distributed by the operator. Operators of child care facilities shall provide a copy of the summary to each child's parent, guardian, or full-time custodian before the child is enrolled in the child care facility. The child's parent, guardian, or full-time custodian shall sign a statement attesting that he or she received a copy of the summary before the child's enrollment. The summary shall include the name and address of the Secretary and the address of the Commission. The summary shall explain how parents may obtain information on individual child care facilities maintained in public files by the Division of Child Development and Early Education. The summary shall also include a statement regarding the mandatory duty prescribed in G.S. 7B-301 of any person suspecting child abuse or neglect has taken place in child care, or elsewhere, to report to the county Department of Social Services. The statement shall include the definitions of child abuse and neglect described in the Juvenile Code in G.S. 7B-101 and of child abuse described in the Criminal Code in G.S. 14-318.2 and G.S. 14-318.4. The statement shall stress that this reporting law does not require that the person reporting reveal the person's identity. The summary of this Article shall be posted with the facility's license in accordance with G.S. 110-99. Religious-sponsored programs operating pursuant to G.S. 110-106 shall post the summary in a prominent place at all times so that it is easily reviewed by parents. Item #1828 Plan to obtain the signed acknowledgement for the operational policies and maintain this signature in the children’s files. 10A NCAC 09 .1715 OPERATIONAL POLICIES (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. Item #2031 Plan to obtain a signed acknowledgement from the parents of the three (3) children. Plan to maintain this signed acknowledgement in the child’s file. 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. The acknowledgement shall contain the following and be maintained in the child's file for review by the Division: (1) the child's name; (2) the date the child first attended the home; (3) the date the operator's policy was given and explained to the parent; (4) the parent's name; (5) the parent's signature; and (6) the date the parent signed the acknowledgment. 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 6/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that the Summary of the Law and Emergency Medical Care plan are required to be posted in an area easily visible to parents and caregivers. Currently these items are on a clipboard, easily accessible to parents and caregivers. Plan to post these items for easy reference. We discussed completing sign in and out sheets as children arrive/depart. Plan to document the time rather than using a check. We discussed the requirements regarding updating the EPR plan. Even if there are no changes, the plan must be examined on an annual basis to ensure no updates are needed. The plan must be reviewed in the Risk Management Portal. Please visit https://rmp.nc.gov/portal/ to access your plan. If you cannot access the plan please call 1-800-367-2229 or 919-814-6365 or email dcdee.inservice.training@dhhs.nc.gov. All FCCH are required to have water tested for lead by December 31, 2024. We will begin to document violations beginning January 1, 2025. Please see the rule reference below for details on this requirement. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (2)collect and submit samples of water from each water 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. Results of the analysis shall be on file in the home. For operators that submit an application for licensure after the effective date of this Rule, water samples shall be collected by the operator and tested during the application process. For all other family child care homes, water samples shall be collected by the operator and tested within 12 months of the effective date of this Rule; You may still enroll in the Clean Classrooms for Carolina Kids initiative to receive funding for lead testing, removal and abatement if needed. Plan to visit https://www.cleanwaterforuskids.org/en/carolina/ to enroll in a webinar and get started in the enrollment process. The new deadline for enrollment is 11/1/24. 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. 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. Your facility is placed in cohort 1. You are currently in your Prep Year which will end 6/30/24. Your Reassessment year will be 7/1/24- 6/30/24. You stated that you will not participate in the Environment Rating Scales. We discussed that we can use education points to maintain your three star license. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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. 110-99 · Violation

Name of Operation: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAITLYN MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 6/18/2024 Number Present: 3 Completed Date: 6/18/2024 Age: From 1 To 5 Total Minutes: 295 Time In: 09:35 AM Time Out: 02:30 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 compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Annette Sprouse, Operator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Sprouse was present and available to ask and answer questions throughout the visit today. 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 ninety-one percent (91%) as of 6/10/24. The facility is operated as a sole proprietorship. Permit type – Three (3) star license issued 9/5/17. Special Services/Restrictions – 1st shift (daytime care), 2nd shift , maximum of 5 preschool children at any time, serves no more than two (2) infants under age 1. The last annual compliance visit was conducted on 6/21/23. The last fire drill was practiced on 6/5/24. The last shelter-in-place drill was practiced on 4/9/24. The last playground inspection was documented on 6/5/24. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival I was greeted by Ms. Sprouse. Children were observed exploring, dinosaur puppets, animal figurines, rolling toy trucks and cars on various surfaces, and using various toys to cut and mold playdough. The children and Ms. Sprouse accompanied me outside to observe plants in the garden and used various tools to dig in dirt. Interactions were positive and nurturing. Supervision was adequate. 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 102 Number of preschool children exceeded five children, including the provider's own preschool children. Per review of attendance reports, six (6) preschool children were in attendance on 4/11/24 and 6/5/24. Per operator statement, six (6) preschool children are scheduled to attend on Wednesdays. GS 110-91(7)(b) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The ITS-SIDS training for operator A. Sprouse expired on 11/5/23. .1703(a)(4) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. One (1) children’s file did not have a signed acknowledgement of the receipt of the Summary of NC Child Care Law. GS 110-102 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. Two (2) children’s files did not contain a signed receipt of the operational policies. 10A NCAC 09. 1715(b) 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. Three (3) children’s file did not have a signed acknowledgement of receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy signature on file. .1726(b)&(c) Technical assistance was provided as follows: Item #102 We discussed that children are considered school age after they have their first day of Kindergarten. We discussed that you were told children were considered school age after they started preschool. Clarification was given today regarding this requirement. You stated you will plan to speak with families to adjust the schedule so that no more than five (5) preschoolers attend the facility at one time. (7) Staff-Child Ratio and Capacity for Child Care Facilities. – In determining the staff-child ratio in child care facilities, all children younger than 13 years old shall be counted. b. Family Child Care Home Capacity. – Of the children present at any one time in a family child care home, no more than five children shall be preschool-aged, including the operator's own preschool-age children. Item #1306 Plan to obtain an ITS-SIDS training immediately. We discussed opportunities through Southwestern Child Development Commission. Links to ITS-SIDS courses have been included in the email containing this visit summary. You can also reach out to our Child Care Health Consultants for additional training opportunities: Chrissy Wolfe 828.424.0562 chrissy.wolfe@mahec.net Robin Worley 828-772-0504 robin.worley@mahec.net 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (4) Renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training; Item #1704 Plan to obtain the signed acknowledgement of the summary of the law for the one (1) child. Plan to maintain this acknowledgement in the child’s file. § 110-102. Information for parents. The Secretary shall provide to each operator of a child care facility a summary of this Article for the parents, guardian, or full-time custodian of each child receiving child care in the facility to be distributed by the operator. Operators of child care facilities shall provide a copy of the summary to each child's parent, guardian, or full-time custodian before the child is enrolled in the child care facility. The child's parent, guardian, or full-time custodian shall sign a statement attesting that he or she received a copy of the summary before the child's enrollment. The summary shall include the name and address of the Secretary and the address of the Commission. The summary shall explain how parents may obtain information on individual child care facilities maintained in public files by the Division of Child Development and Early Education. The summary shall also include a statement regarding the mandatory duty prescribed in G.S. 7B-301 of any person suspecting child abuse or neglect has taken place in child care, or elsewhere, to report to the county Department of Social Services. The statement shall include the definitions of child abuse and neglect described in the Juvenile Code in G.S. 7B-101 and of child abuse described in the Criminal Code in G.S. 14-318.2 and G.S. 14-318.4. The statement shall stress that this reporting law does not require that the person reporting reveal the person's identity. The summary of this Article shall be posted with the facility's license in accordance with G.S. 110-99. Religious-sponsored programs operating pursuant to G.S. 110-106 shall post the summary in a prominent place at all times so that it is easily reviewed by parents. Item #1828 Plan to obtain the signed acknowledgement for the operational policies and maintain this signature in the children’s files. 10A NCAC 09 .1715 OPERATIONAL POLICIES (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. Item #2031 Plan to obtain a signed acknowledgement from the parents of the three (3) children. Plan to maintain this signed acknowledgement in the child’s file. 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. The acknowledgement shall contain the following and be maintained in the child's file for review by the Division: (1) the child's name; (2) the date the child first attended the home; (3) the date the operator's policy was given and explained to the parent; (4) the parent's name; (5) the parent's signature; and (6) the date the parent signed the acknowledgment. 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 6/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that the Summary of the Law and Emergency Medical Care plan are required to be posted in an area easily visible to parents and caregivers. Currently these items are on a clipboard, easily accessible to parents and caregivers. Plan to post these items for easy reference. We discussed completing sign in and out sheets as children arrive/depart. Plan to document the time rather than using a check. We discussed the requirements regarding updating the EPR plan. Even if there are no changes, the plan must be examined on an annual basis to ensure no updates are needed. The plan must be reviewed in the Risk Management Portal. Please visit https://rmp.nc.gov/portal/ to access your plan. If you cannot access the plan please call 1-800-367-2229 or 919-814-6365 or email dcdee.inservice.training@dhhs.nc.gov. All FCCH are required to have water tested for lead by December 31, 2024. We will begin to document violations beginning January 1, 2025. Please see the rule reference below for details on this requirement. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (2)collect and submit samples of water from each water 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. Results of the analysis shall be on file in the home. For operators that submit an application for licensure after the effective date of this Rule, water samples shall be collected by the operator and tested during the application process. For all other family child care homes, water samples shall be collected by the operator and tested within 12 months of the effective date of this Rule; You may still enroll in the Clean Classrooms for Carolina Kids initiative to receive funding for lead testing, removal and abatement if needed. Plan to visit https://www.cleanwaterforuskids.org/en/carolina/ to enroll in a webinar and get started in the enrollment process. The new deadline for enrollment is 11/1/24. 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. 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. Your facility is placed in cohort 1. You are currently in your Prep Year which will end 6/30/24. Your Reassessment year will be 7/1/24- 6/30/24. You stated that you will not participate in the Environment Rating Scales. We discussed that we can use education points to maintain your three star license. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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 110-102 · Violation

Name of Operation: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAITLYN MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 6/18/2024 Number Present: 3 Completed Date: 6/18/2024 Age: From 1 To 5 Total Minutes: 295 Time In: 09:35 AM Time Out: 02:30 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 compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Annette Sprouse, Operator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Sprouse was present and available to ask and answer questions throughout the visit today. 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 ninety-one percent (91%) as of 6/10/24. The facility is operated as a sole proprietorship. Permit type – Three (3) star license issued 9/5/17. Special Services/Restrictions – 1st shift (daytime care), 2nd shift , maximum of 5 preschool children at any time, serves no more than two (2) infants under age 1. The last annual compliance visit was conducted on 6/21/23. The last fire drill was practiced on 6/5/24. The last shelter-in-place drill was practiced on 4/9/24. The last playground inspection was documented on 6/5/24. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival I was greeted by Ms. Sprouse. Children were observed exploring, dinosaur puppets, animal figurines, rolling toy trucks and cars on various surfaces, and using various toys to cut and mold playdough. The children and Ms. Sprouse accompanied me outside to observe plants in the garden and used various tools to dig in dirt. Interactions were positive and nurturing. Supervision was adequate. 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 102 Number of preschool children exceeded five children, including the provider's own preschool children. Per review of attendance reports, six (6) preschool children were in attendance on 4/11/24 and 6/5/24. Per operator statement, six (6) preschool children are scheduled to attend on Wednesdays. GS 110-91(7)(b) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The ITS-SIDS training for operator A. Sprouse expired on 11/5/23. .1703(a)(4) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. One (1) children’s file did not have a signed acknowledgement of the receipt of the Summary of NC Child Care Law. GS 110-102 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. Two (2) children’s files did not contain a signed receipt of the operational policies. 10A NCAC 09. 1715(b) 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. Three (3) children’s file did not have a signed acknowledgement of receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy signature on file. .1726(b)&(c) Technical assistance was provided as follows: Item #102 We discussed that children are considered school age after they have their first day of Kindergarten. We discussed that you were told children were considered school age after they started preschool. Clarification was given today regarding this requirement. You stated you will plan to speak with families to adjust the schedule so that no more than five (5) preschoolers attend the facility at one time. (7) Staff-Child Ratio and Capacity for Child Care Facilities. – In determining the staff-child ratio in child care facilities, all children younger than 13 years old shall be counted. b. Family Child Care Home Capacity. – Of the children present at any one time in a family child care home, no more than five children shall be preschool-aged, including the operator's own preschool-age children. Item #1306 Plan to obtain an ITS-SIDS training immediately. We discussed opportunities through Southwestern Child Development Commission. Links to ITS-SIDS courses have been included in the email containing this visit summary. You can also reach out to our Child Care Health Consultants for additional training opportunities: Chrissy Wolfe 828.424.0562 chrissy.wolfe@mahec.net Robin Worley 828-772-0504 robin.worley@mahec.net 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (4) Renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training; Item #1704 Plan to obtain the signed acknowledgement of the summary of the law for the one (1) child. Plan to maintain this acknowledgement in the child’s file. § 110-102. Information for parents. The Secretary shall provide to each operator of a child care facility a summary of this Article for the parents, guardian, or full-time custodian of each child receiving child care in the facility to be distributed by the operator. Operators of child care facilities shall provide a copy of the summary to each child's parent, guardian, or full-time custodian before the child is enrolled in the child care facility. The child's parent, guardian, or full-time custodian shall sign a statement attesting that he or she received a copy of the summary before the child's enrollment. The summary shall include the name and address of the Secretary and the address of the Commission. The summary shall explain how parents may obtain information on individual child care facilities maintained in public files by the Division of Child Development and Early Education. The summary shall also include a statement regarding the mandatory duty prescribed in G.S. 7B-301 of any person suspecting child abuse or neglect has taken place in child care, or elsewhere, to report to the county Department of Social Services. The statement shall include the definitions of child abuse and neglect described in the Juvenile Code in G.S. 7B-101 and of child abuse described in the Criminal Code in G.S. 14-318.2 and G.S. 14-318.4. The statement shall stress that this reporting law does not require that the person reporting reveal the person's identity. The summary of this Article shall be posted with the facility's license in accordance with G.S. 110-99. Religious-sponsored programs operating pursuant to G.S. 110-106 shall post the summary in a prominent place at all times so that it is easily reviewed by parents. Item #1828 Plan to obtain the signed acknowledgement for the operational policies and maintain this signature in the children’s files. 10A NCAC 09 .1715 OPERATIONAL POLICIES (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. Item #2031 Plan to obtain a signed acknowledgement from the parents of the three (3) children. Plan to maintain this signed acknowledgement in the child’s file. 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. The acknowledgement shall contain the following and be maintained in the child's file for review by the Division: (1) the child's name; (2) the date the child first attended the home; (3) the date the operator's policy was given and explained to the parent; (4) the parent's name; (5) the parent's signature; and (6) the date the parent signed the acknowledgment. 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 6/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that the Summary of the Law and Emergency Medical Care plan are required to be posted in an area easily visible to parents and caregivers. Currently these items are on a clipboard, easily accessible to parents and caregivers. Plan to post these items for easy reference. We discussed completing sign in and out sheets as children arrive/depart. Plan to document the time rather than using a check. We discussed the requirements regarding updating the EPR plan. Even if there are no changes, the plan must be examined on an annual basis to ensure no updates are needed. The plan must be reviewed in the Risk Management Portal. Please visit https://rmp.nc.gov/portal/ to access your plan. If you cannot access the plan please call 1-800-367-2229 or 919-814-6365 or email dcdee.inservice.training@dhhs.nc.gov. All FCCH are required to have water tested for lead by December 31, 2024. We will begin to document violations beginning January 1, 2025. Please see the rule reference below for details on this requirement. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (2)collect and submit samples of water from each water 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. Results of the analysis shall be on file in the home. For operators that submit an application for licensure after the effective date of this Rule, water samples shall be collected by the operator and tested during the application process. For all other family child care homes, water samples shall be collected by the operator and tested within 12 months of the effective date of this Rule; You may still enroll in the Clean Classrooms for Carolina Kids initiative to receive funding for lead testing, removal and abatement if needed. Plan to visit https://www.cleanwaterforuskids.org/en/carolina/ to enroll in a webinar and get started in the enrollment process. The new deadline for enrollment is 11/1/24. 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. 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. Your facility is placed in cohort 1. You are currently in your Prep Year which will end 6/30/24. Your Reassessment year will be 7/1/24- 6/30/24. You stated that you will not participate in the Environment Rating Scales. We discussed that we can use education points to maintain your three star license. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAITLYN MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 6/18/2024 Number Present: 3 Completed Date: 6/18/2024 Age: From 1 To 5 Total Minutes: 295 Time In: 09:35 AM Time Out: 02:30 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 compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Annette Sprouse, Operator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Sprouse was present and available to ask and answer questions throughout the visit today. 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 ninety-one percent (91%) as of 6/10/24. The facility is operated as a sole proprietorship. Permit type – Three (3) star license issued 9/5/17. Special Services/Restrictions – 1st shift (daytime care), 2nd shift , maximum of 5 preschool children at any time, serves no more than two (2) infants under age 1. The last annual compliance visit was conducted on 6/21/23. The last fire drill was practiced on 6/5/24. The last shelter-in-place drill was practiced on 4/9/24. The last playground inspection was documented on 6/5/24. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival I was greeted by Ms. Sprouse. Children were observed exploring, dinosaur puppets, animal figurines, rolling toy trucks and cars on various surfaces, and using various toys to cut and mold playdough. The children and Ms. Sprouse accompanied me outside to observe plants in the garden and used various tools to dig in dirt. Interactions were positive and nurturing. Supervision was adequate. 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 102 Number of preschool children exceeded five children, including the provider's own preschool children. Per review of attendance reports, six (6) preschool children were in attendance on 4/11/24 and 6/5/24. Per operator statement, six (6) preschool children are scheduled to attend on Wednesdays. GS 110-91(7)(b) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The ITS-SIDS training for operator A. Sprouse expired on 11/5/23. .1703(a)(4) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. One (1) children’s file did not have a signed acknowledgement of the receipt of the Summary of NC Child Care Law. GS 110-102 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. Two (2) children’s files did not contain a signed receipt of the operational policies. 10A NCAC 09. 1715(b) 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. Three (3) children’s file did not have a signed acknowledgement of receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy signature on file. .1726(b)&(c) Technical assistance was provided as follows: Item #102 We discussed that children are considered school age after they have their first day of Kindergarten. We discussed that you were told children were considered school age after they started preschool. Clarification was given today regarding this requirement. You stated you will plan to speak with families to adjust the schedule so that no more than five (5) preschoolers attend the facility at one time. (7) Staff-Child Ratio and Capacity for Child Care Facilities. – In determining the staff-child ratio in child care facilities, all children younger than 13 years old shall be counted. b. Family Child Care Home Capacity. – Of the children present at any one time in a family child care home, no more than five children shall be preschool-aged, including the operator's own preschool-age children. Item #1306 Plan to obtain an ITS-SIDS training immediately. We discussed opportunities through Southwestern Child Development Commission. Links to ITS-SIDS courses have been included in the email containing this visit summary. You can also reach out to our Child Care Health Consultants for additional training opportunities: Chrissy Wolfe 828.424.0562 chrissy.wolfe@mahec.net Robin Worley 828-772-0504 robin.worley@mahec.net 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (4) Renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training; Item #1704 Plan to obtain the signed acknowledgement of the summary of the law for the one (1) child. Plan to maintain this acknowledgement in the child’s file. § 110-102. Information for parents. The Secretary shall provide to each operator of a child care facility a summary of this Article for the parents, guardian, or full-time custodian of each child receiving child care in the facility to be distributed by the operator. Operators of child care facilities shall provide a copy of the summary to each child's parent, guardian, or full-time custodian before the child is enrolled in the child care facility. The child's parent, guardian, or full-time custodian shall sign a statement attesting that he or she received a copy of the summary before the child's enrollment. The summary shall include the name and address of the Secretary and the address of the Commission. The summary shall explain how parents may obtain information on individual child care facilities maintained in public files by the Division of Child Development and Early Education. The summary shall also include a statement regarding the mandatory duty prescribed in G.S. 7B-301 of any person suspecting child abuse or neglect has taken place in child care, or elsewhere, to report to the county Department of Social Services. The statement shall include the definitions of child abuse and neglect described in the Juvenile Code in G.S. 7B-101 and of child abuse described in the Criminal Code in G.S. 14-318.2 and G.S. 14-318.4. The statement shall stress that this reporting law does not require that the person reporting reveal the person's identity. The summary of this Article shall be posted with the facility's license in accordance with G.S. 110-99. Religious-sponsored programs operating pursuant to G.S. 110-106 shall post the summary in a prominent place at all times so that it is easily reviewed by parents. Item #1828 Plan to obtain the signed acknowledgement for the operational policies and maintain this signature in the children’s files. 10A NCAC 09 .1715 OPERATIONAL POLICIES (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. Item #2031 Plan to obtain a signed acknowledgement from the parents of the three (3) children. Plan to maintain this signed acknowledgement in the child’s file. 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. The acknowledgement shall contain the following and be maintained in the child's file for review by the Division: (1) the child's name; (2) the date the child first attended the home; (3) the date the operator's policy was given and explained to the parent; (4) the parent's name; (5) the parent's signature; and (6) the date the parent signed the acknowledgment. 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 6/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that the Summary of the Law and Emergency Medical Care plan are required to be posted in an area easily visible to parents and caregivers. Currently these items are on a clipboard, easily accessible to parents and caregivers. Plan to post these items for easy reference. We discussed completing sign in and out sheets as children arrive/depart. Plan to document the time rather than using a check. We discussed the requirements regarding updating the EPR plan. Even if there are no changes, the plan must be examined on an annual basis to ensure no updates are needed. The plan must be reviewed in the Risk Management Portal. Please visit https://rmp.nc.gov/portal/ to access your plan. If you cannot access the plan please call 1-800-367-2229 or 919-814-6365 or email dcdee.inservice.training@dhhs.nc.gov. All FCCH are required to have water tested for lead by December 31, 2024. We will begin to document violations beginning January 1, 2025. Please see the rule reference below for details on this requirement. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (2)collect and submit samples of water from each water 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. Results of the analysis shall be on file in the home. For operators that submit an application for licensure after the effective date of this Rule, water samples shall be collected by the operator and tested during the application process. For all other family child care homes, water samples shall be collected by the operator and tested within 12 months of the effective date of this Rule; You may still enroll in the Clean Classrooms for Carolina Kids initiative to receive funding for lead testing, removal and abatement if needed. Plan to visit https://www.cleanwaterforuskids.org/en/carolina/ to enroll in a webinar and get started in the enrollment process. The new deadline for enrollment is 11/1/24. 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. 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. Your facility is placed in cohort 1. You are currently in your Prep Year which will end 6/30/24. Your Reassessment year will be 7/1/24- 6/30/24. You stated that you will not participate in the Environment Rating Scales. We discussed that we can use education points to maintain your three star license. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAITLYN MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 6/18/2024 Number Present: 3 Completed Date: 6/18/2024 Age: From 1 To 5 Total Minutes: 295 Time In: 09:35 AM Time Out: 02:30 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 compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Annette Sprouse, Operator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Sprouse was present and available to ask and answer questions throughout the visit today. 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 ninety-one percent (91%) as of 6/10/24. The facility is operated as a sole proprietorship. Permit type – Three (3) star license issued 9/5/17. Special Services/Restrictions – 1st shift (daytime care), 2nd shift , maximum of 5 preschool children at any time, serves no more than two (2) infants under age 1. The last annual compliance visit was conducted on 6/21/23. The last fire drill was practiced on 6/5/24. The last shelter-in-place drill was practiced on 4/9/24. The last playground inspection was documented on 6/5/24. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Upon arrival I was greeted by Ms. Sprouse. Children were observed exploring, dinosaur puppets, animal figurines, rolling toy trucks and cars on various surfaces, and using various toys to cut and mold playdough. The children and Ms. Sprouse accompanied me outside to observe plants in the garden and used various tools to dig in dirt. Interactions were positive and nurturing. Supervision was adequate. 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 102 Number of preschool children exceeded five children, including the provider's own preschool children. Per review of attendance reports, six (6) preschool children were in attendance on 4/11/24 and 6/5/24. Per operator statement, six (6) preschool children are scheduled to attend on Wednesdays. GS 110-91(7)(b) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The ITS-SIDS training for operator A. Sprouse expired on 11/5/23. .1703(a)(4) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. One (1) children’s file did not have a signed acknowledgement of the receipt of the Summary of NC Child Care Law. GS 110-102 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. Two (2) children’s files did not contain a signed receipt of the operational policies. 10A NCAC 09. 1715(b) 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. Three (3) children’s file did not have a signed acknowledgement of receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy signature on file. .1726(b)&(c) Technical assistance was provided as follows: Item #102 We discussed that children are considered school age after they have their first day of Kindergarten. We discussed that you were told children were considered school age after they started preschool. Clarification was given today regarding this requirement. You stated you will plan to speak with families to adjust the schedule so that no more than five (5) preschoolers attend the facility at one time. (7) Staff-Child Ratio and Capacity for Child Care Facilities. – In determining the staff-child ratio in child care facilities, all children younger than 13 years old shall be counted. b. Family Child Care Home Capacity. – Of the children present at any one time in a family child care home, no more than five children shall be preschool-aged, including the operator's own preschool-age children. Item #1306 Plan to obtain an ITS-SIDS training immediately. We discussed opportunities through Southwestern Child Development Commission. Links to ITS-SIDS courses have been included in the email containing this visit summary. You can also reach out to our Child Care Health Consultants for additional training opportunities: Chrissy Wolfe 828.424.0562 chrissy.wolfe@mahec.net Robin Worley 828-772-0504 robin.worley@mahec.net 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (4) Renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training; Item #1704 Plan to obtain the signed acknowledgement of the summary of the law for the one (1) child. Plan to maintain this acknowledgement in the child’s file. § 110-102. Information for parents. The Secretary shall provide to each operator of a child care facility a summary of this Article for the parents, guardian, or full-time custodian of each child receiving child care in the facility to be distributed by the operator. Operators of child care facilities shall provide a copy of the summary to each child's parent, guardian, or full-time custodian before the child is enrolled in the child care facility. The child's parent, guardian, or full-time custodian shall sign a statement attesting that he or she received a copy of the summary before the child's enrollment. The summary shall include the name and address of the Secretary and the address of the Commission. The summary shall explain how parents may obtain information on individual child care facilities maintained in public files by the Division of Child Development and Early Education. The summary shall also include a statement regarding the mandatory duty prescribed in G.S. 7B-301 of any person suspecting child abuse or neglect has taken place in child care, or elsewhere, to report to the county Department of Social Services. The statement shall include the definitions of child abuse and neglect described in the Juvenile Code in G.S. 7B-101 and of child abuse described in the Criminal Code in G.S. 14-318.2 and G.S. 14-318.4. The statement shall stress that this reporting law does not require that the person reporting reveal the person's identity. The summary of this Article shall be posted with the facility's license in accordance with G.S. 110-99. Religious-sponsored programs operating pursuant to G.S. 110-106 shall post the summary in a prominent place at all times so that it is easily reviewed by parents. Item #1828 Plan to obtain the signed acknowledgement for the operational policies and maintain this signature in the children’s files. 10A NCAC 09 .1715 OPERATIONAL POLICIES (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. Item #2031 Plan to obtain a signed acknowledgement from the parents of the three (3) children. Plan to maintain this signed acknowledgement in the child’s file. 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. The acknowledgement shall contain the following and be maintained in the child's file for review by the Division: (1) the child's name; (2) the date the child first attended the home; (3) the date the operator's policy was given and explained to the parent; (4) the parent's name; (5) the parent's signature; and (6) the date the parent signed the acknowledgment. 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 6/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that the Summary of the Law and Emergency Medical Care plan are required to be posted in an area easily visible to parents and caregivers. Currently these items are on a clipboard, easily accessible to parents and caregivers. Plan to post these items for easy reference. We discussed completing sign in and out sheets as children arrive/depart. Plan to document the time rather than using a check. We discussed the requirements regarding updating the EPR plan. Even if there are no changes, the plan must be examined on an annual basis to ensure no updates are needed. The plan must be reviewed in the Risk Management Portal. Please visit https://rmp.nc.gov/portal/ to access your plan. If you cannot access the plan please call 1-800-367-2229 or 919-814-6365 or email dcdee.inservice.training@dhhs.nc.gov. All FCCH are required to have water tested for lead by December 31, 2024. We will begin to document violations beginning January 1, 2025. Please see the rule reference below for details on this requirement. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (2)collect and submit samples of water from each water 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. Results of the analysis shall be on file in the home. For operators that submit an application for licensure after the effective date of this Rule, water samples shall be collected by the operator and tested during the application process. For all other family child care homes, water samples shall be collected by the operator and tested within 12 months of the effective date of this Rule; You may still enroll in the Clean Classrooms for Carolina Kids initiative to receive funding for lead testing, removal and abatement if needed. Plan to visit https://www.cleanwaterforuskids.org/en/carolina/ to enroll in a webinar and get started in the enrollment process. The new deadline for enrollment is 11/1/24. 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. 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. Your facility is placed in cohort 1. You are currently in your Prep Year which will end 6/30/24. Your Reassessment year will be 7/1/24- 6/30/24. You stated that you will not participate in the Environment Rating Scales. We discussed that we can use education points to maintain your three star license. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAORU EDDINS Operation Type: Family CC Home Case Number: 0723-084L Visit Date: 7/19/2023 Number Present: 5 Completed Date: 7/19/2023 Age: From 0 To 4 Total Minutes: 90 Time In: 01:15 PM Time Out: 02:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a complaint received by the Division of Child Development and Early Education (DCDEE) on 7/18/23 and sent to Kaoru Eddins, Child Care Consultant, on the same day. The reported concern is regarding discipline. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Annett Sprouse, Owner/Operator. Printed copy of the visit summary was left with Ms. Sprouse. Annett Sprouse, Owner/Operator was on-site and available to discuss the concern. Annette’s Day care operates with three-star Child Care Home license issued on 9/5/2017. Restrictions includes 1st shift, 2nd shift, maximum of five (5) preschool children at any time, and serves no more than two (2) infants under age one (1). Per report, the concern is about discipline. According to the report, Ms. Sprouse hit and yells at children when they are upset. There are no bruise or marks observed on the child(ren). Limited monitoring of child care requirements occurred during my visit today. Upon arrival, I announced my presence and the purpose of the visit to Ms. Sprouse. Five (5) children ranged from zero (0) to four (4) were present at the time of the visit. It was during a rest/quiet time. One (1) of the infants just feel asleep on the blanket on the floor. The child was transferred to pack-n-play. The other infant was in a sitting device and three (3) other children laid down on the couch and watched TV. Infant played with rattles. Per interview, Ms. Sprouse stated that she has not hit or yelled at children in the past. When children display challenging behaviors, Ms. Sprouts direct the child to calm down on the couch. Ms. Sprouse stated that she has great relationships with children. When she receives concerns from parents, Ms. Sprouse contact the parent and discuss the concerns. In recent month, she has received a concern from a parent via text. Ms. Sprouse called the parent to discuss the concern, but the parent did not answer the phone, and the children has not returned to the program since the concern was raised. Ms. Sprouse has not received any other complaints or concerns from other parents. Due to lack of evidence, the allegation of violation of discipline is unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. One (1) infant, seven-months of age and two(2), four-year-old children watched TV. A child, two-years of age was asleep. .1718(c) 2035 Operator did not document screen time on a cumulative log or activity plan and/or it was not available for review. No screen time log was recorded for TV program during the visit. .1718(b)(3) Technical Assistance was provided as follows: 543: Screen Time Screen time is prohibited for children under three (3) years of age. During screen time for older children, younger children must be provided with activities. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. 2035: Screen time log Each time screen time is offered to children above three (3) years of age, the screen time log shall be completed. The record shall be available to consultants upon visit. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b) When screen time is provided on any electronic media device with a visual display, it shall be: (1) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (2) limited to a maximum of 30 minutes per day and no more than a total of two and a half hours per week per child; and (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. 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 8/2/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Screen time log: If children older than three (3) years of age are offered screen time, the program shall be for educational purposes, not for entertainment. While older children watch the educational program, younger children shall be guided to play with materials. You can print the screen time log on the Division’s website at https://ncchildcare.ncdhhs.gov. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. 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 me, 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAORU EDDINS Operation Type: Family CC Home Case Number: 0723-084L Visit Date: 7/19/2023 Number Present: 5 Completed Date: 7/19/2023 Age: From 0 To 4 Total Minutes: 90 Time In: 01:15 PM Time Out: 02:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a complaint received by the Division of Child Development and Early Education (DCDEE) on 7/18/23 and sent to Kaoru Eddins, Child Care Consultant, on the same day. The reported concern is regarding discipline. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Annett Sprouse, Owner/Operator. Printed copy of the visit summary was left with Ms. Sprouse. Annett Sprouse, Owner/Operator was on-site and available to discuss the concern. Annette’s Day care operates with three-star Child Care Home license issued on 9/5/2017. Restrictions includes 1st shift, 2nd shift, maximum of five (5) preschool children at any time, and serves no more than two (2) infants under age one (1). Per report, the concern is about discipline. According to the report, Ms. Sprouse hit and yells at children when they are upset. There are no bruise or marks observed on the child(ren). Limited monitoring of child care requirements occurred during my visit today. Upon arrival, I announced my presence and the purpose of the visit to Ms. Sprouse. Five (5) children ranged from zero (0) to four (4) were present at the time of the visit. It was during a rest/quiet time. One (1) of the infants just feel asleep on the blanket on the floor. The child was transferred to pack-n-play. The other infant was in a sitting device and three (3) other children laid down on the couch and watched TV. Infant played with rattles. Per interview, Ms. Sprouse stated that she has not hit or yelled at children in the past. When children display challenging behaviors, Ms. Sprouts direct the child to calm down on the couch. Ms. Sprouse stated that she has great relationships with children. When she receives concerns from parents, Ms. Sprouse contact the parent and discuss the concerns. In recent month, she has received a concern from a parent via text. Ms. Sprouse called the parent to discuss the concern, but the parent did not answer the phone, and the children has not returned to the program since the concern was raised. Ms. Sprouse has not received any other complaints or concerns from other parents. Due to lack of evidence, the allegation of violation of discipline is unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. One (1) infant, seven-months of age and two(2), four-year-old children watched TV. A child, two-years of age was asleep. .1718(c) 2035 Operator did not document screen time on a cumulative log or activity plan and/or it was not available for review. No screen time log was recorded for TV program during the visit. .1718(b)(3) Technical Assistance was provided as follows: 543: Screen Time Screen time is prohibited for children under three (3) years of age. During screen time for older children, younger children must be provided with activities. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. 2035: Screen time log Each time screen time is offered to children above three (3) years of age, the screen time log shall be completed. The record shall be available to consultants upon visit. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b) When screen time is provided on any electronic media device with a visual display, it shall be: (1) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (2) limited to a maximum of 30 minutes per day and no more than a total of two and a half hours per week per child; and (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. 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 8/2/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Screen time log: If children older than three (3) years of age are offered screen time, the program shall be for educational purposes, not for entertainment. While older children watch the educational program, younger children shall be guided to play with materials. You can print the screen time log on the Division’s website at https://ncchildcare.ncdhhs.gov. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. 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 me, 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAORU EDDINS Operation Type: Family CC Home Case Number: 0723-084L Visit Date: 7/19/2023 Number Present: 5 Completed Date: 7/19/2023 Age: From 0 To 4 Total Minutes: 90 Time In: 01:15 PM Time Out: 02:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a complaint received by the Division of Child Development and Early Education (DCDEE) on 7/18/23 and sent to Kaoru Eddins, Child Care Consultant, on the same day. The reported concern is regarding discipline. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Annett Sprouse, Owner/Operator. Printed copy of the visit summary was left with Ms. Sprouse. Annett Sprouse, Owner/Operator was on-site and available to discuss the concern. Annette’s Day care operates with three-star Child Care Home license issued on 9/5/2017. Restrictions includes 1st shift, 2nd shift, maximum of five (5) preschool children at any time, and serves no more than two (2) infants under age one (1). Per report, the concern is about discipline. According to the report, Ms. Sprouse hit and yells at children when they are upset. There are no bruise or marks observed on the child(ren). Limited monitoring of child care requirements occurred during my visit today. Upon arrival, I announced my presence and the purpose of the visit to Ms. Sprouse. Five (5) children ranged from zero (0) to four (4) were present at the time of the visit. It was during a rest/quiet time. One (1) of the infants just feel asleep on the blanket on the floor. The child was transferred to pack-n-play. The other infant was in a sitting device and three (3) other children laid down on the couch and watched TV. Infant played with rattles. Per interview, Ms. Sprouse stated that she has not hit or yelled at children in the past. When children display challenging behaviors, Ms. Sprouts direct the child to calm down on the couch. Ms. Sprouse stated that she has great relationships with children. When she receives concerns from parents, Ms. Sprouse contact the parent and discuss the concerns. In recent month, she has received a concern from a parent via text. Ms. Sprouse called the parent to discuss the concern, but the parent did not answer the phone, and the children has not returned to the program since the concern was raised. Ms. Sprouse has not received any other complaints or concerns from other parents. Due to lack of evidence, the allegation of violation of discipline is unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. One (1) infant, seven-months of age and two(2), four-year-old children watched TV. A child, two-years of age was asleep. .1718(c) 2035 Operator did not document screen time on a cumulative log or activity plan and/or it was not available for review. No screen time log was recorded for TV program during the visit. .1718(b)(3) Technical Assistance was provided as follows: 543: Screen Time Screen time is prohibited for children under three (3) years of age. During screen time for older children, younger children must be provided with activities. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. 2035: Screen time log Each time screen time is offered to children above three (3) years of age, the screen time log shall be completed. The record shall be available to consultants upon visit. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b) When screen time is provided on any electronic media device with a visual display, it shall be: (1) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (2) limited to a maximum of 30 minutes per day and no more than a total of two and a half hours per week per child; and (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. 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 8/2/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Screen time log: If children older than three (3) years of age are offered screen time, the program shall be for educational purposes, not for entertainment. While older children watch the educational program, younger children shall be guided to play with materials. You can print the screen time log on the Division’s website at https://ncchildcare.ncdhhs.gov. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. 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 me, 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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 .1718 · Violation

Name of Operation: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAORU EDDINS Operation Type: Family CC Home Case Number: 0723-084L Visit Date: 7/19/2023 Number Present: 5 Completed Date: 7/19/2023 Age: From 0 To 4 Total Minutes: 90 Time In: 01:15 PM Time Out: 02:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a complaint received by the Division of Child Development and Early Education (DCDEE) on 7/18/23 and sent to Kaoru Eddins, Child Care Consultant, on the same day. The reported concern is regarding discipline. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Annett Sprouse, Owner/Operator. Printed copy of the visit summary was left with Ms. Sprouse. Annett Sprouse, Owner/Operator was on-site and available to discuss the concern. Annette’s Day care operates with three-star Child Care Home license issued on 9/5/2017. Restrictions includes 1st shift, 2nd shift, maximum of five (5) preschool children at any time, and serves no more than two (2) infants under age one (1). Per report, the concern is about discipline. According to the report, Ms. Sprouse hit and yells at children when they are upset. There are no bruise or marks observed on the child(ren). Limited monitoring of child care requirements occurred during my visit today. Upon arrival, I announced my presence and the purpose of the visit to Ms. Sprouse. Five (5) children ranged from zero (0) to four (4) were present at the time of the visit. It was during a rest/quiet time. One (1) of the infants just feel asleep on the blanket on the floor. The child was transferred to pack-n-play. The other infant was in a sitting device and three (3) other children laid down on the couch and watched TV. Infant played with rattles. Per interview, Ms. Sprouse stated that she has not hit or yelled at children in the past. When children display challenging behaviors, Ms. Sprouts direct the child to calm down on the couch. Ms. Sprouse stated that she has great relationships with children. When she receives concerns from parents, Ms. Sprouse contact the parent and discuss the concerns. In recent month, she has received a concern from a parent via text. Ms. Sprouse called the parent to discuss the concern, but the parent did not answer the phone, and the children has not returned to the program since the concern was raised. Ms. Sprouse has not received any other complaints or concerns from other parents. Due to lack of evidence, the allegation of violation of discipline is unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. One (1) infant, seven-months of age and two(2), four-year-old children watched TV. A child, two-years of age was asleep. .1718(c) 2035 Operator did not document screen time on a cumulative log or activity plan and/or it was not available for review. No screen time log was recorded for TV program during the visit. .1718(b)(3) Technical Assistance was provided as follows: 543: Screen Time Screen time is prohibited for children under three (3) years of age. During screen time for older children, younger children must be provided with activities. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. 2035: Screen time log Each time screen time is offered to children above three (3) years of age, the screen time log shall be completed. The record shall be available to consultants upon visit. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b) When screen time is provided on any electronic media device with a visual display, it shall be: (1) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (2) limited to a maximum of 30 minutes per day and no more than a total of two and a half hours per week per child; and (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. 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 8/2/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Screen time log: If children older than three (3) years of age are offered screen time, the program shall be for educational purposes, not for entertainment. While older children watch the educational program, younger children shall be guided to play with materials. You can print the screen time log on the Division’s website at https://ncchildcare.ncdhhs.gov. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. 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 me, 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAORU EDDINS Operation Type: Family CC Home Case Number: 0723-084L Visit Date: 7/19/2023 Number Present: 5 Completed Date: 7/19/2023 Age: From 0 To 4 Total Minutes: 90 Time In: 01:15 PM Time Out: 02:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a complaint received by the Division of Child Development and Early Education (DCDEE) on 7/18/23 and sent to Kaoru Eddins, Child Care Consultant, on the same day. The reported concern is regarding discipline. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Annett Sprouse, Owner/Operator. Printed copy of the visit summary was left with Ms. Sprouse. Annett Sprouse, Owner/Operator was on-site and available to discuss the concern. Annette’s Day care operates with three-star Child Care Home license issued on 9/5/2017. Restrictions includes 1st shift, 2nd shift, maximum of five (5) preschool children at any time, and serves no more than two (2) infants under age one (1). Per report, the concern is about discipline. According to the report, Ms. Sprouse hit and yells at children when they are upset. There are no bruise or marks observed on the child(ren). Limited monitoring of child care requirements occurred during my visit today. Upon arrival, I announced my presence and the purpose of the visit to Ms. Sprouse. Five (5) children ranged from zero (0) to four (4) were present at the time of the visit. It was during a rest/quiet time. One (1) of the infants just feel asleep on the blanket on the floor. The child was transferred to pack-n-play. The other infant was in a sitting device and three (3) other children laid down on the couch and watched TV. Infant played with rattles. Per interview, Ms. Sprouse stated that she has not hit or yelled at children in the past. When children display challenging behaviors, Ms. Sprouts direct the child to calm down on the couch. Ms. Sprouse stated that she has great relationships with children. When she receives concerns from parents, Ms. Sprouse contact the parent and discuss the concerns. In recent month, she has received a concern from a parent via text. Ms. Sprouse called the parent to discuss the concern, but the parent did not answer the phone, and the children has not returned to the program since the concern was raised. Ms. Sprouse has not received any other complaints or concerns from other parents. Due to lack of evidence, the allegation of violation of discipline is unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. One (1) infant, seven-months of age and two(2), four-year-old children watched TV. A child, two-years of age was asleep. .1718(c) 2035 Operator did not document screen time on a cumulative log or activity plan and/or it was not available for review. No screen time log was recorded for TV program during the visit. .1718(b)(3) Technical Assistance was provided as follows: 543: Screen Time Screen time is prohibited for children under three (3) years of age. During screen time for older children, younger children must be provided with activities. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. 2035: Screen time log Each time screen time is offered to children above three (3) years of age, the screen time log shall be completed. The record shall be available to consultants upon visit. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b) When screen time is provided on any electronic media device with a visual display, it shall be: (1) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (2) limited to a maximum of 30 minutes per day and no more than a total of two and a half hours per week per child; and (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. 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 8/2/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Screen time log: If children older than three (3) years of age are offered screen time, the program shall be for educational purposes, not for entertainment. While older children watch the educational program, younger children shall be guided to play with materials. You can print the screen time log on the Division’s website at https://ncchildcare.ncdhhs.gov. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. 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 me, 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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: ANNETTE'S DAY CARE Facility ID: 11000185 Consultant: KAORU EDDINS Operation Type: Family CC Home Case Number: 0723-084L Visit Date: 7/19/2023 Number Present: 5 Completed Date: 7/19/2023 Age: From 0 To 4 Total Minutes: 90 Time In: 01:15 PM Time Out: 02:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a complaint received by the Division of Child Development and Early Education (DCDEE) on 7/18/23 and sent to Kaoru Eddins, Child Care Consultant, on the same day. The reported concern is regarding discipline. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Annett Sprouse, Owner/Operator. Printed copy of the visit summary was left with Ms. Sprouse. Annett Sprouse, Owner/Operator was on-site and available to discuss the concern. Annette’s Day care operates with three-star Child Care Home license issued on 9/5/2017. Restrictions includes 1st shift, 2nd shift, maximum of five (5) preschool children at any time, and serves no more than two (2) infants under age one (1). Per report, the concern is about discipline. According to the report, Ms. Sprouse hit and yells at children when they are upset. There are no bruise or marks observed on the child(ren). Limited monitoring of child care requirements occurred during my visit today. Upon arrival, I announced my presence and the purpose of the visit to Ms. Sprouse. Five (5) children ranged from zero (0) to four (4) were present at the time of the visit. It was during a rest/quiet time. One (1) of the infants just feel asleep on the blanket on the floor. The child was transferred to pack-n-play. The other infant was in a sitting device and three (3) other children laid down on the couch and watched TV. Infant played with rattles. Per interview, Ms. Sprouse stated that she has not hit or yelled at children in the past. When children display challenging behaviors, Ms. Sprouts direct the child to calm down on the couch. Ms. Sprouse stated that she has great relationships with children. When she receives concerns from parents, Ms. Sprouse contact the parent and discuss the concerns. In recent month, she has received a concern from a parent via text. Ms. Sprouse called the parent to discuss the concern, but the parent did not answer the phone, and the children has not returned to the program since the concern was raised. Ms. Sprouse has not received any other complaints or concerns from other parents. Due to lack of evidence, the allegation of violation of discipline is unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. One (1) infant, seven-months of age and two(2), four-year-old children watched TV. A child, two-years of age was asleep. .1718(c) 2035 Operator did not document screen time on a cumulative log or activity plan and/or it was not available for review. No screen time log was recorded for TV program during the visit. .1718(b)(3) Technical Assistance was provided as follows: 543: Screen Time Screen time is prohibited for children under three (3) years of age. During screen time for older children, younger children must be provided with activities. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. 2035: Screen time log Each time screen time is offered to children above three (3) years of age, the screen time log shall be completed. The record shall be available to consultants upon visit. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b) When screen time is provided on any electronic media device with a visual display, it shall be: (1) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (2) limited to a maximum of 30 minutes per day and no more than a total of two and a half hours per week per child; and (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. 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 8/2/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Screen time log: If children older than three (3) years of age are offered screen time, the program shall be for educational purposes, not for entertainment. While older children watch the educational program, younger children shall be guided to play with materials. You can print the screen time log on the Division’s website at https://ncchildcare.ncdhhs.gov. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. 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 me, 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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