Bev'S DAY Care

10A NCAC 09 .0302 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/28/2026 Number Present: 5 Completed Date: 5/28/2026 Age: From 3 To 5 Total Minutes: 142 Time In: 09:18 AM Time Out: 11:40 AM Time In: Time Out: List to Use: Center 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 Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Owner/operator, during the visit. A signed copy of the visit summary was printed and left on-site. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81) percent as of today prior to this visit. Permit type – three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/10/25. The last fire drill was practiced on 4/27/26. The last lockdown drill was practiced on 5/26/26. The last playground inspection was documented on 4/29/26. The last fire inspection was approved on 11/13/25. The last sanitation inspection was conducted on 2/11/26 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 10/10/23 without hazards. Lead paint and asbestos testing was completed on 8/7/25. Two (2) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). EPR plan was last updated on 11/19/25. Incident log was current. Upon arrival, I announced my presence and the purpose of the visit. Four (4) children, three-to-five years of age, were present with two (2) staff members. One (1) child, who was three (3) years old arrived approximately at 9:52 am. The child washed his/her hands upon arrival. Children engaged in coloring with crayons, putting floor puzzles, building with interlocking blocks and tunnels before transitioning to the playground. Children were encouraged to use the bathroom prior to the transition. On the playground, they sled on the portable slides, rode toy vehicles, ran. One (1) staff member accompanied them outside. No safety hazards were found. Interaction and supervision were adequate. No hazardous products were accessible to the children, and no medication was maintained for the children. License dated 12/16/19 was posted along with first aid poster, summary of child care law, Emergency medical care plan, staff/child ratio information, parent participation policy, safe arrival and departure policy, daily schedule, lesson plan and menu. A fire extinguisher was mounted on the wall in the hallway near the alarms. Both wired and battery-operated smoke/carbon monoxide combined alarms were located in the hallway. They were in working order. Staff files were monitored partially for criminal background letters and CPR/First aid certificates. Both staff members had valid criminal background letters on file, and both of their CPR/First Aid certificates will expire on 4/29/28. No children’s files were reviewed during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation unless for emergencies. The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. One (1) child's departure time was not recorded on 5/26/26. 10A NCAC 09 .0302(d)(4) 1841 Only one caregiver was required to meet ratio for a center located in a residence, but the center did not post the name, address, and telephone number of an adult who has agreed in writing to be available to provide emergency relief. .0713(c)(3) 1843 When only one caregiver was required to meet staff/child ratio for a center located in a residence and children under two are in care, that person concurrently performed food preparation or other duties that are not direct child care responsibilities. .0713(c)(2) Technical assistance were provided as follows: 125: arrival and departure time Accurate records of each child’s arrival and departure time must be documented. One (1) child’s departure time was not recorded on 5/26/26. Ms. Bell recorded the time of departure for the child during visit. Therefore, this violation was corrected during visit. Due to all violations being corrected during today’s visit, no compliance statement is required. Consultation is provided as follows: QIRS discussion: Per discussion of 3-star level requirements, Ms. Bell plans to reduce the program star-level to one-star. We discussed the timeline. The next annual compliance visit will be conducted prior to 11/10/26. Please note that the annual compliance visit can be conducted as early as sixty (60) days prior to 11/10/26. During the next annual compliance visit, the program will transition to one-star. If you care for children who receive subsidies, please communicate the upcoming changes with the families. Lead water testing: Lead water testing is due every three (3) years. Since your last test was completed on 10/10/23, you are due for new test on or prior to 10/10/26. Please visit https://www.cleanwaterforuskids.org/en/carolina/ . Reminder: Fire drill: You must conduct a fire drill today or tomorrow. Please make sure to document all required information. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. 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 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 .0304 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/28/2026 Number Present: 5 Completed Date: 5/28/2026 Age: From 3 To 5 Total Minutes: 142 Time In: 09:18 AM Time Out: 11:40 AM Time In: Time Out: List to Use: Center 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 Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Owner/operator, during the visit. A signed copy of the visit summary was printed and left on-site. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81) percent as of today prior to this visit. Permit type – three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/10/25. The last fire drill was practiced on 4/27/26. The last lockdown drill was practiced on 5/26/26. The last playground inspection was documented on 4/29/26. The last fire inspection was approved on 11/13/25. The last sanitation inspection was conducted on 2/11/26 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 10/10/23 without hazards. Lead paint and asbestos testing was completed on 8/7/25. Two (2) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). EPR plan was last updated on 11/19/25. Incident log was current. Upon arrival, I announced my presence and the purpose of the visit. Four (4) children, three-to-five years of age, were present with two (2) staff members. One (1) child, who was three (3) years old arrived approximately at 9:52 am. The child washed his/her hands upon arrival. Children engaged in coloring with crayons, putting floor puzzles, building with interlocking blocks and tunnels before transitioning to the playground. Children were encouraged to use the bathroom prior to the transition. On the playground, they sled on the portable slides, rode toy vehicles, ran. One (1) staff member accompanied them outside. No safety hazards were found. Interaction and supervision were adequate. No hazardous products were accessible to the children, and no medication was maintained for the children. License dated 12/16/19 was posted along with first aid poster, summary of child care law, Emergency medical care plan, staff/child ratio information, parent participation policy, safe arrival and departure policy, daily schedule, lesson plan and menu. A fire extinguisher was mounted on the wall in the hallway near the alarms. Both wired and battery-operated smoke/carbon monoxide combined alarms were located in the hallway. They were in working order. Staff files were monitored partially for criminal background letters and CPR/First aid certificates. Both staff members had valid criminal background letters on file, and both of their CPR/First Aid certificates will expire on 4/29/28. No children’s files were reviewed during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation unless for emergencies. The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. One (1) child's departure time was not recorded on 5/26/26. 10A NCAC 09 .0302(d)(4) 1841 Only one caregiver was required to meet ratio for a center located in a residence, but the center did not post the name, address, and telephone number of an adult who has agreed in writing to be available to provide emergency relief. .0713(c)(3) 1843 When only one caregiver was required to meet staff/child ratio for a center located in a residence and children under two are in care, that person concurrently performed food preparation or other duties that are not direct child care responsibilities. .0713(c)(2) Technical assistance were provided as follows: 125: arrival and departure time Accurate records of each child’s arrival and departure time must be documented. One (1) child’s departure time was not recorded on 5/26/26. Ms. Bell recorded the time of departure for the child during visit. Therefore, this violation was corrected during visit. Due to all violations being corrected during today’s visit, no compliance statement is required. Consultation is provided as follows: QIRS discussion: Per discussion of 3-star level requirements, Ms. Bell plans to reduce the program star-level to one-star. We discussed the timeline. The next annual compliance visit will be conducted prior to 11/10/26. Please note that the annual compliance visit can be conducted as early as sixty (60) days prior to 11/10/26. During the next annual compliance visit, the program will transition to one-star. If you care for children who receive subsidies, please communicate the upcoming changes with the families. Lead water testing: Lead water testing is due every three (3) years. Since your last test was completed on 10/10/23, you are due for new test on or prior to 10/10/26. Please visit https://www.cleanwaterforuskids.org/en/carolina/ . Reminder: Fire drill: You must conduct a fire drill today or tomorrow. Please make sure to document all required information. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. 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 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: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/28/2026 Number Present: 5 Completed Date: 5/28/2026 Age: From 3 To 5 Total Minutes: 142 Time In: 09:18 AM Time Out: 11:40 AM Time In: Time Out: List to Use: Center 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 Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Owner/operator, during the visit. A signed copy of the visit summary was printed and left on-site. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81) percent as of today prior to this visit. Permit type – three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/10/25. The last fire drill was practiced on 4/27/26. The last lockdown drill was practiced on 5/26/26. The last playground inspection was documented on 4/29/26. The last fire inspection was approved on 11/13/25. The last sanitation inspection was conducted on 2/11/26 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 10/10/23 without hazards. Lead paint and asbestos testing was completed on 8/7/25. Two (2) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). EPR plan was last updated on 11/19/25. Incident log was current. Upon arrival, I announced my presence and the purpose of the visit. Four (4) children, three-to-five years of age, were present with two (2) staff members. One (1) child, who was three (3) years old arrived approximately at 9:52 am. The child washed his/her hands upon arrival. Children engaged in coloring with crayons, putting floor puzzles, building with interlocking blocks and tunnels before transitioning to the playground. Children were encouraged to use the bathroom prior to the transition. On the playground, they sled on the portable slides, rode toy vehicles, ran. One (1) staff member accompanied them outside. No safety hazards were found. Interaction and supervision were adequate. No hazardous products were accessible to the children, and no medication was maintained for the children. License dated 12/16/19 was posted along with first aid poster, summary of child care law, Emergency medical care plan, staff/child ratio information, parent participation policy, safe arrival and departure policy, daily schedule, lesson plan and menu. A fire extinguisher was mounted on the wall in the hallway near the alarms. Both wired and battery-operated smoke/carbon monoxide combined alarms were located in the hallway. They were in working order. Staff files were monitored partially for criminal background letters and CPR/First aid certificates. Both staff members had valid criminal background letters on file, and both of their CPR/First Aid certificates will expire on 4/29/28. No children’s files were reviewed during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation unless for emergencies. The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. One (1) child's departure time was not recorded on 5/26/26. 10A NCAC 09 .0302(d)(4) 1841 Only one caregiver was required to meet ratio for a center located in a residence, but the center did not post the name, address, and telephone number of an adult who has agreed in writing to be available to provide emergency relief. .0713(c)(3) 1843 When only one caregiver was required to meet staff/child ratio for a center located in a residence and children under two are in care, that person concurrently performed food preparation or other duties that are not direct child care responsibilities. .0713(c)(2) Technical assistance were provided as follows: 125: arrival and departure time Accurate records of each child’s arrival and departure time must be documented. One (1) child’s departure time was not recorded on 5/26/26. Ms. Bell recorded the time of departure for the child during visit. Therefore, this violation was corrected during visit. Due to all violations being corrected during today’s visit, no compliance statement is required. Consultation is provided as follows: QIRS discussion: Per discussion of 3-star level requirements, Ms. Bell plans to reduce the program star-level to one-star. We discussed the timeline. The next annual compliance visit will be conducted prior to 11/10/26. Please note that the annual compliance visit can be conducted as early as sixty (60) days prior to 11/10/26. During the next annual compliance visit, the program will transition to one-star. If you care for children who receive subsidies, please communicate the upcoming changes with the families. Lead water testing: Lead water testing is due every three (3) years. Since your last test was completed on 10/10/23, you are due for new test on or prior to 10/10/26. Please visit https://www.cleanwaterforuskids.org/en/carolina/ . Reminder: Fire drill: You must conduct a fire drill today or tomorrow. Please make sure to document all required information. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. 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 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: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/28/2026 Number Present: 5 Completed Date: 5/28/2026 Age: From 3 To 5 Total Minutes: 142 Time In: 09:18 AM Time Out: 11:40 AM Time In: Time Out: List to Use: Center 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 Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Owner/operator, during the visit. A signed copy of the visit summary was printed and left on-site. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81) percent as of today prior to this visit. Permit type – three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/10/25. The last fire drill was practiced on 4/27/26. The last lockdown drill was practiced on 5/26/26. The last playground inspection was documented on 4/29/26. The last fire inspection was approved on 11/13/25. The last sanitation inspection was conducted on 2/11/26 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 10/10/23 without hazards. Lead paint and asbestos testing was completed on 8/7/25. Two (2) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). EPR plan was last updated on 11/19/25. Incident log was current. Upon arrival, I announced my presence and the purpose of the visit. Four (4) children, three-to-five years of age, were present with two (2) staff members. One (1) child, who was three (3) years old arrived approximately at 9:52 am. The child washed his/her hands upon arrival. Children engaged in coloring with crayons, putting floor puzzles, building with interlocking blocks and tunnels before transitioning to the playground. Children were encouraged to use the bathroom prior to the transition. On the playground, they sled on the portable slides, rode toy vehicles, ran. One (1) staff member accompanied them outside. No safety hazards were found. Interaction and supervision were adequate. No hazardous products were accessible to the children, and no medication was maintained for the children. License dated 12/16/19 was posted along with first aid poster, summary of child care law, Emergency medical care plan, staff/child ratio information, parent participation policy, safe arrival and departure policy, daily schedule, lesson plan and menu. A fire extinguisher was mounted on the wall in the hallway near the alarms. Both wired and battery-operated smoke/carbon monoxide combined alarms were located in the hallway. They were in working order. Staff files were monitored partially for criminal background letters and CPR/First aid certificates. Both staff members had valid criminal background letters on file, and both of their CPR/First Aid certificates will expire on 4/29/28. No children’s files were reviewed during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation unless for emergencies. The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. One (1) child's departure time was not recorded on 5/26/26. 10A NCAC 09 .0302(d)(4) 1841 Only one caregiver was required to meet ratio for a center located in a residence, but the center did not post the name, address, and telephone number of an adult who has agreed in writing to be available to provide emergency relief. .0713(c)(3) 1843 When only one caregiver was required to meet staff/child ratio for a center located in a residence and children under two are in care, that person concurrently performed food preparation or other duties that are not direct child care responsibilities. .0713(c)(2) Technical assistance were provided as follows: 125: arrival and departure time Accurate records of each child’s arrival and departure time must be documented. One (1) child’s departure time was not recorded on 5/26/26. Ms. Bell recorded the time of departure for the child during visit. Therefore, this violation was corrected during visit. Due to all violations being corrected during today’s visit, no compliance statement is required. Consultation is provided as follows: QIRS discussion: Per discussion of 3-star level requirements, Ms. Bell plans to reduce the program star-level to one-star. We discussed the timeline. The next annual compliance visit will be conducted prior to 11/10/26. Please note that the annual compliance visit can be conducted as early as sixty (60) days prior to 11/10/26. During the next annual compliance visit, the program will transition to one-star. If you care for children who receive subsidies, please communicate the upcoming changes with the families. Lead water testing: Lead water testing is due every three (3) years. Since your last test was completed on 10/10/23, you are due for new test on or prior to 10/10/26. Please visit https://www.cleanwaterforuskids.org/en/carolina/ . Reminder: Fire drill: You must conduct a fire drill today or tomorrow. Please make sure to document all required information. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. 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 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 .3222 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/28/2026 Number Present: 5 Completed Date: 5/28/2026 Age: From 3 To 5 Total Minutes: 142 Time In: 09:18 AM Time Out: 11:40 AM Time In: Time Out: List to Use: Center 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 Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Owner/operator, during the visit. A signed copy of the visit summary was printed and left on-site. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81) percent as of today prior to this visit. Permit type – three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/10/25. The last fire drill was practiced on 4/27/26. The last lockdown drill was practiced on 5/26/26. The last playground inspection was documented on 4/29/26. The last fire inspection was approved on 11/13/25. The last sanitation inspection was conducted on 2/11/26 with twelve (12) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 10/10/23 without hazards. Lead paint and asbestos testing was completed on 8/7/25. Two (2) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). EPR plan was last updated on 11/19/25. Incident log was current. Upon arrival, I announced my presence and the purpose of the visit. Four (4) children, three-to-five years of age, were present with two (2) staff members. One (1) child, who was three (3) years old arrived approximately at 9:52 am. The child washed his/her hands upon arrival. Children engaged in coloring with crayons, putting floor puzzles, building with interlocking blocks and tunnels before transitioning to the playground. Children were encouraged to use the bathroom prior to the transition. On the playground, they sled on the portable slides, rode toy vehicles, ran. One (1) staff member accompanied them outside. No safety hazards were found. Interaction and supervision were adequate. No hazardous products were accessible to the children, and no medication was maintained for the children. License dated 12/16/19 was posted along with first aid poster, summary of child care law, Emergency medical care plan, staff/child ratio information, parent participation policy, safe arrival and departure policy, daily schedule, lesson plan and menu. A fire extinguisher was mounted on the wall in the hallway near the alarms. Both wired and battery-operated smoke/carbon monoxide combined alarms were located in the hallway. They were in working order. Staff files were monitored partially for criminal background letters and CPR/First aid certificates. Both staff members had valid criminal background letters on file, and both of their CPR/First Aid certificates will expire on 4/29/28. No children’s files were reviewed during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation unless for emergencies. The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. One (1) child's departure time was not recorded on 5/26/26. 10A NCAC 09 .0302(d)(4) 1841 Only one caregiver was required to meet ratio for a center located in a residence, but the center did not post the name, address, and telephone number of an adult who has agreed in writing to be available to provide emergency relief. .0713(c)(3) 1843 When only one caregiver was required to meet staff/child ratio for a center located in a residence and children under two are in care, that person concurrently performed food preparation or other duties that are not direct child care responsibilities. .0713(c)(2) Technical assistance were provided as follows: 125: arrival and departure time Accurate records of each child’s arrival and departure time must be documented. One (1) child’s departure time was not recorded on 5/26/26. Ms. Bell recorded the time of departure for the child during visit. Therefore, this violation was corrected during visit. Due to all violations being corrected during today’s visit, no compliance statement is required. Consultation is provided as follows: QIRS discussion: Per discussion of 3-star level requirements, Ms. Bell plans to reduce the program star-level to one-star. We discussed the timeline. The next annual compliance visit will be conducted prior to 11/10/26. Please note that the annual compliance visit can be conducted as early as sixty (60) days prior to 11/10/26. During the next annual compliance visit, the program will transition to one-star. If you care for children who receive subsidies, please communicate the upcoming changes with the families. Lead water testing: Lead water testing is due every three (3) years. Since your last test was completed on 10/10/23, you are due for new test on or prior to 10/10/26. Please visit https://www.cleanwaterforuskids.org/en/carolina/ . Reminder: Fire drill: You must conduct a fire drill today or tomorrow. Please make sure to document all required information. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. 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 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 .0713 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/21/2025 Number Present: 4 Completed Date: 11/21/2025 Age: From 2 To 4 Total Minutes: 318 Time In: 09:27 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center 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, Kaoru Eddins Child Care Consultant and also signed by Beverly Bell, Owner/Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percent as of today prior to this visit. The center operates with a three-star center license issued on 12/16/19 with restrictions: daytime care and meets enhanced space. Upon arrival, I greeted Ms. Bell. Four (4) children, two (2), three (3) and four (4) years of age, were present with Ms. Bell. Approximately fifteen (15) minutes after my arrival, the second staff member returned from running errands. The children played with wooden blocks, colored with crayons, toy vehicles and other materials. Children played on the playground for approximately one (1) hour. Meatballs, bread, beans, peaches and milk were served for lunch. The visit was completed due to more than sixteen (16) violations being cited during annual compliance visit conducted on 11/10/25. The following items were monitored for progress. 106: Fire inspection Fire inspection was completed on 11/13/25 and the original inspection was obtained during today’s visit. 428: activity plan Activity plan for 11/17/25 – 11/21/25 was posted on the refrigerator. 501: Required meal pattern Today, meatballs, beans, cut peaches, bread and milk were served for lunch. 524: screen time for children No screen time was offered to children during the visit. Screen time log was filled out for the screen activities observed during 11/10/25. 525: Menu Menu for 11/17/25 – 11/21/25 was posted on the refrigerator when I walked in the center at 9:27 am. 526: menu Menu for 11/17/25 – 11/21/25 was posted on the refrigerator. 544: screen time for children two (2) and younger No screen time was offered to children during the visit. 614: cot space Cots were placed appropriately during the visit. 807: rust of the playground fence Corrective statement was submitted via email on 11/14/25. I observed and verified that the rust on the fence was covered. 840: potentially hazardous products Bleach, medications and aerosol cans were removed from the cabinet and were not accessible to the children during the visit. 852: Incident report Incident reports for two (2) children involved in the biting incident were created. The reports were maintained in the children’s files. 853: Incident log Incident log was filled out for the biting incident involving two (2) children. 859: Playground inspection Playground inspection for October was completed and submitted via email on 11/14/25. 1034: Health Questionnaire New Health Questionnaire for both staff members was submitted via email on 11/14/25. 1061: Playground safety training Per staff member, he/she could not find the training. This item was not corrected during the visit. Due to staff member not registered for the training, and the due date for the compliance letter is 11/24/25, repeated violation was cited during today’s visit. 1232: annual evaluation/staff development plan Annual evaluations for both staff members were completed by Ms. Bell during today’s visit and filed. 1321: medical record Ms. Bell submitted additional compliance statement via email for this item during the visit. 1323: immunization record All children’s files were reviewed. Five (5) children listed on the Children’s Files checklist created on 11/10/25 had their immunization records on files. 1324: discipline policy All children’s files were reviewed, and discipline policy was on file for all children. 1325: discipline policy acknowledgment All children’s files were reviewed, and all the required information were listed on the discipline acknowledgement form for all children. 1805: ABCMS roster Staff member reported technical challenges with this item. I attempted to help with the task during the visit. However, the provider NCID did not allow her to log in. It kept showing error. Even after unlocking the account, it showed “Unauthorized” appeared. I assisted Ms. Bell contacting the technical support. Per response from the ABCMS, Ms. Bell is required to complete the training on Moodle first and submit the “Power form” to gain the access. Ms. Bell requested an extension for item 1805 via email. Ms. Bell and the staff member started the ABCMS portal training during rest time during my visit. All children were visible to them. 1824: The EPR plan was updated on 11/19/25 on the NC Risk Management Portal. Ms. Bell reviewed the EPR with staff member on the same day. I verified the EPR plan and the documentation of review on file. At the end of this visit, there are two (2) outstanding violations, which are 1061 and 1805. A request for an extension for item 1805 was submitted by Ms. Bell via email during today’s visit. All other violations were corrected by consultant visit. 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 1061 One staff member had not completed training in playground safety. There is no Playground Safety Training certificate to verify the completion of the training for either staff members. .1102(e) 1956 Written request was not submitted to the Division prior to implementing the multi-age group ratios. 10A NCAC 09 .0713(d)(1) Technical assistance was provided as follows: 1061: Playground safety training Due to training referred to the staff member in July was missing, this violation was cited as a repeat violation. Anytime violations are cited, it is important for you to attempt to correct the violations as soon as possible. If you have any challenges meeting compliance promptly, you can reach out to me via email at kaoru.eddins@dhhs.nc.gov or call me at 828. 556. 9013. I am here to share resources with you to achieve compliance. Lack of compliance, communication or attempts to correct violations may result in additional violations and more stringent actions. The earliest Playground Safety Training I can find is in January. I reached out to Southwestern Child Development Commission and Buncombe Partnership for Children on your behalf. If earlier training is offered, I will let you know. Meanwhile, Please continue to search for virtual Playground Safety Training offered by any Resource and Referral agencies. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/5/25. Email the compliance letter on signed letterhead or in 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 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: Per ABCMS technical support, you must complete the ABCMS portal training first before you can access to the center roster. Please complete the training, submit the “Power Form”. Please also pay close attention to the email for access permission for the roster. Administrative Action: You may be considered for Administrative Action based on the sixteen (16) or more violations cited during annual compliance visit completed on 11/10/25. 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 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

NC GS 110-90 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/21/2025 Number Present: 4 Completed Date: 11/21/2025 Age: From 2 To 4 Total Minutes: 318 Time In: 09:27 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center 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, Kaoru Eddins Child Care Consultant and also signed by Beverly Bell, Owner/Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percent as of today prior to this visit. The center operates with a three-star center license issued on 12/16/19 with restrictions: daytime care and meets enhanced space. Upon arrival, I greeted Ms. Bell. Four (4) children, two (2), three (3) and four (4) years of age, were present with Ms. Bell. Approximately fifteen (15) minutes after my arrival, the second staff member returned from running errands. The children played with wooden blocks, colored with crayons, toy vehicles and other materials. Children played on the playground for approximately one (1) hour. Meatballs, bread, beans, peaches and milk were served for lunch. The visit was completed due to more than sixteen (16) violations being cited during annual compliance visit conducted on 11/10/25. The following items were monitored for progress. 106: Fire inspection Fire inspection was completed on 11/13/25 and the original inspection was obtained during today’s visit. 428: activity plan Activity plan for 11/17/25 – 11/21/25 was posted on the refrigerator. 501: Required meal pattern Today, meatballs, beans, cut peaches, bread and milk were served for lunch. 524: screen time for children No screen time was offered to children during the visit. Screen time log was filled out for the screen activities observed during 11/10/25. 525: Menu Menu for 11/17/25 – 11/21/25 was posted on the refrigerator when I walked in the center at 9:27 am. 526: menu Menu for 11/17/25 – 11/21/25 was posted on the refrigerator. 544: screen time for children two (2) and younger No screen time was offered to children during the visit. 614: cot space Cots were placed appropriately during the visit. 807: rust of the playground fence Corrective statement was submitted via email on 11/14/25. I observed and verified that the rust on the fence was covered. 840: potentially hazardous products Bleach, medications and aerosol cans were removed from the cabinet and were not accessible to the children during the visit. 852: Incident report Incident reports for two (2) children involved in the biting incident were created. The reports were maintained in the children’s files. 853: Incident log Incident log was filled out for the biting incident involving two (2) children. 859: Playground inspection Playground inspection for October was completed and submitted via email on 11/14/25. 1034: Health Questionnaire New Health Questionnaire for both staff members was submitted via email on 11/14/25. 1061: Playground safety training Per staff member, he/she could not find the training. This item was not corrected during the visit. Due to staff member not registered for the training, and the due date for the compliance letter is 11/24/25, repeated violation was cited during today’s visit. 1232: annual evaluation/staff development plan Annual evaluations for both staff members were completed by Ms. Bell during today’s visit and filed. 1321: medical record Ms. Bell submitted additional compliance statement via email for this item during the visit. 1323: immunization record All children’s files were reviewed. Five (5) children listed on the Children’s Files checklist created on 11/10/25 had their immunization records on files. 1324: discipline policy All children’s files were reviewed, and discipline policy was on file for all children. 1325: discipline policy acknowledgment All children’s files were reviewed, and all the required information were listed on the discipline acknowledgement form for all children. 1805: ABCMS roster Staff member reported technical challenges with this item. I attempted to help with the task during the visit. However, the provider NCID did not allow her to log in. It kept showing error. Even after unlocking the account, it showed “Unauthorized” appeared. I assisted Ms. Bell contacting the technical support. Per response from the ABCMS, Ms. Bell is required to complete the training on Moodle first and submit the “Power form” to gain the access. Ms. Bell requested an extension for item 1805 via email. Ms. Bell and the staff member started the ABCMS portal training during rest time during my visit. All children were visible to them. 1824: The EPR plan was updated on 11/19/25 on the NC Risk Management Portal. Ms. Bell reviewed the EPR with staff member on the same day. I verified the EPR plan and the documentation of review on file. At the end of this visit, there are two (2) outstanding violations, which are 1061 and 1805. A request for an extension for item 1805 was submitted by Ms. Bell via email during today’s visit. All other violations were corrected by consultant visit. 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 1061 One staff member had not completed training in playground safety. There is no Playground Safety Training certificate to verify the completion of the training for either staff members. .1102(e) 1956 Written request was not submitted to the Division prior to implementing the multi-age group ratios. 10A NCAC 09 .0713(d)(1) Technical assistance was provided as follows: 1061: Playground safety training Due to training referred to the staff member in July was missing, this violation was cited as a repeat violation. Anytime violations are cited, it is important for you to attempt to correct the violations as soon as possible. If you have any challenges meeting compliance promptly, you can reach out to me via email at kaoru.eddins@dhhs.nc.gov or call me at 828. 556. 9013. I am here to share resources with you to achieve compliance. Lack of compliance, communication or attempts to correct violations may result in additional violations and more stringent actions. The earliest Playground Safety Training I can find is in January. I reached out to Southwestern Child Development Commission and Buncombe Partnership for Children on your behalf. If earlier training is offered, I will let you know. Meanwhile, Please continue to search for virtual Playground Safety Training offered by any Resource and Referral agencies. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/5/25. Email the compliance letter on signed letterhead or in 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 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: Per ABCMS technical support, you must complete the ABCMS portal training first before you can access to the center roster. Please complete the training, submit the “Power Form”. Please also pay close attention to the email for access permission for the roster. Administrative Action: You may be considered for Administrative Action based on the sixteen (16) or more violations cited during annual compliance visit completed on 11/10/25. 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 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 .0601 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/10/2025 Number Present: 6 Completed Date: 11/10/2025 Age: From 2 To 4 Total Minutes: 410 Time In: 09:10 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Beverly Bell, Owner during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/21/24. The last fire drill was practiced on 9/8/25. The last shelter-in-place drill was practiced on 8/8/25. The last playground inspection was documented on 9/15/25. The last fire inspection was not obtained during today’s visit. Per communication with Ms. Bell during a routine unannounced visit conducted on 4/15/25, the fire inspection was completed on 12/21/23 but could not locate the inspection form. Under consultation, I instructed Ms. Bell to contact the Fire Marshall to complete the inspection. During today’s visit, Ms. Bell stated that the inspection was completed during the last summer, 2024. However, the inspection form has not been located yet. The last sanitation inspection was conducted on 2/11/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 10/10/23 without hazards. The lead paint and asbestos testing was completed on 8/7/25. No further actions are needed. Upon arrival, I greeted both staff members and announced the purpose of the visit. Five (5) children, two-to-four years of age, were present with two (2) staff members, including Ms. Bell. The television in the living room was turned on and a children’s show was playing. The TV was turned shortly after my arrival. The children moved between space #1 and #2 with staff members. The children played with puzzles, blocks, pretend animals/vehicles/people/characters, colored with crayons and talked with the staff members. Staff/child ratios sheet, daily schedule, safe arrival, no smoking poster, first aid, EMC, parent participation plan were posted in space #2. Additional child, two (2) years old arrived shortly after 10:00 am. Fire Alarm was tested. In this residence, there are three (3) alarms installed. Two (2) alarms are wired and one (1) is battery-operated. They were tested during the visit and were in working order. There was a child-proof gate to separate the kitchen and space #1. A few children opened the gate independently and came into the kitchen area. In the kitchen area, a bottle of bleach was stored on the top shelf in the cabinet by the sink, and a can of Lysol disinfecting spray was maintained above the refrigerator. Both staff members submitted their verification forms during the visit. During the technical assistance visit conducted on June 24, 2025, information regarding the Emergency Preparedness and Response (EPR) in Child Care training—including available sessions, dates, and times—was shared. A staff member who planned to complete the training reported that they attempted to access the course but were unable to proceed and requested additional technical assistance to locate the training. No training records have been submitted for either staff member for the training period of January 1, 2024, through December 31, 2025. A total of nine (9) children’s files were counted. Per Ms. Bell, one (1) of the enrollees recently left the program. Eight (8) children’s files were reviewed. No plan of care was in file, but the program does not transport children or take them out in routine errands. A request for religious exemption for medical requirements was in file for one (1) child. No acknowledgement of receipt of the program’s operational policies was in the children’s files. However, Ms. Bell stated that the policies were shared with each family upon enrollment. Ms. Bell conducted a group time. She read a book and sang songs and discussed days of week. Pizzas were ordered for lunch and delivered to the program. Children and staff members washed their hands prior to lunch. Bananas, pizzas and milk were served during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care .Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection form that the program provided was completed in 2023. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. No activity plan was posted. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. During lunch, pizza slice(s), cut bananas and milk were served to the children. 10A NCAC 09 .0901(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. No screen time log was completed though television was on upon my arrival at the center. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu for this week was not posted and the decision to order pizza was made during today's visit. 10A NCAC 09 .0901(b) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu for this week was not posted. 10A NCAC 09 .0901(b) 544 Screen time was offered to children under three years of age. There were three (3) children, who were two (2) years of age, present during the visit. Upon my arrival, the TV was on and a cartoon was playing. .0510(f) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. All six (6) cots were placed in space #1 during the visit. The spaces among cots were between five (5) to nine (9) inches apart. 15A NCAC 18A .2821(e) 807 A safe indoor and outdoor environment was not provided for the children. Top bars of some sections of the playground fence were rusted. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of bleach was on the top shelf in the cabinet by the sink in the kitchen area. one (1) can of Lysol was on top of the refrigerator, and one (1) can was on the vanity in the bathroom. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The staff members talked about children's biting incidents but incident reports were not completed for those incidents. .0802 (e) 853 Incident logs were not completed and maintained as required. No incident logs were maintained for the program. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspection was not completed for October 2025. .0605(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaire was last updated on 8/28/24 for one (1) staff member. .0701(a) 1061 One staff member had not completed training in playground safety. .1102(e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff evaluation forms and development plans were on file for either staff members. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Out of eight (8) children enrolled, five (5) children did not have medical exam records on file. Those children's enrollment dates are 5/5/25 (NS), 7/8/25 (BA), 4/14/25 (HR), May, 2025(EH), May 2025 (HH). GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization records were not on file for five (5) children. Their enrollment dates are 4/8/24, 5/5/25, 05/2025, 05/2025 and unknown date - due to lack of date on the application forms. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) child did not have discipline policy acknowledgement on file. One (1) child's acknowledgement form had the parent's signature but no date. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The parent-completed statement of receipt for the discipline policy for one (1) child was missing the child’s name and the date of enrollment. .1804(b) 1805 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. Center roster has not been created on the ABCMS as of today. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last update EPR plan was dated 2023. the plan has not been updated on NC Risk Management portal since then. .0607(e) Technical assistance was provided as follows: 106: Fire inspection Fire inspection must be conducted annually. Per Ms. Bell’s statement, the last inspection was completed and approved in summer 2024. To comply, you shall contact the Fire Marshall at your earliest convenience possible to notify them of a fire inspection. You must complete the inspection and get it approved within the next two (2) weeks. Upon receiving the approved inspection, you shall forward the inspection to me. A fire inspection form was printed during today’s visit and left on site. In your compliance letter, please state the date you completed the inspection. Additionally, you must submit the approved inspection to me when you receive the inspection. 428: activity plans Current activity plans must be posted. We discussed basic requirements for activity plans during the visit. NCFELD books were shared during the visit. In your lesson plan/activity plans, you must include the followings: • emotional and social development; • health and physical development; • approaches to play and learning; • language development and communication; and • cognitive development. In your compliance letter, please state the action you took to meet compliance. 501: nutrition requirements Nutrition requirements set by USDA must be met. I printed the meal requirement information – required components and quantities and shared with you. To comply, you must feed additional vegetables or fruit to add to the lunch you served. In your compliance letter, please state how you will prevent the same violation. 525: planning meals in advance 526: menu – posted and current Menu must be planned in advance. Additionally, the menu must be current and posted. Please note that different items were served to the children than what are listed on the menu, you must list the correct items prior to serving children. To comply, you must post the current menu and post them at least a week in advance. It is okay to locate the menu. Make sure to put the date/week and maintain the record on file. In your compliance letter, please state the action you took to achieve the compliance. 524: screen time log Upon offering screen time log, the length of the screen time must be documented. 544: screen time Screen time must not be offered to children younger than three (3) years of age. To comply, I strongly recommend you stop offering the screen time to your group of children. If you do, please take children who are younger than three (3) to space #2. Upon completion of screen time, you must log the length of time children were offered the screen time. In your compliance letter, you must state the action you will take to prevent recurrence of this violation. This violation has been cited multiple times during routine visits. It could be perceived as non-compliance issue, if you continue to ignore these requirements. 807: Safe environment Rust must be inaccessible to the children. On the playground, top bars of some sections of the fence are rusted. To comply, you must remove the rust or paint over it. In your compliance letter, please state the action you took to achieve the compliance. 614: Space between cots Spaces between cots must be minimum of eighteen (18) inches apart. To comply, you must properly space cots prior to rest time. In your compliance letter, please state the action you took to meet compliance. 840: Potentially hazardous products Potentially hazardous products such as bleach, aerosol cans must be stored in locked storage. To comply, bleach in the kitchen area and aerosol cans must be stored in locked storage. Baby proofing devices are not considered sufficient. I advise you to store hazardous products, such as bleach, aerosol cans and any types of medications in a locked room. In your compliance letter, please state the action you took to meet compliance. 852: Incident report 853: Incident log Incident report must be completed anytime child in care are injured, and the injuries require any type of first aid. You talked about biting among children. Biting must be properly documented due to potential biocontamination and exchanges of bodily fluid. Each time incident report is filled out, the incident must be recorded on the incident log. To comply, please fill out the incident report for the most recent incident that require first aid and log that incident on the log. You must share the incident with parent and obtain the signature. In your compliance letter, please verify that incident report was filled out for the biting incident and the incident was documented on the incident log. 859: playground inspection A playground inspection must be conducted monthly. To comply, you must complete an inspection for October 2025. Since you did not complete one (1) in October, please conduct two (2) inspections in November – one (1) is in place for October, and the other one (1) is for November. Both inspections shall record the date you conducted the inspection. Please note “In place for October 2025” on one (1) of the inspections. In your compliance letter, please state the date you completed the inspection for October 2025. 1034: All staff, including the director, must have an annual health questionnaire on file following the initial medical statement. Refer to 10A NCAC 09 .0701(a). To comply, please update the following staff member(s) Health Questionnaire form: D. Crane. In your compliance letter, please verify that you updated the health questionnaire for D. Crane. 1061: Playground safety training The person who can conduct monthly playground inspection must complete the training. At least one (1) person each center must complete this training. Per Ms. Bell, she has probably completed this training. However, she cannot locate the training certificate. During the technical assistance visit conducted on 6/24/25, I provided playground safety training opportunities with staff members including the available training, link and fees. To comply, one (1) person must complete the playground safety training at earliest opportunities possible and maintain the certificate on file. In your compliance letter, please state the date you completed the training and filed the certificate. 1232: annual staff evaluation and staff development plan Staff evaluation and development plan is required annually. To comply, please create evaluation and development plan. CQI form for individual was printed and shared with you during the visit to use for the development plan. You will need to create evaluation form for staff members. In your compliance letter, please state the action you took to meet compliance. 1321: Health assessment record within thirty (30) days 1323: Immunization record within thirty (30) days Health assessment/physicals must be obtained within thirty (30) days of enrollment and maintain it on file for each child. Immunization records for each child are required unless the parents/guardian request for religions exemptions in writing. The records must be in each child’s file within thirty (30) days of enrollment. To comply, please refer to the children’s files checklist. You must request a physical for the following children: N.S., B.A., H.R., E.H., H.H., S.J. To comply, please refer to the children’s files checklist. You must request immunization records for the following children: O.F., N. S., E.H., H.H., S. J. In your compliance letter, please verify if all documentation were obtained and on file. 1324/1325: discipline policy Parents/guardians of each enrollee must receive the center’s discipline policy in writing and sign the acknowledgement that the discipline policy was received. The acknowledgement form must include child’s name and the date of enrollment. To comply, please create an acknowledgement form for discipline policy and obtain the signature from the parent of O.F. In your compliance letter, please verify the completion of the task. 1805: ABCMS roster New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, please take the training on the DCDEE Moodle first and follow the procedures for listing all staff members. 1824: EPR plan The EPR plan must be reviewed annually on the NC Risk Management Portal, update it and print it by the trained staff member. The EPR plan must be maintained in the Ready-to-go File and all staff members must know the location of the file. Per Ms. Bell and the staff member present, the plan was completed and printed, but they could not locate it. To comply, please log onto NC Risk Management Portal and complete the EPR template and print the plan. Along with the compliance letter, please submit the copy of your EPR plan to me. If other staff member is interested in taking Emergency Preparedness and Response training, Buncombe Partnership for Children offers the training on 12/8/25 from 1:00 pm and December 10 at 2:15 pm. You can register for the class on https://buncombepfc.org/training/ and the cost is $12.50. The same training is also available on 2/9/26 from 6:00 pm - 8:30 pm. you can register at Southwestern Child Development Commission website at https://reg.learningstream.com/reg/event_page.aspx?ek=0042-0007-153b9b7d0246485996ad63be89fb5f45. Registration fee is $20. I cannot find openings for the Playground Safety Training. I will notify you as I find available training. Achieving Compliance: Due to sixteen (16) or more violations cited during today’s visit, a follow-up visit will be conducted. You may be considered for administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/24/25. Email the compliance letter on signed letterhead or in 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 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: On-going training: Between 1/1/24 – 12/31/25, both of you must meet required on-going training hours. You must make sure that your education information on WORKS is up to date. Please use the resource I shared via email and follow the procedures to submit the transcript to the WORKS account. Both staff members have completed two (2) hours of training so far. Medication in Child Care training does not count toward on-going training hours because the hours were used to meet the Health and Safety training requirements. Therefore, you need additional eight (8) hours of training prior to 12/31/25. Please note that D. Crane does not have WORKS letter issued. Until the letter is issued, the required training hours for the staff member is twenty (20) hours. In your compliance letter, please verify the completion of training. Additionally, please submit a copy of training certificates to me. Rated License Assessment: I discussed the Rated License Assessment with Ms. Bell and Dawn Crane, teacher. • Quick overview of pathways – Ms. Bell has not reviewed the QIRS information or attended a provider meeting. • Education requirements for administrator, lead teacher and teacher – Both Ms. Bev and Ms. Crane care for children. I will follow-up with you the clarification of your position. • Ms. Crane does not have a WORKS letter issued yet. The instruction on how to submit official transcript was shared vis email on October 24, 2025. • CQI requirements • Family and Community Engagement • Self-study requirements • Outreach assessment can be requested at Email: ncrlap@uncg.edu or Phone: Toll Free (866)-362-7527 • Self-study process can be reviewed on https://ncrlap.org/Resources/SelfStudy/FCCH/ - self-study process is minimum of three (3) months. • Self-study verification form was printed and shared with you. Fillable form can be accessed at https://ncrlap.org/Resources/Uploaded_Files/Uploaded_Resources/Self%20Study%20Verification%20Form%20FCCH-CLIAR%20%28fillable%29%20%28%2010-31-25%2011-46-49%20AM%29.pdf Timeline: You may choose to apply in April 2026 or October 2026. Considering many requirements you must meet, October 2026 may be a better option. Please start with the following task: 1. Ms. Crane must submit an official transcript to WORKS account, apply for positions – teacher and lead teacher 2. Choose a competency evaluation or completion of 10 hours CEU. Before completing any training, please make sure that the organization offers CEU’s. 3. Consider which Family and Community Engagement you will meet and start collecting evidence 4. Set goal for CQI for facility and individuals 5. Review FCCERS-3 requirements, conduct a self-assessment and identify a goal for a program and a goal for lead teacher You may contact Buncombe Partnership for Children and ask for additional resources and guidance for the Rated License Assessment. You can contact (828) 285-9333. FCCERS-3: For new QIRS, you are required to receive FCCERS-3 assessment. However, there are no score requirements for three-star program. We also discussed transitioning to one-star center. One-star license is not required to go through the Rated License Assessment. However, your subsidy rate is currently determined by each program’s star-level. Therefore, changing star level may affect your subsidy reimbursement rate. Please contact Child Care Subsidy consultant if you have any questions. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0901 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/10/2025 Number Present: 6 Completed Date: 11/10/2025 Age: From 2 To 4 Total Minutes: 410 Time In: 09:10 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Beverly Bell, Owner during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/21/24. The last fire drill was practiced on 9/8/25. The last shelter-in-place drill was practiced on 8/8/25. The last playground inspection was documented on 9/15/25. The last fire inspection was not obtained during today’s visit. Per communication with Ms. Bell during a routine unannounced visit conducted on 4/15/25, the fire inspection was completed on 12/21/23 but could not locate the inspection form. Under consultation, I instructed Ms. Bell to contact the Fire Marshall to complete the inspection. During today’s visit, Ms. Bell stated that the inspection was completed during the last summer, 2024. However, the inspection form has not been located yet. The last sanitation inspection was conducted on 2/11/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 10/10/23 without hazards. The lead paint and asbestos testing was completed on 8/7/25. No further actions are needed. Upon arrival, I greeted both staff members and announced the purpose of the visit. Five (5) children, two-to-four years of age, were present with two (2) staff members, including Ms. Bell. The television in the living room was turned on and a children’s show was playing. The TV was turned shortly after my arrival. The children moved between space #1 and #2 with staff members. The children played with puzzles, blocks, pretend animals/vehicles/people/characters, colored with crayons and talked with the staff members. Staff/child ratios sheet, daily schedule, safe arrival, no smoking poster, first aid, EMC, parent participation plan were posted in space #2. Additional child, two (2) years old arrived shortly after 10:00 am. Fire Alarm was tested. In this residence, there are three (3) alarms installed. Two (2) alarms are wired and one (1) is battery-operated. They were tested during the visit and were in working order. There was a child-proof gate to separate the kitchen and space #1. A few children opened the gate independently and came into the kitchen area. In the kitchen area, a bottle of bleach was stored on the top shelf in the cabinet by the sink, and a can of Lysol disinfecting spray was maintained above the refrigerator. Both staff members submitted their verification forms during the visit. During the technical assistance visit conducted on June 24, 2025, information regarding the Emergency Preparedness and Response (EPR) in Child Care training—including available sessions, dates, and times—was shared. A staff member who planned to complete the training reported that they attempted to access the course but were unable to proceed and requested additional technical assistance to locate the training. No training records have been submitted for either staff member for the training period of January 1, 2024, through December 31, 2025. A total of nine (9) children’s files were counted. Per Ms. Bell, one (1) of the enrollees recently left the program. Eight (8) children’s files were reviewed. No plan of care was in file, but the program does not transport children or take them out in routine errands. A request for religious exemption for medical requirements was in file for one (1) child. No acknowledgement of receipt of the program’s operational policies was in the children’s files. However, Ms. Bell stated that the policies were shared with each family upon enrollment. Ms. Bell conducted a group time. She read a book and sang songs and discussed days of week. Pizzas were ordered for lunch and delivered to the program. Children and staff members washed their hands prior to lunch. Bananas, pizzas and milk were served during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care .Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection form that the program provided was completed in 2023. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. No activity plan was posted. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. During lunch, pizza slice(s), cut bananas and milk were served to the children. 10A NCAC 09 .0901(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. No screen time log was completed though television was on upon my arrival at the center. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu for this week was not posted and the decision to order pizza was made during today's visit. 10A NCAC 09 .0901(b) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu for this week was not posted. 10A NCAC 09 .0901(b) 544 Screen time was offered to children under three years of age. There were three (3) children, who were two (2) years of age, present during the visit. Upon my arrival, the TV was on and a cartoon was playing. .0510(f) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. All six (6) cots were placed in space #1 during the visit. The spaces among cots were between five (5) to nine (9) inches apart. 15A NCAC 18A .2821(e) 807 A safe indoor and outdoor environment was not provided for the children. Top bars of some sections of the playground fence were rusted. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of bleach was on the top shelf in the cabinet by the sink in the kitchen area. one (1) can of Lysol was on top of the refrigerator, and one (1) can was on the vanity in the bathroom. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The staff members talked about children's biting incidents but incident reports were not completed for those incidents. .0802 (e) 853 Incident logs were not completed and maintained as required. No incident logs were maintained for the program. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspection was not completed for October 2025. .0605(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaire was last updated on 8/28/24 for one (1) staff member. .0701(a) 1061 One staff member had not completed training in playground safety. .1102(e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff evaluation forms and development plans were on file for either staff members. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Out of eight (8) children enrolled, five (5) children did not have medical exam records on file. Those children's enrollment dates are 5/5/25 (NS), 7/8/25 (BA), 4/14/25 (HR), May, 2025(EH), May 2025 (HH). GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization records were not on file for five (5) children. Their enrollment dates are 4/8/24, 5/5/25, 05/2025, 05/2025 and unknown date - due to lack of date on the application forms. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) child did not have discipline policy acknowledgement on file. One (1) child's acknowledgement form had the parent's signature but no date. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The parent-completed statement of receipt for the discipline policy for one (1) child was missing the child’s name and the date of enrollment. .1804(b) 1805 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. Center roster has not been created on the ABCMS as of today. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last update EPR plan was dated 2023. the plan has not been updated on NC Risk Management portal since then. .0607(e) Technical assistance was provided as follows: 106: Fire inspection Fire inspection must be conducted annually. Per Ms. Bell’s statement, the last inspection was completed and approved in summer 2024. To comply, you shall contact the Fire Marshall at your earliest convenience possible to notify them of a fire inspection. You must complete the inspection and get it approved within the next two (2) weeks. Upon receiving the approved inspection, you shall forward the inspection to me. A fire inspection form was printed during today’s visit and left on site. In your compliance letter, please state the date you completed the inspection. Additionally, you must submit the approved inspection to me when you receive the inspection. 428: activity plans Current activity plans must be posted. We discussed basic requirements for activity plans during the visit. NCFELD books were shared during the visit. In your lesson plan/activity plans, you must include the followings: • emotional and social development; • health and physical development; • approaches to play and learning; • language development and communication; and • cognitive development. In your compliance letter, please state the action you took to meet compliance. 501: nutrition requirements Nutrition requirements set by USDA must be met. I printed the meal requirement information – required components and quantities and shared with you. To comply, you must feed additional vegetables or fruit to add to the lunch you served. In your compliance letter, please state how you will prevent the same violation. 525: planning meals in advance 526: menu – posted and current Menu must be planned in advance. Additionally, the menu must be current and posted. Please note that different items were served to the children than what are listed on the menu, you must list the correct items prior to serving children. To comply, you must post the current menu and post them at least a week in advance. It is okay to locate the menu. Make sure to put the date/week and maintain the record on file. In your compliance letter, please state the action you took to achieve the compliance. 524: screen time log Upon offering screen time log, the length of the screen time must be documented. 544: screen time Screen time must not be offered to children younger than three (3) years of age. To comply, I strongly recommend you stop offering the screen time to your group of children. If you do, please take children who are younger than three (3) to space #2. Upon completion of screen time, you must log the length of time children were offered the screen time. In your compliance letter, you must state the action you will take to prevent recurrence of this violation. This violation has been cited multiple times during routine visits. It could be perceived as non-compliance issue, if you continue to ignore these requirements. 807: Safe environment Rust must be inaccessible to the children. On the playground, top bars of some sections of the fence are rusted. To comply, you must remove the rust or paint over it. In your compliance letter, please state the action you took to achieve the compliance. 614: Space between cots Spaces between cots must be minimum of eighteen (18) inches apart. To comply, you must properly space cots prior to rest time. In your compliance letter, please state the action you took to meet compliance. 840: Potentially hazardous products Potentially hazardous products such as bleach, aerosol cans must be stored in locked storage. To comply, bleach in the kitchen area and aerosol cans must be stored in locked storage. Baby proofing devices are not considered sufficient. I advise you to store hazardous products, such as bleach, aerosol cans and any types of medications in a locked room. In your compliance letter, please state the action you took to meet compliance. 852: Incident report 853: Incident log Incident report must be completed anytime child in care are injured, and the injuries require any type of first aid. You talked about biting among children. Biting must be properly documented due to potential biocontamination and exchanges of bodily fluid. Each time incident report is filled out, the incident must be recorded on the incident log. To comply, please fill out the incident report for the most recent incident that require first aid and log that incident on the log. You must share the incident with parent and obtain the signature. In your compliance letter, please verify that incident report was filled out for the biting incident and the incident was documented on the incident log. 859: playground inspection A playground inspection must be conducted monthly. To comply, you must complete an inspection for October 2025. Since you did not complete one (1) in October, please conduct two (2) inspections in November – one (1) is in place for October, and the other one (1) is for November. Both inspections shall record the date you conducted the inspection. Please note “In place for October 2025” on one (1) of the inspections. In your compliance letter, please state the date you completed the inspection for October 2025. 1034: All staff, including the director, must have an annual health questionnaire on file following the initial medical statement. Refer to 10A NCAC 09 .0701(a). To comply, please update the following staff member(s) Health Questionnaire form: D. Crane. In your compliance letter, please verify that you updated the health questionnaire for D. Crane. 1061: Playground safety training The person who can conduct monthly playground inspection must complete the training. At least one (1) person each center must complete this training. Per Ms. Bell, she has probably completed this training. However, she cannot locate the training certificate. During the technical assistance visit conducted on 6/24/25, I provided playground safety training opportunities with staff members including the available training, link and fees. To comply, one (1) person must complete the playground safety training at earliest opportunities possible and maintain the certificate on file. In your compliance letter, please state the date you completed the training and filed the certificate. 1232: annual staff evaluation and staff development plan Staff evaluation and development plan is required annually. To comply, please create evaluation and development plan. CQI form for individual was printed and shared with you during the visit to use for the development plan. You will need to create evaluation form for staff members. In your compliance letter, please state the action you took to meet compliance. 1321: Health assessment record within thirty (30) days 1323: Immunization record within thirty (30) days Health assessment/physicals must be obtained within thirty (30) days of enrollment and maintain it on file for each child. Immunization records for each child are required unless the parents/guardian request for religions exemptions in writing. The records must be in each child’s file within thirty (30) days of enrollment. To comply, please refer to the children’s files checklist. You must request a physical for the following children: N.S., B.A., H.R., E.H., H.H., S.J. To comply, please refer to the children’s files checklist. You must request immunization records for the following children: O.F., N. S., E.H., H.H., S. J. In your compliance letter, please verify if all documentation were obtained and on file. 1324/1325: discipline policy Parents/guardians of each enrollee must receive the center’s discipline policy in writing and sign the acknowledgement that the discipline policy was received. The acknowledgement form must include child’s name and the date of enrollment. To comply, please create an acknowledgement form for discipline policy and obtain the signature from the parent of O.F. In your compliance letter, please verify the completion of the task. 1805: ABCMS roster New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, please take the training on the DCDEE Moodle first and follow the procedures for listing all staff members. 1824: EPR plan The EPR plan must be reviewed annually on the NC Risk Management Portal, update it and print it by the trained staff member. The EPR plan must be maintained in the Ready-to-go File and all staff members must know the location of the file. Per Ms. Bell and the staff member present, the plan was completed and printed, but they could not locate it. To comply, please log onto NC Risk Management Portal and complete the EPR template and print the plan. Along with the compliance letter, please submit the copy of your EPR plan to me. If other staff member is interested in taking Emergency Preparedness and Response training, Buncombe Partnership for Children offers the training on 12/8/25 from 1:00 pm and December 10 at 2:15 pm. You can register for the class on https://buncombepfc.org/training/ and the cost is $12.50. The same training is also available on 2/9/26 from 6:00 pm - 8:30 pm. you can register at Southwestern Child Development Commission website at https://reg.learningstream.com/reg/event_page.aspx?ek=0042-0007-153b9b7d0246485996ad63be89fb5f45. Registration fee is $20. I cannot find openings for the Playground Safety Training. I will notify you as I find available training. Achieving Compliance: Due to sixteen (16) or more violations cited during today’s visit, a follow-up visit will be conducted. You may be considered for administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/24/25. Email the compliance letter on signed letterhead or in 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 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: On-going training: Between 1/1/24 – 12/31/25, both of you must meet required on-going training hours. You must make sure that your education information on WORKS is up to date. Please use the resource I shared via email and follow the procedures to submit the transcript to the WORKS account. Both staff members have completed two (2) hours of training so far. Medication in Child Care training does not count toward on-going training hours because the hours were used to meet the Health and Safety training requirements. Therefore, you need additional eight (8) hours of training prior to 12/31/25. Please note that D. Crane does not have WORKS letter issued. Until the letter is issued, the required training hours for the staff member is twenty (20) hours. In your compliance letter, please verify the completion of training. Additionally, please submit a copy of training certificates to me. Rated License Assessment: I discussed the Rated License Assessment with Ms. Bell and Dawn Crane, teacher. • Quick overview of pathways – Ms. Bell has not reviewed the QIRS information or attended a provider meeting. • Education requirements for administrator, lead teacher and teacher – Both Ms. Bev and Ms. Crane care for children. I will follow-up with you the clarification of your position. • Ms. Crane does not have a WORKS letter issued yet. The instruction on how to submit official transcript was shared vis email on October 24, 2025. • CQI requirements • Family and Community Engagement • Self-study requirements • Outreach assessment can be requested at Email: ncrlap@uncg.edu or Phone: Toll Free (866)-362-7527 • Self-study process can be reviewed on https://ncrlap.org/Resources/SelfStudy/FCCH/ - self-study process is minimum of three (3) months. • Self-study verification form was printed and shared with you. Fillable form can be accessed at https://ncrlap.org/Resources/Uploaded_Files/Uploaded_Resources/Self%20Study%20Verification%20Form%20FCCH-CLIAR%20%28fillable%29%20%28%2010-31-25%2011-46-49%20AM%29.pdf Timeline: You may choose to apply in April 2026 or October 2026. Considering many requirements you must meet, October 2026 may be a better option. Please start with the following task: 1. Ms. Crane must submit an official transcript to WORKS account, apply for positions – teacher and lead teacher 2. Choose a competency evaluation or completion of 10 hours CEU. Before completing any training, please make sure that the organization offers CEU’s. 3. Consider which Family and Community Engagement you will meet and start collecting evidence 4. Set goal for CQI for facility and individuals 5. Review FCCERS-3 requirements, conduct a self-assessment and identify a goal for a program and a goal for lead teacher You may contact Buncombe Partnership for Children and ask for additional resources and guidance for the Rated License Assessment. You can contact (828) 285-9333. FCCERS-3: For new QIRS, you are required to receive FCCERS-3 assessment. However, there are no score requirements for three-star program. We also discussed transitioning to one-star center. One-star license is not required to go through the Rated License Assessment. However, your subsidy rate is currently determined by each program’s star-level. Therefore, changing star level may affect your subsidy reimbursement rate. Please contact Child Care Subsidy consultant if you have any questions. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0302 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/10/2025 Number Present: 6 Completed Date: 11/10/2025 Age: From 2 To 4 Total Minutes: 410 Time In: 09:10 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Beverly Bell, Owner during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/21/24. The last fire drill was practiced on 9/8/25. The last shelter-in-place drill was practiced on 8/8/25. The last playground inspection was documented on 9/15/25. The last fire inspection was not obtained during today’s visit. Per communication with Ms. Bell during a routine unannounced visit conducted on 4/15/25, the fire inspection was completed on 12/21/23 but could not locate the inspection form. Under consultation, I instructed Ms. Bell to contact the Fire Marshall to complete the inspection. During today’s visit, Ms. Bell stated that the inspection was completed during the last summer, 2024. However, the inspection form has not been located yet. The last sanitation inspection was conducted on 2/11/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 10/10/23 without hazards. The lead paint and asbestos testing was completed on 8/7/25. No further actions are needed. Upon arrival, I greeted both staff members and announced the purpose of the visit. Five (5) children, two-to-four years of age, were present with two (2) staff members, including Ms. Bell. The television in the living room was turned on and a children’s show was playing. The TV was turned shortly after my arrival. The children moved between space #1 and #2 with staff members. The children played with puzzles, blocks, pretend animals/vehicles/people/characters, colored with crayons and talked with the staff members. Staff/child ratios sheet, daily schedule, safe arrival, no smoking poster, first aid, EMC, parent participation plan were posted in space #2. Additional child, two (2) years old arrived shortly after 10:00 am. Fire Alarm was tested. In this residence, there are three (3) alarms installed. Two (2) alarms are wired and one (1) is battery-operated. They were tested during the visit and were in working order. There was a child-proof gate to separate the kitchen and space #1. A few children opened the gate independently and came into the kitchen area. In the kitchen area, a bottle of bleach was stored on the top shelf in the cabinet by the sink, and a can of Lysol disinfecting spray was maintained above the refrigerator. Both staff members submitted their verification forms during the visit. During the technical assistance visit conducted on June 24, 2025, information regarding the Emergency Preparedness and Response (EPR) in Child Care training—including available sessions, dates, and times—was shared. A staff member who planned to complete the training reported that they attempted to access the course but were unable to proceed and requested additional technical assistance to locate the training. No training records have been submitted for either staff member for the training period of January 1, 2024, through December 31, 2025. A total of nine (9) children’s files were counted. Per Ms. Bell, one (1) of the enrollees recently left the program. Eight (8) children’s files were reviewed. No plan of care was in file, but the program does not transport children or take them out in routine errands. A request for religious exemption for medical requirements was in file for one (1) child. No acknowledgement of receipt of the program’s operational policies was in the children’s files. However, Ms. Bell stated that the policies were shared with each family upon enrollment. Ms. Bell conducted a group time. She read a book and sang songs and discussed days of week. Pizzas were ordered for lunch and delivered to the program. Children and staff members washed their hands prior to lunch. Bananas, pizzas and milk were served during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care .Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection form that the program provided was completed in 2023. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. No activity plan was posted. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. During lunch, pizza slice(s), cut bananas and milk were served to the children. 10A NCAC 09 .0901(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. No screen time log was completed though television was on upon my arrival at the center. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu for this week was not posted and the decision to order pizza was made during today's visit. 10A NCAC 09 .0901(b) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu for this week was not posted. 10A NCAC 09 .0901(b) 544 Screen time was offered to children under three years of age. There were three (3) children, who were two (2) years of age, present during the visit. Upon my arrival, the TV was on and a cartoon was playing. .0510(f) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. All six (6) cots were placed in space #1 during the visit. The spaces among cots were between five (5) to nine (9) inches apart. 15A NCAC 18A .2821(e) 807 A safe indoor and outdoor environment was not provided for the children. Top bars of some sections of the playground fence were rusted. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of bleach was on the top shelf in the cabinet by the sink in the kitchen area. one (1) can of Lysol was on top of the refrigerator, and one (1) can was on the vanity in the bathroom. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The staff members talked about children's biting incidents but incident reports were not completed for those incidents. .0802 (e) 853 Incident logs were not completed and maintained as required. No incident logs were maintained for the program. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspection was not completed for October 2025. .0605(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaire was last updated on 8/28/24 for one (1) staff member. .0701(a) 1061 One staff member had not completed training in playground safety. .1102(e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff evaluation forms and development plans were on file for either staff members. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Out of eight (8) children enrolled, five (5) children did not have medical exam records on file. Those children's enrollment dates are 5/5/25 (NS), 7/8/25 (BA), 4/14/25 (HR), May, 2025(EH), May 2025 (HH). GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization records were not on file for five (5) children. Their enrollment dates are 4/8/24, 5/5/25, 05/2025, 05/2025 and unknown date - due to lack of date on the application forms. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) child did not have discipline policy acknowledgement on file. One (1) child's acknowledgement form had the parent's signature but no date. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The parent-completed statement of receipt for the discipline policy for one (1) child was missing the child’s name and the date of enrollment. .1804(b) 1805 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. Center roster has not been created on the ABCMS as of today. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last update EPR plan was dated 2023. the plan has not been updated on NC Risk Management portal since then. .0607(e) Technical assistance was provided as follows: 106: Fire inspection Fire inspection must be conducted annually. Per Ms. Bell’s statement, the last inspection was completed and approved in summer 2024. To comply, you shall contact the Fire Marshall at your earliest convenience possible to notify them of a fire inspection. You must complete the inspection and get it approved within the next two (2) weeks. Upon receiving the approved inspection, you shall forward the inspection to me. A fire inspection form was printed during today’s visit and left on site. In your compliance letter, please state the date you completed the inspection. Additionally, you must submit the approved inspection to me when you receive the inspection. 428: activity plans Current activity plans must be posted. We discussed basic requirements for activity plans during the visit. NCFELD books were shared during the visit. In your lesson plan/activity plans, you must include the followings: • emotional and social development; • health and physical development; • approaches to play and learning; • language development and communication; and • cognitive development. In your compliance letter, please state the action you took to meet compliance. 501: nutrition requirements Nutrition requirements set by USDA must be met. I printed the meal requirement information – required components and quantities and shared with you. To comply, you must feed additional vegetables or fruit to add to the lunch you served. In your compliance letter, please state how you will prevent the same violation. 525: planning meals in advance 526: menu – posted and current Menu must be planned in advance. Additionally, the menu must be current and posted. Please note that different items were served to the children than what are listed on the menu, you must list the correct items prior to serving children. To comply, you must post the current menu and post them at least a week in advance. It is okay to locate the menu. Make sure to put the date/week and maintain the record on file. In your compliance letter, please state the action you took to achieve the compliance. 524: screen time log Upon offering screen time log, the length of the screen time must be documented. 544: screen time Screen time must not be offered to children younger than three (3) years of age. To comply, I strongly recommend you stop offering the screen time to your group of children. If you do, please take children who are younger than three (3) to space #2. Upon completion of screen time, you must log the length of time children were offered the screen time. In your compliance letter, you must state the action you will take to prevent recurrence of this violation. This violation has been cited multiple times during routine visits. It could be perceived as non-compliance issue, if you continue to ignore these requirements. 807: Safe environment Rust must be inaccessible to the children. On the playground, top bars of some sections of the fence are rusted. To comply, you must remove the rust or paint over it. In your compliance letter, please state the action you took to achieve the compliance. 614: Space between cots Spaces between cots must be minimum of eighteen (18) inches apart. To comply, you must properly space cots prior to rest time. In your compliance letter, please state the action you took to meet compliance. 840: Potentially hazardous products Potentially hazardous products such as bleach, aerosol cans must be stored in locked storage. To comply, bleach in the kitchen area and aerosol cans must be stored in locked storage. Baby proofing devices are not considered sufficient. I advise you to store hazardous products, such as bleach, aerosol cans and any types of medications in a locked room. In your compliance letter, please state the action you took to meet compliance. 852: Incident report 853: Incident log Incident report must be completed anytime child in care are injured, and the injuries require any type of first aid. You talked about biting among children. Biting must be properly documented due to potential biocontamination and exchanges of bodily fluid. Each time incident report is filled out, the incident must be recorded on the incident log. To comply, please fill out the incident report for the most recent incident that require first aid and log that incident on the log. You must share the incident with parent and obtain the signature. In your compliance letter, please verify that incident report was filled out for the biting incident and the incident was documented on the incident log. 859: playground inspection A playground inspection must be conducted monthly. To comply, you must complete an inspection for October 2025. Since you did not complete one (1) in October, please conduct two (2) inspections in November – one (1) is in place for October, and the other one (1) is for November. Both inspections shall record the date you conducted the inspection. Please note “In place for October 2025” on one (1) of the inspections. In your compliance letter, please state the date you completed the inspection for October 2025. 1034: All staff, including the director, must have an annual health questionnaire on file following the initial medical statement. Refer to 10A NCAC 09 .0701(a). To comply, please update the following staff member(s) Health Questionnaire form: D. Crane. In your compliance letter, please verify that you updated the health questionnaire for D. Crane. 1061: Playground safety training The person who can conduct monthly playground inspection must complete the training. At least one (1) person each center must complete this training. Per Ms. Bell, she has probably completed this training. However, she cannot locate the training certificate. During the technical assistance visit conducted on 6/24/25, I provided playground safety training opportunities with staff members including the available training, link and fees. To comply, one (1) person must complete the playground safety training at earliest opportunities possible and maintain the certificate on file. In your compliance letter, please state the date you completed the training and filed the certificate. 1232: annual staff evaluation and staff development plan Staff evaluation and development plan is required annually. To comply, please create evaluation and development plan. CQI form for individual was printed and shared with you during the visit to use for the development plan. You will need to create evaluation form for staff members. In your compliance letter, please state the action you took to meet compliance. 1321: Health assessment record within thirty (30) days 1323: Immunization record within thirty (30) days Health assessment/physicals must be obtained within thirty (30) days of enrollment and maintain it on file for each child. Immunization records for each child are required unless the parents/guardian request for religions exemptions in writing. The records must be in each child’s file within thirty (30) days of enrollment. To comply, please refer to the children’s files checklist. You must request a physical for the following children: N.S., B.A., H.R., E.H., H.H., S.J. To comply, please refer to the children’s files checklist. You must request immunization records for the following children: O.F., N. S., E.H., H.H., S. J. In your compliance letter, please verify if all documentation were obtained and on file. 1324/1325: discipline policy Parents/guardians of each enrollee must receive the center’s discipline policy in writing and sign the acknowledgement that the discipline policy was received. The acknowledgement form must include child’s name and the date of enrollment. To comply, please create an acknowledgement form for discipline policy and obtain the signature from the parent of O.F. In your compliance letter, please verify the completion of the task. 1805: ABCMS roster New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, please take the training on the DCDEE Moodle first and follow the procedures for listing all staff members. 1824: EPR plan The EPR plan must be reviewed annually on the NC Risk Management Portal, update it and print it by the trained staff member. The EPR plan must be maintained in the Ready-to-go File and all staff members must know the location of the file. Per Ms. Bell and the staff member present, the plan was completed and printed, but they could not locate it. To comply, please log onto NC Risk Management Portal and complete the EPR template and print the plan. Along with the compliance letter, please submit the copy of your EPR plan to me. If other staff member is interested in taking Emergency Preparedness and Response training, Buncombe Partnership for Children offers the training on 12/8/25 from 1:00 pm and December 10 at 2:15 pm. You can register for the class on https://buncombepfc.org/training/ and the cost is $12.50. The same training is also available on 2/9/26 from 6:00 pm - 8:30 pm. you can register at Southwestern Child Development Commission website at https://reg.learningstream.com/reg/event_page.aspx?ek=0042-0007-153b9b7d0246485996ad63be89fb5f45. Registration fee is $20. I cannot find openings for the Playground Safety Training. I will notify you as I find available training. Achieving Compliance: Due to sixteen (16) or more violations cited during today’s visit, a follow-up visit will be conducted. You may be considered for administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/24/25. Email the compliance letter on signed letterhead or in 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 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: On-going training: Between 1/1/24 – 12/31/25, both of you must meet required on-going training hours. You must make sure that your education information on WORKS is up to date. Please use the resource I shared via email and follow the procedures to submit the transcript to the WORKS account. Both staff members have completed two (2) hours of training so far. Medication in Child Care training does not count toward on-going training hours because the hours were used to meet the Health and Safety training requirements. Therefore, you need additional eight (8) hours of training prior to 12/31/25. Please note that D. Crane does not have WORKS letter issued. Until the letter is issued, the required training hours for the staff member is twenty (20) hours. In your compliance letter, please verify the completion of training. Additionally, please submit a copy of training certificates to me. Rated License Assessment: I discussed the Rated License Assessment with Ms. Bell and Dawn Crane, teacher. • Quick overview of pathways – Ms. Bell has not reviewed the QIRS information or attended a provider meeting. • Education requirements for administrator, lead teacher and teacher – Both Ms. Bev and Ms. Crane care for children. I will follow-up with you the clarification of your position. • Ms. Crane does not have a WORKS letter issued yet. The instruction on how to submit official transcript was shared vis email on October 24, 2025. • CQI requirements • Family and Community Engagement • Self-study requirements • Outreach assessment can be requested at Email: ncrlap@uncg.edu or Phone: Toll Free (866)-362-7527 • Self-study process can be reviewed on https://ncrlap.org/Resources/SelfStudy/FCCH/ - self-study process is minimum of three (3) months. • Self-study verification form was printed and shared with you. Fillable form can be accessed at https://ncrlap.org/Resources/Uploaded_Files/Uploaded_Resources/Self%20Study%20Verification%20Form%20FCCH-CLIAR%20%28fillable%29%20%28%2010-31-25%2011-46-49%20AM%29.pdf Timeline: You may choose to apply in April 2026 or October 2026. Considering many requirements you must meet, October 2026 may be a better option. Please start with the following task: 1. Ms. Crane must submit an official transcript to WORKS account, apply for positions – teacher and lead teacher 2. Choose a competency evaluation or completion of 10 hours CEU. Before completing any training, please make sure that the organization offers CEU’s. 3. Consider which Family and Community Engagement you will meet and start collecting evidence 4. Set goal for CQI for facility and individuals 5. Review FCCERS-3 requirements, conduct a self-assessment and identify a goal for a program and a goal for lead teacher You may contact Buncombe Partnership for Children and ask for additional resources and guidance for the Rated License Assessment. You can contact (828) 285-9333. FCCERS-3: For new QIRS, you are required to receive FCCERS-3 assessment. However, there are no score requirements for three-star program. We also discussed transitioning to one-star center. One-star license is not required to go through the Rated License Assessment. However, your subsidy rate is currently determined by each program’s star-level. Therefore, changing star level may affect your subsidy reimbursement rate. Please contact Child Care Subsidy consultant if you have any questions. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0304 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/10/2025 Number Present: 6 Completed Date: 11/10/2025 Age: From 2 To 4 Total Minutes: 410 Time In: 09:10 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Beverly Bell, Owner during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/21/24. The last fire drill was practiced on 9/8/25. The last shelter-in-place drill was practiced on 8/8/25. The last playground inspection was documented on 9/15/25. The last fire inspection was not obtained during today’s visit. Per communication with Ms. Bell during a routine unannounced visit conducted on 4/15/25, the fire inspection was completed on 12/21/23 but could not locate the inspection form. Under consultation, I instructed Ms. Bell to contact the Fire Marshall to complete the inspection. During today’s visit, Ms. Bell stated that the inspection was completed during the last summer, 2024. However, the inspection form has not been located yet. The last sanitation inspection was conducted on 2/11/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 10/10/23 without hazards. The lead paint and asbestos testing was completed on 8/7/25. No further actions are needed. Upon arrival, I greeted both staff members and announced the purpose of the visit. Five (5) children, two-to-four years of age, were present with two (2) staff members, including Ms. Bell. The television in the living room was turned on and a children’s show was playing. The TV was turned shortly after my arrival. The children moved between space #1 and #2 with staff members. The children played with puzzles, blocks, pretend animals/vehicles/people/characters, colored with crayons and talked with the staff members. Staff/child ratios sheet, daily schedule, safe arrival, no smoking poster, first aid, EMC, parent participation plan were posted in space #2. Additional child, two (2) years old arrived shortly after 10:00 am. Fire Alarm was tested. In this residence, there are three (3) alarms installed. Two (2) alarms are wired and one (1) is battery-operated. They were tested during the visit and were in working order. There was a child-proof gate to separate the kitchen and space #1. A few children opened the gate independently and came into the kitchen area. In the kitchen area, a bottle of bleach was stored on the top shelf in the cabinet by the sink, and a can of Lysol disinfecting spray was maintained above the refrigerator. Both staff members submitted their verification forms during the visit. During the technical assistance visit conducted on June 24, 2025, information regarding the Emergency Preparedness and Response (EPR) in Child Care training—including available sessions, dates, and times—was shared. A staff member who planned to complete the training reported that they attempted to access the course but were unable to proceed and requested additional technical assistance to locate the training. No training records have been submitted for either staff member for the training period of January 1, 2024, through December 31, 2025. A total of nine (9) children’s files were counted. Per Ms. Bell, one (1) of the enrollees recently left the program. Eight (8) children’s files were reviewed. No plan of care was in file, but the program does not transport children or take them out in routine errands. A request for religious exemption for medical requirements was in file for one (1) child. No acknowledgement of receipt of the program’s operational policies was in the children’s files. However, Ms. Bell stated that the policies were shared with each family upon enrollment. Ms. Bell conducted a group time. She read a book and sang songs and discussed days of week. Pizzas were ordered for lunch and delivered to the program. Children and staff members washed their hands prior to lunch. Bananas, pizzas and milk were served during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care .Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection form that the program provided was completed in 2023. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. No activity plan was posted. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. During lunch, pizza slice(s), cut bananas and milk were served to the children. 10A NCAC 09 .0901(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. No screen time log was completed though television was on upon my arrival at the center. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu for this week was not posted and the decision to order pizza was made during today's visit. 10A NCAC 09 .0901(b) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu for this week was not posted. 10A NCAC 09 .0901(b) 544 Screen time was offered to children under three years of age. There were three (3) children, who were two (2) years of age, present during the visit. Upon my arrival, the TV was on and a cartoon was playing. .0510(f) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. All six (6) cots were placed in space #1 during the visit. The spaces among cots were between five (5) to nine (9) inches apart. 15A NCAC 18A .2821(e) 807 A safe indoor and outdoor environment was not provided for the children. Top bars of some sections of the playground fence were rusted. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of bleach was on the top shelf in the cabinet by the sink in the kitchen area. one (1) can of Lysol was on top of the refrigerator, and one (1) can was on the vanity in the bathroom. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The staff members talked about children's biting incidents but incident reports were not completed for those incidents. .0802 (e) 853 Incident logs were not completed and maintained as required. No incident logs were maintained for the program. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspection was not completed for October 2025. .0605(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaire was last updated on 8/28/24 for one (1) staff member. .0701(a) 1061 One staff member had not completed training in playground safety. .1102(e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff evaluation forms and development plans were on file for either staff members. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Out of eight (8) children enrolled, five (5) children did not have medical exam records on file. Those children's enrollment dates are 5/5/25 (NS), 7/8/25 (BA), 4/14/25 (HR), May, 2025(EH), May 2025 (HH). GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization records were not on file for five (5) children. Their enrollment dates are 4/8/24, 5/5/25, 05/2025, 05/2025 and unknown date - due to lack of date on the application forms. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) child did not have discipline policy acknowledgement on file. One (1) child's acknowledgement form had the parent's signature but no date. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The parent-completed statement of receipt for the discipline policy for one (1) child was missing the child’s name and the date of enrollment. .1804(b) 1805 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. Center roster has not been created on the ABCMS as of today. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last update EPR plan was dated 2023. the plan has not been updated on NC Risk Management portal since then. .0607(e) Technical assistance was provided as follows: 106: Fire inspection Fire inspection must be conducted annually. Per Ms. Bell’s statement, the last inspection was completed and approved in summer 2024. To comply, you shall contact the Fire Marshall at your earliest convenience possible to notify them of a fire inspection. You must complete the inspection and get it approved within the next two (2) weeks. Upon receiving the approved inspection, you shall forward the inspection to me. A fire inspection form was printed during today’s visit and left on site. In your compliance letter, please state the date you completed the inspection. Additionally, you must submit the approved inspection to me when you receive the inspection. 428: activity plans Current activity plans must be posted. We discussed basic requirements for activity plans during the visit. NCFELD books were shared during the visit. In your lesson plan/activity plans, you must include the followings: • emotional and social development; • health and physical development; • approaches to play and learning; • language development and communication; and • cognitive development. In your compliance letter, please state the action you took to meet compliance. 501: nutrition requirements Nutrition requirements set by USDA must be met. I printed the meal requirement information – required components and quantities and shared with you. To comply, you must feed additional vegetables or fruit to add to the lunch you served. In your compliance letter, please state how you will prevent the same violation. 525: planning meals in advance 526: menu – posted and current Menu must be planned in advance. Additionally, the menu must be current and posted. Please note that different items were served to the children than what are listed on the menu, you must list the correct items prior to serving children. To comply, you must post the current menu and post them at least a week in advance. It is okay to locate the menu. Make sure to put the date/week and maintain the record on file. In your compliance letter, please state the action you took to achieve the compliance. 524: screen time log Upon offering screen time log, the length of the screen time must be documented. 544: screen time Screen time must not be offered to children younger than three (3) years of age. To comply, I strongly recommend you stop offering the screen time to your group of children. If you do, please take children who are younger than three (3) to space #2. Upon completion of screen time, you must log the length of time children were offered the screen time. In your compliance letter, you must state the action you will take to prevent recurrence of this violation. This violation has been cited multiple times during routine visits. It could be perceived as non-compliance issue, if you continue to ignore these requirements. 807: Safe environment Rust must be inaccessible to the children. On the playground, top bars of some sections of the fence are rusted. To comply, you must remove the rust or paint over it. In your compliance letter, please state the action you took to achieve the compliance. 614: Space between cots Spaces between cots must be minimum of eighteen (18) inches apart. To comply, you must properly space cots prior to rest time. In your compliance letter, please state the action you took to meet compliance. 840: Potentially hazardous products Potentially hazardous products such as bleach, aerosol cans must be stored in locked storage. To comply, bleach in the kitchen area and aerosol cans must be stored in locked storage. Baby proofing devices are not considered sufficient. I advise you to store hazardous products, such as bleach, aerosol cans and any types of medications in a locked room. In your compliance letter, please state the action you took to meet compliance. 852: Incident report 853: Incident log Incident report must be completed anytime child in care are injured, and the injuries require any type of first aid. You talked about biting among children. Biting must be properly documented due to potential biocontamination and exchanges of bodily fluid. Each time incident report is filled out, the incident must be recorded on the incident log. To comply, please fill out the incident report for the most recent incident that require first aid and log that incident on the log. You must share the incident with parent and obtain the signature. In your compliance letter, please verify that incident report was filled out for the biting incident and the incident was documented on the incident log. 859: playground inspection A playground inspection must be conducted monthly. To comply, you must complete an inspection for October 2025. Since you did not complete one (1) in October, please conduct two (2) inspections in November – one (1) is in place for October, and the other one (1) is for November. Both inspections shall record the date you conducted the inspection. Please note “In place for October 2025” on one (1) of the inspections. In your compliance letter, please state the date you completed the inspection for October 2025. 1034: All staff, including the director, must have an annual health questionnaire on file following the initial medical statement. Refer to 10A NCAC 09 .0701(a). To comply, please update the following staff member(s) Health Questionnaire form: D. Crane. In your compliance letter, please verify that you updated the health questionnaire for D. Crane. 1061: Playground safety training The person who can conduct monthly playground inspection must complete the training. At least one (1) person each center must complete this training. Per Ms. Bell, she has probably completed this training. However, she cannot locate the training certificate. During the technical assistance visit conducted on 6/24/25, I provided playground safety training opportunities with staff members including the available training, link and fees. To comply, one (1) person must complete the playground safety training at earliest opportunities possible and maintain the certificate on file. In your compliance letter, please state the date you completed the training and filed the certificate. 1232: annual staff evaluation and staff development plan Staff evaluation and development plan is required annually. To comply, please create evaluation and development plan. CQI form for individual was printed and shared with you during the visit to use for the development plan. You will need to create evaluation form for staff members. In your compliance letter, please state the action you took to meet compliance. 1321: Health assessment record within thirty (30) days 1323: Immunization record within thirty (30) days Health assessment/physicals must be obtained within thirty (30) days of enrollment and maintain it on file for each child. Immunization records for each child are required unless the parents/guardian request for religions exemptions in writing. The records must be in each child’s file within thirty (30) days of enrollment. To comply, please refer to the children’s files checklist. You must request a physical for the following children: N.S., B.A., H.R., E.H., H.H., S.J. To comply, please refer to the children’s files checklist. You must request immunization records for the following children: O.F., N. S., E.H., H.H., S. J. In your compliance letter, please verify if all documentation were obtained and on file. 1324/1325: discipline policy Parents/guardians of each enrollee must receive the center’s discipline policy in writing and sign the acknowledgement that the discipline policy was received. The acknowledgement form must include child’s name and the date of enrollment. To comply, please create an acknowledgement form for discipline policy and obtain the signature from the parent of O.F. In your compliance letter, please verify the completion of the task. 1805: ABCMS roster New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, please take the training on the DCDEE Moodle first and follow the procedures for listing all staff members. 1824: EPR plan The EPR plan must be reviewed annually on the NC Risk Management Portal, update it and print it by the trained staff member. The EPR plan must be maintained in the Ready-to-go File and all staff members must know the location of the file. Per Ms. Bell and the staff member present, the plan was completed and printed, but they could not locate it. To comply, please log onto NC Risk Management Portal and complete the EPR template and print the plan. Along with the compliance letter, please submit the copy of your EPR plan to me. If other staff member is interested in taking Emergency Preparedness and Response training, Buncombe Partnership for Children offers the training on 12/8/25 from 1:00 pm and December 10 at 2:15 pm. You can register for the class on https://buncombepfc.org/training/ and the cost is $12.50. The same training is also available on 2/9/26 from 6:00 pm - 8:30 pm. you can register at Southwestern Child Development Commission website at https://reg.learningstream.com/reg/event_page.aspx?ek=0042-0007-153b9b7d0246485996ad63be89fb5f45. Registration fee is $20. I cannot find openings for the Playground Safety Training. I will notify you as I find available training. Achieving Compliance: Due to sixteen (16) or more violations cited during today’s visit, a follow-up visit will be conducted. You may be considered for administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/24/25. Email the compliance letter on signed letterhead or in 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 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: On-going training: Between 1/1/24 – 12/31/25, both of you must meet required on-going training hours. You must make sure that your education information on WORKS is up to date. Please use the resource I shared via email and follow the procedures to submit the transcript to the WORKS account. Both staff members have completed two (2) hours of training so far. Medication in Child Care training does not count toward on-going training hours because the hours were used to meet the Health and Safety training requirements. Therefore, you need additional eight (8) hours of training prior to 12/31/25. Please note that D. Crane does not have WORKS letter issued. Until the letter is issued, the required training hours for the staff member is twenty (20) hours. In your compliance letter, please verify the completion of training. Additionally, please submit a copy of training certificates to me. Rated License Assessment: I discussed the Rated License Assessment with Ms. Bell and Dawn Crane, teacher. • Quick overview of pathways – Ms. Bell has not reviewed the QIRS information or attended a provider meeting. • Education requirements for administrator, lead teacher and teacher – Both Ms. Bev and Ms. Crane care for children. I will follow-up with you the clarification of your position. • Ms. Crane does not have a WORKS letter issued yet. The instruction on how to submit official transcript was shared vis email on October 24, 2025. • CQI requirements • Family and Community Engagement • Self-study requirements • Outreach assessment can be requested at Email: ncrlap@uncg.edu or Phone: Toll Free (866)-362-7527 • Self-study process can be reviewed on https://ncrlap.org/Resources/SelfStudy/FCCH/ - self-study process is minimum of three (3) months. • Self-study verification form was printed and shared with you. Fillable form can be accessed at https://ncrlap.org/Resources/Uploaded_Files/Uploaded_Resources/Self%20Study%20Verification%20Form%20FCCH-CLIAR%20%28fillable%29%20%28%2010-31-25%2011-46-49%20AM%29.pdf Timeline: You may choose to apply in April 2026 or October 2026. Considering many requirements you must meet, October 2026 may be a better option. Please start with the following task: 1. Ms. Crane must submit an official transcript to WORKS account, apply for positions – teacher and lead teacher 2. Choose a competency evaluation or completion of 10 hours CEU. Before completing any training, please make sure that the organization offers CEU’s. 3. Consider which Family and Community Engagement you will meet and start collecting evidence 4. Set goal for CQI for facility and individuals 5. Review FCCERS-3 requirements, conduct a self-assessment and identify a goal for a program and a goal for lead teacher You may contact Buncombe Partnership for Children and ask for additional resources and guidance for the Rated License Assessment. You can contact (828) 285-9333. FCCERS-3: For new QIRS, you are required to receive FCCERS-3 assessment. However, there are no score requirements for three-star program. We also discussed transitioning to one-star center. One-star license is not required to go through the Rated License Assessment. However, your subsidy rate is currently determined by each program’s star-level. Therefore, changing star level may affect your subsidy reimbursement rate. Please contact Child Care Subsidy consultant if you have any questions. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0514 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/10/2025 Number Present: 6 Completed Date: 11/10/2025 Age: From 2 To 4 Total Minutes: 410 Time In: 09:10 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Beverly Bell, Owner during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/21/24. The last fire drill was practiced on 9/8/25. The last shelter-in-place drill was practiced on 8/8/25. The last playground inspection was documented on 9/15/25. The last fire inspection was not obtained during today’s visit. Per communication with Ms. Bell during a routine unannounced visit conducted on 4/15/25, the fire inspection was completed on 12/21/23 but could not locate the inspection form. Under consultation, I instructed Ms. Bell to contact the Fire Marshall to complete the inspection. During today’s visit, Ms. Bell stated that the inspection was completed during the last summer, 2024. However, the inspection form has not been located yet. The last sanitation inspection was conducted on 2/11/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 10/10/23 without hazards. The lead paint and asbestos testing was completed on 8/7/25. No further actions are needed. Upon arrival, I greeted both staff members and announced the purpose of the visit. Five (5) children, two-to-four years of age, were present with two (2) staff members, including Ms. Bell. The television in the living room was turned on and a children’s show was playing. The TV was turned shortly after my arrival. The children moved between space #1 and #2 with staff members. The children played with puzzles, blocks, pretend animals/vehicles/people/characters, colored with crayons and talked with the staff members. Staff/child ratios sheet, daily schedule, safe arrival, no smoking poster, first aid, EMC, parent participation plan were posted in space #2. Additional child, two (2) years old arrived shortly after 10:00 am. Fire Alarm was tested. In this residence, there are three (3) alarms installed. Two (2) alarms are wired and one (1) is battery-operated. They were tested during the visit and were in working order. There was a child-proof gate to separate the kitchen and space #1. A few children opened the gate independently and came into the kitchen area. In the kitchen area, a bottle of bleach was stored on the top shelf in the cabinet by the sink, and a can of Lysol disinfecting spray was maintained above the refrigerator. Both staff members submitted their verification forms during the visit. During the technical assistance visit conducted on June 24, 2025, information regarding the Emergency Preparedness and Response (EPR) in Child Care training—including available sessions, dates, and times—was shared. A staff member who planned to complete the training reported that they attempted to access the course but were unable to proceed and requested additional technical assistance to locate the training. No training records have been submitted for either staff member for the training period of January 1, 2024, through December 31, 2025. A total of nine (9) children’s files were counted. Per Ms. Bell, one (1) of the enrollees recently left the program. Eight (8) children’s files were reviewed. No plan of care was in file, but the program does not transport children or take them out in routine errands. A request for religious exemption for medical requirements was in file for one (1) child. No acknowledgement of receipt of the program’s operational policies was in the children’s files. However, Ms. Bell stated that the policies were shared with each family upon enrollment. Ms. Bell conducted a group time. She read a book and sang songs and discussed days of week. Pizzas were ordered for lunch and delivered to the program. Children and staff members washed their hands prior to lunch. Bananas, pizzas and milk were served during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care .Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection form that the program provided was completed in 2023. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. No activity plan was posted. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. During lunch, pizza slice(s), cut bananas and milk were served to the children. 10A NCAC 09 .0901(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. No screen time log was completed though television was on upon my arrival at the center. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu for this week was not posted and the decision to order pizza was made during today's visit. 10A NCAC 09 .0901(b) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu for this week was not posted. 10A NCAC 09 .0901(b) 544 Screen time was offered to children under three years of age. There were three (3) children, who were two (2) years of age, present during the visit. Upon my arrival, the TV was on and a cartoon was playing. .0510(f) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. All six (6) cots were placed in space #1 during the visit. The spaces among cots were between five (5) to nine (9) inches apart. 15A NCAC 18A .2821(e) 807 A safe indoor and outdoor environment was not provided for the children. Top bars of some sections of the playground fence were rusted. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of bleach was on the top shelf in the cabinet by the sink in the kitchen area. one (1) can of Lysol was on top of the refrigerator, and one (1) can was on the vanity in the bathroom. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The staff members talked about children's biting incidents but incident reports were not completed for those incidents. .0802 (e) 853 Incident logs were not completed and maintained as required. No incident logs were maintained for the program. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspection was not completed for October 2025. .0605(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaire was last updated on 8/28/24 for one (1) staff member. .0701(a) 1061 One staff member had not completed training in playground safety. .1102(e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff evaluation forms and development plans were on file for either staff members. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Out of eight (8) children enrolled, five (5) children did not have medical exam records on file. Those children's enrollment dates are 5/5/25 (NS), 7/8/25 (BA), 4/14/25 (HR), May, 2025(EH), May 2025 (HH). GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization records were not on file for five (5) children. Their enrollment dates are 4/8/24, 5/5/25, 05/2025, 05/2025 and unknown date - due to lack of date on the application forms. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) child did not have discipline policy acknowledgement on file. One (1) child's acknowledgement form had the parent's signature but no date. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The parent-completed statement of receipt for the discipline policy for one (1) child was missing the child’s name and the date of enrollment. .1804(b) 1805 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. Center roster has not been created on the ABCMS as of today. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last update EPR plan was dated 2023. the plan has not been updated on NC Risk Management portal since then. .0607(e) Technical assistance was provided as follows: 106: Fire inspection Fire inspection must be conducted annually. Per Ms. Bell’s statement, the last inspection was completed and approved in summer 2024. To comply, you shall contact the Fire Marshall at your earliest convenience possible to notify them of a fire inspection. You must complete the inspection and get it approved within the next two (2) weeks. Upon receiving the approved inspection, you shall forward the inspection to me. A fire inspection form was printed during today’s visit and left on site. In your compliance letter, please state the date you completed the inspection. Additionally, you must submit the approved inspection to me when you receive the inspection. 428: activity plans Current activity plans must be posted. We discussed basic requirements for activity plans during the visit. NCFELD books were shared during the visit. In your lesson plan/activity plans, you must include the followings: • emotional and social development; • health and physical development; • approaches to play and learning; • language development and communication; and • cognitive development. In your compliance letter, please state the action you took to meet compliance. 501: nutrition requirements Nutrition requirements set by USDA must be met. I printed the meal requirement information – required components and quantities and shared with you. To comply, you must feed additional vegetables or fruit to add to the lunch you served. In your compliance letter, please state how you will prevent the same violation. 525: planning meals in advance 526: menu – posted and current Menu must be planned in advance. Additionally, the menu must be current and posted. Please note that different items were served to the children than what are listed on the menu, you must list the correct items prior to serving children. To comply, you must post the current menu and post them at least a week in advance. It is okay to locate the menu. Make sure to put the date/week and maintain the record on file. In your compliance letter, please state the action you took to achieve the compliance. 524: screen time log Upon offering screen time log, the length of the screen time must be documented. 544: screen time Screen time must not be offered to children younger than three (3) years of age. To comply, I strongly recommend you stop offering the screen time to your group of children. If you do, please take children who are younger than three (3) to space #2. Upon completion of screen time, you must log the length of time children were offered the screen time. In your compliance letter, you must state the action you will take to prevent recurrence of this violation. This violation has been cited multiple times during routine visits. It could be perceived as non-compliance issue, if you continue to ignore these requirements. 807: Safe environment Rust must be inaccessible to the children. On the playground, top bars of some sections of the fence are rusted. To comply, you must remove the rust or paint over it. In your compliance letter, please state the action you took to achieve the compliance. 614: Space between cots Spaces between cots must be minimum of eighteen (18) inches apart. To comply, you must properly space cots prior to rest time. In your compliance letter, please state the action you took to meet compliance. 840: Potentially hazardous products Potentially hazardous products such as bleach, aerosol cans must be stored in locked storage. To comply, bleach in the kitchen area and aerosol cans must be stored in locked storage. Baby proofing devices are not considered sufficient. I advise you to store hazardous products, such as bleach, aerosol cans and any types of medications in a locked room. In your compliance letter, please state the action you took to meet compliance. 852: Incident report 853: Incident log Incident report must be completed anytime child in care are injured, and the injuries require any type of first aid. You talked about biting among children. Biting must be properly documented due to potential biocontamination and exchanges of bodily fluid. Each time incident report is filled out, the incident must be recorded on the incident log. To comply, please fill out the incident report for the most recent incident that require first aid and log that incident on the log. You must share the incident with parent and obtain the signature. In your compliance letter, please verify that incident report was filled out for the biting incident and the incident was documented on the incident log. 859: playground inspection A playground inspection must be conducted monthly. To comply, you must complete an inspection for October 2025. Since you did not complete one (1) in October, please conduct two (2) inspections in November – one (1) is in place for October, and the other one (1) is for November. Both inspections shall record the date you conducted the inspection. Please note “In place for October 2025” on one (1) of the inspections. In your compliance letter, please state the date you completed the inspection for October 2025. 1034: All staff, including the director, must have an annual health questionnaire on file following the initial medical statement. Refer to 10A NCAC 09 .0701(a). To comply, please update the following staff member(s) Health Questionnaire form: D. Crane. In your compliance letter, please verify that you updated the health questionnaire for D. Crane. 1061: Playground safety training The person who can conduct monthly playground inspection must complete the training. At least one (1) person each center must complete this training. Per Ms. Bell, she has probably completed this training. However, she cannot locate the training certificate. During the technical assistance visit conducted on 6/24/25, I provided playground safety training opportunities with staff members including the available training, link and fees. To comply, one (1) person must complete the playground safety training at earliest opportunities possible and maintain the certificate on file. In your compliance letter, please state the date you completed the training and filed the certificate. 1232: annual staff evaluation and staff development plan Staff evaluation and development plan is required annually. To comply, please create evaluation and development plan. CQI form for individual was printed and shared with you during the visit to use for the development plan. You will need to create evaluation form for staff members. In your compliance letter, please state the action you took to meet compliance. 1321: Health assessment record within thirty (30) days 1323: Immunization record within thirty (30) days Health assessment/physicals must be obtained within thirty (30) days of enrollment and maintain it on file for each child. Immunization records for each child are required unless the parents/guardian request for religions exemptions in writing. The records must be in each child’s file within thirty (30) days of enrollment. To comply, please refer to the children’s files checklist. You must request a physical for the following children: N.S., B.A., H.R., E.H., H.H., S.J. To comply, please refer to the children’s files checklist. You must request immunization records for the following children: O.F., N. S., E.H., H.H., S. J. In your compliance letter, please verify if all documentation were obtained and on file. 1324/1325: discipline policy Parents/guardians of each enrollee must receive the center’s discipline policy in writing and sign the acknowledgement that the discipline policy was received. The acknowledgement form must include child’s name and the date of enrollment. To comply, please create an acknowledgement form for discipline policy and obtain the signature from the parent of O.F. In your compliance letter, please verify the completion of the task. 1805: ABCMS roster New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, please take the training on the DCDEE Moodle first and follow the procedures for listing all staff members. 1824: EPR plan The EPR plan must be reviewed annually on the NC Risk Management Portal, update it and print it by the trained staff member. The EPR plan must be maintained in the Ready-to-go File and all staff members must know the location of the file. Per Ms. Bell and the staff member present, the plan was completed and printed, but they could not locate it. To comply, please log onto NC Risk Management Portal and complete the EPR template and print the plan. Along with the compliance letter, please submit the copy of your EPR plan to me. If other staff member is interested in taking Emergency Preparedness and Response training, Buncombe Partnership for Children offers the training on 12/8/25 from 1:00 pm and December 10 at 2:15 pm. You can register for the class on https://buncombepfc.org/training/ and the cost is $12.50. The same training is also available on 2/9/26 from 6:00 pm - 8:30 pm. you can register at Southwestern Child Development Commission website at https://reg.learningstream.com/reg/event_page.aspx?ek=0042-0007-153b9b7d0246485996ad63be89fb5f45. Registration fee is $20. I cannot find openings for the Playground Safety Training. I will notify you as I find available training. Achieving Compliance: Due to sixteen (16) or more violations cited during today’s visit, a follow-up visit will be conducted. You may be considered for administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/24/25. Email the compliance letter on signed letterhead or in 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 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: On-going training: Between 1/1/24 – 12/31/25, both of you must meet required on-going training hours. You must make sure that your education information on WORKS is up to date. Please use the resource I shared via email and follow the procedures to submit the transcript to the WORKS account. Both staff members have completed two (2) hours of training so far. Medication in Child Care training does not count toward on-going training hours because the hours were used to meet the Health and Safety training requirements. Therefore, you need additional eight (8) hours of training prior to 12/31/25. Please note that D. Crane does not have WORKS letter issued. Until the letter is issued, the required training hours for the staff member is twenty (20) hours. In your compliance letter, please verify the completion of training. Additionally, please submit a copy of training certificates to me. Rated License Assessment: I discussed the Rated License Assessment with Ms. Bell and Dawn Crane, teacher. • Quick overview of pathways – Ms. Bell has not reviewed the QIRS information or attended a provider meeting. • Education requirements for administrator, lead teacher and teacher – Both Ms. Bev and Ms. Crane care for children. I will follow-up with you the clarification of your position. • Ms. Crane does not have a WORKS letter issued yet. The instruction on how to submit official transcript was shared vis email on October 24, 2025. • CQI requirements • Family and Community Engagement • Self-study requirements • Outreach assessment can be requested at Email: ncrlap@uncg.edu or Phone: Toll Free (866)-362-7527 • Self-study process can be reviewed on https://ncrlap.org/Resources/SelfStudy/FCCH/ - self-study process is minimum of three (3) months. • Self-study verification form was printed and shared with you. Fillable form can be accessed at https://ncrlap.org/Resources/Uploaded_Files/Uploaded_Resources/Self%20Study%20Verification%20Form%20FCCH-CLIAR%20%28fillable%29%20%28%2010-31-25%2011-46-49%20AM%29.pdf Timeline: You may choose to apply in April 2026 or October 2026. Considering many requirements you must meet, October 2026 may be a better option. Please start with the following task: 1. Ms. Crane must submit an official transcript to WORKS account, apply for positions – teacher and lead teacher 2. Choose a competency evaluation or completion of 10 hours CEU. Before completing any training, please make sure that the organization offers CEU’s. 3. Consider which Family and Community Engagement you will meet and start collecting evidence 4. Set goal for CQI for facility and individuals 5. Review FCCERS-3 requirements, conduct a self-assessment and identify a goal for a program and a goal for lead teacher You may contact Buncombe Partnership for Children and ask for additional resources and guidance for the Rated License Assessment. You can contact (828) 285-9333. FCCERS-3: For new QIRS, you are required to receive FCCERS-3 assessment. However, there are no score requirements for three-star program. We also discussed transitioning to one-star center. One-star license is not required to go through the Rated License Assessment. However, your subsidy rate is currently determined by each program’s star-level. Therefore, changing star level may affect your subsidy reimbursement rate. Please contact Child Care Subsidy consultant if you have any questions. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0701 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/10/2025 Number Present: 6 Completed Date: 11/10/2025 Age: From 2 To 4 Total Minutes: 410 Time In: 09:10 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Beverly Bell, Owner during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/21/24. The last fire drill was practiced on 9/8/25. The last shelter-in-place drill was practiced on 8/8/25. The last playground inspection was documented on 9/15/25. The last fire inspection was not obtained during today’s visit. Per communication with Ms. Bell during a routine unannounced visit conducted on 4/15/25, the fire inspection was completed on 12/21/23 but could not locate the inspection form. Under consultation, I instructed Ms. Bell to contact the Fire Marshall to complete the inspection. During today’s visit, Ms. Bell stated that the inspection was completed during the last summer, 2024. However, the inspection form has not been located yet. The last sanitation inspection was conducted on 2/11/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 10/10/23 without hazards. The lead paint and asbestos testing was completed on 8/7/25. No further actions are needed. Upon arrival, I greeted both staff members and announced the purpose of the visit. Five (5) children, two-to-four years of age, were present with two (2) staff members, including Ms. Bell. The television in the living room was turned on and a children’s show was playing. The TV was turned shortly after my arrival. The children moved between space #1 and #2 with staff members. The children played with puzzles, blocks, pretend animals/vehicles/people/characters, colored with crayons and talked with the staff members. Staff/child ratios sheet, daily schedule, safe arrival, no smoking poster, first aid, EMC, parent participation plan were posted in space #2. Additional child, two (2) years old arrived shortly after 10:00 am. Fire Alarm was tested. In this residence, there are three (3) alarms installed. Two (2) alarms are wired and one (1) is battery-operated. They were tested during the visit and were in working order. There was a child-proof gate to separate the kitchen and space #1. A few children opened the gate independently and came into the kitchen area. In the kitchen area, a bottle of bleach was stored on the top shelf in the cabinet by the sink, and a can of Lysol disinfecting spray was maintained above the refrigerator. Both staff members submitted their verification forms during the visit. During the technical assistance visit conducted on June 24, 2025, information regarding the Emergency Preparedness and Response (EPR) in Child Care training—including available sessions, dates, and times—was shared. A staff member who planned to complete the training reported that they attempted to access the course but were unable to proceed and requested additional technical assistance to locate the training. No training records have been submitted for either staff member for the training period of January 1, 2024, through December 31, 2025. A total of nine (9) children’s files were counted. Per Ms. Bell, one (1) of the enrollees recently left the program. Eight (8) children’s files were reviewed. No plan of care was in file, but the program does not transport children or take them out in routine errands. A request for religious exemption for medical requirements was in file for one (1) child. No acknowledgement of receipt of the program’s operational policies was in the children’s files. However, Ms. Bell stated that the policies were shared with each family upon enrollment. Ms. Bell conducted a group time. She read a book and sang songs and discussed days of week. Pizzas were ordered for lunch and delivered to the program. Children and staff members washed their hands prior to lunch. Bananas, pizzas and milk were served during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care .Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection form that the program provided was completed in 2023. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. No activity plan was posted. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. During lunch, pizza slice(s), cut bananas and milk were served to the children. 10A NCAC 09 .0901(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. No screen time log was completed though television was on upon my arrival at the center. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu for this week was not posted and the decision to order pizza was made during today's visit. 10A NCAC 09 .0901(b) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu for this week was not posted. 10A NCAC 09 .0901(b) 544 Screen time was offered to children under three years of age. There were three (3) children, who were two (2) years of age, present during the visit. Upon my arrival, the TV was on and a cartoon was playing. .0510(f) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. All six (6) cots were placed in space #1 during the visit. The spaces among cots were between five (5) to nine (9) inches apart. 15A NCAC 18A .2821(e) 807 A safe indoor and outdoor environment was not provided for the children. Top bars of some sections of the playground fence were rusted. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of bleach was on the top shelf in the cabinet by the sink in the kitchen area. one (1) can of Lysol was on top of the refrigerator, and one (1) can was on the vanity in the bathroom. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The staff members talked about children's biting incidents but incident reports were not completed for those incidents. .0802 (e) 853 Incident logs were not completed and maintained as required. No incident logs were maintained for the program. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspection was not completed for October 2025. .0605(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaire was last updated on 8/28/24 for one (1) staff member. .0701(a) 1061 One staff member had not completed training in playground safety. .1102(e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff evaluation forms and development plans were on file for either staff members. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Out of eight (8) children enrolled, five (5) children did not have medical exam records on file. Those children's enrollment dates are 5/5/25 (NS), 7/8/25 (BA), 4/14/25 (HR), May, 2025(EH), May 2025 (HH). GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization records were not on file for five (5) children. Their enrollment dates are 4/8/24, 5/5/25, 05/2025, 05/2025 and unknown date - due to lack of date on the application forms. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) child did not have discipline policy acknowledgement on file. One (1) child's acknowledgement form had the parent's signature but no date. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The parent-completed statement of receipt for the discipline policy for one (1) child was missing the child’s name and the date of enrollment. .1804(b) 1805 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. Center roster has not been created on the ABCMS as of today. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last update EPR plan was dated 2023. the plan has not been updated on NC Risk Management portal since then. .0607(e) Technical assistance was provided as follows: 106: Fire inspection Fire inspection must be conducted annually. Per Ms. Bell’s statement, the last inspection was completed and approved in summer 2024. To comply, you shall contact the Fire Marshall at your earliest convenience possible to notify them of a fire inspection. You must complete the inspection and get it approved within the next two (2) weeks. Upon receiving the approved inspection, you shall forward the inspection to me. A fire inspection form was printed during today’s visit and left on site. In your compliance letter, please state the date you completed the inspection. Additionally, you must submit the approved inspection to me when you receive the inspection. 428: activity plans Current activity plans must be posted. We discussed basic requirements for activity plans during the visit. NCFELD books were shared during the visit. In your lesson plan/activity plans, you must include the followings: • emotional and social development; • health and physical development; • approaches to play and learning; • language development and communication; and • cognitive development. In your compliance letter, please state the action you took to meet compliance. 501: nutrition requirements Nutrition requirements set by USDA must be met. I printed the meal requirement information – required components and quantities and shared with you. To comply, you must feed additional vegetables or fruit to add to the lunch you served. In your compliance letter, please state how you will prevent the same violation. 525: planning meals in advance 526: menu – posted and current Menu must be planned in advance. Additionally, the menu must be current and posted. Please note that different items were served to the children than what are listed on the menu, you must list the correct items prior to serving children. To comply, you must post the current menu and post them at least a week in advance. It is okay to locate the menu. Make sure to put the date/week and maintain the record on file. In your compliance letter, please state the action you took to achieve the compliance. 524: screen time log Upon offering screen time log, the length of the screen time must be documented. 544: screen time Screen time must not be offered to children younger than three (3) years of age. To comply, I strongly recommend you stop offering the screen time to your group of children. If you do, please take children who are younger than three (3) to space #2. Upon completion of screen time, you must log the length of time children were offered the screen time. In your compliance letter, you must state the action you will take to prevent recurrence of this violation. This violation has been cited multiple times during routine visits. It could be perceived as non-compliance issue, if you continue to ignore these requirements. 807: Safe environment Rust must be inaccessible to the children. On the playground, top bars of some sections of the fence are rusted. To comply, you must remove the rust or paint over it. In your compliance letter, please state the action you took to achieve the compliance. 614: Space between cots Spaces between cots must be minimum of eighteen (18) inches apart. To comply, you must properly space cots prior to rest time. In your compliance letter, please state the action you took to meet compliance. 840: Potentially hazardous products Potentially hazardous products such as bleach, aerosol cans must be stored in locked storage. To comply, bleach in the kitchen area and aerosol cans must be stored in locked storage. Baby proofing devices are not considered sufficient. I advise you to store hazardous products, such as bleach, aerosol cans and any types of medications in a locked room. In your compliance letter, please state the action you took to meet compliance. 852: Incident report 853: Incident log Incident report must be completed anytime child in care are injured, and the injuries require any type of first aid. You talked about biting among children. Biting must be properly documented due to potential biocontamination and exchanges of bodily fluid. Each time incident report is filled out, the incident must be recorded on the incident log. To comply, please fill out the incident report for the most recent incident that require first aid and log that incident on the log. You must share the incident with parent and obtain the signature. In your compliance letter, please verify that incident report was filled out for the biting incident and the incident was documented on the incident log. 859: playground inspection A playground inspection must be conducted monthly. To comply, you must complete an inspection for October 2025. Since you did not complete one (1) in October, please conduct two (2) inspections in November – one (1) is in place for October, and the other one (1) is for November. Both inspections shall record the date you conducted the inspection. Please note “In place for October 2025” on one (1) of the inspections. In your compliance letter, please state the date you completed the inspection for October 2025. 1034: All staff, including the director, must have an annual health questionnaire on file following the initial medical statement. Refer to 10A NCAC 09 .0701(a). To comply, please update the following staff member(s) Health Questionnaire form: D. Crane. In your compliance letter, please verify that you updated the health questionnaire for D. Crane. 1061: Playground safety training The person who can conduct monthly playground inspection must complete the training. At least one (1) person each center must complete this training. Per Ms. Bell, she has probably completed this training. However, she cannot locate the training certificate. During the technical assistance visit conducted on 6/24/25, I provided playground safety training opportunities with staff members including the available training, link and fees. To comply, one (1) person must complete the playground safety training at earliest opportunities possible and maintain the certificate on file. In your compliance letter, please state the date you completed the training and filed the certificate. 1232: annual staff evaluation and staff development plan Staff evaluation and development plan is required annually. To comply, please create evaluation and development plan. CQI form for individual was printed and shared with you during the visit to use for the development plan. You will need to create evaluation form for staff members. In your compliance letter, please state the action you took to meet compliance. 1321: Health assessment record within thirty (30) days 1323: Immunization record within thirty (30) days Health assessment/physicals must be obtained within thirty (30) days of enrollment and maintain it on file for each child. Immunization records for each child are required unless the parents/guardian request for religions exemptions in writing. The records must be in each child’s file within thirty (30) days of enrollment. To comply, please refer to the children’s files checklist. You must request a physical for the following children: N.S., B.A., H.R., E.H., H.H., S.J. To comply, please refer to the children’s files checklist. You must request immunization records for the following children: O.F., N. S., E.H., H.H., S. J. In your compliance letter, please verify if all documentation were obtained and on file. 1324/1325: discipline policy Parents/guardians of each enrollee must receive the center’s discipline policy in writing and sign the acknowledgement that the discipline policy was received. The acknowledgement form must include child’s name and the date of enrollment. To comply, please create an acknowledgement form for discipline policy and obtain the signature from the parent of O.F. In your compliance letter, please verify the completion of the task. 1805: ABCMS roster New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, please take the training on the DCDEE Moodle first and follow the procedures for listing all staff members. 1824: EPR plan The EPR plan must be reviewed annually on the NC Risk Management Portal, update it and print it by the trained staff member. The EPR plan must be maintained in the Ready-to-go File and all staff members must know the location of the file. Per Ms. Bell and the staff member present, the plan was completed and printed, but they could not locate it. To comply, please log onto NC Risk Management Portal and complete the EPR template and print the plan. Along with the compliance letter, please submit the copy of your EPR plan to me. If other staff member is interested in taking Emergency Preparedness and Response training, Buncombe Partnership for Children offers the training on 12/8/25 from 1:00 pm and December 10 at 2:15 pm. You can register for the class on https://buncombepfc.org/training/ and the cost is $12.50. The same training is also available on 2/9/26 from 6:00 pm - 8:30 pm. you can register at Southwestern Child Development Commission website at https://reg.learningstream.com/reg/event_page.aspx?ek=0042-0007-153b9b7d0246485996ad63be89fb5f45. Registration fee is $20. I cannot find openings for the Playground Safety Training. I will notify you as I find available training. Achieving Compliance: Due to sixteen (16) or more violations cited during today’s visit, a follow-up visit will be conducted. You may be considered for administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/24/25. Email the compliance letter on signed letterhead or in 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 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: On-going training: Between 1/1/24 – 12/31/25, both of you must meet required on-going training hours. You must make sure that your education information on WORKS is up to date. Please use the resource I shared via email and follow the procedures to submit the transcript to the WORKS account. Both staff members have completed two (2) hours of training so far. Medication in Child Care training does not count toward on-going training hours because the hours were used to meet the Health and Safety training requirements. Therefore, you need additional eight (8) hours of training prior to 12/31/25. Please note that D. Crane does not have WORKS letter issued. Until the letter is issued, the required training hours for the staff member is twenty (20) hours. In your compliance letter, please verify the completion of training. Additionally, please submit a copy of training certificates to me. Rated License Assessment: I discussed the Rated License Assessment with Ms. Bell and Dawn Crane, teacher. • Quick overview of pathways – Ms. Bell has not reviewed the QIRS information or attended a provider meeting. • Education requirements for administrator, lead teacher and teacher – Both Ms. Bev and Ms. Crane care for children. I will follow-up with you the clarification of your position. • Ms. Crane does not have a WORKS letter issued yet. The instruction on how to submit official transcript was shared vis email on October 24, 2025. • CQI requirements • Family and Community Engagement • Self-study requirements • Outreach assessment can be requested at Email: ncrlap@uncg.edu or Phone: Toll Free (866)-362-7527 • Self-study process can be reviewed on https://ncrlap.org/Resources/SelfStudy/FCCH/ - self-study process is minimum of three (3) months. • Self-study verification form was printed and shared with you. Fillable form can be accessed at https://ncrlap.org/Resources/Uploaded_Files/Uploaded_Resources/Self%20Study%20Verification%20Form%20FCCH-CLIAR%20%28fillable%29%20%28%2010-31-25%2011-46-49%20AM%29.pdf Timeline: You may choose to apply in April 2026 or October 2026. Considering many requirements you must meet, October 2026 may be a better option. Please start with the following task: 1. Ms. Crane must submit an official transcript to WORKS account, apply for positions – teacher and lead teacher 2. Choose a competency evaluation or completion of 10 hours CEU. Before completing any training, please make sure that the organization offers CEU’s. 3. Consider which Family and Community Engagement you will meet and start collecting evidence 4. Set goal for CQI for facility and individuals 5. Review FCCERS-3 requirements, conduct a self-assessment and identify a goal for a program and a goal for lead teacher You may contact Buncombe Partnership for Children and ask for additional resources and guidance for the Rated License Assessment. You can contact (828) 285-9333. FCCERS-3: For new QIRS, you are required to receive FCCERS-3 assessment. However, there are no score requirements for three-star program. We also discussed transitioning to one-star center. One-star license is not required to go through the Rated License Assessment. However, your subsidy rate is currently determined by each program’s star-level. Therefore, changing star level may affect your subsidy reimbursement rate. Please contact Child Care Subsidy consultant if you have any questions. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0901 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/10/2025 Number Present: 6 Completed Date: 11/10/2025 Age: From 2 To 4 Total Minutes: 410 Time In: 09:10 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Beverly Bell, Owner during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/21/24. The last fire drill was practiced on 9/8/25. The last shelter-in-place drill was practiced on 8/8/25. The last playground inspection was documented on 9/15/25. The last fire inspection was not obtained during today’s visit. Per communication with Ms. Bell during a routine unannounced visit conducted on 4/15/25, the fire inspection was completed on 12/21/23 but could not locate the inspection form. Under consultation, I instructed Ms. Bell to contact the Fire Marshall to complete the inspection. During today’s visit, Ms. Bell stated that the inspection was completed during the last summer, 2024. However, the inspection form has not been located yet. The last sanitation inspection was conducted on 2/11/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 10/10/23 without hazards. The lead paint and asbestos testing was completed on 8/7/25. No further actions are needed. Upon arrival, I greeted both staff members and announced the purpose of the visit. Five (5) children, two-to-four years of age, were present with two (2) staff members, including Ms. Bell. The television in the living room was turned on and a children’s show was playing. The TV was turned shortly after my arrival. The children moved between space #1 and #2 with staff members. The children played with puzzles, blocks, pretend animals/vehicles/people/characters, colored with crayons and talked with the staff members. Staff/child ratios sheet, daily schedule, safe arrival, no smoking poster, first aid, EMC, parent participation plan were posted in space #2. Additional child, two (2) years old arrived shortly after 10:00 am. Fire Alarm was tested. In this residence, there are three (3) alarms installed. Two (2) alarms are wired and one (1) is battery-operated. They were tested during the visit and were in working order. There was a child-proof gate to separate the kitchen and space #1. A few children opened the gate independently and came into the kitchen area. In the kitchen area, a bottle of bleach was stored on the top shelf in the cabinet by the sink, and a can of Lysol disinfecting spray was maintained above the refrigerator. Both staff members submitted their verification forms during the visit. During the technical assistance visit conducted on June 24, 2025, information regarding the Emergency Preparedness and Response (EPR) in Child Care training—including available sessions, dates, and times—was shared. A staff member who planned to complete the training reported that they attempted to access the course but were unable to proceed and requested additional technical assistance to locate the training. No training records have been submitted for either staff member for the training period of January 1, 2024, through December 31, 2025. A total of nine (9) children’s files were counted. Per Ms. Bell, one (1) of the enrollees recently left the program. Eight (8) children’s files were reviewed. No plan of care was in file, but the program does not transport children or take them out in routine errands. A request for religious exemption for medical requirements was in file for one (1) child. No acknowledgement of receipt of the program’s operational policies was in the children’s files. However, Ms. Bell stated that the policies were shared with each family upon enrollment. Ms. Bell conducted a group time. She read a book and sang songs and discussed days of week. Pizzas were ordered for lunch and delivered to the program. Children and staff members washed their hands prior to lunch. Bananas, pizzas and milk were served during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care .Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection form that the program provided was completed in 2023. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. No activity plan was posted. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. During lunch, pizza slice(s), cut bananas and milk were served to the children. 10A NCAC 09 .0901(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. No screen time log was completed though television was on upon my arrival at the center. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu for this week was not posted and the decision to order pizza was made during today's visit. 10A NCAC 09 .0901(b) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu for this week was not posted. 10A NCAC 09 .0901(b) 544 Screen time was offered to children under three years of age. There were three (3) children, who were two (2) years of age, present during the visit. Upon my arrival, the TV was on and a cartoon was playing. .0510(f) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. All six (6) cots were placed in space #1 during the visit. The spaces among cots were between five (5) to nine (9) inches apart. 15A NCAC 18A .2821(e) 807 A safe indoor and outdoor environment was not provided for the children. Top bars of some sections of the playground fence were rusted. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of bleach was on the top shelf in the cabinet by the sink in the kitchen area. one (1) can of Lysol was on top of the refrigerator, and one (1) can was on the vanity in the bathroom. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The staff members talked about children's biting incidents but incident reports were not completed for those incidents. .0802 (e) 853 Incident logs were not completed and maintained as required. No incident logs were maintained for the program. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspection was not completed for October 2025. .0605(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaire was last updated on 8/28/24 for one (1) staff member. .0701(a) 1061 One staff member had not completed training in playground safety. .1102(e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff evaluation forms and development plans were on file for either staff members. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Out of eight (8) children enrolled, five (5) children did not have medical exam records on file. Those children's enrollment dates are 5/5/25 (NS), 7/8/25 (BA), 4/14/25 (HR), May, 2025(EH), May 2025 (HH). GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization records were not on file for five (5) children. Their enrollment dates are 4/8/24, 5/5/25, 05/2025, 05/2025 and unknown date - due to lack of date on the application forms. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) child did not have discipline policy acknowledgement on file. One (1) child's acknowledgement form had the parent's signature but no date. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The parent-completed statement of receipt for the discipline policy for one (1) child was missing the child’s name and the date of enrollment. .1804(b) 1805 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. Center roster has not been created on the ABCMS as of today. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last update EPR plan was dated 2023. the plan has not been updated on NC Risk Management portal since then. .0607(e) Technical assistance was provided as follows: 106: Fire inspection Fire inspection must be conducted annually. Per Ms. Bell’s statement, the last inspection was completed and approved in summer 2024. To comply, you shall contact the Fire Marshall at your earliest convenience possible to notify them of a fire inspection. You must complete the inspection and get it approved within the next two (2) weeks. Upon receiving the approved inspection, you shall forward the inspection to me. A fire inspection form was printed during today’s visit and left on site. In your compliance letter, please state the date you completed the inspection. Additionally, you must submit the approved inspection to me when you receive the inspection. 428: activity plans Current activity plans must be posted. We discussed basic requirements for activity plans during the visit. NCFELD books were shared during the visit. In your lesson plan/activity plans, you must include the followings: • emotional and social development; • health and physical development; • approaches to play and learning; • language development and communication; and • cognitive development. In your compliance letter, please state the action you took to meet compliance. 501: nutrition requirements Nutrition requirements set by USDA must be met. I printed the meal requirement information – required components and quantities and shared with you. To comply, you must feed additional vegetables or fruit to add to the lunch you served. In your compliance letter, please state how you will prevent the same violation. 525: planning meals in advance 526: menu – posted and current Menu must be planned in advance. Additionally, the menu must be current and posted. Please note that different items were served to the children than what are listed on the menu, you must list the correct items prior to serving children. To comply, you must post the current menu and post them at least a week in advance. It is okay to locate the menu. Make sure to put the date/week and maintain the record on file. In your compliance letter, please state the action you took to achieve the compliance. 524: screen time log Upon offering screen time log, the length of the screen time must be documented. 544: screen time Screen time must not be offered to children younger than three (3) years of age. To comply, I strongly recommend you stop offering the screen time to your group of children. If you do, please take children who are younger than three (3) to space #2. Upon completion of screen time, you must log the length of time children were offered the screen time. In your compliance letter, you must state the action you will take to prevent recurrence of this violation. This violation has been cited multiple times during routine visits. It could be perceived as non-compliance issue, if you continue to ignore these requirements. 807: Safe environment Rust must be inaccessible to the children. On the playground, top bars of some sections of the fence are rusted. To comply, you must remove the rust or paint over it. In your compliance letter, please state the action you took to achieve the compliance. 614: Space between cots Spaces between cots must be minimum of eighteen (18) inches apart. To comply, you must properly space cots prior to rest time. In your compliance letter, please state the action you took to meet compliance. 840: Potentially hazardous products Potentially hazardous products such as bleach, aerosol cans must be stored in locked storage. To comply, bleach in the kitchen area and aerosol cans must be stored in locked storage. Baby proofing devices are not considered sufficient. I advise you to store hazardous products, such as bleach, aerosol cans and any types of medications in a locked room. In your compliance letter, please state the action you took to meet compliance. 852: Incident report 853: Incident log Incident report must be completed anytime child in care are injured, and the injuries require any type of first aid. You talked about biting among children. Biting must be properly documented due to potential biocontamination and exchanges of bodily fluid. Each time incident report is filled out, the incident must be recorded on the incident log. To comply, please fill out the incident report for the most recent incident that require first aid and log that incident on the log. You must share the incident with parent and obtain the signature. In your compliance letter, please verify that incident report was filled out for the biting incident and the incident was documented on the incident log. 859: playground inspection A playground inspection must be conducted monthly. To comply, you must complete an inspection for October 2025. Since you did not complete one (1) in October, please conduct two (2) inspections in November – one (1) is in place for October, and the other one (1) is for November. Both inspections shall record the date you conducted the inspection. Please note “In place for October 2025” on one (1) of the inspections. In your compliance letter, please state the date you completed the inspection for October 2025. 1034: All staff, including the director, must have an annual health questionnaire on file following the initial medical statement. Refer to 10A NCAC 09 .0701(a). To comply, please update the following staff member(s) Health Questionnaire form: D. Crane. In your compliance letter, please verify that you updated the health questionnaire for D. Crane. 1061: Playground safety training The person who can conduct monthly playground inspection must complete the training. At least one (1) person each center must complete this training. Per Ms. Bell, she has probably completed this training. However, she cannot locate the training certificate. During the technical assistance visit conducted on 6/24/25, I provided playground safety training opportunities with staff members including the available training, link and fees. To comply, one (1) person must complete the playground safety training at earliest opportunities possible and maintain the certificate on file. In your compliance letter, please state the date you completed the training and filed the certificate. 1232: annual staff evaluation and staff development plan Staff evaluation and development plan is required annually. To comply, please create evaluation and development plan. CQI form for individual was printed and shared with you during the visit to use for the development plan. You will need to create evaluation form for staff members. In your compliance letter, please state the action you took to meet compliance. 1321: Health assessment record within thirty (30) days 1323: Immunization record within thirty (30) days Health assessment/physicals must be obtained within thirty (30) days of enrollment and maintain it on file for each child. Immunization records for each child are required unless the parents/guardian request for religions exemptions in writing. The records must be in each child’s file within thirty (30) days of enrollment. To comply, please refer to the children’s files checklist. You must request a physical for the following children: N.S., B.A., H.R., E.H., H.H., S.J. To comply, please refer to the children’s files checklist. You must request immunization records for the following children: O.F., N. S., E.H., H.H., S. J. In your compliance letter, please verify if all documentation were obtained and on file. 1324/1325: discipline policy Parents/guardians of each enrollee must receive the center’s discipline policy in writing and sign the acknowledgement that the discipline policy was received. The acknowledgement form must include child’s name and the date of enrollment. To comply, please create an acknowledgement form for discipline policy and obtain the signature from the parent of O.F. In your compliance letter, please verify the completion of the task. 1805: ABCMS roster New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, please take the training on the DCDEE Moodle first and follow the procedures for listing all staff members. 1824: EPR plan The EPR plan must be reviewed annually on the NC Risk Management Portal, update it and print it by the trained staff member. The EPR plan must be maintained in the Ready-to-go File and all staff members must know the location of the file. Per Ms. Bell and the staff member present, the plan was completed and printed, but they could not locate it. To comply, please log onto NC Risk Management Portal and complete the EPR template and print the plan. Along with the compliance letter, please submit the copy of your EPR plan to me. If other staff member is interested in taking Emergency Preparedness and Response training, Buncombe Partnership for Children offers the training on 12/8/25 from 1:00 pm and December 10 at 2:15 pm. You can register for the class on https://buncombepfc.org/training/ and the cost is $12.50. The same training is also available on 2/9/26 from 6:00 pm - 8:30 pm. you can register at Southwestern Child Development Commission website at https://reg.learningstream.com/reg/event_page.aspx?ek=0042-0007-153b9b7d0246485996ad63be89fb5f45. Registration fee is $20. I cannot find openings for the Playground Safety Training. I will notify you as I find available training. Achieving Compliance: Due to sixteen (16) or more violations cited during today’s visit, a follow-up visit will be conducted. You may be considered for administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/24/25. Email the compliance letter on signed letterhead or in 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 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: On-going training: Between 1/1/24 – 12/31/25, both of you must meet required on-going training hours. You must make sure that your education information on WORKS is up to date. Please use the resource I shared via email and follow the procedures to submit the transcript to the WORKS account. Both staff members have completed two (2) hours of training so far. Medication in Child Care training does not count toward on-going training hours because the hours were used to meet the Health and Safety training requirements. Therefore, you need additional eight (8) hours of training prior to 12/31/25. Please note that D. Crane does not have WORKS letter issued. Until the letter is issued, the required training hours for the staff member is twenty (20) hours. In your compliance letter, please verify the completion of training. Additionally, please submit a copy of training certificates to me. Rated License Assessment: I discussed the Rated License Assessment with Ms. Bell and Dawn Crane, teacher. • Quick overview of pathways – Ms. Bell has not reviewed the QIRS information or attended a provider meeting. • Education requirements for administrator, lead teacher and teacher – Both Ms. Bev and Ms. Crane care for children. I will follow-up with you the clarification of your position. • Ms. Crane does not have a WORKS letter issued yet. The instruction on how to submit official transcript was shared vis email on October 24, 2025. • CQI requirements • Family and Community Engagement • Self-study requirements • Outreach assessment can be requested at Email: ncrlap@uncg.edu or Phone: Toll Free (866)-362-7527 • Self-study process can be reviewed on https://ncrlap.org/Resources/SelfStudy/FCCH/ - self-study process is minimum of three (3) months. • Self-study verification form was printed and shared with you. Fillable form can be accessed at https://ncrlap.org/Resources/Uploaded_Files/Uploaded_Resources/Self%20Study%20Verification%20Form%20FCCH-CLIAR%20%28fillable%29%20%28%2010-31-25%2011-46-49%20AM%29.pdf Timeline: You may choose to apply in April 2026 or October 2026. Considering many requirements you must meet, October 2026 may be a better option. Please start with the following task: 1. Ms. Crane must submit an official transcript to WORKS account, apply for positions – teacher and lead teacher 2. Choose a competency evaluation or completion of 10 hours CEU. Before completing any training, please make sure that the organization offers CEU’s. 3. Consider which Family and Community Engagement you will meet and start collecting evidence 4. Set goal for CQI for facility and individuals 5. Review FCCERS-3 requirements, conduct a self-assessment and identify a goal for a program and a goal for lead teacher You may contact Buncombe Partnership for Children and ask for additional resources and guidance for the Rated License Assessment. You can contact (828) 285-9333. FCCERS-3: For new QIRS, you are required to receive FCCERS-3 assessment. However, there are no score requirements for three-star program. We also discussed transitioning to one-star center. One-star license is not required to go through the Rated License Assessment. However, your subsidy rate is currently determined by each program’s star-level. Therefore, changing star level may affect your subsidy reimbursement rate. Please contact Child Care Subsidy consultant if you have any questions. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/10/2025 Number Present: 6 Completed Date: 11/10/2025 Age: From 2 To 4 Total Minutes: 410 Time In: 09:10 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Beverly Bell, Owner during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/21/24. The last fire drill was practiced on 9/8/25. The last shelter-in-place drill was practiced on 8/8/25. The last playground inspection was documented on 9/15/25. The last fire inspection was not obtained during today’s visit. Per communication with Ms. Bell during a routine unannounced visit conducted on 4/15/25, the fire inspection was completed on 12/21/23 but could not locate the inspection form. Under consultation, I instructed Ms. Bell to contact the Fire Marshall to complete the inspection. During today’s visit, Ms. Bell stated that the inspection was completed during the last summer, 2024. However, the inspection form has not been located yet. The last sanitation inspection was conducted on 2/11/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 10/10/23 without hazards. The lead paint and asbestos testing was completed on 8/7/25. No further actions are needed. Upon arrival, I greeted both staff members and announced the purpose of the visit. Five (5) children, two-to-four years of age, were present with two (2) staff members, including Ms. Bell. The television in the living room was turned on and a children’s show was playing. The TV was turned shortly after my arrival. The children moved between space #1 and #2 with staff members. The children played with puzzles, blocks, pretend animals/vehicles/people/characters, colored with crayons and talked with the staff members. Staff/child ratios sheet, daily schedule, safe arrival, no smoking poster, first aid, EMC, parent participation plan were posted in space #2. Additional child, two (2) years old arrived shortly after 10:00 am. Fire Alarm was tested. In this residence, there are three (3) alarms installed. Two (2) alarms are wired and one (1) is battery-operated. They were tested during the visit and were in working order. There was a child-proof gate to separate the kitchen and space #1. A few children opened the gate independently and came into the kitchen area. In the kitchen area, a bottle of bleach was stored on the top shelf in the cabinet by the sink, and a can of Lysol disinfecting spray was maintained above the refrigerator. Both staff members submitted their verification forms during the visit. During the technical assistance visit conducted on June 24, 2025, information regarding the Emergency Preparedness and Response (EPR) in Child Care training—including available sessions, dates, and times—was shared. A staff member who planned to complete the training reported that they attempted to access the course but were unable to proceed and requested additional technical assistance to locate the training. No training records have been submitted for either staff member for the training period of January 1, 2024, through December 31, 2025. A total of nine (9) children’s files were counted. Per Ms. Bell, one (1) of the enrollees recently left the program. Eight (8) children’s files were reviewed. No plan of care was in file, but the program does not transport children or take them out in routine errands. A request for religious exemption for medical requirements was in file for one (1) child. No acknowledgement of receipt of the program’s operational policies was in the children’s files. However, Ms. Bell stated that the policies were shared with each family upon enrollment. Ms. Bell conducted a group time. She read a book and sang songs and discussed days of week. Pizzas were ordered for lunch and delivered to the program. Children and staff members washed their hands prior to lunch. Bananas, pizzas and milk were served during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care .Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection form that the program provided was completed in 2023. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. No activity plan was posted. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. During lunch, pizza slice(s), cut bananas and milk were served to the children. 10A NCAC 09 .0901(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. No screen time log was completed though television was on upon my arrival at the center. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu for this week was not posted and the decision to order pizza was made during today's visit. 10A NCAC 09 .0901(b) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu for this week was not posted. 10A NCAC 09 .0901(b) 544 Screen time was offered to children under three years of age. There were three (3) children, who were two (2) years of age, present during the visit. Upon my arrival, the TV was on and a cartoon was playing. .0510(f) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. All six (6) cots were placed in space #1 during the visit. The spaces among cots were between five (5) to nine (9) inches apart. 15A NCAC 18A .2821(e) 807 A safe indoor and outdoor environment was not provided for the children. Top bars of some sections of the playground fence were rusted. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of bleach was on the top shelf in the cabinet by the sink in the kitchen area. one (1) can of Lysol was on top of the refrigerator, and one (1) can was on the vanity in the bathroom. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The staff members talked about children's biting incidents but incident reports were not completed for those incidents. .0802 (e) 853 Incident logs were not completed and maintained as required. No incident logs were maintained for the program. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspection was not completed for October 2025. .0605(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaire was last updated on 8/28/24 for one (1) staff member. .0701(a) 1061 One staff member had not completed training in playground safety. .1102(e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff evaluation forms and development plans were on file for either staff members. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Out of eight (8) children enrolled, five (5) children did not have medical exam records on file. Those children's enrollment dates are 5/5/25 (NS), 7/8/25 (BA), 4/14/25 (HR), May, 2025(EH), May 2025 (HH). GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization records were not on file for five (5) children. Their enrollment dates are 4/8/24, 5/5/25, 05/2025, 05/2025 and unknown date - due to lack of date on the application forms. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) child did not have discipline policy acknowledgement on file. One (1) child's acknowledgement form had the parent's signature but no date. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The parent-completed statement of receipt for the discipline policy for one (1) child was missing the child’s name and the date of enrollment. .1804(b) 1805 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. Center roster has not been created on the ABCMS as of today. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last update EPR plan was dated 2023. the plan has not been updated on NC Risk Management portal since then. .0607(e) Technical assistance was provided as follows: 106: Fire inspection Fire inspection must be conducted annually. Per Ms. Bell’s statement, the last inspection was completed and approved in summer 2024. To comply, you shall contact the Fire Marshall at your earliest convenience possible to notify them of a fire inspection. You must complete the inspection and get it approved within the next two (2) weeks. Upon receiving the approved inspection, you shall forward the inspection to me. A fire inspection form was printed during today’s visit and left on site. In your compliance letter, please state the date you completed the inspection. Additionally, you must submit the approved inspection to me when you receive the inspection. 428: activity plans Current activity plans must be posted. We discussed basic requirements for activity plans during the visit. NCFELD books were shared during the visit. In your lesson plan/activity plans, you must include the followings: • emotional and social development; • health and physical development; • approaches to play and learning; • language development and communication; and • cognitive development. In your compliance letter, please state the action you took to meet compliance. 501: nutrition requirements Nutrition requirements set by USDA must be met. I printed the meal requirement information – required components and quantities and shared with you. To comply, you must feed additional vegetables or fruit to add to the lunch you served. In your compliance letter, please state how you will prevent the same violation. 525: planning meals in advance 526: menu – posted and current Menu must be planned in advance. Additionally, the menu must be current and posted. Please note that different items were served to the children than what are listed on the menu, you must list the correct items prior to serving children. To comply, you must post the current menu and post them at least a week in advance. It is okay to locate the menu. Make sure to put the date/week and maintain the record on file. In your compliance letter, please state the action you took to achieve the compliance. 524: screen time log Upon offering screen time log, the length of the screen time must be documented. 544: screen time Screen time must not be offered to children younger than three (3) years of age. To comply, I strongly recommend you stop offering the screen time to your group of children. If you do, please take children who are younger than three (3) to space #2. Upon completion of screen time, you must log the length of time children were offered the screen time. In your compliance letter, you must state the action you will take to prevent recurrence of this violation. This violation has been cited multiple times during routine visits. It could be perceived as non-compliance issue, if you continue to ignore these requirements. 807: Safe environment Rust must be inaccessible to the children. On the playground, top bars of some sections of the fence are rusted. To comply, you must remove the rust or paint over it. In your compliance letter, please state the action you took to achieve the compliance. 614: Space between cots Spaces between cots must be minimum of eighteen (18) inches apart. To comply, you must properly space cots prior to rest time. In your compliance letter, please state the action you took to meet compliance. 840: Potentially hazardous products Potentially hazardous products such as bleach, aerosol cans must be stored in locked storage. To comply, bleach in the kitchen area and aerosol cans must be stored in locked storage. Baby proofing devices are not considered sufficient. I advise you to store hazardous products, such as bleach, aerosol cans and any types of medications in a locked room. In your compliance letter, please state the action you took to meet compliance. 852: Incident report 853: Incident log Incident report must be completed anytime child in care are injured, and the injuries require any type of first aid. You talked about biting among children. Biting must be properly documented due to potential biocontamination and exchanges of bodily fluid. Each time incident report is filled out, the incident must be recorded on the incident log. To comply, please fill out the incident report for the most recent incident that require first aid and log that incident on the log. You must share the incident with parent and obtain the signature. In your compliance letter, please verify that incident report was filled out for the biting incident and the incident was documented on the incident log. 859: playground inspection A playground inspection must be conducted monthly. To comply, you must complete an inspection for October 2025. Since you did not complete one (1) in October, please conduct two (2) inspections in November – one (1) is in place for October, and the other one (1) is for November. Both inspections shall record the date you conducted the inspection. Please note “In place for October 2025” on one (1) of the inspections. In your compliance letter, please state the date you completed the inspection for October 2025. 1034: All staff, including the director, must have an annual health questionnaire on file following the initial medical statement. Refer to 10A NCAC 09 .0701(a). To comply, please update the following staff member(s) Health Questionnaire form: D. Crane. In your compliance letter, please verify that you updated the health questionnaire for D. Crane. 1061: Playground safety training The person who can conduct monthly playground inspection must complete the training. At least one (1) person each center must complete this training. Per Ms. Bell, she has probably completed this training. However, she cannot locate the training certificate. During the technical assistance visit conducted on 6/24/25, I provided playground safety training opportunities with staff members including the available training, link and fees. To comply, one (1) person must complete the playground safety training at earliest opportunities possible and maintain the certificate on file. In your compliance letter, please state the date you completed the training and filed the certificate. 1232: annual staff evaluation and staff development plan Staff evaluation and development plan is required annually. To comply, please create evaluation and development plan. CQI form for individual was printed and shared with you during the visit to use for the development plan. You will need to create evaluation form for staff members. In your compliance letter, please state the action you took to meet compliance. 1321: Health assessment record within thirty (30) days 1323: Immunization record within thirty (30) days Health assessment/physicals must be obtained within thirty (30) days of enrollment and maintain it on file for each child. Immunization records for each child are required unless the parents/guardian request for religions exemptions in writing. The records must be in each child’s file within thirty (30) days of enrollment. To comply, please refer to the children’s files checklist. You must request a physical for the following children: N.S., B.A., H.R., E.H., H.H., S.J. To comply, please refer to the children’s files checklist. You must request immunization records for the following children: O.F., N. S., E.H., H.H., S. J. In your compliance letter, please verify if all documentation were obtained and on file. 1324/1325: discipline policy Parents/guardians of each enrollee must receive the center’s discipline policy in writing and sign the acknowledgement that the discipline policy was received. The acknowledgement form must include child’s name and the date of enrollment. To comply, please create an acknowledgement form for discipline policy and obtain the signature from the parent of O.F. In your compliance letter, please verify the completion of the task. 1805: ABCMS roster New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, please take the training on the DCDEE Moodle first and follow the procedures for listing all staff members. 1824: EPR plan The EPR plan must be reviewed annually on the NC Risk Management Portal, update it and print it by the trained staff member. The EPR plan must be maintained in the Ready-to-go File and all staff members must know the location of the file. Per Ms. Bell and the staff member present, the plan was completed and printed, but they could not locate it. To comply, please log onto NC Risk Management Portal and complete the EPR template and print the plan. Along with the compliance letter, please submit the copy of your EPR plan to me. If other staff member is interested in taking Emergency Preparedness and Response training, Buncombe Partnership for Children offers the training on 12/8/25 from 1:00 pm and December 10 at 2:15 pm. You can register for the class on https://buncombepfc.org/training/ and the cost is $12.50. The same training is also available on 2/9/26 from 6:00 pm - 8:30 pm. you can register at Southwestern Child Development Commission website at https://reg.learningstream.com/reg/event_page.aspx?ek=0042-0007-153b9b7d0246485996ad63be89fb5f45. Registration fee is $20. I cannot find openings for the Playground Safety Training. I will notify you as I find available training. Achieving Compliance: Due to sixteen (16) or more violations cited during today’s visit, a follow-up visit will be conducted. You may be considered for administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/24/25. Email the compliance letter on signed letterhead or in 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 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: On-going training: Between 1/1/24 – 12/31/25, both of you must meet required on-going training hours. You must make sure that your education information on WORKS is up to date. Please use the resource I shared via email and follow the procedures to submit the transcript to the WORKS account. Both staff members have completed two (2) hours of training so far. Medication in Child Care training does not count toward on-going training hours because the hours were used to meet the Health and Safety training requirements. Therefore, you need additional eight (8) hours of training prior to 12/31/25. Please note that D. Crane does not have WORKS letter issued. Until the letter is issued, the required training hours for the staff member is twenty (20) hours. In your compliance letter, please verify the completion of training. Additionally, please submit a copy of training certificates to me. Rated License Assessment: I discussed the Rated License Assessment with Ms. Bell and Dawn Crane, teacher. • Quick overview of pathways – Ms. Bell has not reviewed the QIRS information or attended a provider meeting. • Education requirements for administrator, lead teacher and teacher – Both Ms. Bev and Ms. Crane care for children. I will follow-up with you the clarification of your position. • Ms. Crane does not have a WORKS letter issued yet. The instruction on how to submit official transcript was shared vis email on October 24, 2025. • CQI requirements • Family and Community Engagement • Self-study requirements • Outreach assessment can be requested at Email: ncrlap@uncg.edu or Phone: Toll Free (866)-362-7527 • Self-study process can be reviewed on https://ncrlap.org/Resources/SelfStudy/FCCH/ - self-study process is minimum of three (3) months. • Self-study verification form was printed and shared with you. Fillable form can be accessed at https://ncrlap.org/Resources/Uploaded_Files/Uploaded_Resources/Self%20Study%20Verification%20Form%20FCCH-CLIAR%20%28fillable%29%20%28%2010-31-25%2011-46-49%20AM%29.pdf Timeline: You may choose to apply in April 2026 or October 2026. Considering many requirements you must meet, October 2026 may be a better option. Please start with the following task: 1. Ms. Crane must submit an official transcript to WORKS account, apply for positions – teacher and lead teacher 2. Choose a competency evaluation or completion of 10 hours CEU. Before completing any training, please make sure that the organization offers CEU’s. 3. Consider which Family and Community Engagement you will meet and start collecting evidence 4. Set goal for CQI for facility and individuals 5. Review FCCERS-3 requirements, conduct a self-assessment and identify a goal for a program and a goal for lead teacher You may contact Buncombe Partnership for Children and ask for additional resources and guidance for the Rated License Assessment. You can contact (828) 285-9333. FCCERS-3: For new QIRS, you are required to receive FCCERS-3 assessment. However, there are no score requirements for three-star program. We also discussed transitioning to one-star center. One-star license is not required to go through the Rated License Assessment. However, your subsidy rate is currently determined by each program’s star-level. Therefore, changing star level may affect your subsidy reimbursement rate. Please contact Child Care Subsidy consultant if you have any questions. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/10/2025 Number Present: 6 Completed Date: 11/10/2025 Age: From 2 To 4 Total Minutes: 410 Time In: 09:10 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Beverly Bell, Owner during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/21/24. The last fire drill was practiced on 9/8/25. The last shelter-in-place drill was practiced on 8/8/25. The last playground inspection was documented on 9/15/25. The last fire inspection was not obtained during today’s visit. Per communication with Ms. Bell during a routine unannounced visit conducted on 4/15/25, the fire inspection was completed on 12/21/23 but could not locate the inspection form. Under consultation, I instructed Ms. Bell to contact the Fire Marshall to complete the inspection. During today’s visit, Ms. Bell stated that the inspection was completed during the last summer, 2024. However, the inspection form has not been located yet. The last sanitation inspection was conducted on 2/11/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 10/10/23 without hazards. The lead paint and asbestos testing was completed on 8/7/25. No further actions are needed. Upon arrival, I greeted both staff members and announced the purpose of the visit. Five (5) children, two-to-four years of age, were present with two (2) staff members, including Ms. Bell. The television in the living room was turned on and a children’s show was playing. The TV was turned shortly after my arrival. The children moved between space #1 and #2 with staff members. The children played with puzzles, blocks, pretend animals/vehicles/people/characters, colored with crayons and talked with the staff members. Staff/child ratios sheet, daily schedule, safe arrival, no smoking poster, first aid, EMC, parent participation plan were posted in space #2. Additional child, two (2) years old arrived shortly after 10:00 am. Fire Alarm was tested. In this residence, there are three (3) alarms installed. Two (2) alarms are wired and one (1) is battery-operated. They were tested during the visit and were in working order. There was a child-proof gate to separate the kitchen and space #1. A few children opened the gate independently and came into the kitchen area. In the kitchen area, a bottle of bleach was stored on the top shelf in the cabinet by the sink, and a can of Lysol disinfecting spray was maintained above the refrigerator. Both staff members submitted their verification forms during the visit. During the technical assistance visit conducted on June 24, 2025, information regarding the Emergency Preparedness and Response (EPR) in Child Care training—including available sessions, dates, and times—was shared. A staff member who planned to complete the training reported that they attempted to access the course but were unable to proceed and requested additional technical assistance to locate the training. No training records have been submitted for either staff member for the training period of January 1, 2024, through December 31, 2025. A total of nine (9) children’s files were counted. Per Ms. Bell, one (1) of the enrollees recently left the program. Eight (8) children’s files were reviewed. No plan of care was in file, but the program does not transport children or take them out in routine errands. A request for religious exemption for medical requirements was in file for one (1) child. No acknowledgement of receipt of the program’s operational policies was in the children’s files. However, Ms. Bell stated that the policies were shared with each family upon enrollment. Ms. Bell conducted a group time. She read a book and sang songs and discussed days of week. Pizzas were ordered for lunch and delivered to the program. Children and staff members washed their hands prior to lunch. Bananas, pizzas and milk were served during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care .Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection form that the program provided was completed in 2023. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. No activity plan was posted. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. During lunch, pizza slice(s), cut bananas and milk were served to the children. 10A NCAC 09 .0901(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. No screen time log was completed though television was on upon my arrival at the center. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu for this week was not posted and the decision to order pizza was made during today's visit. 10A NCAC 09 .0901(b) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu for this week was not posted. 10A NCAC 09 .0901(b) 544 Screen time was offered to children under three years of age. There were three (3) children, who were two (2) years of age, present during the visit. Upon my arrival, the TV was on and a cartoon was playing. .0510(f) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. All six (6) cots were placed in space #1 during the visit. The spaces among cots were between five (5) to nine (9) inches apart. 15A NCAC 18A .2821(e) 807 A safe indoor and outdoor environment was not provided for the children. Top bars of some sections of the playground fence were rusted. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of bleach was on the top shelf in the cabinet by the sink in the kitchen area. one (1) can of Lysol was on top of the refrigerator, and one (1) can was on the vanity in the bathroom. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The staff members talked about children's biting incidents but incident reports were not completed for those incidents. .0802 (e) 853 Incident logs were not completed and maintained as required. No incident logs were maintained for the program. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspection was not completed for October 2025. .0605(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaire was last updated on 8/28/24 for one (1) staff member. .0701(a) 1061 One staff member had not completed training in playground safety. .1102(e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff evaluation forms and development plans were on file for either staff members. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Out of eight (8) children enrolled, five (5) children did not have medical exam records on file. Those children's enrollment dates are 5/5/25 (NS), 7/8/25 (BA), 4/14/25 (HR), May, 2025(EH), May 2025 (HH). GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization records were not on file for five (5) children. Their enrollment dates are 4/8/24, 5/5/25, 05/2025, 05/2025 and unknown date - due to lack of date on the application forms. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) child did not have discipline policy acknowledgement on file. One (1) child's acknowledgement form had the parent's signature but no date. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The parent-completed statement of receipt for the discipline policy for one (1) child was missing the child’s name and the date of enrollment. .1804(b) 1805 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. Center roster has not been created on the ABCMS as of today. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last update EPR plan was dated 2023. the plan has not been updated on NC Risk Management portal since then. .0607(e) Technical assistance was provided as follows: 106: Fire inspection Fire inspection must be conducted annually. Per Ms. Bell’s statement, the last inspection was completed and approved in summer 2024. To comply, you shall contact the Fire Marshall at your earliest convenience possible to notify them of a fire inspection. You must complete the inspection and get it approved within the next two (2) weeks. Upon receiving the approved inspection, you shall forward the inspection to me. A fire inspection form was printed during today’s visit and left on site. In your compliance letter, please state the date you completed the inspection. Additionally, you must submit the approved inspection to me when you receive the inspection. 428: activity plans Current activity plans must be posted. We discussed basic requirements for activity plans during the visit. NCFELD books were shared during the visit. In your lesson plan/activity plans, you must include the followings: • emotional and social development; • health and physical development; • approaches to play and learning; • language development and communication; and • cognitive development. In your compliance letter, please state the action you took to meet compliance. 501: nutrition requirements Nutrition requirements set by USDA must be met. I printed the meal requirement information – required components and quantities and shared with you. To comply, you must feed additional vegetables or fruit to add to the lunch you served. In your compliance letter, please state how you will prevent the same violation. 525: planning meals in advance 526: menu – posted and current Menu must be planned in advance. Additionally, the menu must be current and posted. Please note that different items were served to the children than what are listed on the menu, you must list the correct items prior to serving children. To comply, you must post the current menu and post them at least a week in advance. It is okay to locate the menu. Make sure to put the date/week and maintain the record on file. In your compliance letter, please state the action you took to achieve the compliance. 524: screen time log Upon offering screen time log, the length of the screen time must be documented. 544: screen time Screen time must not be offered to children younger than three (3) years of age. To comply, I strongly recommend you stop offering the screen time to your group of children. If you do, please take children who are younger than three (3) to space #2. Upon completion of screen time, you must log the length of time children were offered the screen time. In your compliance letter, you must state the action you will take to prevent recurrence of this violation. This violation has been cited multiple times during routine visits. It could be perceived as non-compliance issue, if you continue to ignore these requirements. 807: Safe environment Rust must be inaccessible to the children. On the playground, top bars of some sections of the fence are rusted. To comply, you must remove the rust or paint over it. In your compliance letter, please state the action you took to achieve the compliance. 614: Space between cots Spaces between cots must be minimum of eighteen (18) inches apart. To comply, you must properly space cots prior to rest time. In your compliance letter, please state the action you took to meet compliance. 840: Potentially hazardous products Potentially hazardous products such as bleach, aerosol cans must be stored in locked storage. To comply, bleach in the kitchen area and aerosol cans must be stored in locked storage. Baby proofing devices are not considered sufficient. I advise you to store hazardous products, such as bleach, aerosol cans and any types of medications in a locked room. In your compliance letter, please state the action you took to meet compliance. 852: Incident report 853: Incident log Incident report must be completed anytime child in care are injured, and the injuries require any type of first aid. You talked about biting among children. Biting must be properly documented due to potential biocontamination and exchanges of bodily fluid. Each time incident report is filled out, the incident must be recorded on the incident log. To comply, please fill out the incident report for the most recent incident that require first aid and log that incident on the log. You must share the incident with parent and obtain the signature. In your compliance letter, please verify that incident report was filled out for the biting incident and the incident was documented on the incident log. 859: playground inspection A playground inspection must be conducted monthly. To comply, you must complete an inspection for October 2025. Since you did not complete one (1) in October, please conduct two (2) inspections in November – one (1) is in place for October, and the other one (1) is for November. Both inspections shall record the date you conducted the inspection. Please note “In place for October 2025” on one (1) of the inspections. In your compliance letter, please state the date you completed the inspection for October 2025. 1034: All staff, including the director, must have an annual health questionnaire on file following the initial medical statement. Refer to 10A NCAC 09 .0701(a). To comply, please update the following staff member(s) Health Questionnaire form: D. Crane. In your compliance letter, please verify that you updated the health questionnaire for D. Crane. 1061: Playground safety training The person who can conduct monthly playground inspection must complete the training. At least one (1) person each center must complete this training. Per Ms. Bell, she has probably completed this training. However, she cannot locate the training certificate. During the technical assistance visit conducted on 6/24/25, I provided playground safety training opportunities with staff members including the available training, link and fees. To comply, one (1) person must complete the playground safety training at earliest opportunities possible and maintain the certificate on file. In your compliance letter, please state the date you completed the training and filed the certificate. 1232: annual staff evaluation and staff development plan Staff evaluation and development plan is required annually. To comply, please create evaluation and development plan. CQI form for individual was printed and shared with you during the visit to use for the development plan. You will need to create evaluation form for staff members. In your compliance letter, please state the action you took to meet compliance. 1321: Health assessment record within thirty (30) days 1323: Immunization record within thirty (30) days Health assessment/physicals must be obtained within thirty (30) days of enrollment and maintain it on file for each child. Immunization records for each child are required unless the parents/guardian request for religions exemptions in writing. The records must be in each child’s file within thirty (30) days of enrollment. To comply, please refer to the children’s files checklist. You must request a physical for the following children: N.S., B.A., H.R., E.H., H.H., S.J. To comply, please refer to the children’s files checklist. You must request immunization records for the following children: O.F., N. S., E.H., H.H., S. J. In your compliance letter, please verify if all documentation were obtained and on file. 1324/1325: discipline policy Parents/guardians of each enrollee must receive the center’s discipline policy in writing and sign the acknowledgement that the discipline policy was received. The acknowledgement form must include child’s name and the date of enrollment. To comply, please create an acknowledgement form for discipline policy and obtain the signature from the parent of O.F. In your compliance letter, please verify the completion of the task. 1805: ABCMS roster New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, please take the training on the DCDEE Moodle first and follow the procedures for listing all staff members. 1824: EPR plan The EPR plan must be reviewed annually on the NC Risk Management Portal, update it and print it by the trained staff member. The EPR plan must be maintained in the Ready-to-go File and all staff members must know the location of the file. Per Ms. Bell and the staff member present, the plan was completed and printed, but they could not locate it. To comply, please log onto NC Risk Management Portal and complete the EPR template and print the plan. Along with the compliance letter, please submit the copy of your EPR plan to me. If other staff member is interested in taking Emergency Preparedness and Response training, Buncombe Partnership for Children offers the training on 12/8/25 from 1:00 pm and December 10 at 2:15 pm. You can register for the class on https://buncombepfc.org/training/ and the cost is $12.50. The same training is also available on 2/9/26 from 6:00 pm - 8:30 pm. you can register at Southwestern Child Development Commission website at https://reg.learningstream.com/reg/event_page.aspx?ek=0042-0007-153b9b7d0246485996ad63be89fb5f45. Registration fee is $20. I cannot find openings for the Playground Safety Training. I will notify you as I find available training. Achieving Compliance: Due to sixteen (16) or more violations cited during today’s visit, a follow-up visit will be conducted. You may be considered for administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/24/25. Email the compliance letter on signed letterhead or in 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 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: On-going training: Between 1/1/24 – 12/31/25, both of you must meet required on-going training hours. You must make sure that your education information on WORKS is up to date. Please use the resource I shared via email and follow the procedures to submit the transcript to the WORKS account. Both staff members have completed two (2) hours of training so far. Medication in Child Care training does not count toward on-going training hours because the hours were used to meet the Health and Safety training requirements. Therefore, you need additional eight (8) hours of training prior to 12/31/25. Please note that D. Crane does not have WORKS letter issued. Until the letter is issued, the required training hours for the staff member is twenty (20) hours. In your compliance letter, please verify the completion of training. Additionally, please submit a copy of training certificates to me. Rated License Assessment: I discussed the Rated License Assessment with Ms. Bell and Dawn Crane, teacher. • Quick overview of pathways – Ms. Bell has not reviewed the QIRS information or attended a provider meeting. • Education requirements for administrator, lead teacher and teacher – Both Ms. Bev and Ms. Crane care for children. I will follow-up with you the clarification of your position. • Ms. Crane does not have a WORKS letter issued yet. The instruction on how to submit official transcript was shared vis email on October 24, 2025. • CQI requirements • Family and Community Engagement • Self-study requirements • Outreach assessment can be requested at Email: ncrlap@uncg.edu or Phone: Toll Free (866)-362-7527 • Self-study process can be reviewed on https://ncrlap.org/Resources/SelfStudy/FCCH/ - self-study process is minimum of three (3) months. • Self-study verification form was printed and shared with you. Fillable form can be accessed at https://ncrlap.org/Resources/Uploaded_Files/Uploaded_Resources/Self%20Study%20Verification%20Form%20FCCH-CLIAR%20%28fillable%29%20%28%2010-31-25%2011-46-49%20AM%29.pdf Timeline: You may choose to apply in April 2026 or October 2026. Considering many requirements you must meet, October 2026 may be a better option. Please start with the following task: 1. Ms. Crane must submit an official transcript to WORKS account, apply for positions – teacher and lead teacher 2. Choose a competency evaluation or completion of 10 hours CEU. Before completing any training, please make sure that the organization offers CEU’s. 3. Consider which Family and Community Engagement you will meet and start collecting evidence 4. Set goal for CQI for facility and individuals 5. Review FCCERS-3 requirements, conduct a self-assessment and identify a goal for a program and a goal for lead teacher You may contact Buncombe Partnership for Children and ask for additional resources and guidance for the Rated License Assessment. You can contact (828) 285-9333. FCCERS-3: For new QIRS, you are required to receive FCCERS-3 assessment. However, there are no score requirements for three-star program. We also discussed transitioning to one-star center. One-star license is not required to go through the Rated License Assessment. However, your subsidy rate is currently determined by each program’s star-level. Therefore, changing star level may affect your subsidy reimbursement rate. Please contact Child Care Subsidy consultant if you have any questions. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/10/2025 Number Present: 6 Completed Date: 11/10/2025 Age: From 2 To 4 Total Minutes: 410 Time In: 09:10 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Beverly Bell, Owner during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/21/24. The last fire drill was practiced on 9/8/25. The last shelter-in-place drill was practiced on 8/8/25. The last playground inspection was documented on 9/15/25. The last fire inspection was not obtained during today’s visit. Per communication with Ms. Bell during a routine unannounced visit conducted on 4/15/25, the fire inspection was completed on 12/21/23 but could not locate the inspection form. Under consultation, I instructed Ms. Bell to contact the Fire Marshall to complete the inspection. During today’s visit, Ms. Bell stated that the inspection was completed during the last summer, 2024. However, the inspection form has not been located yet. The last sanitation inspection was conducted on 2/11/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 10/10/23 without hazards. The lead paint and asbestos testing was completed on 8/7/25. No further actions are needed. Upon arrival, I greeted both staff members and announced the purpose of the visit. Five (5) children, two-to-four years of age, were present with two (2) staff members, including Ms. Bell. The television in the living room was turned on and a children’s show was playing. The TV was turned shortly after my arrival. The children moved between space #1 and #2 with staff members. The children played with puzzles, blocks, pretend animals/vehicles/people/characters, colored with crayons and talked with the staff members. Staff/child ratios sheet, daily schedule, safe arrival, no smoking poster, first aid, EMC, parent participation plan were posted in space #2. Additional child, two (2) years old arrived shortly after 10:00 am. Fire Alarm was tested. In this residence, there are three (3) alarms installed. Two (2) alarms are wired and one (1) is battery-operated. They were tested during the visit and were in working order. There was a child-proof gate to separate the kitchen and space #1. A few children opened the gate independently and came into the kitchen area. In the kitchen area, a bottle of bleach was stored on the top shelf in the cabinet by the sink, and a can of Lysol disinfecting spray was maintained above the refrigerator. Both staff members submitted their verification forms during the visit. During the technical assistance visit conducted on June 24, 2025, information regarding the Emergency Preparedness and Response (EPR) in Child Care training—including available sessions, dates, and times—was shared. A staff member who planned to complete the training reported that they attempted to access the course but were unable to proceed and requested additional technical assistance to locate the training. No training records have been submitted for either staff member for the training period of January 1, 2024, through December 31, 2025. A total of nine (9) children’s files were counted. Per Ms. Bell, one (1) of the enrollees recently left the program. Eight (8) children’s files were reviewed. No plan of care was in file, but the program does not transport children or take them out in routine errands. A request for religious exemption for medical requirements was in file for one (1) child. No acknowledgement of receipt of the program’s operational policies was in the children’s files. However, Ms. Bell stated that the policies were shared with each family upon enrollment. Ms. Bell conducted a group time. She read a book and sang songs and discussed days of week. Pizzas were ordered for lunch and delivered to the program. Children and staff members washed their hands prior to lunch. Bananas, pizzas and milk were served during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care .Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection form that the program provided was completed in 2023. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. No activity plan was posted. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. During lunch, pizza slice(s), cut bananas and milk were served to the children. 10A NCAC 09 .0901(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. No screen time log was completed though television was on upon my arrival at the center. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu for this week was not posted and the decision to order pizza was made during today's visit. 10A NCAC 09 .0901(b) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu for this week was not posted. 10A NCAC 09 .0901(b) 544 Screen time was offered to children under three years of age. There were three (3) children, who were two (2) years of age, present during the visit. Upon my arrival, the TV was on and a cartoon was playing. .0510(f) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. All six (6) cots were placed in space #1 during the visit. The spaces among cots were between five (5) to nine (9) inches apart. 15A NCAC 18A .2821(e) 807 A safe indoor and outdoor environment was not provided for the children. Top bars of some sections of the playground fence were rusted. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of bleach was on the top shelf in the cabinet by the sink in the kitchen area. one (1) can of Lysol was on top of the refrigerator, and one (1) can was on the vanity in the bathroom. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The staff members talked about children's biting incidents but incident reports were not completed for those incidents. .0802 (e) 853 Incident logs were not completed and maintained as required. No incident logs were maintained for the program. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspection was not completed for October 2025. .0605(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaire was last updated on 8/28/24 for one (1) staff member. .0701(a) 1061 One staff member had not completed training in playground safety. .1102(e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff evaluation forms and development plans were on file for either staff members. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Out of eight (8) children enrolled, five (5) children did not have medical exam records on file. Those children's enrollment dates are 5/5/25 (NS), 7/8/25 (BA), 4/14/25 (HR), May, 2025(EH), May 2025 (HH). GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization records were not on file for five (5) children. Their enrollment dates are 4/8/24, 5/5/25, 05/2025, 05/2025 and unknown date - due to lack of date on the application forms. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) child did not have discipline policy acknowledgement on file. One (1) child's acknowledgement form had the parent's signature but no date. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The parent-completed statement of receipt for the discipline policy for one (1) child was missing the child’s name and the date of enrollment. .1804(b) 1805 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. Center roster has not been created on the ABCMS as of today. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last update EPR plan was dated 2023. the plan has not been updated on NC Risk Management portal since then. .0607(e) Technical assistance was provided as follows: 106: Fire inspection Fire inspection must be conducted annually. Per Ms. Bell’s statement, the last inspection was completed and approved in summer 2024. To comply, you shall contact the Fire Marshall at your earliest convenience possible to notify them of a fire inspection. You must complete the inspection and get it approved within the next two (2) weeks. Upon receiving the approved inspection, you shall forward the inspection to me. A fire inspection form was printed during today’s visit and left on site. In your compliance letter, please state the date you completed the inspection. Additionally, you must submit the approved inspection to me when you receive the inspection. 428: activity plans Current activity plans must be posted. We discussed basic requirements for activity plans during the visit. NCFELD books were shared during the visit. In your lesson plan/activity plans, you must include the followings: • emotional and social development; • health and physical development; • approaches to play and learning; • language development and communication; and • cognitive development. In your compliance letter, please state the action you took to meet compliance. 501: nutrition requirements Nutrition requirements set by USDA must be met. I printed the meal requirement information – required components and quantities and shared with you. To comply, you must feed additional vegetables or fruit to add to the lunch you served. In your compliance letter, please state how you will prevent the same violation. 525: planning meals in advance 526: menu – posted and current Menu must be planned in advance. Additionally, the menu must be current and posted. Please note that different items were served to the children than what are listed on the menu, you must list the correct items prior to serving children. To comply, you must post the current menu and post them at least a week in advance. It is okay to locate the menu. Make sure to put the date/week and maintain the record on file. In your compliance letter, please state the action you took to achieve the compliance. 524: screen time log Upon offering screen time log, the length of the screen time must be documented. 544: screen time Screen time must not be offered to children younger than three (3) years of age. To comply, I strongly recommend you stop offering the screen time to your group of children. If you do, please take children who are younger than three (3) to space #2. Upon completion of screen time, you must log the length of time children were offered the screen time. In your compliance letter, you must state the action you will take to prevent recurrence of this violation. This violation has been cited multiple times during routine visits. It could be perceived as non-compliance issue, if you continue to ignore these requirements. 807: Safe environment Rust must be inaccessible to the children. On the playground, top bars of some sections of the fence are rusted. To comply, you must remove the rust or paint over it. In your compliance letter, please state the action you took to achieve the compliance. 614: Space between cots Spaces between cots must be minimum of eighteen (18) inches apart. To comply, you must properly space cots prior to rest time. In your compliance letter, please state the action you took to meet compliance. 840: Potentially hazardous products Potentially hazardous products such as bleach, aerosol cans must be stored in locked storage. To comply, bleach in the kitchen area and aerosol cans must be stored in locked storage. Baby proofing devices are not considered sufficient. I advise you to store hazardous products, such as bleach, aerosol cans and any types of medications in a locked room. In your compliance letter, please state the action you took to meet compliance. 852: Incident report 853: Incident log Incident report must be completed anytime child in care are injured, and the injuries require any type of first aid. You talked about biting among children. Biting must be properly documented due to potential biocontamination and exchanges of bodily fluid. Each time incident report is filled out, the incident must be recorded on the incident log. To comply, please fill out the incident report for the most recent incident that require first aid and log that incident on the log. You must share the incident with parent and obtain the signature. In your compliance letter, please verify that incident report was filled out for the biting incident and the incident was documented on the incident log. 859: playground inspection A playground inspection must be conducted monthly. To comply, you must complete an inspection for October 2025. Since you did not complete one (1) in October, please conduct two (2) inspections in November – one (1) is in place for October, and the other one (1) is for November. Both inspections shall record the date you conducted the inspection. Please note “In place for October 2025” on one (1) of the inspections. In your compliance letter, please state the date you completed the inspection for October 2025. 1034: All staff, including the director, must have an annual health questionnaire on file following the initial medical statement. Refer to 10A NCAC 09 .0701(a). To comply, please update the following staff member(s) Health Questionnaire form: D. Crane. In your compliance letter, please verify that you updated the health questionnaire for D. Crane. 1061: Playground safety training The person who can conduct monthly playground inspection must complete the training. At least one (1) person each center must complete this training. Per Ms. Bell, she has probably completed this training. However, she cannot locate the training certificate. During the technical assistance visit conducted on 6/24/25, I provided playground safety training opportunities with staff members including the available training, link and fees. To comply, one (1) person must complete the playground safety training at earliest opportunities possible and maintain the certificate on file. In your compliance letter, please state the date you completed the training and filed the certificate. 1232: annual staff evaluation and staff development plan Staff evaluation and development plan is required annually. To comply, please create evaluation and development plan. CQI form for individual was printed and shared with you during the visit to use for the development plan. You will need to create evaluation form for staff members. In your compliance letter, please state the action you took to meet compliance. 1321: Health assessment record within thirty (30) days 1323: Immunization record within thirty (30) days Health assessment/physicals must be obtained within thirty (30) days of enrollment and maintain it on file for each child. Immunization records for each child are required unless the parents/guardian request for religions exemptions in writing. The records must be in each child’s file within thirty (30) days of enrollment. To comply, please refer to the children’s files checklist. You must request a physical for the following children: N.S., B.A., H.R., E.H., H.H., S.J. To comply, please refer to the children’s files checklist. You must request immunization records for the following children: O.F., N. S., E.H., H.H., S. J. In your compliance letter, please verify if all documentation were obtained and on file. 1324/1325: discipline policy Parents/guardians of each enrollee must receive the center’s discipline policy in writing and sign the acknowledgement that the discipline policy was received. The acknowledgement form must include child’s name and the date of enrollment. To comply, please create an acknowledgement form for discipline policy and obtain the signature from the parent of O.F. In your compliance letter, please verify the completion of the task. 1805: ABCMS roster New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, please take the training on the DCDEE Moodle first and follow the procedures for listing all staff members. 1824: EPR plan The EPR plan must be reviewed annually on the NC Risk Management Portal, update it and print it by the trained staff member. The EPR plan must be maintained in the Ready-to-go File and all staff members must know the location of the file. Per Ms. Bell and the staff member present, the plan was completed and printed, but they could not locate it. To comply, please log onto NC Risk Management Portal and complete the EPR template and print the plan. Along with the compliance letter, please submit the copy of your EPR plan to me. If other staff member is interested in taking Emergency Preparedness and Response training, Buncombe Partnership for Children offers the training on 12/8/25 from 1:00 pm and December 10 at 2:15 pm. You can register for the class on https://buncombepfc.org/training/ and the cost is $12.50. The same training is also available on 2/9/26 from 6:00 pm - 8:30 pm. you can register at Southwestern Child Development Commission website at https://reg.learningstream.com/reg/event_page.aspx?ek=0042-0007-153b9b7d0246485996ad63be89fb5f45. Registration fee is $20. I cannot find openings for the Playground Safety Training. I will notify you as I find available training. Achieving Compliance: Due to sixteen (16) or more violations cited during today’s visit, a follow-up visit will be conducted. You may be considered for administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/24/25. Email the compliance letter on signed letterhead or in 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 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: On-going training: Between 1/1/24 – 12/31/25, both of you must meet required on-going training hours. You must make sure that your education information on WORKS is up to date. Please use the resource I shared via email and follow the procedures to submit the transcript to the WORKS account. Both staff members have completed two (2) hours of training so far. Medication in Child Care training does not count toward on-going training hours because the hours were used to meet the Health and Safety training requirements. Therefore, you need additional eight (8) hours of training prior to 12/31/25. Please note that D. Crane does not have WORKS letter issued. Until the letter is issued, the required training hours for the staff member is twenty (20) hours. In your compliance letter, please verify the completion of training. Additionally, please submit a copy of training certificates to me. Rated License Assessment: I discussed the Rated License Assessment with Ms. Bell and Dawn Crane, teacher. • Quick overview of pathways – Ms. Bell has not reviewed the QIRS information or attended a provider meeting. • Education requirements for administrator, lead teacher and teacher – Both Ms. Bev and Ms. Crane care for children. I will follow-up with you the clarification of your position. • Ms. Crane does not have a WORKS letter issued yet. The instruction on how to submit official transcript was shared vis email on October 24, 2025. • CQI requirements • Family and Community Engagement • Self-study requirements • Outreach assessment can be requested at Email: ncrlap@uncg.edu or Phone: Toll Free (866)-362-7527 • Self-study process can be reviewed on https://ncrlap.org/Resources/SelfStudy/FCCH/ - self-study process is minimum of three (3) months. • Self-study verification form was printed and shared with you. Fillable form can be accessed at https://ncrlap.org/Resources/Uploaded_Files/Uploaded_Resources/Self%20Study%20Verification%20Form%20FCCH-CLIAR%20%28fillable%29%20%28%2010-31-25%2011-46-49%20AM%29.pdf Timeline: You may choose to apply in April 2026 or October 2026. Considering many requirements you must meet, October 2026 may be a better option. Please start with the following task: 1. Ms. Crane must submit an official transcript to WORKS account, apply for positions – teacher and lead teacher 2. Choose a competency evaluation or completion of 10 hours CEU. Before completing any training, please make sure that the organization offers CEU’s. 3. Consider which Family and Community Engagement you will meet and start collecting evidence 4. Set goal for CQI for facility and individuals 5. Review FCCERS-3 requirements, conduct a self-assessment and identify a goal for a program and a goal for lead teacher You may contact Buncombe Partnership for Children and ask for additional resources and guidance for the Rated License Assessment. You can contact (828) 285-9333. FCCERS-3: For new QIRS, you are required to receive FCCERS-3 assessment. However, there are no score requirements for three-star program. We also discussed transitioning to one-star center. One-star license is not required to go through the Rated License Assessment. However, your subsidy rate is currently determined by each program’s star-level. Therefore, changing star level may affect your subsidy reimbursement rate. Please contact Child Care Subsidy consultant if you have any questions. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/10/2025 Number Present: 6 Completed Date: 11/10/2025 Age: From 2 To 4 Total Minutes: 410 Time In: 09:10 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Beverly Bell, Owner during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/21/24. The last fire drill was practiced on 9/8/25. The last shelter-in-place drill was practiced on 8/8/25. The last playground inspection was documented on 9/15/25. The last fire inspection was not obtained during today’s visit. Per communication with Ms. Bell during a routine unannounced visit conducted on 4/15/25, the fire inspection was completed on 12/21/23 but could not locate the inspection form. Under consultation, I instructed Ms. Bell to contact the Fire Marshall to complete the inspection. During today’s visit, Ms. Bell stated that the inspection was completed during the last summer, 2024. However, the inspection form has not been located yet. The last sanitation inspection was conducted on 2/11/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 10/10/23 without hazards. The lead paint and asbestos testing was completed on 8/7/25. No further actions are needed. Upon arrival, I greeted both staff members and announced the purpose of the visit. Five (5) children, two-to-four years of age, were present with two (2) staff members, including Ms. Bell. The television in the living room was turned on and a children’s show was playing. The TV was turned shortly after my arrival. The children moved between space #1 and #2 with staff members. The children played with puzzles, blocks, pretend animals/vehicles/people/characters, colored with crayons and talked with the staff members. Staff/child ratios sheet, daily schedule, safe arrival, no smoking poster, first aid, EMC, parent participation plan were posted in space #2. Additional child, two (2) years old arrived shortly after 10:00 am. Fire Alarm was tested. In this residence, there are three (3) alarms installed. Two (2) alarms are wired and one (1) is battery-operated. They were tested during the visit and were in working order. There was a child-proof gate to separate the kitchen and space #1. A few children opened the gate independently and came into the kitchen area. In the kitchen area, a bottle of bleach was stored on the top shelf in the cabinet by the sink, and a can of Lysol disinfecting spray was maintained above the refrigerator. Both staff members submitted their verification forms during the visit. During the technical assistance visit conducted on June 24, 2025, information regarding the Emergency Preparedness and Response (EPR) in Child Care training—including available sessions, dates, and times—was shared. A staff member who planned to complete the training reported that they attempted to access the course but were unable to proceed and requested additional technical assistance to locate the training. No training records have been submitted for either staff member for the training period of January 1, 2024, through December 31, 2025. A total of nine (9) children’s files were counted. Per Ms. Bell, one (1) of the enrollees recently left the program. Eight (8) children’s files were reviewed. No plan of care was in file, but the program does not transport children or take them out in routine errands. A request for religious exemption for medical requirements was in file for one (1) child. No acknowledgement of receipt of the program’s operational policies was in the children’s files. However, Ms. Bell stated that the policies were shared with each family upon enrollment. Ms. Bell conducted a group time. She read a book and sang songs and discussed days of week. Pizzas were ordered for lunch and delivered to the program. Children and staff members washed their hands prior to lunch. Bananas, pizzas and milk were served during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care .Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection form that the program provided was completed in 2023. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. No activity plan was posted. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. During lunch, pizza slice(s), cut bananas and milk were served to the children. 10A NCAC 09 .0901(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. No screen time log was completed though television was on upon my arrival at the center. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu for this week was not posted and the decision to order pizza was made during today's visit. 10A NCAC 09 .0901(b) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu for this week was not posted. 10A NCAC 09 .0901(b) 544 Screen time was offered to children under three years of age. There were three (3) children, who were two (2) years of age, present during the visit. Upon my arrival, the TV was on and a cartoon was playing. .0510(f) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. All six (6) cots were placed in space #1 during the visit. The spaces among cots were between five (5) to nine (9) inches apart. 15A NCAC 18A .2821(e) 807 A safe indoor and outdoor environment was not provided for the children. Top bars of some sections of the playground fence were rusted. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of bleach was on the top shelf in the cabinet by the sink in the kitchen area. one (1) can of Lysol was on top of the refrigerator, and one (1) can was on the vanity in the bathroom. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The staff members talked about children's biting incidents but incident reports were not completed for those incidents. .0802 (e) 853 Incident logs were not completed and maintained as required. No incident logs were maintained for the program. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspection was not completed for October 2025. .0605(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaire was last updated on 8/28/24 for one (1) staff member. .0701(a) 1061 One staff member had not completed training in playground safety. .1102(e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff evaluation forms and development plans were on file for either staff members. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Out of eight (8) children enrolled, five (5) children did not have medical exam records on file. Those children's enrollment dates are 5/5/25 (NS), 7/8/25 (BA), 4/14/25 (HR), May, 2025(EH), May 2025 (HH). GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization records were not on file for five (5) children. Their enrollment dates are 4/8/24, 5/5/25, 05/2025, 05/2025 and unknown date - due to lack of date on the application forms. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) child did not have discipline policy acknowledgement on file. One (1) child's acknowledgement form had the parent's signature but no date. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The parent-completed statement of receipt for the discipline policy for one (1) child was missing the child’s name and the date of enrollment. .1804(b) 1805 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. Center roster has not been created on the ABCMS as of today. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last update EPR plan was dated 2023. the plan has not been updated on NC Risk Management portal since then. .0607(e) Technical assistance was provided as follows: 106: Fire inspection Fire inspection must be conducted annually. Per Ms. Bell’s statement, the last inspection was completed and approved in summer 2024. To comply, you shall contact the Fire Marshall at your earliest convenience possible to notify them of a fire inspection. You must complete the inspection and get it approved within the next two (2) weeks. Upon receiving the approved inspection, you shall forward the inspection to me. A fire inspection form was printed during today’s visit and left on site. In your compliance letter, please state the date you completed the inspection. Additionally, you must submit the approved inspection to me when you receive the inspection. 428: activity plans Current activity plans must be posted. We discussed basic requirements for activity plans during the visit. NCFELD books were shared during the visit. In your lesson plan/activity plans, you must include the followings: • emotional and social development; • health and physical development; • approaches to play and learning; • language development and communication; and • cognitive development. In your compliance letter, please state the action you took to meet compliance. 501: nutrition requirements Nutrition requirements set by USDA must be met. I printed the meal requirement information – required components and quantities and shared with you. To comply, you must feed additional vegetables or fruit to add to the lunch you served. In your compliance letter, please state how you will prevent the same violation. 525: planning meals in advance 526: menu – posted and current Menu must be planned in advance. Additionally, the menu must be current and posted. Please note that different items were served to the children than what are listed on the menu, you must list the correct items prior to serving children. To comply, you must post the current menu and post them at least a week in advance. It is okay to locate the menu. Make sure to put the date/week and maintain the record on file. In your compliance letter, please state the action you took to achieve the compliance. 524: screen time log Upon offering screen time log, the length of the screen time must be documented. 544: screen time Screen time must not be offered to children younger than three (3) years of age. To comply, I strongly recommend you stop offering the screen time to your group of children. If you do, please take children who are younger than three (3) to space #2. Upon completion of screen time, you must log the length of time children were offered the screen time. In your compliance letter, you must state the action you will take to prevent recurrence of this violation. This violation has been cited multiple times during routine visits. It could be perceived as non-compliance issue, if you continue to ignore these requirements. 807: Safe environment Rust must be inaccessible to the children. On the playground, top bars of some sections of the fence are rusted. To comply, you must remove the rust or paint over it. In your compliance letter, please state the action you took to achieve the compliance. 614: Space between cots Spaces between cots must be minimum of eighteen (18) inches apart. To comply, you must properly space cots prior to rest time. In your compliance letter, please state the action you took to meet compliance. 840: Potentially hazardous products Potentially hazardous products such as bleach, aerosol cans must be stored in locked storage. To comply, bleach in the kitchen area and aerosol cans must be stored in locked storage. Baby proofing devices are not considered sufficient. I advise you to store hazardous products, such as bleach, aerosol cans and any types of medications in a locked room. In your compliance letter, please state the action you took to meet compliance. 852: Incident report 853: Incident log Incident report must be completed anytime child in care are injured, and the injuries require any type of first aid. You talked about biting among children. Biting must be properly documented due to potential biocontamination and exchanges of bodily fluid. Each time incident report is filled out, the incident must be recorded on the incident log. To comply, please fill out the incident report for the most recent incident that require first aid and log that incident on the log. You must share the incident with parent and obtain the signature. In your compliance letter, please verify that incident report was filled out for the biting incident and the incident was documented on the incident log. 859: playground inspection A playground inspection must be conducted monthly. To comply, you must complete an inspection for October 2025. Since you did not complete one (1) in October, please conduct two (2) inspections in November – one (1) is in place for October, and the other one (1) is for November. Both inspections shall record the date you conducted the inspection. Please note “In place for October 2025” on one (1) of the inspections. In your compliance letter, please state the date you completed the inspection for October 2025. 1034: All staff, including the director, must have an annual health questionnaire on file following the initial medical statement. Refer to 10A NCAC 09 .0701(a). To comply, please update the following staff member(s) Health Questionnaire form: D. Crane. In your compliance letter, please verify that you updated the health questionnaire for D. Crane. 1061: Playground safety training The person who can conduct monthly playground inspection must complete the training. At least one (1) person each center must complete this training. Per Ms. Bell, she has probably completed this training. However, she cannot locate the training certificate. During the technical assistance visit conducted on 6/24/25, I provided playground safety training opportunities with staff members including the available training, link and fees. To comply, one (1) person must complete the playground safety training at earliest opportunities possible and maintain the certificate on file. In your compliance letter, please state the date you completed the training and filed the certificate. 1232: annual staff evaluation and staff development plan Staff evaluation and development plan is required annually. To comply, please create evaluation and development plan. CQI form for individual was printed and shared with you during the visit to use for the development plan. You will need to create evaluation form for staff members. In your compliance letter, please state the action you took to meet compliance. 1321: Health assessment record within thirty (30) days 1323: Immunization record within thirty (30) days Health assessment/physicals must be obtained within thirty (30) days of enrollment and maintain it on file for each child. Immunization records for each child are required unless the parents/guardian request for religions exemptions in writing. The records must be in each child’s file within thirty (30) days of enrollment. To comply, please refer to the children’s files checklist. You must request a physical for the following children: N.S., B.A., H.R., E.H., H.H., S.J. To comply, please refer to the children’s files checklist. You must request immunization records for the following children: O.F., N. S., E.H., H.H., S. J. In your compliance letter, please verify if all documentation were obtained and on file. 1324/1325: discipline policy Parents/guardians of each enrollee must receive the center’s discipline policy in writing and sign the acknowledgement that the discipline policy was received. The acknowledgement form must include child’s name and the date of enrollment. To comply, please create an acknowledgement form for discipline policy and obtain the signature from the parent of O.F. In your compliance letter, please verify the completion of the task. 1805: ABCMS roster New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, please take the training on the DCDEE Moodle first and follow the procedures for listing all staff members. 1824: EPR plan The EPR plan must be reviewed annually on the NC Risk Management Portal, update it and print it by the trained staff member. The EPR plan must be maintained in the Ready-to-go File and all staff members must know the location of the file. Per Ms. Bell and the staff member present, the plan was completed and printed, but they could not locate it. To comply, please log onto NC Risk Management Portal and complete the EPR template and print the plan. Along with the compliance letter, please submit the copy of your EPR plan to me. If other staff member is interested in taking Emergency Preparedness and Response training, Buncombe Partnership for Children offers the training on 12/8/25 from 1:00 pm and December 10 at 2:15 pm. You can register for the class on https://buncombepfc.org/training/ and the cost is $12.50. The same training is also available on 2/9/26 from 6:00 pm - 8:30 pm. you can register at Southwestern Child Development Commission website at https://reg.learningstream.com/reg/event_page.aspx?ek=0042-0007-153b9b7d0246485996ad63be89fb5f45. Registration fee is $20. I cannot find openings for the Playground Safety Training. I will notify you as I find available training. Achieving Compliance: Due to sixteen (16) or more violations cited during today’s visit, a follow-up visit will be conducted. You may be considered for administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/24/25. Email the compliance letter on signed letterhead or in 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 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: On-going training: Between 1/1/24 – 12/31/25, both of you must meet required on-going training hours. You must make sure that your education information on WORKS is up to date. Please use the resource I shared via email and follow the procedures to submit the transcript to the WORKS account. Both staff members have completed two (2) hours of training so far. Medication in Child Care training does not count toward on-going training hours because the hours were used to meet the Health and Safety training requirements. Therefore, you need additional eight (8) hours of training prior to 12/31/25. Please note that D. Crane does not have WORKS letter issued. Until the letter is issued, the required training hours for the staff member is twenty (20) hours. In your compliance letter, please verify the completion of training. Additionally, please submit a copy of training certificates to me. Rated License Assessment: I discussed the Rated License Assessment with Ms. Bell and Dawn Crane, teacher. • Quick overview of pathways – Ms. Bell has not reviewed the QIRS information or attended a provider meeting. • Education requirements for administrator, lead teacher and teacher – Both Ms. Bev and Ms. Crane care for children. I will follow-up with you the clarification of your position. • Ms. Crane does not have a WORKS letter issued yet. The instruction on how to submit official transcript was shared vis email on October 24, 2025. • CQI requirements • Family and Community Engagement • Self-study requirements • Outreach assessment can be requested at Email: ncrlap@uncg.edu or Phone: Toll Free (866)-362-7527 • Self-study process can be reviewed on https://ncrlap.org/Resources/SelfStudy/FCCH/ - self-study process is minimum of three (3) months. • Self-study verification form was printed and shared with you. Fillable form can be accessed at https://ncrlap.org/Resources/Uploaded_Files/Uploaded_Resources/Self%20Study%20Verification%20Form%20FCCH-CLIAR%20%28fillable%29%20%28%2010-31-25%2011-46-49%20AM%29.pdf Timeline: You may choose to apply in April 2026 or October 2026. Considering many requirements you must meet, October 2026 may be a better option. Please start with the following task: 1. Ms. Crane must submit an official transcript to WORKS account, apply for positions – teacher and lead teacher 2. Choose a competency evaluation or completion of 10 hours CEU. Before completing any training, please make sure that the organization offers CEU’s. 3. Consider which Family and Community Engagement you will meet and start collecting evidence 4. Set goal for CQI for facility and individuals 5. Review FCCERS-3 requirements, conduct a self-assessment and identify a goal for a program and a goal for lead teacher You may contact Buncombe Partnership for Children and ask for additional resources and guidance for the Rated License Assessment. You can contact (828) 285-9333. FCCERS-3: For new QIRS, you are required to receive FCCERS-3 assessment. However, there are no score requirements for three-star program. We also discussed transitioning to one-star center. One-star license is not required to go through the Rated License Assessment. However, your subsidy rate is currently determined by each program’s star-level. Therefore, changing star level may affect your subsidy reimbursement rate. Please contact Child Care Subsidy consultant if you have any questions. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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

GS 110-91 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/10/2025 Number Present: 6 Completed Date: 11/10/2025 Age: From 2 To 4 Total Minutes: 410 Time In: 09:10 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Beverly Bell, Owner during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/21/24. The last fire drill was practiced on 9/8/25. The last shelter-in-place drill was practiced on 8/8/25. The last playground inspection was documented on 9/15/25. The last fire inspection was not obtained during today’s visit. Per communication with Ms. Bell during a routine unannounced visit conducted on 4/15/25, the fire inspection was completed on 12/21/23 but could not locate the inspection form. Under consultation, I instructed Ms. Bell to contact the Fire Marshall to complete the inspection. During today’s visit, Ms. Bell stated that the inspection was completed during the last summer, 2024. However, the inspection form has not been located yet. The last sanitation inspection was conducted on 2/11/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 10/10/23 without hazards. The lead paint and asbestos testing was completed on 8/7/25. No further actions are needed. Upon arrival, I greeted both staff members and announced the purpose of the visit. Five (5) children, two-to-four years of age, were present with two (2) staff members, including Ms. Bell. The television in the living room was turned on and a children’s show was playing. The TV was turned shortly after my arrival. The children moved between space #1 and #2 with staff members. The children played with puzzles, blocks, pretend animals/vehicles/people/characters, colored with crayons and talked with the staff members. Staff/child ratios sheet, daily schedule, safe arrival, no smoking poster, first aid, EMC, parent participation plan were posted in space #2. Additional child, two (2) years old arrived shortly after 10:00 am. Fire Alarm was tested. In this residence, there are three (3) alarms installed. Two (2) alarms are wired and one (1) is battery-operated. They were tested during the visit and were in working order. There was a child-proof gate to separate the kitchen and space #1. A few children opened the gate independently and came into the kitchen area. In the kitchen area, a bottle of bleach was stored on the top shelf in the cabinet by the sink, and a can of Lysol disinfecting spray was maintained above the refrigerator. Both staff members submitted their verification forms during the visit. During the technical assistance visit conducted on June 24, 2025, information regarding the Emergency Preparedness and Response (EPR) in Child Care training—including available sessions, dates, and times—was shared. A staff member who planned to complete the training reported that they attempted to access the course but were unable to proceed and requested additional technical assistance to locate the training. No training records have been submitted for either staff member for the training period of January 1, 2024, through December 31, 2025. A total of nine (9) children’s files were counted. Per Ms. Bell, one (1) of the enrollees recently left the program. Eight (8) children’s files were reviewed. No plan of care was in file, but the program does not transport children or take them out in routine errands. A request for religious exemption for medical requirements was in file for one (1) child. No acknowledgement of receipt of the program’s operational policies was in the children’s files. However, Ms. Bell stated that the policies were shared with each family upon enrollment. Ms. Bell conducted a group time. She read a book and sang songs and discussed days of week. Pizzas were ordered for lunch and delivered to the program. Children and staff members washed their hands prior to lunch. Bananas, pizzas and milk were served during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care .Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection form that the program provided was completed in 2023. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. No activity plan was posted. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. During lunch, pizza slice(s), cut bananas and milk were served to the children. 10A NCAC 09 .0901(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. No screen time log was completed though television was on upon my arrival at the center. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu for this week was not posted and the decision to order pizza was made during today's visit. 10A NCAC 09 .0901(b) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu for this week was not posted. 10A NCAC 09 .0901(b) 544 Screen time was offered to children under three years of age. There were three (3) children, who were two (2) years of age, present during the visit. Upon my arrival, the TV was on and a cartoon was playing. .0510(f) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. All six (6) cots were placed in space #1 during the visit. The spaces among cots were between five (5) to nine (9) inches apart. 15A NCAC 18A .2821(e) 807 A safe indoor and outdoor environment was not provided for the children. Top bars of some sections of the playground fence were rusted. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of bleach was on the top shelf in the cabinet by the sink in the kitchen area. one (1) can of Lysol was on top of the refrigerator, and one (1) can was on the vanity in the bathroom. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The staff members talked about children's biting incidents but incident reports were not completed for those incidents. .0802 (e) 853 Incident logs were not completed and maintained as required. No incident logs were maintained for the program. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspection was not completed for October 2025. .0605(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaire was last updated on 8/28/24 for one (1) staff member. .0701(a) 1061 One staff member had not completed training in playground safety. .1102(e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff evaluation forms and development plans were on file for either staff members. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Out of eight (8) children enrolled, five (5) children did not have medical exam records on file. Those children's enrollment dates are 5/5/25 (NS), 7/8/25 (BA), 4/14/25 (HR), May, 2025(EH), May 2025 (HH). GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization records were not on file for five (5) children. Their enrollment dates are 4/8/24, 5/5/25, 05/2025, 05/2025 and unknown date - due to lack of date on the application forms. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) child did not have discipline policy acknowledgement on file. One (1) child's acknowledgement form had the parent's signature but no date. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The parent-completed statement of receipt for the discipline policy for one (1) child was missing the child’s name and the date of enrollment. .1804(b) 1805 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. Center roster has not been created on the ABCMS as of today. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last update EPR plan was dated 2023. the plan has not been updated on NC Risk Management portal since then. .0607(e) Technical assistance was provided as follows: 106: Fire inspection Fire inspection must be conducted annually. Per Ms. Bell’s statement, the last inspection was completed and approved in summer 2024. To comply, you shall contact the Fire Marshall at your earliest convenience possible to notify them of a fire inspection. You must complete the inspection and get it approved within the next two (2) weeks. Upon receiving the approved inspection, you shall forward the inspection to me. A fire inspection form was printed during today’s visit and left on site. In your compliance letter, please state the date you completed the inspection. Additionally, you must submit the approved inspection to me when you receive the inspection. 428: activity plans Current activity plans must be posted. We discussed basic requirements for activity plans during the visit. NCFELD books were shared during the visit. In your lesson plan/activity plans, you must include the followings: • emotional and social development; • health and physical development; • approaches to play and learning; • language development and communication; and • cognitive development. In your compliance letter, please state the action you took to meet compliance. 501: nutrition requirements Nutrition requirements set by USDA must be met. I printed the meal requirement information – required components and quantities and shared with you. To comply, you must feed additional vegetables or fruit to add to the lunch you served. In your compliance letter, please state how you will prevent the same violation. 525: planning meals in advance 526: menu – posted and current Menu must be planned in advance. Additionally, the menu must be current and posted. Please note that different items were served to the children than what are listed on the menu, you must list the correct items prior to serving children. To comply, you must post the current menu and post them at least a week in advance. It is okay to locate the menu. Make sure to put the date/week and maintain the record on file. In your compliance letter, please state the action you took to achieve the compliance. 524: screen time log Upon offering screen time log, the length of the screen time must be documented. 544: screen time Screen time must not be offered to children younger than three (3) years of age. To comply, I strongly recommend you stop offering the screen time to your group of children. If you do, please take children who are younger than three (3) to space #2. Upon completion of screen time, you must log the length of time children were offered the screen time. In your compliance letter, you must state the action you will take to prevent recurrence of this violation. This violation has been cited multiple times during routine visits. It could be perceived as non-compliance issue, if you continue to ignore these requirements. 807: Safe environment Rust must be inaccessible to the children. On the playground, top bars of some sections of the fence are rusted. To comply, you must remove the rust or paint over it. In your compliance letter, please state the action you took to achieve the compliance. 614: Space between cots Spaces between cots must be minimum of eighteen (18) inches apart. To comply, you must properly space cots prior to rest time. In your compliance letter, please state the action you took to meet compliance. 840: Potentially hazardous products Potentially hazardous products such as bleach, aerosol cans must be stored in locked storage. To comply, bleach in the kitchen area and aerosol cans must be stored in locked storage. Baby proofing devices are not considered sufficient. I advise you to store hazardous products, such as bleach, aerosol cans and any types of medications in a locked room. In your compliance letter, please state the action you took to meet compliance. 852: Incident report 853: Incident log Incident report must be completed anytime child in care are injured, and the injuries require any type of first aid. You talked about biting among children. Biting must be properly documented due to potential biocontamination and exchanges of bodily fluid. Each time incident report is filled out, the incident must be recorded on the incident log. To comply, please fill out the incident report for the most recent incident that require first aid and log that incident on the log. You must share the incident with parent and obtain the signature. In your compliance letter, please verify that incident report was filled out for the biting incident and the incident was documented on the incident log. 859: playground inspection A playground inspection must be conducted monthly. To comply, you must complete an inspection for October 2025. Since you did not complete one (1) in October, please conduct two (2) inspections in November – one (1) is in place for October, and the other one (1) is for November. Both inspections shall record the date you conducted the inspection. Please note “In place for October 2025” on one (1) of the inspections. In your compliance letter, please state the date you completed the inspection for October 2025. 1034: All staff, including the director, must have an annual health questionnaire on file following the initial medical statement. Refer to 10A NCAC 09 .0701(a). To comply, please update the following staff member(s) Health Questionnaire form: D. Crane. In your compliance letter, please verify that you updated the health questionnaire for D. Crane. 1061: Playground safety training The person who can conduct monthly playground inspection must complete the training. At least one (1) person each center must complete this training. Per Ms. Bell, she has probably completed this training. However, she cannot locate the training certificate. During the technical assistance visit conducted on 6/24/25, I provided playground safety training opportunities with staff members including the available training, link and fees. To comply, one (1) person must complete the playground safety training at earliest opportunities possible and maintain the certificate on file. In your compliance letter, please state the date you completed the training and filed the certificate. 1232: annual staff evaluation and staff development plan Staff evaluation and development plan is required annually. To comply, please create evaluation and development plan. CQI form for individual was printed and shared with you during the visit to use for the development plan. You will need to create evaluation form for staff members. In your compliance letter, please state the action you took to meet compliance. 1321: Health assessment record within thirty (30) days 1323: Immunization record within thirty (30) days Health assessment/physicals must be obtained within thirty (30) days of enrollment and maintain it on file for each child. Immunization records for each child are required unless the parents/guardian request for religions exemptions in writing. The records must be in each child’s file within thirty (30) days of enrollment. To comply, please refer to the children’s files checklist. You must request a physical for the following children: N.S., B.A., H.R., E.H., H.H., S.J. To comply, please refer to the children’s files checklist. You must request immunization records for the following children: O.F., N. S., E.H., H.H., S. J. In your compliance letter, please verify if all documentation were obtained and on file. 1324/1325: discipline policy Parents/guardians of each enrollee must receive the center’s discipline policy in writing and sign the acknowledgement that the discipline policy was received. The acknowledgement form must include child’s name and the date of enrollment. To comply, please create an acknowledgement form for discipline policy and obtain the signature from the parent of O.F. In your compliance letter, please verify the completion of the task. 1805: ABCMS roster New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, please take the training on the DCDEE Moodle first and follow the procedures for listing all staff members. 1824: EPR plan The EPR plan must be reviewed annually on the NC Risk Management Portal, update it and print it by the trained staff member. The EPR plan must be maintained in the Ready-to-go File and all staff members must know the location of the file. Per Ms. Bell and the staff member present, the plan was completed and printed, but they could not locate it. To comply, please log onto NC Risk Management Portal and complete the EPR template and print the plan. Along with the compliance letter, please submit the copy of your EPR plan to me. If other staff member is interested in taking Emergency Preparedness and Response training, Buncombe Partnership for Children offers the training on 12/8/25 from 1:00 pm and December 10 at 2:15 pm. You can register for the class on https://buncombepfc.org/training/ and the cost is $12.50. The same training is also available on 2/9/26 from 6:00 pm - 8:30 pm. you can register at Southwestern Child Development Commission website at https://reg.learningstream.com/reg/event_page.aspx?ek=0042-0007-153b9b7d0246485996ad63be89fb5f45. Registration fee is $20. I cannot find openings for the Playground Safety Training. I will notify you as I find available training. Achieving Compliance: Due to sixteen (16) or more violations cited during today’s visit, a follow-up visit will be conducted. You may be considered for administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/24/25. Email the compliance letter on signed letterhead or in 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 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: On-going training: Between 1/1/24 – 12/31/25, both of you must meet required on-going training hours. You must make sure that your education information on WORKS is up to date. Please use the resource I shared via email and follow the procedures to submit the transcript to the WORKS account. Both staff members have completed two (2) hours of training so far. Medication in Child Care training does not count toward on-going training hours because the hours were used to meet the Health and Safety training requirements. Therefore, you need additional eight (8) hours of training prior to 12/31/25. Please note that D. Crane does not have WORKS letter issued. Until the letter is issued, the required training hours for the staff member is twenty (20) hours. In your compliance letter, please verify the completion of training. Additionally, please submit a copy of training certificates to me. Rated License Assessment: I discussed the Rated License Assessment with Ms. Bell and Dawn Crane, teacher. • Quick overview of pathways – Ms. Bell has not reviewed the QIRS information or attended a provider meeting. • Education requirements for administrator, lead teacher and teacher – Both Ms. Bev and Ms. Crane care for children. I will follow-up with you the clarification of your position. • Ms. Crane does not have a WORKS letter issued yet. The instruction on how to submit official transcript was shared vis email on October 24, 2025. • CQI requirements • Family and Community Engagement • Self-study requirements • Outreach assessment can be requested at Email: ncrlap@uncg.edu or Phone: Toll Free (866)-362-7527 • Self-study process can be reviewed on https://ncrlap.org/Resources/SelfStudy/FCCH/ - self-study process is minimum of three (3) months. • Self-study verification form was printed and shared with you. Fillable form can be accessed at https://ncrlap.org/Resources/Uploaded_Files/Uploaded_Resources/Self%20Study%20Verification%20Form%20FCCH-CLIAR%20%28fillable%29%20%28%2010-31-25%2011-46-49%20AM%29.pdf Timeline: You may choose to apply in April 2026 or October 2026. Considering many requirements you must meet, October 2026 may be a better option. Please start with the following task: 1. Ms. Crane must submit an official transcript to WORKS account, apply for positions – teacher and lead teacher 2. Choose a competency evaluation or completion of 10 hours CEU. Before completing any training, please make sure that the organization offers CEU’s. 3. Consider which Family and Community Engagement you will meet and start collecting evidence 4. Set goal for CQI for facility and individuals 5. Review FCCERS-3 requirements, conduct a self-assessment and identify a goal for a program and a goal for lead teacher You may contact Buncombe Partnership for Children and ask for additional resources and guidance for the Rated License Assessment. You can contact (828) 285-9333. FCCERS-3: For new QIRS, you are required to receive FCCERS-3 assessment. However, there are no score requirements for three-star program. We also discussed transitioning to one-star center. One-star license is not required to go through the Rated License Assessment. However, your subsidy rate is currently determined by each program’s star-level. Therefore, changing star level may affect your subsidy reimbursement rate. Please contact Child Care Subsidy consultant if you have any questions. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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

GS110-91 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/10/2025 Number Present: 6 Completed Date: 11/10/2025 Age: From 2 To 4 Total Minutes: 410 Time In: 09:10 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Beverly Bell, Owner during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/21/24. The last fire drill was practiced on 9/8/25. The last shelter-in-place drill was practiced on 8/8/25. The last playground inspection was documented on 9/15/25. The last fire inspection was not obtained during today’s visit. Per communication with Ms. Bell during a routine unannounced visit conducted on 4/15/25, the fire inspection was completed on 12/21/23 but could not locate the inspection form. Under consultation, I instructed Ms. Bell to contact the Fire Marshall to complete the inspection. During today’s visit, Ms. Bell stated that the inspection was completed during the last summer, 2024. However, the inspection form has not been located yet. The last sanitation inspection was conducted on 2/11/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 10/10/23 without hazards. The lead paint and asbestos testing was completed on 8/7/25. No further actions are needed. Upon arrival, I greeted both staff members and announced the purpose of the visit. Five (5) children, two-to-four years of age, were present with two (2) staff members, including Ms. Bell. The television in the living room was turned on and a children’s show was playing. The TV was turned shortly after my arrival. The children moved between space #1 and #2 with staff members. The children played with puzzles, blocks, pretend animals/vehicles/people/characters, colored with crayons and talked with the staff members. Staff/child ratios sheet, daily schedule, safe arrival, no smoking poster, first aid, EMC, parent participation plan were posted in space #2. Additional child, two (2) years old arrived shortly after 10:00 am. Fire Alarm was tested. In this residence, there are three (3) alarms installed. Two (2) alarms are wired and one (1) is battery-operated. They were tested during the visit and were in working order. There was a child-proof gate to separate the kitchen and space #1. A few children opened the gate independently and came into the kitchen area. In the kitchen area, a bottle of bleach was stored on the top shelf in the cabinet by the sink, and a can of Lysol disinfecting spray was maintained above the refrigerator. Both staff members submitted their verification forms during the visit. During the technical assistance visit conducted on June 24, 2025, information regarding the Emergency Preparedness and Response (EPR) in Child Care training—including available sessions, dates, and times—was shared. A staff member who planned to complete the training reported that they attempted to access the course but were unable to proceed and requested additional technical assistance to locate the training. No training records have been submitted for either staff member for the training period of January 1, 2024, through December 31, 2025. A total of nine (9) children’s files were counted. Per Ms. Bell, one (1) of the enrollees recently left the program. Eight (8) children’s files were reviewed. No plan of care was in file, but the program does not transport children or take them out in routine errands. A request for religious exemption for medical requirements was in file for one (1) child. No acknowledgement of receipt of the program’s operational policies was in the children’s files. However, Ms. Bell stated that the policies were shared with each family upon enrollment. Ms. Bell conducted a group time. She read a book and sang songs and discussed days of week. Pizzas were ordered for lunch and delivered to the program. Children and staff members washed their hands prior to lunch. Bananas, pizzas and milk were served during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care .Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection form that the program provided was completed in 2023. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. No activity plan was posted. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. During lunch, pizza slice(s), cut bananas and milk were served to the children. 10A NCAC 09 .0901(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. No screen time log was completed though television was on upon my arrival at the center. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu for this week was not posted and the decision to order pizza was made during today's visit. 10A NCAC 09 .0901(b) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu for this week was not posted. 10A NCAC 09 .0901(b) 544 Screen time was offered to children under three years of age. There were three (3) children, who were two (2) years of age, present during the visit. Upon my arrival, the TV was on and a cartoon was playing. .0510(f) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. All six (6) cots were placed in space #1 during the visit. The spaces among cots were between five (5) to nine (9) inches apart. 15A NCAC 18A .2821(e) 807 A safe indoor and outdoor environment was not provided for the children. Top bars of some sections of the playground fence were rusted. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of bleach was on the top shelf in the cabinet by the sink in the kitchen area. one (1) can of Lysol was on top of the refrigerator, and one (1) can was on the vanity in the bathroom. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The staff members talked about children's biting incidents but incident reports were not completed for those incidents. .0802 (e) 853 Incident logs were not completed and maintained as required. No incident logs were maintained for the program. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspection was not completed for October 2025. .0605(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaire was last updated on 8/28/24 for one (1) staff member. .0701(a) 1061 One staff member had not completed training in playground safety. .1102(e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff evaluation forms and development plans were on file for either staff members. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Out of eight (8) children enrolled, five (5) children did not have medical exam records on file. Those children's enrollment dates are 5/5/25 (NS), 7/8/25 (BA), 4/14/25 (HR), May, 2025(EH), May 2025 (HH). GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization records were not on file for five (5) children. Their enrollment dates are 4/8/24, 5/5/25, 05/2025, 05/2025 and unknown date - due to lack of date on the application forms. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) child did not have discipline policy acknowledgement on file. One (1) child's acknowledgement form had the parent's signature but no date. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The parent-completed statement of receipt for the discipline policy for one (1) child was missing the child’s name and the date of enrollment. .1804(b) 1805 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. Center roster has not been created on the ABCMS as of today. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last update EPR plan was dated 2023. the plan has not been updated on NC Risk Management portal since then. .0607(e) Technical assistance was provided as follows: 106: Fire inspection Fire inspection must be conducted annually. Per Ms. Bell’s statement, the last inspection was completed and approved in summer 2024. To comply, you shall contact the Fire Marshall at your earliest convenience possible to notify them of a fire inspection. You must complete the inspection and get it approved within the next two (2) weeks. Upon receiving the approved inspection, you shall forward the inspection to me. A fire inspection form was printed during today’s visit and left on site. In your compliance letter, please state the date you completed the inspection. Additionally, you must submit the approved inspection to me when you receive the inspection. 428: activity plans Current activity plans must be posted. We discussed basic requirements for activity plans during the visit. NCFELD books were shared during the visit. In your lesson plan/activity plans, you must include the followings: • emotional and social development; • health and physical development; • approaches to play and learning; • language development and communication; and • cognitive development. In your compliance letter, please state the action you took to meet compliance. 501: nutrition requirements Nutrition requirements set by USDA must be met. I printed the meal requirement information – required components and quantities and shared with you. To comply, you must feed additional vegetables or fruit to add to the lunch you served. In your compliance letter, please state how you will prevent the same violation. 525: planning meals in advance 526: menu – posted and current Menu must be planned in advance. Additionally, the menu must be current and posted. Please note that different items were served to the children than what are listed on the menu, you must list the correct items prior to serving children. To comply, you must post the current menu and post them at least a week in advance. It is okay to locate the menu. Make sure to put the date/week and maintain the record on file. In your compliance letter, please state the action you took to achieve the compliance. 524: screen time log Upon offering screen time log, the length of the screen time must be documented. 544: screen time Screen time must not be offered to children younger than three (3) years of age. To comply, I strongly recommend you stop offering the screen time to your group of children. If you do, please take children who are younger than three (3) to space #2. Upon completion of screen time, you must log the length of time children were offered the screen time. In your compliance letter, you must state the action you will take to prevent recurrence of this violation. This violation has been cited multiple times during routine visits. It could be perceived as non-compliance issue, if you continue to ignore these requirements. 807: Safe environment Rust must be inaccessible to the children. On the playground, top bars of some sections of the fence are rusted. To comply, you must remove the rust or paint over it. In your compliance letter, please state the action you took to achieve the compliance. 614: Space between cots Spaces between cots must be minimum of eighteen (18) inches apart. To comply, you must properly space cots prior to rest time. In your compliance letter, please state the action you took to meet compliance. 840: Potentially hazardous products Potentially hazardous products such as bleach, aerosol cans must be stored in locked storage. To comply, bleach in the kitchen area and aerosol cans must be stored in locked storage. Baby proofing devices are not considered sufficient. I advise you to store hazardous products, such as bleach, aerosol cans and any types of medications in a locked room. In your compliance letter, please state the action you took to meet compliance. 852: Incident report 853: Incident log Incident report must be completed anytime child in care are injured, and the injuries require any type of first aid. You talked about biting among children. Biting must be properly documented due to potential biocontamination and exchanges of bodily fluid. Each time incident report is filled out, the incident must be recorded on the incident log. To comply, please fill out the incident report for the most recent incident that require first aid and log that incident on the log. You must share the incident with parent and obtain the signature. In your compliance letter, please verify that incident report was filled out for the biting incident and the incident was documented on the incident log. 859: playground inspection A playground inspection must be conducted monthly. To comply, you must complete an inspection for October 2025. Since you did not complete one (1) in October, please conduct two (2) inspections in November – one (1) is in place for October, and the other one (1) is for November. Both inspections shall record the date you conducted the inspection. Please note “In place for October 2025” on one (1) of the inspections. In your compliance letter, please state the date you completed the inspection for October 2025. 1034: All staff, including the director, must have an annual health questionnaire on file following the initial medical statement. Refer to 10A NCAC 09 .0701(a). To comply, please update the following staff member(s) Health Questionnaire form: D. Crane. In your compliance letter, please verify that you updated the health questionnaire for D. Crane. 1061: Playground safety training The person who can conduct monthly playground inspection must complete the training. At least one (1) person each center must complete this training. Per Ms. Bell, she has probably completed this training. However, she cannot locate the training certificate. During the technical assistance visit conducted on 6/24/25, I provided playground safety training opportunities with staff members including the available training, link and fees. To comply, one (1) person must complete the playground safety training at earliest opportunities possible and maintain the certificate on file. In your compliance letter, please state the date you completed the training and filed the certificate. 1232: annual staff evaluation and staff development plan Staff evaluation and development plan is required annually. To comply, please create evaluation and development plan. CQI form for individual was printed and shared with you during the visit to use for the development plan. You will need to create evaluation form for staff members. In your compliance letter, please state the action you took to meet compliance. 1321: Health assessment record within thirty (30) days 1323: Immunization record within thirty (30) days Health assessment/physicals must be obtained within thirty (30) days of enrollment and maintain it on file for each child. Immunization records for each child are required unless the parents/guardian request for religions exemptions in writing. The records must be in each child’s file within thirty (30) days of enrollment. To comply, please refer to the children’s files checklist. You must request a physical for the following children: N.S., B.A., H.R., E.H., H.H., S.J. To comply, please refer to the children’s files checklist. You must request immunization records for the following children: O.F., N. S., E.H., H.H., S. J. In your compliance letter, please verify if all documentation were obtained and on file. 1324/1325: discipline policy Parents/guardians of each enrollee must receive the center’s discipline policy in writing and sign the acknowledgement that the discipline policy was received. The acknowledgement form must include child’s name and the date of enrollment. To comply, please create an acknowledgement form for discipline policy and obtain the signature from the parent of O.F. In your compliance letter, please verify the completion of the task. 1805: ABCMS roster New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, please take the training on the DCDEE Moodle first and follow the procedures for listing all staff members. 1824: EPR plan The EPR plan must be reviewed annually on the NC Risk Management Portal, update it and print it by the trained staff member. The EPR plan must be maintained in the Ready-to-go File and all staff members must know the location of the file. Per Ms. Bell and the staff member present, the plan was completed and printed, but they could not locate it. To comply, please log onto NC Risk Management Portal and complete the EPR template and print the plan. Along with the compliance letter, please submit the copy of your EPR plan to me. If other staff member is interested in taking Emergency Preparedness and Response training, Buncombe Partnership for Children offers the training on 12/8/25 from 1:00 pm and December 10 at 2:15 pm. You can register for the class on https://buncombepfc.org/training/ and the cost is $12.50. The same training is also available on 2/9/26 from 6:00 pm - 8:30 pm. you can register at Southwestern Child Development Commission website at https://reg.learningstream.com/reg/event_page.aspx?ek=0042-0007-153b9b7d0246485996ad63be89fb5f45. Registration fee is $20. I cannot find openings for the Playground Safety Training. I will notify you as I find available training. Achieving Compliance: Due to sixteen (16) or more violations cited during today’s visit, a follow-up visit will be conducted. You may be considered for administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/24/25. Email the compliance letter on signed letterhead or in 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 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: On-going training: Between 1/1/24 – 12/31/25, both of you must meet required on-going training hours. You must make sure that your education information on WORKS is up to date. Please use the resource I shared via email and follow the procedures to submit the transcript to the WORKS account. Both staff members have completed two (2) hours of training so far. Medication in Child Care training does not count toward on-going training hours because the hours were used to meet the Health and Safety training requirements. Therefore, you need additional eight (8) hours of training prior to 12/31/25. Please note that D. Crane does not have WORKS letter issued. Until the letter is issued, the required training hours for the staff member is twenty (20) hours. In your compliance letter, please verify the completion of training. Additionally, please submit a copy of training certificates to me. Rated License Assessment: I discussed the Rated License Assessment with Ms. Bell and Dawn Crane, teacher. • Quick overview of pathways – Ms. Bell has not reviewed the QIRS information or attended a provider meeting. • Education requirements for administrator, lead teacher and teacher – Both Ms. Bev and Ms. Crane care for children. I will follow-up with you the clarification of your position. • Ms. Crane does not have a WORKS letter issued yet. The instruction on how to submit official transcript was shared vis email on October 24, 2025. • CQI requirements • Family and Community Engagement • Self-study requirements • Outreach assessment can be requested at Email: ncrlap@uncg.edu or Phone: Toll Free (866)-362-7527 • Self-study process can be reviewed on https://ncrlap.org/Resources/SelfStudy/FCCH/ - self-study process is minimum of three (3) months. • Self-study verification form was printed and shared with you. Fillable form can be accessed at https://ncrlap.org/Resources/Uploaded_Files/Uploaded_Resources/Self%20Study%20Verification%20Form%20FCCH-CLIAR%20%28fillable%29%20%28%2010-31-25%2011-46-49%20AM%29.pdf Timeline: You may choose to apply in April 2026 or October 2026. Considering many requirements you must meet, October 2026 may be a better option. Please start with the following task: 1. Ms. Crane must submit an official transcript to WORKS account, apply for positions – teacher and lead teacher 2. Choose a competency evaluation or completion of 10 hours CEU. Before completing any training, please make sure that the organization offers CEU’s. 3. Consider which Family and Community Engagement you will meet and start collecting evidence 4. Set goal for CQI for facility and individuals 5. Review FCCERS-3 requirements, conduct a self-assessment and identify a goal for a program and a goal for lead teacher You may contact Buncombe Partnership for Children and ask for additional resources and guidance for the Rated License Assessment. You can contact (828) 285-9333. FCCERS-3: For new QIRS, you are required to receive FCCERS-3 assessment. However, there are no score requirements for three-star program. We also discussed transitioning to one-star center. One-star license is not required to go through the Rated License Assessment. However, your subsidy rate is currently determined by each program’s star-level. Therefore, changing star level may affect your subsidy reimbursement rate. Please contact Child Care Subsidy consultant if you have any questions. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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

NC GS 110-90 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/10/2025 Number Present: 6 Completed Date: 11/10/2025 Age: From 2 To 4 Total Minutes: 410 Time In: 09:10 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Beverly Bell, Owner during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/21/24. The last fire drill was practiced on 9/8/25. The last shelter-in-place drill was practiced on 8/8/25. The last playground inspection was documented on 9/15/25. The last fire inspection was not obtained during today’s visit. Per communication with Ms. Bell during a routine unannounced visit conducted on 4/15/25, the fire inspection was completed on 12/21/23 but could not locate the inspection form. Under consultation, I instructed Ms. Bell to contact the Fire Marshall to complete the inspection. During today’s visit, Ms. Bell stated that the inspection was completed during the last summer, 2024. However, the inspection form has not been located yet. The last sanitation inspection was conducted on 2/11/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 10/10/23 without hazards. The lead paint and asbestos testing was completed on 8/7/25. No further actions are needed. Upon arrival, I greeted both staff members and announced the purpose of the visit. Five (5) children, two-to-four years of age, were present with two (2) staff members, including Ms. Bell. The television in the living room was turned on and a children’s show was playing. The TV was turned shortly after my arrival. The children moved between space #1 and #2 with staff members. The children played with puzzles, blocks, pretend animals/vehicles/people/characters, colored with crayons and talked with the staff members. Staff/child ratios sheet, daily schedule, safe arrival, no smoking poster, first aid, EMC, parent participation plan were posted in space #2. Additional child, two (2) years old arrived shortly after 10:00 am. Fire Alarm was tested. In this residence, there are three (3) alarms installed. Two (2) alarms are wired and one (1) is battery-operated. They were tested during the visit and were in working order. There was a child-proof gate to separate the kitchen and space #1. A few children opened the gate independently and came into the kitchen area. In the kitchen area, a bottle of bleach was stored on the top shelf in the cabinet by the sink, and a can of Lysol disinfecting spray was maintained above the refrigerator. Both staff members submitted their verification forms during the visit. During the technical assistance visit conducted on June 24, 2025, information regarding the Emergency Preparedness and Response (EPR) in Child Care training—including available sessions, dates, and times—was shared. A staff member who planned to complete the training reported that they attempted to access the course but were unable to proceed and requested additional technical assistance to locate the training. No training records have been submitted for either staff member for the training period of January 1, 2024, through December 31, 2025. A total of nine (9) children’s files were counted. Per Ms. Bell, one (1) of the enrollees recently left the program. Eight (8) children’s files were reviewed. No plan of care was in file, but the program does not transport children or take them out in routine errands. A request for religious exemption for medical requirements was in file for one (1) child. No acknowledgement of receipt of the program’s operational policies was in the children’s files. However, Ms. Bell stated that the policies were shared with each family upon enrollment. Ms. Bell conducted a group time. She read a book and sang songs and discussed days of week. Pizzas were ordered for lunch and delivered to the program. Children and staff members washed their hands prior to lunch. Bananas, pizzas and milk were served during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care .Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection form that the program provided was completed in 2023. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. No activity plan was posted. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. During lunch, pizza slice(s), cut bananas and milk were served to the children. 10A NCAC 09 .0901(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. No screen time log was completed though television was on upon my arrival at the center. .0510(d)(2)(A-C) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu for this week was not posted and the decision to order pizza was made during today's visit. 10A NCAC 09 .0901(b) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu for this week was not posted. 10A NCAC 09 .0901(b) 544 Screen time was offered to children under three years of age. There were three (3) children, who were two (2) years of age, present during the visit. Upon my arrival, the TV was on and a cartoon was playing. .0510(f) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. All six (6) cots were placed in space #1 during the visit. The spaces among cots were between five (5) to nine (9) inches apart. 15A NCAC 18A .2821(e) 807 A safe indoor and outdoor environment was not provided for the children. Top bars of some sections of the playground fence were rusted. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of bleach was on the top shelf in the cabinet by the sink in the kitchen area. one (1) can of Lysol was on top of the refrigerator, and one (1) can was on the vanity in the bathroom. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The staff members talked about children's biting incidents but incident reports were not completed for those incidents. .0802 (e) 853 Incident logs were not completed and maintained as required. No incident logs were maintained for the program. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspection was not completed for October 2025. .0605(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Health questionnaire was last updated on 8/28/24 for one (1) staff member. .0701(a) 1061 One staff member had not completed training in playground safety. .1102(e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff evaluation forms and development plans were on file for either staff members. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Out of eight (8) children enrolled, five (5) children did not have medical exam records on file. Those children's enrollment dates are 5/5/25 (NS), 7/8/25 (BA), 4/14/25 (HR), May, 2025(EH), May 2025 (HH). GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization records were not on file for five (5) children. Their enrollment dates are 4/8/24, 5/5/25, 05/2025, 05/2025 and unknown date - due to lack of date on the application forms. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) child did not have discipline policy acknowledgement on file. One (1) child's acknowledgement form had the parent's signature but no date. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The parent-completed statement of receipt for the discipline policy for one (1) child was missing the child’s name and the date of enrollment. .1804(b) 1805 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. Center roster has not been created on the ABCMS as of today. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last update EPR plan was dated 2023. the plan has not been updated on NC Risk Management portal since then. .0607(e) Technical assistance was provided as follows: 106: Fire inspection Fire inspection must be conducted annually. Per Ms. Bell’s statement, the last inspection was completed and approved in summer 2024. To comply, you shall contact the Fire Marshall at your earliest convenience possible to notify them of a fire inspection. You must complete the inspection and get it approved within the next two (2) weeks. Upon receiving the approved inspection, you shall forward the inspection to me. A fire inspection form was printed during today’s visit and left on site. In your compliance letter, please state the date you completed the inspection. Additionally, you must submit the approved inspection to me when you receive the inspection. 428: activity plans Current activity plans must be posted. We discussed basic requirements for activity plans during the visit. NCFELD books were shared during the visit. In your lesson plan/activity plans, you must include the followings: • emotional and social development; • health and physical development; • approaches to play and learning; • language development and communication; and • cognitive development. In your compliance letter, please state the action you took to meet compliance. 501: nutrition requirements Nutrition requirements set by USDA must be met. I printed the meal requirement information – required components and quantities and shared with you. To comply, you must feed additional vegetables or fruit to add to the lunch you served. In your compliance letter, please state how you will prevent the same violation. 525: planning meals in advance 526: menu – posted and current Menu must be planned in advance. Additionally, the menu must be current and posted. Please note that different items were served to the children than what are listed on the menu, you must list the correct items prior to serving children. To comply, you must post the current menu and post them at least a week in advance. It is okay to locate the menu. Make sure to put the date/week and maintain the record on file. In your compliance letter, please state the action you took to achieve the compliance. 524: screen time log Upon offering screen time log, the length of the screen time must be documented. 544: screen time Screen time must not be offered to children younger than three (3) years of age. To comply, I strongly recommend you stop offering the screen time to your group of children. If you do, please take children who are younger than three (3) to space #2. Upon completion of screen time, you must log the length of time children were offered the screen time. In your compliance letter, you must state the action you will take to prevent recurrence of this violation. This violation has been cited multiple times during routine visits. It could be perceived as non-compliance issue, if you continue to ignore these requirements. 807: Safe environment Rust must be inaccessible to the children. On the playground, top bars of some sections of the fence are rusted. To comply, you must remove the rust or paint over it. In your compliance letter, please state the action you took to achieve the compliance. 614: Space between cots Spaces between cots must be minimum of eighteen (18) inches apart. To comply, you must properly space cots prior to rest time. In your compliance letter, please state the action you took to meet compliance. 840: Potentially hazardous products Potentially hazardous products such as bleach, aerosol cans must be stored in locked storage. To comply, bleach in the kitchen area and aerosol cans must be stored in locked storage. Baby proofing devices are not considered sufficient. I advise you to store hazardous products, such as bleach, aerosol cans and any types of medications in a locked room. In your compliance letter, please state the action you took to meet compliance. 852: Incident report 853: Incident log Incident report must be completed anytime child in care are injured, and the injuries require any type of first aid. You talked about biting among children. Biting must be properly documented due to potential biocontamination and exchanges of bodily fluid. Each time incident report is filled out, the incident must be recorded on the incident log. To comply, please fill out the incident report for the most recent incident that require first aid and log that incident on the log. You must share the incident with parent and obtain the signature. In your compliance letter, please verify that incident report was filled out for the biting incident and the incident was documented on the incident log. 859: playground inspection A playground inspection must be conducted monthly. To comply, you must complete an inspection for October 2025. Since you did not complete one (1) in October, please conduct two (2) inspections in November – one (1) is in place for October, and the other one (1) is for November. Both inspections shall record the date you conducted the inspection. Please note “In place for October 2025” on one (1) of the inspections. In your compliance letter, please state the date you completed the inspection for October 2025. 1034: All staff, including the director, must have an annual health questionnaire on file following the initial medical statement. Refer to 10A NCAC 09 .0701(a). To comply, please update the following staff member(s) Health Questionnaire form: D. Crane. In your compliance letter, please verify that you updated the health questionnaire for D. Crane. 1061: Playground safety training The person who can conduct monthly playground inspection must complete the training. At least one (1) person each center must complete this training. Per Ms. Bell, she has probably completed this training. However, she cannot locate the training certificate. During the technical assistance visit conducted on 6/24/25, I provided playground safety training opportunities with staff members including the available training, link and fees. To comply, one (1) person must complete the playground safety training at earliest opportunities possible and maintain the certificate on file. In your compliance letter, please state the date you completed the training and filed the certificate. 1232: annual staff evaluation and staff development plan Staff evaluation and development plan is required annually. To comply, please create evaluation and development plan. CQI form for individual was printed and shared with you during the visit to use for the development plan. You will need to create evaluation form for staff members. In your compliance letter, please state the action you took to meet compliance. 1321: Health assessment record within thirty (30) days 1323: Immunization record within thirty (30) days Health assessment/physicals must be obtained within thirty (30) days of enrollment and maintain it on file for each child. Immunization records for each child are required unless the parents/guardian request for religions exemptions in writing. The records must be in each child’s file within thirty (30) days of enrollment. To comply, please refer to the children’s files checklist. You must request a physical for the following children: N.S., B.A., H.R., E.H., H.H., S.J. To comply, please refer to the children’s files checklist. You must request immunization records for the following children: O.F., N. S., E.H., H.H., S. J. In your compliance letter, please verify if all documentation were obtained and on file. 1324/1325: discipline policy Parents/guardians of each enrollee must receive the center’s discipline policy in writing and sign the acknowledgement that the discipline policy was received. The acknowledgement form must include child’s name and the date of enrollment. To comply, please create an acknowledgement form for discipline policy and obtain the signature from the parent of O.F. In your compliance letter, please verify the completion of the task. 1805: ABCMS roster New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, please take the training on the DCDEE Moodle first and follow the procedures for listing all staff members. 1824: EPR plan The EPR plan must be reviewed annually on the NC Risk Management Portal, update it and print it by the trained staff member. The EPR plan must be maintained in the Ready-to-go File and all staff members must know the location of the file. Per Ms. Bell and the staff member present, the plan was completed and printed, but they could not locate it. To comply, please log onto NC Risk Management Portal and complete the EPR template and print the plan. Along with the compliance letter, please submit the copy of your EPR plan to me. If other staff member is interested in taking Emergency Preparedness and Response training, Buncombe Partnership for Children offers the training on 12/8/25 from 1:00 pm and December 10 at 2:15 pm. You can register for the class on https://buncombepfc.org/training/ and the cost is $12.50. The same training is also available on 2/9/26 from 6:00 pm - 8:30 pm. you can register at Southwestern Child Development Commission website at https://reg.learningstream.com/reg/event_page.aspx?ek=0042-0007-153b9b7d0246485996ad63be89fb5f45. Registration fee is $20. I cannot find openings for the Playground Safety Training. I will notify you as I find available training. Achieving Compliance: Due to sixteen (16) or more violations cited during today’s visit, a follow-up visit will be conducted. You may be considered for administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/24/25. Email the compliance letter on signed letterhead or in 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 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: On-going training: Between 1/1/24 – 12/31/25, both of you must meet required on-going training hours. You must make sure that your education information on WORKS is up to date. Please use the resource I shared via email and follow the procedures to submit the transcript to the WORKS account. Both staff members have completed two (2) hours of training so far. Medication in Child Care training does not count toward on-going training hours because the hours were used to meet the Health and Safety training requirements. Therefore, you need additional eight (8) hours of training prior to 12/31/25. Please note that D. Crane does not have WORKS letter issued. Until the letter is issued, the required training hours for the staff member is twenty (20) hours. In your compliance letter, please verify the completion of training. Additionally, please submit a copy of training certificates to me. Rated License Assessment: I discussed the Rated License Assessment with Ms. Bell and Dawn Crane, teacher. • Quick overview of pathways – Ms. Bell has not reviewed the QIRS information or attended a provider meeting. • Education requirements for administrator, lead teacher and teacher – Both Ms. Bev and Ms. Crane care for children. I will follow-up with you the clarification of your position. • Ms. Crane does not have a WORKS letter issued yet. The instruction on how to submit official transcript was shared vis email on October 24, 2025. • CQI requirements • Family and Community Engagement • Self-study requirements • Outreach assessment can be requested at Email: ncrlap@uncg.edu or Phone: Toll Free (866)-362-7527 • Self-study process can be reviewed on https://ncrlap.org/Resources/SelfStudy/FCCH/ - self-study process is minimum of three (3) months. • Self-study verification form was printed and shared with you. Fillable form can be accessed at https://ncrlap.org/Resources/Uploaded_Files/Uploaded_Resources/Self%20Study%20Verification%20Form%20FCCH-CLIAR%20%28fillable%29%20%28%2010-31-25%2011-46-49%20AM%29.pdf Timeline: You may choose to apply in April 2026 or October 2026. Considering many requirements you must meet, October 2026 may be a better option. Please start with the following task: 1. Ms. Crane must submit an official transcript to WORKS account, apply for positions – teacher and lead teacher 2. Choose a competency evaluation or completion of 10 hours CEU. Before completing any training, please make sure that the organization offers CEU’s. 3. Consider which Family and Community Engagement you will meet and start collecting evidence 4. Set goal for CQI for facility and individuals 5. Review FCCERS-3 requirements, conduct a self-assessment and identify a goal for a program and a goal for lead teacher You may contact Buncombe Partnership for Children and ask for additional resources and guidance for the Rated License Assessment. You can contact (828) 285-9333. FCCERS-3: For new QIRS, you are required to receive FCCERS-3 assessment. However, there are no score requirements for three-star program. We also discussed transitioning to one-star center. One-star license is not required to go through the Rated License Assessment. However, your subsidy rate is currently determined by each program’s star-level. Therefore, changing star level may affect your subsidy reimbursement rate. Please contact Child Care Subsidy consultant if you have any questions. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0902 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/30/2025 Number Present: 4 Completed Date: 4/30/2025 Age: From 1 To 4 Total Minutes: 130 Time In: 12:20 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced visit follow-up. 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 Beverly Bell, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Bell was available during the visit. Limited monitoring of child care rules were conducted including but not limited to the violation items cited during a routine unannounced visit conducted on 4/15/25. The center’s compliance history was reviewed with the operator. The program’s compliance history was eight-nine (89) percent as of today prior to this visit. The program operates with a three-star center license issued on 12/16/19. The program restrictions include daytime care and meets enhanced space. During the routine unannounced visit conducted on 4/15/25, a total of nine (9) violations were cited. The letter of compliance was due on 4/29/25 but was not received. Today’s visit was conducted to follow-up on the compliance letter. Four (4) children, one (1) to four (4) years of age were present with one (1) staff member. At 12:20 pm, Ms. Bell returned to the facility. One (1) child was asleep on the cot with a bottle, and three (3) children were awake on their cots. The compliance letter was submitted during the visit. The letter was sent on 4/26/25 but to a wrong account. Therefore, a staff member forwarded the letter via email to me during the visit. However, the compliance letter only included corrective statements from #1908, #805, #859 and #1044. Other violation items, #524, #544, #1757, #1811 and #1824 were not included in the letter (email). Item #524 and #544 screen time Ms. Bell and a staff member were interviewed during the visit. Per interview, they stated that screen time has not been offered to any children since 4/15/25. If and when screen time is used, the time would be logged on the screen time log sheet, and the children younger than children would be taken to space #2 to play. I printed a copy of the screen time log was printed and left with Ms. Bell. The television was not on during my visit today. Based on the interview and my observation, the items #524 and #544 were marked corrected by consultant visit. #1044: CBC check renewal I reviewed ABCMS system during today’s visit. Based on the system, Ms. Bell was issued a qualification letter on 4/24/25. Per Ms. Bell, a copy of the qualification letter was mailed to her residence when the letter was issued. Based on the evidence of renewal of criminal background check and the email provided by Ms. Bell, this item was corrected on 4/30/25 by letter from the provider. 1824: EPR review Ms. Bell, a staff member, and I have attempted to log on to NC Risk Management Portal during the visit but were unable to do so due to incorrect username and/or a password. This may take a while to resolve this matter. A printed version of the facility’s EPR was dated 5/23/23 was available. Ms. Bell reviewed the plan, signed and dated 3/1/25. The staff member also reviewed the plan during the visit, signed and dated today. This item was corrected by consultant visit. Other items including #1757 and #1811 were not corrected. These items were cited as repeat violation. 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 or Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One (1) child, was on a cot asleep with a bottle with white liquid in his/her mouth. The child, per Ms. Bell, is an eighteen (18) months old. 10A NCAC 09 .0902(b) 1757 A valid qualification letter was not on file and available to review at the facility. B. Bell's criminal background letter expired on 2/24/25. The qualifying letter was re-issued on 4/24/25. However, the letter was mailed from the Division on 4/24/25 and had not been in Ms. Bell's file at the time of the visit. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. During a routine unannounced visit conducted on 4/15/25, a violation for not completing a shelter-in-place and/or not documenting the drill was cited. The last documented shelter-in-place was conducted on 6/5/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 532: feeding Feeding of children must be conducted in the designated areas, such as tables, feeding chairs or while being held (if the child is very young). Feeding while asleep increases the risk of ear infection. You can feed the child a bottle in the designated area and move him/her when he/she falls asleep. Alternate methods, such as pacifiers, may be safer. Please consult with the parents and come up with an alternative solution. Please refer to 10A NCAC 09 .0902(b). 1757: Criminal background letter Criminal background letters must be printed and maintained in staff files. You can go to the local FedEx, library or other printing services to print the letter as needed. If you expect not to complete all the corrective actions before the due date, please notify me so that we can discuss alternate options. You may also ask for an extension as needed. When you receive the letter in the mail, please keep the letter in your file. Please refer to G.S. 110-09.2(b)(d). 1811: Shelter-in-place or lockdown drill. A shelter-in-place are often completed in preparation for tornados. During shelter-in-place, the children and the staff members shall cover their heads and stay away from the windows. In your facility, a hallway between the bathroom and the living room shall be a ideal location to stay during tornados. Shelter-in-place can also be used for chemical leaks in the area. Lockdown is typically for intruders. The common practice includes locking all doors, closing blinds and hiding where the intruder cannot see. Please conduct one of the drills and record the date on the log sheet. Refer to 10A NCAC 09 .0604(u). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/14/25. Email the compliance letter on signed letterhead or in 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 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 a technical assistance visit to review the requirements for documentation and annual requirements. An announced technical assistance visit was scheduled on 6/24/25. We also discussed Lead Paint and Asbestos Testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ and complete enrollment surveys for lead paint and asbestos. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0304 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/30/2025 Number Present: 4 Completed Date: 4/30/2025 Age: From 1 To 4 Total Minutes: 130 Time In: 12:20 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced visit follow-up. 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 Beverly Bell, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Bell was available during the visit. Limited monitoring of child care rules were conducted including but not limited to the violation items cited during a routine unannounced visit conducted on 4/15/25. The center’s compliance history was reviewed with the operator. The program’s compliance history was eight-nine (89) percent as of today prior to this visit. The program operates with a three-star center license issued on 12/16/19. The program restrictions include daytime care and meets enhanced space. During the routine unannounced visit conducted on 4/15/25, a total of nine (9) violations were cited. The letter of compliance was due on 4/29/25 but was not received. Today’s visit was conducted to follow-up on the compliance letter. Four (4) children, one (1) to four (4) years of age were present with one (1) staff member. At 12:20 pm, Ms. Bell returned to the facility. One (1) child was asleep on the cot with a bottle, and three (3) children were awake on their cots. The compliance letter was submitted during the visit. The letter was sent on 4/26/25 but to a wrong account. Therefore, a staff member forwarded the letter via email to me during the visit. However, the compliance letter only included corrective statements from #1908, #805, #859 and #1044. Other violation items, #524, #544, #1757, #1811 and #1824 were not included in the letter (email). Item #524 and #544 screen time Ms. Bell and a staff member were interviewed during the visit. Per interview, they stated that screen time has not been offered to any children since 4/15/25. If and when screen time is used, the time would be logged on the screen time log sheet, and the children younger than children would be taken to space #2 to play. I printed a copy of the screen time log was printed and left with Ms. Bell. The television was not on during my visit today. Based on the interview and my observation, the items #524 and #544 were marked corrected by consultant visit. #1044: CBC check renewal I reviewed ABCMS system during today’s visit. Based on the system, Ms. Bell was issued a qualification letter on 4/24/25. Per Ms. Bell, a copy of the qualification letter was mailed to her residence when the letter was issued. Based on the evidence of renewal of criminal background check and the email provided by Ms. Bell, this item was corrected on 4/30/25 by letter from the provider. 1824: EPR review Ms. Bell, a staff member, and I have attempted to log on to NC Risk Management Portal during the visit but were unable to do so due to incorrect username and/or a password. This may take a while to resolve this matter. A printed version of the facility’s EPR was dated 5/23/23 was available. Ms. Bell reviewed the plan, signed and dated 3/1/25. The staff member also reviewed the plan during the visit, signed and dated today. This item was corrected by consultant visit. Other items including #1757 and #1811 were not corrected. These items were cited as repeat violation. 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 or Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One (1) child, was on a cot asleep with a bottle with white liquid in his/her mouth. The child, per Ms. Bell, is an eighteen (18) months old. 10A NCAC 09 .0902(b) 1757 A valid qualification letter was not on file and available to review at the facility. B. Bell's criminal background letter expired on 2/24/25. The qualifying letter was re-issued on 4/24/25. However, the letter was mailed from the Division on 4/24/25 and had not been in Ms. Bell's file at the time of the visit. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. During a routine unannounced visit conducted on 4/15/25, a violation for not completing a shelter-in-place and/or not documenting the drill was cited. The last documented shelter-in-place was conducted on 6/5/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 532: feeding Feeding of children must be conducted in the designated areas, such as tables, feeding chairs or while being held (if the child is very young). Feeding while asleep increases the risk of ear infection. You can feed the child a bottle in the designated area and move him/her when he/she falls asleep. Alternate methods, such as pacifiers, may be safer. Please consult with the parents and come up with an alternative solution. Please refer to 10A NCAC 09 .0902(b). 1757: Criminal background letter Criminal background letters must be printed and maintained in staff files. You can go to the local FedEx, library or other printing services to print the letter as needed. If you expect not to complete all the corrective actions before the due date, please notify me so that we can discuss alternate options. You may also ask for an extension as needed. When you receive the letter in the mail, please keep the letter in your file. Please refer to G.S. 110-09.2(b)(d). 1811: Shelter-in-place or lockdown drill. A shelter-in-place are often completed in preparation for tornados. During shelter-in-place, the children and the staff members shall cover their heads and stay away from the windows. In your facility, a hallway between the bathroom and the living room shall be a ideal location to stay during tornados. Shelter-in-place can also be used for chemical leaks in the area. Lockdown is typically for intruders. The common practice includes locking all doors, closing blinds and hiding where the intruder cannot see. Please conduct one of the drills and record the date on the log sheet. Refer to 10A NCAC 09 .0604(u). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/14/25. Email the compliance letter on signed letterhead or in 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 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 a technical assistance visit to review the requirements for documentation and annual requirements. An announced technical assistance visit was scheduled on 6/24/25. We also discussed Lead Paint and Asbestos Testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ and complete enrollment surveys for lead paint and asbestos. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0604 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/30/2025 Number Present: 4 Completed Date: 4/30/2025 Age: From 1 To 4 Total Minutes: 130 Time In: 12:20 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced visit follow-up. 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 Beverly Bell, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Bell was available during the visit. Limited monitoring of child care rules were conducted including but not limited to the violation items cited during a routine unannounced visit conducted on 4/15/25. The center’s compliance history was reviewed with the operator. The program’s compliance history was eight-nine (89) percent as of today prior to this visit. The program operates with a three-star center license issued on 12/16/19. The program restrictions include daytime care and meets enhanced space. During the routine unannounced visit conducted on 4/15/25, a total of nine (9) violations were cited. The letter of compliance was due on 4/29/25 but was not received. Today’s visit was conducted to follow-up on the compliance letter. Four (4) children, one (1) to four (4) years of age were present with one (1) staff member. At 12:20 pm, Ms. Bell returned to the facility. One (1) child was asleep on the cot with a bottle, and three (3) children were awake on their cots. The compliance letter was submitted during the visit. The letter was sent on 4/26/25 but to a wrong account. Therefore, a staff member forwarded the letter via email to me during the visit. However, the compliance letter only included corrective statements from #1908, #805, #859 and #1044. Other violation items, #524, #544, #1757, #1811 and #1824 were not included in the letter (email). Item #524 and #544 screen time Ms. Bell and a staff member were interviewed during the visit. Per interview, they stated that screen time has not been offered to any children since 4/15/25. If and when screen time is used, the time would be logged on the screen time log sheet, and the children younger than children would be taken to space #2 to play. I printed a copy of the screen time log was printed and left with Ms. Bell. The television was not on during my visit today. Based on the interview and my observation, the items #524 and #544 were marked corrected by consultant visit. #1044: CBC check renewal I reviewed ABCMS system during today’s visit. Based on the system, Ms. Bell was issued a qualification letter on 4/24/25. Per Ms. Bell, a copy of the qualification letter was mailed to her residence when the letter was issued. Based on the evidence of renewal of criminal background check and the email provided by Ms. Bell, this item was corrected on 4/30/25 by letter from the provider. 1824: EPR review Ms. Bell, a staff member, and I have attempted to log on to NC Risk Management Portal during the visit but were unable to do so due to incorrect username and/or a password. This may take a while to resolve this matter. A printed version of the facility’s EPR was dated 5/23/23 was available. Ms. Bell reviewed the plan, signed and dated 3/1/25. The staff member also reviewed the plan during the visit, signed and dated today. This item was corrected by consultant visit. Other items including #1757 and #1811 were not corrected. These items were cited as repeat violation. 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 or Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One (1) child, was on a cot asleep with a bottle with white liquid in his/her mouth. The child, per Ms. Bell, is an eighteen (18) months old. 10A NCAC 09 .0902(b) 1757 A valid qualification letter was not on file and available to review at the facility. B. Bell's criminal background letter expired on 2/24/25. The qualifying letter was re-issued on 4/24/25. However, the letter was mailed from the Division on 4/24/25 and had not been in Ms. Bell's file at the time of the visit. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. During a routine unannounced visit conducted on 4/15/25, a violation for not completing a shelter-in-place and/or not documenting the drill was cited. The last documented shelter-in-place was conducted on 6/5/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 532: feeding Feeding of children must be conducted in the designated areas, such as tables, feeding chairs or while being held (if the child is very young). Feeding while asleep increases the risk of ear infection. You can feed the child a bottle in the designated area and move him/her when he/she falls asleep. Alternate methods, such as pacifiers, may be safer. Please consult with the parents and come up with an alternative solution. Please refer to 10A NCAC 09 .0902(b). 1757: Criminal background letter Criminal background letters must be printed and maintained in staff files. You can go to the local FedEx, library or other printing services to print the letter as needed. If you expect not to complete all the corrective actions before the due date, please notify me so that we can discuss alternate options. You may also ask for an extension as needed. When you receive the letter in the mail, please keep the letter in your file. Please refer to G.S. 110-09.2(b)(d). 1811: Shelter-in-place or lockdown drill. A shelter-in-place are often completed in preparation for tornados. During shelter-in-place, the children and the staff members shall cover their heads and stay away from the windows. In your facility, a hallway between the bathroom and the living room shall be a ideal location to stay during tornados. Shelter-in-place can also be used for chemical leaks in the area. Lockdown is typically for intruders. The common practice includes locking all doors, closing blinds and hiding where the intruder cannot see. Please conduct one of the drills and record the date on the log sheet. Refer to 10A NCAC 09 .0604(u). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/14/25. Email the compliance letter on signed letterhead or in 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 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 a technical assistance visit to review the requirements for documentation and annual requirements. An announced technical assistance visit was scheduled on 6/24/25. We also discussed Lead Paint and Asbestos Testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ and complete enrollment surveys for lead paint and asbestos. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0902 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/30/2025 Number Present: 4 Completed Date: 4/30/2025 Age: From 1 To 4 Total Minutes: 130 Time In: 12:20 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced visit follow-up. 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 Beverly Bell, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Bell was available during the visit. Limited monitoring of child care rules were conducted including but not limited to the violation items cited during a routine unannounced visit conducted on 4/15/25. The center’s compliance history was reviewed with the operator. The program’s compliance history was eight-nine (89) percent as of today prior to this visit. The program operates with a three-star center license issued on 12/16/19. The program restrictions include daytime care and meets enhanced space. During the routine unannounced visit conducted on 4/15/25, a total of nine (9) violations were cited. The letter of compliance was due on 4/29/25 but was not received. Today’s visit was conducted to follow-up on the compliance letter. Four (4) children, one (1) to four (4) years of age were present with one (1) staff member. At 12:20 pm, Ms. Bell returned to the facility. One (1) child was asleep on the cot with a bottle, and three (3) children were awake on their cots. The compliance letter was submitted during the visit. The letter was sent on 4/26/25 but to a wrong account. Therefore, a staff member forwarded the letter via email to me during the visit. However, the compliance letter only included corrective statements from #1908, #805, #859 and #1044. Other violation items, #524, #544, #1757, #1811 and #1824 were not included in the letter (email). Item #524 and #544 screen time Ms. Bell and a staff member were interviewed during the visit. Per interview, they stated that screen time has not been offered to any children since 4/15/25. If and when screen time is used, the time would be logged on the screen time log sheet, and the children younger than children would be taken to space #2 to play. I printed a copy of the screen time log was printed and left with Ms. Bell. The television was not on during my visit today. Based on the interview and my observation, the items #524 and #544 were marked corrected by consultant visit. #1044: CBC check renewal I reviewed ABCMS system during today’s visit. Based on the system, Ms. Bell was issued a qualification letter on 4/24/25. Per Ms. Bell, a copy of the qualification letter was mailed to her residence when the letter was issued. Based on the evidence of renewal of criminal background check and the email provided by Ms. Bell, this item was corrected on 4/30/25 by letter from the provider. 1824: EPR review Ms. Bell, a staff member, and I have attempted to log on to NC Risk Management Portal during the visit but were unable to do so due to incorrect username and/or a password. This may take a while to resolve this matter. A printed version of the facility’s EPR was dated 5/23/23 was available. Ms. Bell reviewed the plan, signed and dated 3/1/25. The staff member also reviewed the plan during the visit, signed and dated today. This item was corrected by consultant visit. Other items including #1757 and #1811 were not corrected. These items were cited as repeat violation. 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 or Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One (1) child, was on a cot asleep with a bottle with white liquid in his/her mouth. The child, per Ms. Bell, is an eighteen (18) months old. 10A NCAC 09 .0902(b) 1757 A valid qualification letter was not on file and available to review at the facility. B. Bell's criminal background letter expired on 2/24/25. The qualifying letter was re-issued on 4/24/25. However, the letter was mailed from the Division on 4/24/25 and had not been in Ms. Bell's file at the time of the visit. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. During a routine unannounced visit conducted on 4/15/25, a violation for not completing a shelter-in-place and/or not documenting the drill was cited. The last documented shelter-in-place was conducted on 6/5/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 532: feeding Feeding of children must be conducted in the designated areas, such as tables, feeding chairs or while being held (if the child is very young). Feeding while asleep increases the risk of ear infection. You can feed the child a bottle in the designated area and move him/her when he/she falls asleep. Alternate methods, such as pacifiers, may be safer. Please consult with the parents and come up with an alternative solution. Please refer to 10A NCAC 09 .0902(b). 1757: Criminal background letter Criminal background letters must be printed and maintained in staff files. You can go to the local FedEx, library or other printing services to print the letter as needed. If you expect not to complete all the corrective actions before the due date, please notify me so that we can discuss alternate options. You may also ask for an extension as needed. When you receive the letter in the mail, please keep the letter in your file. Please refer to G.S. 110-09.2(b)(d). 1811: Shelter-in-place or lockdown drill. A shelter-in-place are often completed in preparation for tornados. During shelter-in-place, the children and the staff members shall cover their heads and stay away from the windows. In your facility, a hallway between the bathroom and the living room shall be a ideal location to stay during tornados. Shelter-in-place can also be used for chemical leaks in the area. Lockdown is typically for intruders. The common practice includes locking all doors, closing blinds and hiding where the intruder cannot see. Please conduct one of the drills and record the date on the log sheet. Refer to 10A NCAC 09 .0604(u). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/14/25. Email the compliance letter on signed letterhead or in 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 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 a technical assistance visit to review the requirements for documentation and annual requirements. An announced technical assistance visit was scheduled on 6/24/25. We also discussed Lead Paint and Asbestos Testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ and complete enrollment surveys for lead paint and asbestos. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/30/2025 Number Present: 4 Completed Date: 4/30/2025 Age: From 1 To 4 Total Minutes: 130 Time In: 12:20 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced visit follow-up. 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 Beverly Bell, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Bell was available during the visit. Limited monitoring of child care rules were conducted including but not limited to the violation items cited during a routine unannounced visit conducted on 4/15/25. The center’s compliance history was reviewed with the operator. The program’s compliance history was eight-nine (89) percent as of today prior to this visit. The program operates with a three-star center license issued on 12/16/19. The program restrictions include daytime care and meets enhanced space. During the routine unannounced visit conducted on 4/15/25, a total of nine (9) violations were cited. The letter of compliance was due on 4/29/25 but was not received. Today’s visit was conducted to follow-up on the compliance letter. Four (4) children, one (1) to four (4) years of age were present with one (1) staff member. At 12:20 pm, Ms. Bell returned to the facility. One (1) child was asleep on the cot with a bottle, and three (3) children were awake on their cots. The compliance letter was submitted during the visit. The letter was sent on 4/26/25 but to a wrong account. Therefore, a staff member forwarded the letter via email to me during the visit. However, the compliance letter only included corrective statements from #1908, #805, #859 and #1044. Other violation items, #524, #544, #1757, #1811 and #1824 were not included in the letter (email). Item #524 and #544 screen time Ms. Bell and a staff member were interviewed during the visit. Per interview, they stated that screen time has not been offered to any children since 4/15/25. If and when screen time is used, the time would be logged on the screen time log sheet, and the children younger than children would be taken to space #2 to play. I printed a copy of the screen time log was printed and left with Ms. Bell. The television was not on during my visit today. Based on the interview and my observation, the items #524 and #544 were marked corrected by consultant visit. #1044: CBC check renewal I reviewed ABCMS system during today’s visit. Based on the system, Ms. Bell was issued a qualification letter on 4/24/25. Per Ms. Bell, a copy of the qualification letter was mailed to her residence when the letter was issued. Based on the evidence of renewal of criminal background check and the email provided by Ms. Bell, this item was corrected on 4/30/25 by letter from the provider. 1824: EPR review Ms. Bell, a staff member, and I have attempted to log on to NC Risk Management Portal during the visit but were unable to do so due to incorrect username and/or a password. This may take a while to resolve this matter. A printed version of the facility’s EPR was dated 5/23/23 was available. Ms. Bell reviewed the plan, signed and dated 3/1/25. The staff member also reviewed the plan during the visit, signed and dated today. This item was corrected by consultant visit. Other items including #1757 and #1811 were not corrected. These items were cited as repeat violation. 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 or Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One (1) child, was on a cot asleep with a bottle with white liquid in his/her mouth. The child, per Ms. Bell, is an eighteen (18) months old. 10A NCAC 09 .0902(b) 1757 A valid qualification letter was not on file and available to review at the facility. B. Bell's criminal background letter expired on 2/24/25. The qualifying letter was re-issued on 4/24/25. However, the letter was mailed from the Division on 4/24/25 and had not been in Ms. Bell's file at the time of the visit. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. During a routine unannounced visit conducted on 4/15/25, a violation for not completing a shelter-in-place and/or not documenting the drill was cited. The last documented shelter-in-place was conducted on 6/5/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 532: feeding Feeding of children must be conducted in the designated areas, such as tables, feeding chairs or while being held (if the child is very young). Feeding while asleep increases the risk of ear infection. You can feed the child a bottle in the designated area and move him/her when he/she falls asleep. Alternate methods, such as pacifiers, may be safer. Please consult with the parents and come up with an alternative solution. Please refer to 10A NCAC 09 .0902(b). 1757: Criminal background letter Criminal background letters must be printed and maintained in staff files. You can go to the local FedEx, library or other printing services to print the letter as needed. If you expect not to complete all the corrective actions before the due date, please notify me so that we can discuss alternate options. You may also ask for an extension as needed. When you receive the letter in the mail, please keep the letter in your file. Please refer to G.S. 110-09.2(b)(d). 1811: Shelter-in-place or lockdown drill. A shelter-in-place are often completed in preparation for tornados. During shelter-in-place, the children and the staff members shall cover their heads and stay away from the windows. In your facility, a hallway between the bathroom and the living room shall be a ideal location to stay during tornados. Shelter-in-place can also be used for chemical leaks in the area. Lockdown is typically for intruders. The common practice includes locking all doors, closing blinds and hiding where the intruder cannot see. Please conduct one of the drills and record the date on the log sheet. Refer to 10A NCAC 09 .0604(u). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/14/25. Email the compliance letter on signed letterhead or in 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 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 a technical assistance visit to review the requirements for documentation and annual requirements. An announced technical assistance visit was scheduled on 6/24/25. We also discussed Lead Paint and Asbestos Testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ and complete enrollment surveys for lead paint and asbestos. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/30/2025 Number Present: 4 Completed Date: 4/30/2025 Age: From 1 To 4 Total Minutes: 130 Time In: 12:20 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced visit follow-up. 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 Beverly Bell, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Bell was available during the visit. Limited monitoring of child care rules were conducted including but not limited to the violation items cited during a routine unannounced visit conducted on 4/15/25. The center’s compliance history was reviewed with the operator. The program’s compliance history was eight-nine (89) percent as of today prior to this visit. The program operates with a three-star center license issued on 12/16/19. The program restrictions include daytime care and meets enhanced space. During the routine unannounced visit conducted on 4/15/25, a total of nine (9) violations were cited. The letter of compliance was due on 4/29/25 but was not received. Today’s visit was conducted to follow-up on the compliance letter. Four (4) children, one (1) to four (4) years of age were present with one (1) staff member. At 12:20 pm, Ms. Bell returned to the facility. One (1) child was asleep on the cot with a bottle, and three (3) children were awake on their cots. The compliance letter was submitted during the visit. The letter was sent on 4/26/25 but to a wrong account. Therefore, a staff member forwarded the letter via email to me during the visit. However, the compliance letter only included corrective statements from #1908, #805, #859 and #1044. Other violation items, #524, #544, #1757, #1811 and #1824 were not included in the letter (email). Item #524 and #544 screen time Ms. Bell and a staff member were interviewed during the visit. Per interview, they stated that screen time has not been offered to any children since 4/15/25. If and when screen time is used, the time would be logged on the screen time log sheet, and the children younger than children would be taken to space #2 to play. I printed a copy of the screen time log was printed and left with Ms. Bell. The television was not on during my visit today. Based on the interview and my observation, the items #524 and #544 were marked corrected by consultant visit. #1044: CBC check renewal I reviewed ABCMS system during today’s visit. Based on the system, Ms. Bell was issued a qualification letter on 4/24/25. Per Ms. Bell, a copy of the qualification letter was mailed to her residence when the letter was issued. Based on the evidence of renewal of criminal background check and the email provided by Ms. Bell, this item was corrected on 4/30/25 by letter from the provider. 1824: EPR review Ms. Bell, a staff member, and I have attempted to log on to NC Risk Management Portal during the visit but were unable to do so due to incorrect username and/or a password. This may take a while to resolve this matter. A printed version of the facility’s EPR was dated 5/23/23 was available. Ms. Bell reviewed the plan, signed and dated 3/1/25. The staff member also reviewed the plan during the visit, signed and dated today. This item was corrected by consultant visit. Other items including #1757 and #1811 were not corrected. These items were cited as repeat violation. 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 or Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One (1) child, was on a cot asleep with a bottle with white liquid in his/her mouth. The child, per Ms. Bell, is an eighteen (18) months old. 10A NCAC 09 .0902(b) 1757 A valid qualification letter was not on file and available to review at the facility. B. Bell's criminal background letter expired on 2/24/25. The qualifying letter was re-issued on 4/24/25. However, the letter was mailed from the Division on 4/24/25 and had not been in Ms. Bell's file at the time of the visit. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. During a routine unannounced visit conducted on 4/15/25, a violation for not completing a shelter-in-place and/or not documenting the drill was cited. The last documented shelter-in-place was conducted on 6/5/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 532: feeding Feeding of children must be conducted in the designated areas, such as tables, feeding chairs or while being held (if the child is very young). Feeding while asleep increases the risk of ear infection. You can feed the child a bottle in the designated area and move him/her when he/she falls asleep. Alternate methods, such as pacifiers, may be safer. Please consult with the parents and come up with an alternative solution. Please refer to 10A NCAC 09 .0902(b). 1757: Criminal background letter Criminal background letters must be printed and maintained in staff files. You can go to the local FedEx, library or other printing services to print the letter as needed. If you expect not to complete all the corrective actions before the due date, please notify me so that we can discuss alternate options. You may also ask for an extension as needed. When you receive the letter in the mail, please keep the letter in your file. Please refer to G.S. 110-09.2(b)(d). 1811: Shelter-in-place or lockdown drill. A shelter-in-place are often completed in preparation for tornados. During shelter-in-place, the children and the staff members shall cover their heads and stay away from the windows. In your facility, a hallway between the bathroom and the living room shall be a ideal location to stay during tornados. Shelter-in-place can also be used for chemical leaks in the area. Lockdown is typically for intruders. The common practice includes locking all doors, closing blinds and hiding where the intruder cannot see. Please conduct one of the drills and record the date on the log sheet. Refer to 10A NCAC 09 .0604(u). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/14/25. Email the compliance letter on signed letterhead or in 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 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 a technical assistance visit to review the requirements for documentation and annual requirements. An announced technical assistance visit was scheduled on 6/24/25. We also discussed Lead Paint and Asbestos Testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ and complete enrollment surveys for lead paint and asbestos. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/30/2025 Number Present: 4 Completed Date: 4/30/2025 Age: From 1 To 4 Total Minutes: 130 Time In: 12:20 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced visit follow-up. 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 Beverly Bell, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Bell was available during the visit. Limited monitoring of child care rules were conducted including but not limited to the violation items cited during a routine unannounced visit conducted on 4/15/25. The center’s compliance history was reviewed with the operator. The program’s compliance history was eight-nine (89) percent as of today prior to this visit. The program operates with a three-star center license issued on 12/16/19. The program restrictions include daytime care and meets enhanced space. During the routine unannounced visit conducted on 4/15/25, a total of nine (9) violations were cited. The letter of compliance was due on 4/29/25 but was not received. Today’s visit was conducted to follow-up on the compliance letter. Four (4) children, one (1) to four (4) years of age were present with one (1) staff member. At 12:20 pm, Ms. Bell returned to the facility. One (1) child was asleep on the cot with a bottle, and three (3) children were awake on their cots. The compliance letter was submitted during the visit. The letter was sent on 4/26/25 but to a wrong account. Therefore, a staff member forwarded the letter via email to me during the visit. However, the compliance letter only included corrective statements from #1908, #805, #859 and #1044. Other violation items, #524, #544, #1757, #1811 and #1824 were not included in the letter (email). Item #524 and #544 screen time Ms. Bell and a staff member were interviewed during the visit. Per interview, they stated that screen time has not been offered to any children since 4/15/25. If and when screen time is used, the time would be logged on the screen time log sheet, and the children younger than children would be taken to space #2 to play. I printed a copy of the screen time log was printed and left with Ms. Bell. The television was not on during my visit today. Based on the interview and my observation, the items #524 and #544 were marked corrected by consultant visit. #1044: CBC check renewal I reviewed ABCMS system during today’s visit. Based on the system, Ms. Bell was issued a qualification letter on 4/24/25. Per Ms. Bell, a copy of the qualification letter was mailed to her residence when the letter was issued. Based on the evidence of renewal of criminal background check and the email provided by Ms. Bell, this item was corrected on 4/30/25 by letter from the provider. 1824: EPR review Ms. Bell, a staff member, and I have attempted to log on to NC Risk Management Portal during the visit but were unable to do so due to incorrect username and/or a password. This may take a while to resolve this matter. A printed version of the facility’s EPR was dated 5/23/23 was available. Ms. Bell reviewed the plan, signed and dated 3/1/25. The staff member also reviewed the plan during the visit, signed and dated today. This item was corrected by consultant visit. Other items including #1757 and #1811 were not corrected. These items were cited as repeat violation. 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 or Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One (1) child, was on a cot asleep with a bottle with white liquid in his/her mouth. The child, per Ms. Bell, is an eighteen (18) months old. 10A NCAC 09 .0902(b) 1757 A valid qualification letter was not on file and available to review at the facility. B. Bell's criminal background letter expired on 2/24/25. The qualifying letter was re-issued on 4/24/25. However, the letter was mailed from the Division on 4/24/25 and had not been in Ms. Bell's file at the time of the visit. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. During a routine unannounced visit conducted on 4/15/25, a violation for not completing a shelter-in-place and/or not documenting the drill was cited. The last documented shelter-in-place was conducted on 6/5/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 532: feeding Feeding of children must be conducted in the designated areas, such as tables, feeding chairs or while being held (if the child is very young). Feeding while asleep increases the risk of ear infection. You can feed the child a bottle in the designated area and move him/her when he/she falls asleep. Alternate methods, such as pacifiers, may be safer. Please consult with the parents and come up with an alternative solution. Please refer to 10A NCAC 09 .0902(b). 1757: Criminal background letter Criminal background letters must be printed and maintained in staff files. You can go to the local FedEx, library or other printing services to print the letter as needed. If you expect not to complete all the corrective actions before the due date, please notify me so that we can discuss alternate options. You may also ask for an extension as needed. When you receive the letter in the mail, please keep the letter in your file. Please refer to G.S. 110-09.2(b)(d). 1811: Shelter-in-place or lockdown drill. A shelter-in-place are often completed in preparation for tornados. During shelter-in-place, the children and the staff members shall cover their heads and stay away from the windows. In your facility, a hallway between the bathroom and the living room shall be a ideal location to stay during tornados. Shelter-in-place can also be used for chemical leaks in the area. Lockdown is typically for intruders. The common practice includes locking all doors, closing blinds and hiding where the intruder cannot see. Please conduct one of the drills and record the date on the log sheet. Refer to 10A NCAC 09 .0604(u). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/14/25. Email the compliance letter on signed letterhead or in 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 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 a technical assistance visit to review the requirements for documentation and annual requirements. An announced technical assistance visit was scheduled on 6/24/25. We also discussed Lead Paint and Asbestos Testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ and complete enrollment surveys for lead paint and asbestos. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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. 110-09 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/30/2025 Number Present: 4 Completed Date: 4/30/2025 Age: From 1 To 4 Total Minutes: 130 Time In: 12:20 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced visit follow-up. 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 Beverly Bell, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Bell was available during the visit. Limited monitoring of child care rules were conducted including but not limited to the violation items cited during a routine unannounced visit conducted on 4/15/25. The center’s compliance history was reviewed with the operator. The program’s compliance history was eight-nine (89) percent as of today prior to this visit. The program operates with a three-star center license issued on 12/16/19. The program restrictions include daytime care and meets enhanced space. During the routine unannounced visit conducted on 4/15/25, a total of nine (9) violations were cited. The letter of compliance was due on 4/29/25 but was not received. Today’s visit was conducted to follow-up on the compliance letter. Four (4) children, one (1) to four (4) years of age were present with one (1) staff member. At 12:20 pm, Ms. Bell returned to the facility. One (1) child was asleep on the cot with a bottle, and three (3) children were awake on their cots. The compliance letter was submitted during the visit. The letter was sent on 4/26/25 but to a wrong account. Therefore, a staff member forwarded the letter via email to me during the visit. However, the compliance letter only included corrective statements from #1908, #805, #859 and #1044. Other violation items, #524, #544, #1757, #1811 and #1824 were not included in the letter (email). Item #524 and #544 screen time Ms. Bell and a staff member were interviewed during the visit. Per interview, they stated that screen time has not been offered to any children since 4/15/25. If and when screen time is used, the time would be logged on the screen time log sheet, and the children younger than children would be taken to space #2 to play. I printed a copy of the screen time log was printed and left with Ms. Bell. The television was not on during my visit today. Based on the interview and my observation, the items #524 and #544 were marked corrected by consultant visit. #1044: CBC check renewal I reviewed ABCMS system during today’s visit. Based on the system, Ms. Bell was issued a qualification letter on 4/24/25. Per Ms. Bell, a copy of the qualification letter was mailed to her residence when the letter was issued. Based on the evidence of renewal of criminal background check and the email provided by Ms. Bell, this item was corrected on 4/30/25 by letter from the provider. 1824: EPR review Ms. Bell, a staff member, and I have attempted to log on to NC Risk Management Portal during the visit but were unable to do so due to incorrect username and/or a password. This may take a while to resolve this matter. A printed version of the facility’s EPR was dated 5/23/23 was available. Ms. Bell reviewed the plan, signed and dated 3/1/25. The staff member also reviewed the plan during the visit, signed and dated today. This item was corrected by consultant visit. Other items including #1757 and #1811 were not corrected. These items were cited as repeat violation. 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 or Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One (1) child, was on a cot asleep with a bottle with white liquid in his/her mouth. The child, per Ms. Bell, is an eighteen (18) months old. 10A NCAC 09 .0902(b) 1757 A valid qualification letter was not on file and available to review at the facility. B. Bell's criminal background letter expired on 2/24/25. The qualifying letter was re-issued on 4/24/25. However, the letter was mailed from the Division on 4/24/25 and had not been in Ms. Bell's file at the time of the visit. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. During a routine unannounced visit conducted on 4/15/25, a violation for not completing a shelter-in-place and/or not documenting the drill was cited. The last documented shelter-in-place was conducted on 6/5/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 532: feeding Feeding of children must be conducted in the designated areas, such as tables, feeding chairs or while being held (if the child is very young). Feeding while asleep increases the risk of ear infection. You can feed the child a bottle in the designated area and move him/her when he/she falls asleep. Alternate methods, such as pacifiers, may be safer. Please consult with the parents and come up with an alternative solution. Please refer to 10A NCAC 09 .0902(b). 1757: Criminal background letter Criminal background letters must be printed and maintained in staff files. You can go to the local FedEx, library or other printing services to print the letter as needed. If you expect not to complete all the corrective actions before the due date, please notify me so that we can discuss alternate options. You may also ask for an extension as needed. When you receive the letter in the mail, please keep the letter in your file. Please refer to G.S. 110-09.2(b)(d). 1811: Shelter-in-place or lockdown drill. A shelter-in-place are often completed in preparation for tornados. During shelter-in-place, the children and the staff members shall cover their heads and stay away from the windows. In your facility, a hallway between the bathroom and the living room shall be a ideal location to stay during tornados. Shelter-in-place can also be used for chemical leaks in the area. Lockdown is typically for intruders. The common practice includes locking all doors, closing blinds and hiding where the intruder cannot see. Please conduct one of the drills and record the date on the log sheet. Refer to 10A NCAC 09 .0604(u). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/14/25. Email the compliance letter on signed letterhead or in 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 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 a technical assistance visit to review the requirements for documentation and annual requirements. An announced technical assistance visit was scheduled on 6/24/25. We also discussed Lead Paint and Asbestos Testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ and complete enrollment surveys for lead paint and asbestos. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/30/2025 Number Present: 4 Completed Date: 4/30/2025 Age: From 1 To 4 Total Minutes: 130 Time In: 12:20 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced visit follow-up. 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 Beverly Bell, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Bell was available during the visit. Limited monitoring of child care rules were conducted including but not limited to the violation items cited during a routine unannounced visit conducted on 4/15/25. The center’s compliance history was reviewed with the operator. The program’s compliance history was eight-nine (89) percent as of today prior to this visit. The program operates with a three-star center license issued on 12/16/19. The program restrictions include daytime care and meets enhanced space. During the routine unannounced visit conducted on 4/15/25, a total of nine (9) violations were cited. The letter of compliance was due on 4/29/25 but was not received. Today’s visit was conducted to follow-up on the compliance letter. Four (4) children, one (1) to four (4) years of age were present with one (1) staff member. At 12:20 pm, Ms. Bell returned to the facility. One (1) child was asleep on the cot with a bottle, and three (3) children were awake on their cots. The compliance letter was submitted during the visit. The letter was sent on 4/26/25 but to a wrong account. Therefore, a staff member forwarded the letter via email to me during the visit. However, the compliance letter only included corrective statements from #1908, #805, #859 and #1044. Other violation items, #524, #544, #1757, #1811 and #1824 were not included in the letter (email). Item #524 and #544 screen time Ms. Bell and a staff member were interviewed during the visit. Per interview, they stated that screen time has not been offered to any children since 4/15/25. If and when screen time is used, the time would be logged on the screen time log sheet, and the children younger than children would be taken to space #2 to play. I printed a copy of the screen time log was printed and left with Ms. Bell. The television was not on during my visit today. Based on the interview and my observation, the items #524 and #544 were marked corrected by consultant visit. #1044: CBC check renewal I reviewed ABCMS system during today’s visit. Based on the system, Ms. Bell was issued a qualification letter on 4/24/25. Per Ms. Bell, a copy of the qualification letter was mailed to her residence when the letter was issued. Based on the evidence of renewal of criminal background check and the email provided by Ms. Bell, this item was corrected on 4/30/25 by letter from the provider. 1824: EPR review Ms. Bell, a staff member, and I have attempted to log on to NC Risk Management Portal during the visit but were unable to do so due to incorrect username and/or a password. This may take a while to resolve this matter. A printed version of the facility’s EPR was dated 5/23/23 was available. Ms. Bell reviewed the plan, signed and dated 3/1/25. The staff member also reviewed the plan during the visit, signed and dated today. This item was corrected by consultant visit. Other items including #1757 and #1811 were not corrected. These items were cited as repeat violation. 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 or Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One (1) child, was on a cot asleep with a bottle with white liquid in his/her mouth. The child, per Ms. Bell, is an eighteen (18) months old. 10A NCAC 09 .0902(b) 1757 A valid qualification letter was not on file and available to review at the facility. B. Bell's criminal background letter expired on 2/24/25. The qualifying letter was re-issued on 4/24/25. However, the letter was mailed from the Division on 4/24/25 and had not been in Ms. Bell's file at the time of the visit. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. During a routine unannounced visit conducted on 4/15/25, a violation for not completing a shelter-in-place and/or not documenting the drill was cited. The last documented shelter-in-place was conducted on 6/5/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 532: feeding Feeding of children must be conducted in the designated areas, such as tables, feeding chairs or while being held (if the child is very young). Feeding while asleep increases the risk of ear infection. You can feed the child a bottle in the designated area and move him/her when he/she falls asleep. Alternate methods, such as pacifiers, may be safer. Please consult with the parents and come up with an alternative solution. Please refer to 10A NCAC 09 .0902(b). 1757: Criminal background letter Criminal background letters must be printed and maintained in staff files. You can go to the local FedEx, library or other printing services to print the letter as needed. If you expect not to complete all the corrective actions before the due date, please notify me so that we can discuss alternate options. You may also ask for an extension as needed. When you receive the letter in the mail, please keep the letter in your file. Please refer to G.S. 110-09.2(b)(d). 1811: Shelter-in-place or lockdown drill. A shelter-in-place are often completed in preparation for tornados. During shelter-in-place, the children and the staff members shall cover their heads and stay away from the windows. In your facility, a hallway between the bathroom and the living room shall be a ideal location to stay during tornados. Shelter-in-place can also be used for chemical leaks in the area. Lockdown is typically for intruders. The common practice includes locking all doors, closing blinds and hiding where the intruder cannot see. Please conduct one of the drills and record the date on the log sheet. Refer to 10A NCAC 09 .0604(u). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/14/25. Email the compliance letter on signed letterhead or in 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 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 a technical assistance visit to review the requirements for documentation and annual requirements. An announced technical assistance visit was scheduled on 6/24/25. We also discussed Lead Paint and Asbestos Testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ and complete enrollment surveys for lead paint and asbestos. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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

NC GS 110-90 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/30/2025 Number Present: 4 Completed Date: 4/30/2025 Age: From 1 To 4 Total Minutes: 130 Time In: 12:20 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced visit follow-up. 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 Beverly Bell, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Bell was available during the visit. Limited monitoring of child care rules were conducted including but not limited to the violation items cited during a routine unannounced visit conducted on 4/15/25. The center’s compliance history was reviewed with the operator. The program’s compliance history was eight-nine (89) percent as of today prior to this visit. The program operates with a three-star center license issued on 12/16/19. The program restrictions include daytime care and meets enhanced space. During the routine unannounced visit conducted on 4/15/25, a total of nine (9) violations were cited. The letter of compliance was due on 4/29/25 but was not received. Today’s visit was conducted to follow-up on the compliance letter. Four (4) children, one (1) to four (4) years of age were present with one (1) staff member. At 12:20 pm, Ms. Bell returned to the facility. One (1) child was asleep on the cot with a bottle, and three (3) children were awake on their cots. The compliance letter was submitted during the visit. The letter was sent on 4/26/25 but to a wrong account. Therefore, a staff member forwarded the letter via email to me during the visit. However, the compliance letter only included corrective statements from #1908, #805, #859 and #1044. Other violation items, #524, #544, #1757, #1811 and #1824 were not included in the letter (email). Item #524 and #544 screen time Ms. Bell and a staff member were interviewed during the visit. Per interview, they stated that screen time has not been offered to any children since 4/15/25. If and when screen time is used, the time would be logged on the screen time log sheet, and the children younger than children would be taken to space #2 to play. I printed a copy of the screen time log was printed and left with Ms. Bell. The television was not on during my visit today. Based on the interview and my observation, the items #524 and #544 were marked corrected by consultant visit. #1044: CBC check renewal I reviewed ABCMS system during today’s visit. Based on the system, Ms. Bell was issued a qualification letter on 4/24/25. Per Ms. Bell, a copy of the qualification letter was mailed to her residence when the letter was issued. Based on the evidence of renewal of criminal background check and the email provided by Ms. Bell, this item was corrected on 4/30/25 by letter from the provider. 1824: EPR review Ms. Bell, a staff member, and I have attempted to log on to NC Risk Management Portal during the visit but were unable to do so due to incorrect username and/or a password. This may take a while to resolve this matter. A printed version of the facility’s EPR was dated 5/23/23 was available. Ms. Bell reviewed the plan, signed and dated 3/1/25. The staff member also reviewed the plan during the visit, signed and dated today. This item was corrected by consultant visit. Other items including #1757 and #1811 were not corrected. These items were cited as repeat violation. 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 or Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One (1) child, was on a cot asleep with a bottle with white liquid in his/her mouth. The child, per Ms. Bell, is an eighteen (18) months old. 10A NCAC 09 .0902(b) 1757 A valid qualification letter was not on file and available to review at the facility. B. Bell's criminal background letter expired on 2/24/25. The qualifying letter was re-issued on 4/24/25. However, the letter was mailed from the Division on 4/24/25 and had not been in Ms. Bell's file at the time of the visit. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. During a routine unannounced visit conducted on 4/15/25, a violation for not completing a shelter-in-place and/or not documenting the drill was cited. The last documented shelter-in-place was conducted on 6/5/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 532: feeding Feeding of children must be conducted in the designated areas, such as tables, feeding chairs or while being held (if the child is very young). Feeding while asleep increases the risk of ear infection. You can feed the child a bottle in the designated area and move him/her when he/she falls asleep. Alternate methods, such as pacifiers, may be safer. Please consult with the parents and come up with an alternative solution. Please refer to 10A NCAC 09 .0902(b). 1757: Criminal background letter Criminal background letters must be printed and maintained in staff files. You can go to the local FedEx, library or other printing services to print the letter as needed. If you expect not to complete all the corrective actions before the due date, please notify me so that we can discuss alternate options. You may also ask for an extension as needed. When you receive the letter in the mail, please keep the letter in your file. Please refer to G.S. 110-09.2(b)(d). 1811: Shelter-in-place or lockdown drill. A shelter-in-place are often completed in preparation for tornados. During shelter-in-place, the children and the staff members shall cover their heads and stay away from the windows. In your facility, a hallway between the bathroom and the living room shall be a ideal location to stay during tornados. Shelter-in-place can also be used for chemical leaks in the area. Lockdown is typically for intruders. The common practice includes locking all doors, closing blinds and hiding where the intruder cannot see. Please conduct one of the drills and record the date on the log sheet. Refer to 10A NCAC 09 .0604(u). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/14/25. Email the compliance letter on signed letterhead or in 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 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 a technical assistance visit to review the requirements for documentation and annual requirements. An announced technical assistance visit was scheduled on 6/24/25. We also discussed Lead Paint and Asbestos Testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ and complete enrollment surveys for lead paint and asbestos. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0304 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 6 Completed Date: 4/15/2025 Age: From 1 To 4 Total Minutes: 201 Time In: 09:09 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of 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 Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and safe environment. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. Permit type – Three Start Center License issued on 12/16/19. Special Services/Restrictions – daytime care, Meets enhanced space. The last annual compliance visit was conducted on 11/21/24. The last fire drill was logged on 9/15/24 per Emergency drill log. A violation of not conducting fire drills monthly and/or not documenting the information of each drill was cited during the annual compliance visit conducted on 11/21/24. The compliance letter was submitted by Ms. Bell on 11/26/24. Per compliance statement, Ms. Bell wrote “Fire drills are usually conducted every month, since the flood was in October it got is off schedule however, we had a fire drill Monday25 at 10:00. We will have them every month. The last shelter-in-place drill was documented on 6/5/24. A violation of not conducting a shelter-in-place or a lockdown drill and/or not documenting the information of each dill was cited during the annual compliance visit conducted on 11/21/24. The compliance letter was submitted by Ms. Bell on 11/26/24. Per compliance statement, Ms. Bell wrote “we will have shelter in place or lock down drill every three months”. The last playground inspection was documented on 12/2/24. However, the playground inspection conducted on 11/1/24 was not filled out except for the date and the name. The last fire inspection was approved on 12/21/23. Ms. Bell stated that a fire inspection was conducted in recent months, but she was unable to locate the inspection form. The last sanitation inspection was conducted on 2/11/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The program’s Emergency Preparedness and Response (EPR) plan was last updated on 5/23/23 and reviewed with all staff members on 5/24/23. Lead water testing was completed on 10/10/23 without hazards. Lead paint and asbestos testing has not been completed. Please see the additional note under the consultation section. Upon arrival, I announced my presence and the purpose of the visit. When I arrived, three (3) children, two (2) to four (4) years of age, were present with two (2) staff members. A children’s TV show was on from 9:09 a.m. to approximately 9:35 a.m. Two (2) additional children, both two (2) years of age, arrived during the visit. The children played with toy vehicles, puzzles, large interlocking blocks, and pretend food. One (1) child, two (2) years of age, cried continuously due to separation anxiety. A staff member held this child throughout the morning. Interaction and supervision were adequate. I did not request a fire drill or shelter-in-place drill to be performed during the visit due to Ms. Bell’s health condition. At 10:40 am, an additional child, (1) year of age, arrived. At the same time, the child who has been crying was picked up by the parent. The child arrived at 10:40 am, according to Ms. Bell, was not officially enrolled yet and is scheduled to start on Monday. This child was dropped off because the child’s mother needed to go to an appointment. This child’s file was reviewed. The child had a medical report completed on 3/17/25, an emergency information form including the names of the parents, address, contact information. Emergency medical treatment was authorized, and the family’s preferred health care provider was also listed. The program’s discipline policy was reviewed and signed by the parent. Based on the discipline policy document, the child’s enrollment date was listed as 4/14/25. On the separate application form, the child’s health care needs as well as a person who was authorized to pick the child up were also noted. There was a note on the program’s tobacco restriction policy as well as parent participation. Five (5) children and one (1) staff member played on the playground with portable slide structure, balls and riding toys. Children and staff washed their hands when they returned from outdoor play. Lunch was served during the visit. Fish sticks, green beans, carrots, bread and milk were served. The doors to unlicensed spaces were locked. The fire/carbon monoxide alarms were in working order, and a fire extinguisher was mounted on the wall. A bottle of Clorox bleach, a can of Equate sunscreen spray, and a bottle of infants’ oral suspension pain reliever/fever reducer were stored on the top shelf of a kitchen cabinet. The kitchen area is separated by a baby gate. I had a conversation with Ms. Bell regarding the requirement for chemicals and medications to be stored in locked storage. However, the storage of Clorox bleach, sunscreen, and infant pain reliever was approved by an environmental specialist to be stored on the top shelf in the kitchen cabinet, as long as the gate to the kitchen remains closed, according to Ms. Bell. I witnessed a child opening the baby gate three (3) times during the visit for undetermined reason. The ABCMS System was reviewed for Ms. Bell and a staff member prior to this visit. Per review, criminal background check for B. Bell expired on 2/14/25. The other staff member has a valid criminal background letter, per AMCMS. No records were found on the CWA system, reviewed on 4/14/25. Two (2) staff files were monitored partially for criminal background letters and CPR/First Aid certificates. Both staff members have current CPR/First Aid certificates in their files. The program does not provide transportation but only for emergencies. 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 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. From 9:09 am to approximately 9:35 am, children's TV show was played on the television during the visit, but screen time log was not completed. .0510(d)(2)(A-C) 544 Screen time was offered to children under three years of age. From 9:09 am to approximately 9:35 am, a children's TV show was played on the television. During the period, two (2) children, two (2) years of age, were present along with one (1) child, aged three (3) and one (1) child, aged four (4). .0510(f) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last documented fire drill is dated 9/15/24. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on 12/2/24. .0605(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).B. Bell's criminal background qualification letter expired on 2/24/25. At the time of the visit, no application to renew the application had been submitted. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. Due to criminal background letter for B. Bell being expired on 2/14/25, no valid qualification letter was in her file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented shelter-in-place is dated 6/5/24. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The program's EPR is dated May 23, 2023. The staff members signed and dated for the annual review, and the date was May 24, 2023 for both staff members. .0607(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The acknowledgement form with parent signature for the program's Shaken Baby Syndrome policy was not in file for a child, who was one (1) year of age. The day of the visit was the child's first day. .0608(b)(1-6) Technical assistance was provided as follows: 524 and 544: Screen Time Screen time is permitted for children three (3) and older for maximum of thirty (30) minutes each day and no more than a total of two and a half (2 ½) hours per week. No screen time shall be offered to children two (2) years of age or younger. Upon providing any screen time to children three (3) and up, you must log the minutes on the screen time log. Refer to 10A NCAC 09 .0510. If children two (2) years of age or younger were in the group, offer separate activities for them away from the television or in a separate licensed space if enough staff members are present. If screen time is regularly offered, put the screen time log on a clipboard and place it near the television. Item #544 has been cited four (4) times since November 2022. Not maintaining compliance may be considered a pattern of non-compliance. In your compliance letter, please describe the following: • Your plan to offer screen time when children two (2) years of age and younger, were present. • Your plan to sufficiently maintain the log. 805: Fire Drill Fire drills shall be conducted if there is one (1) opening day per month, per 10A NCAC 09 .0604(t). You must document the information of each drill on the emergency drill log sheet upon completions of each drill. Conducting drills on the same day of each month, putting reminders on the phone helps you remember the day to conduct fire drills. In your compliance letter, please describe the following: • The date you completed the fire drill. Please conduct a fire drill at your earliest convenience possible. • Please verify if the fire drill you conducted was documented. • Your plan to maintain compliance for this item. 859: Playground inspection Playground inspection must be conducted monthly. Refer to 10A NCAC 09 .0605(q). Conducting an inspection on the same day of each month helps you remember the task. In your compliance letter, please include the following: • The date you completed the playground inspection. Please conduct the inspection at your earliest convenience possible. • Your plan to maintain compliance with this tiem. 1044: Renewal of criminal background check Criminal background check must be renewed prior to its expiration date per G.S. 110-90.2(b). B. Bell’s qualification letter expired on 2/14/25 based on the ABCMS system. You have fifteen (15) days to renew the criminal background check. If you do not complete the process, including fingerprinting and putting your qualification letter filed in your staff file by April 30, 2025, you must close the program until you obtain the letter. Please complete the criminal background check application at https://ncabcms.nc.gov/DCDEE/Home. Additionally, you must complete finger printing at local government office. $5-$10 fee may apply depending on your status. Only cash are accepted. You can contact Buncombe County Bureau of Identification for more information at 52 Coxe Ave. Asheville, NC 28801 and (828)250-4665. In the compliance letter, please include the following: • Your statement confirming that your criminal background check was renewed. • The issue date of your criminal background qualification letter and expiration date. • Your statement on how to maintain compliance for this item. 1757: Criminal background letter A valid qualification letter must be on file and available for review at the facility. Please re-apply for criminal background check, complete fingerprinting, print the letter and maintain it in your file. If you do not have the letter within fifteenth day (April 30, 2025), a repeat violation may be cited. Refer to G.S. 110-90.2(b). You can receive fingerprinting services at Buncombe County Bureau of Identification. You must take the application for criminal background letter to fingerprinting appointment. Appointments for fingerprinting will be processed between 8:00am-8:30am, 11:30am-1:30pm and 4:30am-5:00pm Monday-Friday. You can visit their website and complete the fingerprinting application at https://www.buncombecounty.org/governing/depts/id/default.aspx In your compliance letter, please include the following: • Your statement verifying that the criminal background letter was printed and maintained in your staff file. • Your statement on how to maintain the compliance for this item. 1811: Shelter-in-place drill A shelter-in-place drill or a lockdown drill is required every three (3) months per 10A NCAC 09 .0604(u). You must document the information of the drills on the emergency drill log as soon as you complete the drills. Please conduct a shelter-in-place or a lockdown drill as soon as possible. Conducting drills on the same day of each month, putting reminders on the phone helps you remember the day to conduct drills. In the compliance letter, please include the following: • The date you complete a shelter-in-place or a lockdown drill. Please state which drill was conducted. Please conduct the drill at your earliest convenience possible. • Your statement verifying that the drill was documented. • Your statement on how to maintain compliance for this item. 1824: Emergency Preparedness and Response (EPR) Plan The facility’s EPR plan must be reviewed and updated annually. In addition, a trained staff member shall go over the plan with all staff members annually. The document of the review shall be kept in staff file(s). Refer to 10A NCAC 09 .0607. The program’s EPR plan can be accessed at North Carolina Risk Management Portal at https://rmp.nc.gov/portal/portal.aspx In the compliance letter, please include the following: • The date you completed review and/or update of your program EPR plan on https://rmp.nc.gov/portal/portal.aspx. If no changes were made, you can print the first page of the EPR plan and maintain the page along with the current EPR plan. • If you have made changes to your EPR plan, please print the entire plan and maintain it for review. • The EPR plan must be reviewed with all staff members annually. Please state the date you reviewed the plan with your staff member. • Your statement on how to maintain compliance for this item. 1908: Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy The program’s shaken baby syndrome policy must be reviewed with parents on or before the first day of child’s attendance and the acknowledgement must be maintained in the child’s file. Refer to 10A NCAC 09 .0608(b). In the compliance letter, please include the following: • Please review the program’s shaken baby syndrome policy with the child’s parent and obtain his/her signature on the acknowledgement form as soon as possible. State the date when you acquire the signature from the parents. • Your statement verifying that the form was filed in the child’s file. • Your statement on how to maintain compliance for this item. Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following item: 106: fire inspection Even though Ms. Bell stated that the fire inspection was completed in recent months, no record of the inspection was found. Currently, the inspection completed on 12/21/23 was the only inspection presented by Ms. Bell. Please contact Buncombe County Fire department to issue you another inspection form at the earliest convenience possible. Refer to 10A NCAC 09 .0304(a). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/29/25. Email the compliance letter on signed letterhead or in 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 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: Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. For Lead-based paint and asbestos testing, please visit https://www.cleanwaterforuskids.org/en/carolina/ and complete a survey for lead-based paint and asbestos. Additional information from Clean Classroom for Carolina Kids website and left with Ms. Bell as reference. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. Fire inspection: Please contact Buncombe County Fire Department to schedule a fire inspection as soon as possible. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0510 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 6 Completed Date: 4/15/2025 Age: From 1 To 4 Total Minutes: 201 Time In: 09:09 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of 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 Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and safe environment. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. Permit type – Three Start Center License issued on 12/16/19. Special Services/Restrictions – daytime care, Meets enhanced space. The last annual compliance visit was conducted on 11/21/24. The last fire drill was logged on 9/15/24 per Emergency drill log. A violation of not conducting fire drills monthly and/or not documenting the information of each drill was cited during the annual compliance visit conducted on 11/21/24. The compliance letter was submitted by Ms. Bell on 11/26/24. Per compliance statement, Ms. Bell wrote “Fire drills are usually conducted every month, since the flood was in October it got is off schedule however, we had a fire drill Monday25 at 10:00. We will have them every month. The last shelter-in-place drill was documented on 6/5/24. A violation of not conducting a shelter-in-place or a lockdown drill and/or not documenting the information of each dill was cited during the annual compliance visit conducted on 11/21/24. The compliance letter was submitted by Ms. Bell on 11/26/24. Per compliance statement, Ms. Bell wrote “we will have shelter in place or lock down drill every three months”. The last playground inspection was documented on 12/2/24. However, the playground inspection conducted on 11/1/24 was not filled out except for the date and the name. The last fire inspection was approved on 12/21/23. Ms. Bell stated that a fire inspection was conducted in recent months, but she was unable to locate the inspection form. The last sanitation inspection was conducted on 2/11/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The program’s Emergency Preparedness and Response (EPR) plan was last updated on 5/23/23 and reviewed with all staff members on 5/24/23. Lead water testing was completed on 10/10/23 without hazards. Lead paint and asbestos testing has not been completed. Please see the additional note under the consultation section. Upon arrival, I announced my presence and the purpose of the visit. When I arrived, three (3) children, two (2) to four (4) years of age, were present with two (2) staff members. A children’s TV show was on from 9:09 a.m. to approximately 9:35 a.m. Two (2) additional children, both two (2) years of age, arrived during the visit. The children played with toy vehicles, puzzles, large interlocking blocks, and pretend food. One (1) child, two (2) years of age, cried continuously due to separation anxiety. A staff member held this child throughout the morning. Interaction and supervision were adequate. I did not request a fire drill or shelter-in-place drill to be performed during the visit due to Ms. Bell’s health condition. At 10:40 am, an additional child, (1) year of age, arrived. At the same time, the child who has been crying was picked up by the parent. The child arrived at 10:40 am, according to Ms. Bell, was not officially enrolled yet and is scheduled to start on Monday. This child was dropped off because the child’s mother needed to go to an appointment. This child’s file was reviewed. The child had a medical report completed on 3/17/25, an emergency information form including the names of the parents, address, contact information. Emergency medical treatment was authorized, and the family’s preferred health care provider was also listed. The program’s discipline policy was reviewed and signed by the parent. Based on the discipline policy document, the child’s enrollment date was listed as 4/14/25. On the separate application form, the child’s health care needs as well as a person who was authorized to pick the child up were also noted. There was a note on the program’s tobacco restriction policy as well as parent participation. Five (5) children and one (1) staff member played on the playground with portable slide structure, balls and riding toys. Children and staff washed their hands when they returned from outdoor play. Lunch was served during the visit. Fish sticks, green beans, carrots, bread and milk were served. The doors to unlicensed spaces were locked. The fire/carbon monoxide alarms were in working order, and a fire extinguisher was mounted on the wall. A bottle of Clorox bleach, a can of Equate sunscreen spray, and a bottle of infants’ oral suspension pain reliever/fever reducer were stored on the top shelf of a kitchen cabinet. The kitchen area is separated by a baby gate. I had a conversation with Ms. Bell regarding the requirement for chemicals and medications to be stored in locked storage. However, the storage of Clorox bleach, sunscreen, and infant pain reliever was approved by an environmental specialist to be stored on the top shelf in the kitchen cabinet, as long as the gate to the kitchen remains closed, according to Ms. Bell. I witnessed a child opening the baby gate three (3) times during the visit for undetermined reason. The ABCMS System was reviewed for Ms. Bell and a staff member prior to this visit. Per review, criminal background check for B. Bell expired on 2/14/25. The other staff member has a valid criminal background letter, per AMCMS. No records were found on the CWA system, reviewed on 4/14/25. Two (2) staff files were monitored partially for criminal background letters and CPR/First Aid certificates. Both staff members have current CPR/First Aid certificates in their files. The program does not provide transportation but only for emergencies. 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 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. From 9:09 am to approximately 9:35 am, children's TV show was played on the television during the visit, but screen time log was not completed. .0510(d)(2)(A-C) 544 Screen time was offered to children under three years of age. From 9:09 am to approximately 9:35 am, a children's TV show was played on the television. During the period, two (2) children, two (2) years of age, were present along with one (1) child, aged three (3) and one (1) child, aged four (4). .0510(f) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last documented fire drill is dated 9/15/24. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on 12/2/24. .0605(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).B. Bell's criminal background qualification letter expired on 2/24/25. At the time of the visit, no application to renew the application had been submitted. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. Due to criminal background letter for B. Bell being expired on 2/14/25, no valid qualification letter was in her file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented shelter-in-place is dated 6/5/24. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The program's EPR is dated May 23, 2023. The staff members signed and dated for the annual review, and the date was May 24, 2023 for both staff members. .0607(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The acknowledgement form with parent signature for the program's Shaken Baby Syndrome policy was not in file for a child, who was one (1) year of age. The day of the visit was the child's first day. .0608(b)(1-6) Technical assistance was provided as follows: 524 and 544: Screen Time Screen time is permitted for children three (3) and older for maximum of thirty (30) minutes each day and no more than a total of two and a half (2 ½) hours per week. No screen time shall be offered to children two (2) years of age or younger. Upon providing any screen time to children three (3) and up, you must log the minutes on the screen time log. Refer to 10A NCAC 09 .0510. If children two (2) years of age or younger were in the group, offer separate activities for them away from the television or in a separate licensed space if enough staff members are present. If screen time is regularly offered, put the screen time log on a clipboard and place it near the television. Item #544 has been cited four (4) times since November 2022. Not maintaining compliance may be considered a pattern of non-compliance. In your compliance letter, please describe the following: • Your plan to offer screen time when children two (2) years of age and younger, were present. • Your plan to sufficiently maintain the log. 805: Fire Drill Fire drills shall be conducted if there is one (1) opening day per month, per 10A NCAC 09 .0604(t). You must document the information of each drill on the emergency drill log sheet upon completions of each drill. Conducting drills on the same day of each month, putting reminders on the phone helps you remember the day to conduct fire drills. In your compliance letter, please describe the following: • The date you completed the fire drill. Please conduct a fire drill at your earliest convenience possible. • Please verify if the fire drill you conducted was documented. • Your plan to maintain compliance for this item. 859: Playground inspection Playground inspection must be conducted monthly. Refer to 10A NCAC 09 .0605(q). Conducting an inspection on the same day of each month helps you remember the task. In your compliance letter, please include the following: • The date you completed the playground inspection. Please conduct the inspection at your earliest convenience possible. • Your plan to maintain compliance with this tiem. 1044: Renewal of criminal background check Criminal background check must be renewed prior to its expiration date per G.S. 110-90.2(b). B. Bell’s qualification letter expired on 2/14/25 based on the ABCMS system. You have fifteen (15) days to renew the criminal background check. If you do not complete the process, including fingerprinting and putting your qualification letter filed in your staff file by April 30, 2025, you must close the program until you obtain the letter. Please complete the criminal background check application at https://ncabcms.nc.gov/DCDEE/Home. Additionally, you must complete finger printing at local government office. $5-$10 fee may apply depending on your status. Only cash are accepted. You can contact Buncombe County Bureau of Identification for more information at 52 Coxe Ave. Asheville, NC 28801 and (828)250-4665. In the compliance letter, please include the following: • Your statement confirming that your criminal background check was renewed. • The issue date of your criminal background qualification letter and expiration date. • Your statement on how to maintain compliance for this item. 1757: Criminal background letter A valid qualification letter must be on file and available for review at the facility. Please re-apply for criminal background check, complete fingerprinting, print the letter and maintain it in your file. If you do not have the letter within fifteenth day (April 30, 2025), a repeat violation may be cited. Refer to G.S. 110-90.2(b). You can receive fingerprinting services at Buncombe County Bureau of Identification. You must take the application for criminal background letter to fingerprinting appointment. Appointments for fingerprinting will be processed between 8:00am-8:30am, 11:30am-1:30pm and 4:30am-5:00pm Monday-Friday. You can visit their website and complete the fingerprinting application at https://www.buncombecounty.org/governing/depts/id/default.aspx In your compliance letter, please include the following: • Your statement verifying that the criminal background letter was printed and maintained in your staff file. • Your statement on how to maintain the compliance for this item. 1811: Shelter-in-place drill A shelter-in-place drill or a lockdown drill is required every three (3) months per 10A NCAC 09 .0604(u). You must document the information of the drills on the emergency drill log as soon as you complete the drills. Please conduct a shelter-in-place or a lockdown drill as soon as possible. Conducting drills on the same day of each month, putting reminders on the phone helps you remember the day to conduct drills. In the compliance letter, please include the following: • The date you complete a shelter-in-place or a lockdown drill. Please state which drill was conducted. Please conduct the drill at your earliest convenience possible. • Your statement verifying that the drill was documented. • Your statement on how to maintain compliance for this item. 1824: Emergency Preparedness and Response (EPR) Plan The facility’s EPR plan must be reviewed and updated annually. In addition, a trained staff member shall go over the plan with all staff members annually. The document of the review shall be kept in staff file(s). Refer to 10A NCAC 09 .0607. The program’s EPR plan can be accessed at North Carolina Risk Management Portal at https://rmp.nc.gov/portal/portal.aspx In the compliance letter, please include the following: • The date you completed review and/or update of your program EPR plan on https://rmp.nc.gov/portal/portal.aspx. If no changes were made, you can print the first page of the EPR plan and maintain the page along with the current EPR plan. • If you have made changes to your EPR plan, please print the entire plan and maintain it for review. • The EPR plan must be reviewed with all staff members annually. Please state the date you reviewed the plan with your staff member. • Your statement on how to maintain compliance for this item. 1908: Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy The program’s shaken baby syndrome policy must be reviewed with parents on or before the first day of child’s attendance and the acknowledgement must be maintained in the child’s file. Refer to 10A NCAC 09 .0608(b). In the compliance letter, please include the following: • Please review the program’s shaken baby syndrome policy with the child’s parent and obtain his/her signature on the acknowledgement form as soon as possible. State the date when you acquire the signature from the parents. • Your statement verifying that the form was filed in the child’s file. • Your statement on how to maintain compliance for this item. Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following item: 106: fire inspection Even though Ms. Bell stated that the fire inspection was completed in recent months, no record of the inspection was found. Currently, the inspection completed on 12/21/23 was the only inspection presented by Ms. Bell. Please contact Buncombe County Fire department to issue you another inspection form at the earliest convenience possible. Refer to 10A NCAC 09 .0304(a). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/29/25. Email the compliance letter on signed letterhead or in 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 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: Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. For Lead-based paint and asbestos testing, please visit https://www.cleanwaterforuskids.org/en/carolina/ and complete a survey for lead-based paint and asbestos. Additional information from Clean Classroom for Carolina Kids website and left with Ms. Bell as reference. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. Fire inspection: Please contact Buncombe County Fire Department to schedule a fire inspection as soon as possible. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0604 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 6 Completed Date: 4/15/2025 Age: From 1 To 4 Total Minutes: 201 Time In: 09:09 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of 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 Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and safe environment. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. Permit type – Three Start Center License issued on 12/16/19. Special Services/Restrictions – daytime care, Meets enhanced space. The last annual compliance visit was conducted on 11/21/24. The last fire drill was logged on 9/15/24 per Emergency drill log. A violation of not conducting fire drills monthly and/or not documenting the information of each drill was cited during the annual compliance visit conducted on 11/21/24. The compliance letter was submitted by Ms. Bell on 11/26/24. Per compliance statement, Ms. Bell wrote “Fire drills are usually conducted every month, since the flood was in October it got is off schedule however, we had a fire drill Monday25 at 10:00. We will have them every month. The last shelter-in-place drill was documented on 6/5/24. A violation of not conducting a shelter-in-place or a lockdown drill and/or not documenting the information of each dill was cited during the annual compliance visit conducted on 11/21/24. The compliance letter was submitted by Ms. Bell on 11/26/24. Per compliance statement, Ms. Bell wrote “we will have shelter in place or lock down drill every three months”. The last playground inspection was documented on 12/2/24. However, the playground inspection conducted on 11/1/24 was not filled out except for the date and the name. The last fire inspection was approved on 12/21/23. Ms. Bell stated that a fire inspection was conducted in recent months, but she was unable to locate the inspection form. The last sanitation inspection was conducted on 2/11/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The program’s Emergency Preparedness and Response (EPR) plan was last updated on 5/23/23 and reviewed with all staff members on 5/24/23. Lead water testing was completed on 10/10/23 without hazards. Lead paint and asbestos testing has not been completed. Please see the additional note under the consultation section. Upon arrival, I announced my presence and the purpose of the visit. When I arrived, three (3) children, two (2) to four (4) years of age, were present with two (2) staff members. A children’s TV show was on from 9:09 a.m. to approximately 9:35 a.m. Two (2) additional children, both two (2) years of age, arrived during the visit. The children played with toy vehicles, puzzles, large interlocking blocks, and pretend food. One (1) child, two (2) years of age, cried continuously due to separation anxiety. A staff member held this child throughout the morning. Interaction and supervision were adequate. I did not request a fire drill or shelter-in-place drill to be performed during the visit due to Ms. Bell’s health condition. At 10:40 am, an additional child, (1) year of age, arrived. At the same time, the child who has been crying was picked up by the parent. The child arrived at 10:40 am, according to Ms. Bell, was not officially enrolled yet and is scheduled to start on Monday. This child was dropped off because the child’s mother needed to go to an appointment. This child’s file was reviewed. The child had a medical report completed on 3/17/25, an emergency information form including the names of the parents, address, contact information. Emergency medical treatment was authorized, and the family’s preferred health care provider was also listed. The program’s discipline policy was reviewed and signed by the parent. Based on the discipline policy document, the child’s enrollment date was listed as 4/14/25. On the separate application form, the child’s health care needs as well as a person who was authorized to pick the child up were also noted. There was a note on the program’s tobacco restriction policy as well as parent participation. Five (5) children and one (1) staff member played on the playground with portable slide structure, balls and riding toys. Children and staff washed their hands when they returned from outdoor play. Lunch was served during the visit. Fish sticks, green beans, carrots, bread and milk were served. The doors to unlicensed spaces were locked. The fire/carbon monoxide alarms were in working order, and a fire extinguisher was mounted on the wall. A bottle of Clorox bleach, a can of Equate sunscreen spray, and a bottle of infants’ oral suspension pain reliever/fever reducer were stored on the top shelf of a kitchen cabinet. The kitchen area is separated by a baby gate. I had a conversation with Ms. Bell regarding the requirement for chemicals and medications to be stored in locked storage. However, the storage of Clorox bleach, sunscreen, and infant pain reliever was approved by an environmental specialist to be stored on the top shelf in the kitchen cabinet, as long as the gate to the kitchen remains closed, according to Ms. Bell. I witnessed a child opening the baby gate three (3) times during the visit for undetermined reason. The ABCMS System was reviewed for Ms. Bell and a staff member prior to this visit. Per review, criminal background check for B. Bell expired on 2/14/25. The other staff member has a valid criminal background letter, per AMCMS. No records were found on the CWA system, reviewed on 4/14/25. Two (2) staff files were monitored partially for criminal background letters and CPR/First Aid certificates. Both staff members have current CPR/First Aid certificates in their files. The program does not provide transportation but only for emergencies. 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 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. From 9:09 am to approximately 9:35 am, children's TV show was played on the television during the visit, but screen time log was not completed. .0510(d)(2)(A-C) 544 Screen time was offered to children under three years of age. From 9:09 am to approximately 9:35 am, a children's TV show was played on the television. During the period, two (2) children, two (2) years of age, were present along with one (1) child, aged three (3) and one (1) child, aged four (4). .0510(f) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last documented fire drill is dated 9/15/24. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on 12/2/24. .0605(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).B. Bell's criminal background qualification letter expired on 2/24/25. At the time of the visit, no application to renew the application had been submitted. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. Due to criminal background letter for B. Bell being expired on 2/14/25, no valid qualification letter was in her file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented shelter-in-place is dated 6/5/24. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The program's EPR is dated May 23, 2023. The staff members signed and dated for the annual review, and the date was May 24, 2023 for both staff members. .0607(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The acknowledgement form with parent signature for the program's Shaken Baby Syndrome policy was not in file for a child, who was one (1) year of age. The day of the visit was the child's first day. .0608(b)(1-6) Technical assistance was provided as follows: 524 and 544: Screen Time Screen time is permitted for children three (3) and older for maximum of thirty (30) minutes each day and no more than a total of two and a half (2 ½) hours per week. No screen time shall be offered to children two (2) years of age or younger. Upon providing any screen time to children three (3) and up, you must log the minutes on the screen time log. Refer to 10A NCAC 09 .0510. If children two (2) years of age or younger were in the group, offer separate activities for them away from the television or in a separate licensed space if enough staff members are present. If screen time is regularly offered, put the screen time log on a clipboard and place it near the television. Item #544 has been cited four (4) times since November 2022. Not maintaining compliance may be considered a pattern of non-compliance. In your compliance letter, please describe the following: • Your plan to offer screen time when children two (2) years of age and younger, were present. • Your plan to sufficiently maintain the log. 805: Fire Drill Fire drills shall be conducted if there is one (1) opening day per month, per 10A NCAC 09 .0604(t). You must document the information of each drill on the emergency drill log sheet upon completions of each drill. Conducting drills on the same day of each month, putting reminders on the phone helps you remember the day to conduct fire drills. In your compliance letter, please describe the following: • The date you completed the fire drill. Please conduct a fire drill at your earliest convenience possible. • Please verify if the fire drill you conducted was documented. • Your plan to maintain compliance for this item. 859: Playground inspection Playground inspection must be conducted monthly. Refer to 10A NCAC 09 .0605(q). Conducting an inspection on the same day of each month helps you remember the task. In your compliance letter, please include the following: • The date you completed the playground inspection. Please conduct the inspection at your earliest convenience possible. • Your plan to maintain compliance with this tiem. 1044: Renewal of criminal background check Criminal background check must be renewed prior to its expiration date per G.S. 110-90.2(b). B. Bell’s qualification letter expired on 2/14/25 based on the ABCMS system. You have fifteen (15) days to renew the criminal background check. If you do not complete the process, including fingerprinting and putting your qualification letter filed in your staff file by April 30, 2025, you must close the program until you obtain the letter. Please complete the criminal background check application at https://ncabcms.nc.gov/DCDEE/Home. Additionally, you must complete finger printing at local government office. $5-$10 fee may apply depending on your status. Only cash are accepted. You can contact Buncombe County Bureau of Identification for more information at 52 Coxe Ave. Asheville, NC 28801 and (828)250-4665. In the compliance letter, please include the following: • Your statement confirming that your criminal background check was renewed. • The issue date of your criminal background qualification letter and expiration date. • Your statement on how to maintain compliance for this item. 1757: Criminal background letter A valid qualification letter must be on file and available for review at the facility. Please re-apply for criminal background check, complete fingerprinting, print the letter and maintain it in your file. If you do not have the letter within fifteenth day (April 30, 2025), a repeat violation may be cited. Refer to G.S. 110-90.2(b). You can receive fingerprinting services at Buncombe County Bureau of Identification. You must take the application for criminal background letter to fingerprinting appointment. Appointments for fingerprinting will be processed between 8:00am-8:30am, 11:30am-1:30pm and 4:30am-5:00pm Monday-Friday. You can visit their website and complete the fingerprinting application at https://www.buncombecounty.org/governing/depts/id/default.aspx In your compliance letter, please include the following: • Your statement verifying that the criminal background letter was printed and maintained in your staff file. • Your statement on how to maintain the compliance for this item. 1811: Shelter-in-place drill A shelter-in-place drill or a lockdown drill is required every three (3) months per 10A NCAC 09 .0604(u). You must document the information of the drills on the emergency drill log as soon as you complete the drills. Please conduct a shelter-in-place or a lockdown drill as soon as possible. Conducting drills on the same day of each month, putting reminders on the phone helps you remember the day to conduct drills. In the compliance letter, please include the following: • The date you complete a shelter-in-place or a lockdown drill. Please state which drill was conducted. Please conduct the drill at your earliest convenience possible. • Your statement verifying that the drill was documented. • Your statement on how to maintain compliance for this item. 1824: Emergency Preparedness and Response (EPR) Plan The facility’s EPR plan must be reviewed and updated annually. In addition, a trained staff member shall go over the plan with all staff members annually. The document of the review shall be kept in staff file(s). Refer to 10A NCAC 09 .0607. The program’s EPR plan can be accessed at North Carolina Risk Management Portal at https://rmp.nc.gov/portal/portal.aspx In the compliance letter, please include the following: • The date you completed review and/or update of your program EPR plan on https://rmp.nc.gov/portal/portal.aspx. If no changes were made, you can print the first page of the EPR plan and maintain the page along with the current EPR plan. • If you have made changes to your EPR plan, please print the entire plan and maintain it for review. • The EPR plan must be reviewed with all staff members annually. Please state the date you reviewed the plan with your staff member. • Your statement on how to maintain compliance for this item. 1908: Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy The program’s shaken baby syndrome policy must be reviewed with parents on or before the first day of child’s attendance and the acknowledgement must be maintained in the child’s file. Refer to 10A NCAC 09 .0608(b). In the compliance letter, please include the following: • Please review the program’s shaken baby syndrome policy with the child’s parent and obtain his/her signature on the acknowledgement form as soon as possible. State the date when you acquire the signature from the parents. • Your statement verifying that the form was filed in the child’s file. • Your statement on how to maintain compliance for this item. Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following item: 106: fire inspection Even though Ms. Bell stated that the fire inspection was completed in recent months, no record of the inspection was found. Currently, the inspection completed on 12/21/23 was the only inspection presented by Ms. Bell. Please contact Buncombe County Fire department to issue you another inspection form at the earliest convenience possible. Refer to 10A NCAC 09 .0304(a). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/29/25. Email the compliance letter on signed letterhead or in 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 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: Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. For Lead-based paint and asbestos testing, please visit https://www.cleanwaterforuskids.org/en/carolina/ and complete a survey for lead-based paint and asbestos. Additional information from Clean Classroom for Carolina Kids website and left with Ms. Bell as reference. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. Fire inspection: Please contact Buncombe County Fire Department to schedule a fire inspection as soon as possible. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0605 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 6 Completed Date: 4/15/2025 Age: From 1 To 4 Total Minutes: 201 Time In: 09:09 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of 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 Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and safe environment. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. Permit type – Three Start Center License issued on 12/16/19. Special Services/Restrictions – daytime care, Meets enhanced space. The last annual compliance visit was conducted on 11/21/24. The last fire drill was logged on 9/15/24 per Emergency drill log. A violation of not conducting fire drills monthly and/or not documenting the information of each drill was cited during the annual compliance visit conducted on 11/21/24. The compliance letter was submitted by Ms. Bell on 11/26/24. Per compliance statement, Ms. Bell wrote “Fire drills are usually conducted every month, since the flood was in October it got is off schedule however, we had a fire drill Monday25 at 10:00. We will have them every month. The last shelter-in-place drill was documented on 6/5/24. A violation of not conducting a shelter-in-place or a lockdown drill and/or not documenting the information of each dill was cited during the annual compliance visit conducted on 11/21/24. The compliance letter was submitted by Ms. Bell on 11/26/24. Per compliance statement, Ms. Bell wrote “we will have shelter in place or lock down drill every three months”. The last playground inspection was documented on 12/2/24. However, the playground inspection conducted on 11/1/24 was not filled out except for the date and the name. The last fire inspection was approved on 12/21/23. Ms. Bell stated that a fire inspection was conducted in recent months, but she was unable to locate the inspection form. The last sanitation inspection was conducted on 2/11/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The program’s Emergency Preparedness and Response (EPR) plan was last updated on 5/23/23 and reviewed with all staff members on 5/24/23. Lead water testing was completed on 10/10/23 without hazards. Lead paint and asbestos testing has not been completed. Please see the additional note under the consultation section. Upon arrival, I announced my presence and the purpose of the visit. When I arrived, three (3) children, two (2) to four (4) years of age, were present with two (2) staff members. A children’s TV show was on from 9:09 a.m. to approximately 9:35 a.m. Two (2) additional children, both two (2) years of age, arrived during the visit. The children played with toy vehicles, puzzles, large interlocking blocks, and pretend food. One (1) child, two (2) years of age, cried continuously due to separation anxiety. A staff member held this child throughout the morning. Interaction and supervision were adequate. I did not request a fire drill or shelter-in-place drill to be performed during the visit due to Ms. Bell’s health condition. At 10:40 am, an additional child, (1) year of age, arrived. At the same time, the child who has been crying was picked up by the parent. The child arrived at 10:40 am, according to Ms. Bell, was not officially enrolled yet and is scheduled to start on Monday. This child was dropped off because the child’s mother needed to go to an appointment. This child’s file was reviewed. The child had a medical report completed on 3/17/25, an emergency information form including the names of the parents, address, contact information. Emergency medical treatment was authorized, and the family’s preferred health care provider was also listed. The program’s discipline policy was reviewed and signed by the parent. Based on the discipline policy document, the child’s enrollment date was listed as 4/14/25. On the separate application form, the child’s health care needs as well as a person who was authorized to pick the child up were also noted. There was a note on the program’s tobacco restriction policy as well as parent participation. Five (5) children and one (1) staff member played on the playground with portable slide structure, balls and riding toys. Children and staff washed their hands when they returned from outdoor play. Lunch was served during the visit. Fish sticks, green beans, carrots, bread and milk were served. The doors to unlicensed spaces were locked. The fire/carbon monoxide alarms were in working order, and a fire extinguisher was mounted on the wall. A bottle of Clorox bleach, a can of Equate sunscreen spray, and a bottle of infants’ oral suspension pain reliever/fever reducer were stored on the top shelf of a kitchen cabinet. The kitchen area is separated by a baby gate. I had a conversation with Ms. Bell regarding the requirement for chemicals and medications to be stored in locked storage. However, the storage of Clorox bleach, sunscreen, and infant pain reliever was approved by an environmental specialist to be stored on the top shelf in the kitchen cabinet, as long as the gate to the kitchen remains closed, according to Ms. Bell. I witnessed a child opening the baby gate three (3) times during the visit for undetermined reason. The ABCMS System was reviewed for Ms. Bell and a staff member prior to this visit. Per review, criminal background check for B. Bell expired on 2/14/25. The other staff member has a valid criminal background letter, per AMCMS. No records were found on the CWA system, reviewed on 4/14/25. Two (2) staff files were monitored partially for criminal background letters and CPR/First Aid certificates. Both staff members have current CPR/First Aid certificates in their files. The program does not provide transportation but only for emergencies. 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 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. From 9:09 am to approximately 9:35 am, children's TV show was played on the television during the visit, but screen time log was not completed. .0510(d)(2)(A-C) 544 Screen time was offered to children under three years of age. From 9:09 am to approximately 9:35 am, a children's TV show was played on the television. During the period, two (2) children, two (2) years of age, were present along with one (1) child, aged three (3) and one (1) child, aged four (4). .0510(f) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last documented fire drill is dated 9/15/24. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on 12/2/24. .0605(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).B. Bell's criminal background qualification letter expired on 2/24/25. At the time of the visit, no application to renew the application had been submitted. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. Due to criminal background letter for B. Bell being expired on 2/14/25, no valid qualification letter was in her file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented shelter-in-place is dated 6/5/24. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The program's EPR is dated May 23, 2023. The staff members signed and dated for the annual review, and the date was May 24, 2023 for both staff members. .0607(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The acknowledgement form with parent signature for the program's Shaken Baby Syndrome policy was not in file for a child, who was one (1) year of age. The day of the visit was the child's first day. .0608(b)(1-6) Technical assistance was provided as follows: 524 and 544: Screen Time Screen time is permitted for children three (3) and older for maximum of thirty (30) minutes each day and no more than a total of two and a half (2 ½) hours per week. No screen time shall be offered to children two (2) years of age or younger. Upon providing any screen time to children three (3) and up, you must log the minutes on the screen time log. Refer to 10A NCAC 09 .0510. If children two (2) years of age or younger were in the group, offer separate activities for them away from the television or in a separate licensed space if enough staff members are present. If screen time is regularly offered, put the screen time log on a clipboard and place it near the television. Item #544 has been cited four (4) times since November 2022. Not maintaining compliance may be considered a pattern of non-compliance. In your compliance letter, please describe the following: • Your plan to offer screen time when children two (2) years of age and younger, were present. • Your plan to sufficiently maintain the log. 805: Fire Drill Fire drills shall be conducted if there is one (1) opening day per month, per 10A NCAC 09 .0604(t). You must document the information of each drill on the emergency drill log sheet upon completions of each drill. Conducting drills on the same day of each month, putting reminders on the phone helps you remember the day to conduct fire drills. In your compliance letter, please describe the following: • The date you completed the fire drill. Please conduct a fire drill at your earliest convenience possible. • Please verify if the fire drill you conducted was documented. • Your plan to maintain compliance for this item. 859: Playground inspection Playground inspection must be conducted monthly. Refer to 10A NCAC 09 .0605(q). Conducting an inspection on the same day of each month helps you remember the task. In your compliance letter, please include the following: • The date you completed the playground inspection. Please conduct the inspection at your earliest convenience possible. • Your plan to maintain compliance with this tiem. 1044: Renewal of criminal background check Criminal background check must be renewed prior to its expiration date per G.S. 110-90.2(b). B. Bell’s qualification letter expired on 2/14/25 based on the ABCMS system. You have fifteen (15) days to renew the criminal background check. If you do not complete the process, including fingerprinting and putting your qualification letter filed in your staff file by April 30, 2025, you must close the program until you obtain the letter. Please complete the criminal background check application at https://ncabcms.nc.gov/DCDEE/Home. Additionally, you must complete finger printing at local government office. $5-$10 fee may apply depending on your status. Only cash are accepted. You can contact Buncombe County Bureau of Identification for more information at 52 Coxe Ave. Asheville, NC 28801 and (828)250-4665. In the compliance letter, please include the following: • Your statement confirming that your criminal background check was renewed. • The issue date of your criminal background qualification letter and expiration date. • Your statement on how to maintain compliance for this item. 1757: Criminal background letter A valid qualification letter must be on file and available for review at the facility. Please re-apply for criminal background check, complete fingerprinting, print the letter and maintain it in your file. If you do not have the letter within fifteenth day (April 30, 2025), a repeat violation may be cited. Refer to G.S. 110-90.2(b). You can receive fingerprinting services at Buncombe County Bureau of Identification. You must take the application for criminal background letter to fingerprinting appointment. Appointments for fingerprinting will be processed between 8:00am-8:30am, 11:30am-1:30pm and 4:30am-5:00pm Monday-Friday. You can visit their website and complete the fingerprinting application at https://www.buncombecounty.org/governing/depts/id/default.aspx In your compliance letter, please include the following: • Your statement verifying that the criminal background letter was printed and maintained in your staff file. • Your statement on how to maintain the compliance for this item. 1811: Shelter-in-place drill A shelter-in-place drill or a lockdown drill is required every three (3) months per 10A NCAC 09 .0604(u). You must document the information of the drills on the emergency drill log as soon as you complete the drills. Please conduct a shelter-in-place or a lockdown drill as soon as possible. Conducting drills on the same day of each month, putting reminders on the phone helps you remember the day to conduct drills. In the compliance letter, please include the following: • The date you complete a shelter-in-place or a lockdown drill. Please state which drill was conducted. Please conduct the drill at your earliest convenience possible. • Your statement verifying that the drill was documented. • Your statement on how to maintain compliance for this item. 1824: Emergency Preparedness and Response (EPR) Plan The facility’s EPR plan must be reviewed and updated annually. In addition, a trained staff member shall go over the plan with all staff members annually. The document of the review shall be kept in staff file(s). Refer to 10A NCAC 09 .0607. The program’s EPR plan can be accessed at North Carolina Risk Management Portal at https://rmp.nc.gov/portal/portal.aspx In the compliance letter, please include the following: • The date you completed review and/or update of your program EPR plan on https://rmp.nc.gov/portal/portal.aspx. If no changes were made, you can print the first page of the EPR plan and maintain the page along with the current EPR plan. • If you have made changes to your EPR plan, please print the entire plan and maintain it for review. • The EPR plan must be reviewed with all staff members annually. Please state the date you reviewed the plan with your staff member. • Your statement on how to maintain compliance for this item. 1908: Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy The program’s shaken baby syndrome policy must be reviewed with parents on or before the first day of child’s attendance and the acknowledgement must be maintained in the child’s file. Refer to 10A NCAC 09 .0608(b). In the compliance letter, please include the following: • Please review the program’s shaken baby syndrome policy with the child’s parent and obtain his/her signature on the acknowledgement form as soon as possible. State the date when you acquire the signature from the parents. • Your statement verifying that the form was filed in the child’s file. • Your statement on how to maintain compliance for this item. Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following item: 106: fire inspection Even though Ms. Bell stated that the fire inspection was completed in recent months, no record of the inspection was found. Currently, the inspection completed on 12/21/23 was the only inspection presented by Ms. Bell. Please contact Buncombe County Fire department to issue you another inspection form at the earliest convenience possible. Refer to 10A NCAC 09 .0304(a). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/29/25. Email the compliance letter on signed letterhead or in 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 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: Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. For Lead-based paint and asbestos testing, please visit https://www.cleanwaterforuskids.org/en/carolina/ and complete a survey for lead-based paint and asbestos. Additional information from Clean Classroom for Carolina Kids website and left with Ms. Bell as reference. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. Fire inspection: Please contact Buncombe County Fire Department to schedule a fire inspection as soon as possible. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0607 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 6 Completed Date: 4/15/2025 Age: From 1 To 4 Total Minutes: 201 Time In: 09:09 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of 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 Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and safe environment. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. Permit type – Three Start Center License issued on 12/16/19. Special Services/Restrictions – daytime care, Meets enhanced space. The last annual compliance visit was conducted on 11/21/24. The last fire drill was logged on 9/15/24 per Emergency drill log. A violation of not conducting fire drills monthly and/or not documenting the information of each drill was cited during the annual compliance visit conducted on 11/21/24. The compliance letter was submitted by Ms. Bell on 11/26/24. Per compliance statement, Ms. Bell wrote “Fire drills are usually conducted every month, since the flood was in October it got is off schedule however, we had a fire drill Monday25 at 10:00. We will have them every month. The last shelter-in-place drill was documented on 6/5/24. A violation of not conducting a shelter-in-place or a lockdown drill and/or not documenting the information of each dill was cited during the annual compliance visit conducted on 11/21/24. The compliance letter was submitted by Ms. Bell on 11/26/24. Per compliance statement, Ms. Bell wrote “we will have shelter in place or lock down drill every three months”. The last playground inspection was documented on 12/2/24. However, the playground inspection conducted on 11/1/24 was not filled out except for the date and the name. The last fire inspection was approved on 12/21/23. Ms. Bell stated that a fire inspection was conducted in recent months, but she was unable to locate the inspection form. The last sanitation inspection was conducted on 2/11/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The program’s Emergency Preparedness and Response (EPR) plan was last updated on 5/23/23 and reviewed with all staff members on 5/24/23. Lead water testing was completed on 10/10/23 without hazards. Lead paint and asbestos testing has not been completed. Please see the additional note under the consultation section. Upon arrival, I announced my presence and the purpose of the visit. When I arrived, three (3) children, two (2) to four (4) years of age, were present with two (2) staff members. A children’s TV show was on from 9:09 a.m. to approximately 9:35 a.m. Two (2) additional children, both two (2) years of age, arrived during the visit. The children played with toy vehicles, puzzles, large interlocking blocks, and pretend food. One (1) child, two (2) years of age, cried continuously due to separation anxiety. A staff member held this child throughout the morning. Interaction and supervision were adequate. I did not request a fire drill or shelter-in-place drill to be performed during the visit due to Ms. Bell’s health condition. At 10:40 am, an additional child, (1) year of age, arrived. At the same time, the child who has been crying was picked up by the parent. The child arrived at 10:40 am, according to Ms. Bell, was not officially enrolled yet and is scheduled to start on Monday. This child was dropped off because the child’s mother needed to go to an appointment. This child’s file was reviewed. The child had a medical report completed on 3/17/25, an emergency information form including the names of the parents, address, contact information. Emergency medical treatment was authorized, and the family’s preferred health care provider was also listed. The program’s discipline policy was reviewed and signed by the parent. Based on the discipline policy document, the child’s enrollment date was listed as 4/14/25. On the separate application form, the child’s health care needs as well as a person who was authorized to pick the child up were also noted. There was a note on the program’s tobacco restriction policy as well as parent participation. Five (5) children and one (1) staff member played on the playground with portable slide structure, balls and riding toys. Children and staff washed their hands when they returned from outdoor play. Lunch was served during the visit. Fish sticks, green beans, carrots, bread and milk were served. The doors to unlicensed spaces were locked. The fire/carbon monoxide alarms were in working order, and a fire extinguisher was mounted on the wall. A bottle of Clorox bleach, a can of Equate sunscreen spray, and a bottle of infants’ oral suspension pain reliever/fever reducer were stored on the top shelf of a kitchen cabinet. The kitchen area is separated by a baby gate. I had a conversation with Ms. Bell regarding the requirement for chemicals and medications to be stored in locked storage. However, the storage of Clorox bleach, sunscreen, and infant pain reliever was approved by an environmental specialist to be stored on the top shelf in the kitchen cabinet, as long as the gate to the kitchen remains closed, according to Ms. Bell. I witnessed a child opening the baby gate three (3) times during the visit for undetermined reason. The ABCMS System was reviewed for Ms. Bell and a staff member prior to this visit. Per review, criminal background check for B. Bell expired on 2/14/25. The other staff member has a valid criminal background letter, per AMCMS. No records were found on the CWA system, reviewed on 4/14/25. Two (2) staff files were monitored partially for criminal background letters and CPR/First Aid certificates. Both staff members have current CPR/First Aid certificates in their files. The program does not provide transportation but only for emergencies. 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 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. From 9:09 am to approximately 9:35 am, children's TV show was played on the television during the visit, but screen time log was not completed. .0510(d)(2)(A-C) 544 Screen time was offered to children under three years of age. From 9:09 am to approximately 9:35 am, a children's TV show was played on the television. During the period, two (2) children, two (2) years of age, were present along with one (1) child, aged three (3) and one (1) child, aged four (4). .0510(f) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last documented fire drill is dated 9/15/24. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on 12/2/24. .0605(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).B. Bell's criminal background qualification letter expired on 2/24/25. At the time of the visit, no application to renew the application had been submitted. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. Due to criminal background letter for B. Bell being expired on 2/14/25, no valid qualification letter was in her file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented shelter-in-place is dated 6/5/24. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The program's EPR is dated May 23, 2023. The staff members signed and dated for the annual review, and the date was May 24, 2023 for both staff members. .0607(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The acknowledgement form with parent signature for the program's Shaken Baby Syndrome policy was not in file for a child, who was one (1) year of age. The day of the visit was the child's first day. .0608(b)(1-6) Technical assistance was provided as follows: 524 and 544: Screen Time Screen time is permitted for children three (3) and older for maximum of thirty (30) minutes each day and no more than a total of two and a half (2 ½) hours per week. No screen time shall be offered to children two (2) years of age or younger. Upon providing any screen time to children three (3) and up, you must log the minutes on the screen time log. Refer to 10A NCAC 09 .0510. If children two (2) years of age or younger were in the group, offer separate activities for them away from the television or in a separate licensed space if enough staff members are present. If screen time is regularly offered, put the screen time log on a clipboard and place it near the television. Item #544 has been cited four (4) times since November 2022. Not maintaining compliance may be considered a pattern of non-compliance. In your compliance letter, please describe the following: • Your plan to offer screen time when children two (2) years of age and younger, were present. • Your plan to sufficiently maintain the log. 805: Fire Drill Fire drills shall be conducted if there is one (1) opening day per month, per 10A NCAC 09 .0604(t). You must document the information of each drill on the emergency drill log sheet upon completions of each drill. Conducting drills on the same day of each month, putting reminders on the phone helps you remember the day to conduct fire drills. In your compliance letter, please describe the following: • The date you completed the fire drill. Please conduct a fire drill at your earliest convenience possible. • Please verify if the fire drill you conducted was documented. • Your plan to maintain compliance for this item. 859: Playground inspection Playground inspection must be conducted monthly. Refer to 10A NCAC 09 .0605(q). Conducting an inspection on the same day of each month helps you remember the task. In your compliance letter, please include the following: • The date you completed the playground inspection. Please conduct the inspection at your earliest convenience possible. • Your plan to maintain compliance with this tiem. 1044: Renewal of criminal background check Criminal background check must be renewed prior to its expiration date per G.S. 110-90.2(b). B. Bell’s qualification letter expired on 2/14/25 based on the ABCMS system. You have fifteen (15) days to renew the criminal background check. If you do not complete the process, including fingerprinting and putting your qualification letter filed in your staff file by April 30, 2025, you must close the program until you obtain the letter. Please complete the criminal background check application at https://ncabcms.nc.gov/DCDEE/Home. Additionally, you must complete finger printing at local government office. $5-$10 fee may apply depending on your status. Only cash are accepted. You can contact Buncombe County Bureau of Identification for more information at 52 Coxe Ave. Asheville, NC 28801 and (828)250-4665. In the compliance letter, please include the following: • Your statement confirming that your criminal background check was renewed. • The issue date of your criminal background qualification letter and expiration date. • Your statement on how to maintain compliance for this item. 1757: Criminal background letter A valid qualification letter must be on file and available for review at the facility. Please re-apply for criminal background check, complete fingerprinting, print the letter and maintain it in your file. If you do not have the letter within fifteenth day (April 30, 2025), a repeat violation may be cited. Refer to G.S. 110-90.2(b). You can receive fingerprinting services at Buncombe County Bureau of Identification. You must take the application for criminal background letter to fingerprinting appointment. Appointments for fingerprinting will be processed between 8:00am-8:30am, 11:30am-1:30pm and 4:30am-5:00pm Monday-Friday. You can visit their website and complete the fingerprinting application at https://www.buncombecounty.org/governing/depts/id/default.aspx In your compliance letter, please include the following: • Your statement verifying that the criminal background letter was printed and maintained in your staff file. • Your statement on how to maintain the compliance for this item. 1811: Shelter-in-place drill A shelter-in-place drill or a lockdown drill is required every three (3) months per 10A NCAC 09 .0604(u). You must document the information of the drills on the emergency drill log as soon as you complete the drills. Please conduct a shelter-in-place or a lockdown drill as soon as possible. Conducting drills on the same day of each month, putting reminders on the phone helps you remember the day to conduct drills. In the compliance letter, please include the following: • The date you complete a shelter-in-place or a lockdown drill. Please state which drill was conducted. Please conduct the drill at your earliest convenience possible. • Your statement verifying that the drill was documented. • Your statement on how to maintain compliance for this item. 1824: Emergency Preparedness and Response (EPR) Plan The facility’s EPR plan must be reviewed and updated annually. In addition, a trained staff member shall go over the plan with all staff members annually. The document of the review shall be kept in staff file(s). Refer to 10A NCAC 09 .0607. The program’s EPR plan can be accessed at North Carolina Risk Management Portal at https://rmp.nc.gov/portal/portal.aspx In the compliance letter, please include the following: • The date you completed review and/or update of your program EPR plan on https://rmp.nc.gov/portal/portal.aspx. If no changes were made, you can print the first page of the EPR plan and maintain the page along with the current EPR plan. • If you have made changes to your EPR plan, please print the entire plan and maintain it for review. • The EPR plan must be reviewed with all staff members annually. Please state the date you reviewed the plan with your staff member. • Your statement on how to maintain compliance for this item. 1908: Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy The program’s shaken baby syndrome policy must be reviewed with parents on or before the first day of child’s attendance and the acknowledgement must be maintained in the child’s file. Refer to 10A NCAC 09 .0608(b). In the compliance letter, please include the following: • Please review the program’s shaken baby syndrome policy with the child’s parent and obtain his/her signature on the acknowledgement form as soon as possible. State the date when you acquire the signature from the parents. • Your statement verifying that the form was filed in the child’s file. • Your statement on how to maintain compliance for this item. Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following item: 106: fire inspection Even though Ms. Bell stated that the fire inspection was completed in recent months, no record of the inspection was found. Currently, the inspection completed on 12/21/23 was the only inspection presented by Ms. Bell. Please contact Buncombe County Fire department to issue you another inspection form at the earliest convenience possible. Refer to 10A NCAC 09 .0304(a). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/29/25. Email the compliance letter on signed letterhead or in 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 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: Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. For Lead-based paint and asbestos testing, please visit https://www.cleanwaterforuskids.org/en/carolina/ and complete a survey for lead-based paint and asbestos. Additional information from Clean Classroom for Carolina Kids website and left with Ms. Bell as reference. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. Fire inspection: Please contact Buncombe County Fire Department to schedule a fire inspection as soon as possible. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0608 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 6 Completed Date: 4/15/2025 Age: From 1 To 4 Total Minutes: 201 Time In: 09:09 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of 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 Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and safe environment. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. Permit type – Three Start Center License issued on 12/16/19. Special Services/Restrictions – daytime care, Meets enhanced space. The last annual compliance visit was conducted on 11/21/24. The last fire drill was logged on 9/15/24 per Emergency drill log. A violation of not conducting fire drills monthly and/or not documenting the information of each drill was cited during the annual compliance visit conducted on 11/21/24. The compliance letter was submitted by Ms. Bell on 11/26/24. Per compliance statement, Ms. Bell wrote “Fire drills are usually conducted every month, since the flood was in October it got is off schedule however, we had a fire drill Monday25 at 10:00. We will have them every month. The last shelter-in-place drill was documented on 6/5/24. A violation of not conducting a shelter-in-place or a lockdown drill and/or not documenting the information of each dill was cited during the annual compliance visit conducted on 11/21/24. The compliance letter was submitted by Ms. Bell on 11/26/24. Per compliance statement, Ms. Bell wrote “we will have shelter in place or lock down drill every three months”. The last playground inspection was documented on 12/2/24. However, the playground inspection conducted on 11/1/24 was not filled out except for the date and the name. The last fire inspection was approved on 12/21/23. Ms. Bell stated that a fire inspection was conducted in recent months, but she was unable to locate the inspection form. The last sanitation inspection was conducted on 2/11/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The program’s Emergency Preparedness and Response (EPR) plan was last updated on 5/23/23 and reviewed with all staff members on 5/24/23. Lead water testing was completed on 10/10/23 without hazards. Lead paint and asbestos testing has not been completed. Please see the additional note under the consultation section. Upon arrival, I announced my presence and the purpose of the visit. When I arrived, three (3) children, two (2) to four (4) years of age, were present with two (2) staff members. A children’s TV show was on from 9:09 a.m. to approximately 9:35 a.m. Two (2) additional children, both two (2) years of age, arrived during the visit. The children played with toy vehicles, puzzles, large interlocking blocks, and pretend food. One (1) child, two (2) years of age, cried continuously due to separation anxiety. A staff member held this child throughout the morning. Interaction and supervision were adequate. I did not request a fire drill or shelter-in-place drill to be performed during the visit due to Ms. Bell’s health condition. At 10:40 am, an additional child, (1) year of age, arrived. At the same time, the child who has been crying was picked up by the parent. The child arrived at 10:40 am, according to Ms. Bell, was not officially enrolled yet and is scheduled to start on Monday. This child was dropped off because the child’s mother needed to go to an appointment. This child’s file was reviewed. The child had a medical report completed on 3/17/25, an emergency information form including the names of the parents, address, contact information. Emergency medical treatment was authorized, and the family’s preferred health care provider was also listed. The program’s discipline policy was reviewed and signed by the parent. Based on the discipline policy document, the child’s enrollment date was listed as 4/14/25. On the separate application form, the child’s health care needs as well as a person who was authorized to pick the child up were also noted. There was a note on the program’s tobacco restriction policy as well as parent participation. Five (5) children and one (1) staff member played on the playground with portable slide structure, balls and riding toys. Children and staff washed their hands when they returned from outdoor play. Lunch was served during the visit. Fish sticks, green beans, carrots, bread and milk were served. The doors to unlicensed spaces were locked. The fire/carbon monoxide alarms were in working order, and a fire extinguisher was mounted on the wall. A bottle of Clorox bleach, a can of Equate sunscreen spray, and a bottle of infants’ oral suspension pain reliever/fever reducer were stored on the top shelf of a kitchen cabinet. The kitchen area is separated by a baby gate. I had a conversation with Ms. Bell regarding the requirement for chemicals and medications to be stored in locked storage. However, the storage of Clorox bleach, sunscreen, and infant pain reliever was approved by an environmental specialist to be stored on the top shelf in the kitchen cabinet, as long as the gate to the kitchen remains closed, according to Ms. Bell. I witnessed a child opening the baby gate three (3) times during the visit for undetermined reason. The ABCMS System was reviewed for Ms. Bell and a staff member prior to this visit. Per review, criminal background check for B. Bell expired on 2/14/25. The other staff member has a valid criminal background letter, per AMCMS. No records were found on the CWA system, reviewed on 4/14/25. Two (2) staff files were monitored partially for criminal background letters and CPR/First Aid certificates. Both staff members have current CPR/First Aid certificates in their files. The program does not provide transportation but only for emergencies. 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 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. From 9:09 am to approximately 9:35 am, children's TV show was played on the television during the visit, but screen time log was not completed. .0510(d)(2)(A-C) 544 Screen time was offered to children under three years of age. From 9:09 am to approximately 9:35 am, a children's TV show was played on the television. During the period, two (2) children, two (2) years of age, were present along with one (1) child, aged three (3) and one (1) child, aged four (4). .0510(f) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last documented fire drill is dated 9/15/24. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on 12/2/24. .0605(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).B. Bell's criminal background qualification letter expired on 2/24/25. At the time of the visit, no application to renew the application had been submitted. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. Due to criminal background letter for B. Bell being expired on 2/14/25, no valid qualification letter was in her file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented shelter-in-place is dated 6/5/24. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The program's EPR is dated May 23, 2023. The staff members signed and dated for the annual review, and the date was May 24, 2023 for both staff members. .0607(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The acknowledgement form with parent signature for the program's Shaken Baby Syndrome policy was not in file for a child, who was one (1) year of age. The day of the visit was the child's first day. .0608(b)(1-6) Technical assistance was provided as follows: 524 and 544: Screen Time Screen time is permitted for children three (3) and older for maximum of thirty (30) minutes each day and no more than a total of two and a half (2 ½) hours per week. No screen time shall be offered to children two (2) years of age or younger. Upon providing any screen time to children three (3) and up, you must log the minutes on the screen time log. Refer to 10A NCAC 09 .0510. If children two (2) years of age or younger were in the group, offer separate activities for them away from the television or in a separate licensed space if enough staff members are present. If screen time is regularly offered, put the screen time log on a clipboard and place it near the television. Item #544 has been cited four (4) times since November 2022. Not maintaining compliance may be considered a pattern of non-compliance. In your compliance letter, please describe the following: • Your plan to offer screen time when children two (2) years of age and younger, were present. • Your plan to sufficiently maintain the log. 805: Fire Drill Fire drills shall be conducted if there is one (1) opening day per month, per 10A NCAC 09 .0604(t). You must document the information of each drill on the emergency drill log sheet upon completions of each drill. Conducting drills on the same day of each month, putting reminders on the phone helps you remember the day to conduct fire drills. In your compliance letter, please describe the following: • The date you completed the fire drill. Please conduct a fire drill at your earliest convenience possible. • Please verify if the fire drill you conducted was documented. • Your plan to maintain compliance for this item. 859: Playground inspection Playground inspection must be conducted monthly. Refer to 10A NCAC 09 .0605(q). Conducting an inspection on the same day of each month helps you remember the task. In your compliance letter, please include the following: • The date you completed the playground inspection. Please conduct the inspection at your earliest convenience possible. • Your plan to maintain compliance with this tiem. 1044: Renewal of criminal background check Criminal background check must be renewed prior to its expiration date per G.S. 110-90.2(b). B. Bell’s qualification letter expired on 2/14/25 based on the ABCMS system. You have fifteen (15) days to renew the criminal background check. If you do not complete the process, including fingerprinting and putting your qualification letter filed in your staff file by April 30, 2025, you must close the program until you obtain the letter. Please complete the criminal background check application at https://ncabcms.nc.gov/DCDEE/Home. Additionally, you must complete finger printing at local government office. $5-$10 fee may apply depending on your status. Only cash are accepted. You can contact Buncombe County Bureau of Identification for more information at 52 Coxe Ave. Asheville, NC 28801 and (828)250-4665. In the compliance letter, please include the following: • Your statement confirming that your criminal background check was renewed. • The issue date of your criminal background qualification letter and expiration date. • Your statement on how to maintain compliance for this item. 1757: Criminal background letter A valid qualification letter must be on file and available for review at the facility. Please re-apply for criminal background check, complete fingerprinting, print the letter and maintain it in your file. If you do not have the letter within fifteenth day (April 30, 2025), a repeat violation may be cited. Refer to G.S. 110-90.2(b). You can receive fingerprinting services at Buncombe County Bureau of Identification. You must take the application for criminal background letter to fingerprinting appointment. Appointments for fingerprinting will be processed between 8:00am-8:30am, 11:30am-1:30pm and 4:30am-5:00pm Monday-Friday. You can visit their website and complete the fingerprinting application at https://www.buncombecounty.org/governing/depts/id/default.aspx In your compliance letter, please include the following: • Your statement verifying that the criminal background letter was printed and maintained in your staff file. • Your statement on how to maintain the compliance for this item. 1811: Shelter-in-place drill A shelter-in-place drill or a lockdown drill is required every three (3) months per 10A NCAC 09 .0604(u). You must document the information of the drills on the emergency drill log as soon as you complete the drills. Please conduct a shelter-in-place or a lockdown drill as soon as possible. Conducting drills on the same day of each month, putting reminders on the phone helps you remember the day to conduct drills. In the compliance letter, please include the following: • The date you complete a shelter-in-place or a lockdown drill. Please state which drill was conducted. Please conduct the drill at your earliest convenience possible. • Your statement verifying that the drill was documented. • Your statement on how to maintain compliance for this item. 1824: Emergency Preparedness and Response (EPR) Plan The facility’s EPR plan must be reviewed and updated annually. In addition, a trained staff member shall go over the plan with all staff members annually. The document of the review shall be kept in staff file(s). Refer to 10A NCAC 09 .0607. The program’s EPR plan can be accessed at North Carolina Risk Management Portal at https://rmp.nc.gov/portal/portal.aspx In the compliance letter, please include the following: • The date you completed review and/or update of your program EPR plan on https://rmp.nc.gov/portal/portal.aspx. If no changes were made, you can print the first page of the EPR plan and maintain the page along with the current EPR plan. • If you have made changes to your EPR plan, please print the entire plan and maintain it for review. • The EPR plan must be reviewed with all staff members annually. Please state the date you reviewed the plan with your staff member. • Your statement on how to maintain compliance for this item. 1908: Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy The program’s shaken baby syndrome policy must be reviewed with parents on or before the first day of child’s attendance and the acknowledgement must be maintained in the child’s file. Refer to 10A NCAC 09 .0608(b). In the compliance letter, please include the following: • Please review the program’s shaken baby syndrome policy with the child’s parent and obtain his/her signature on the acknowledgement form as soon as possible. State the date when you acquire the signature from the parents. • Your statement verifying that the form was filed in the child’s file. • Your statement on how to maintain compliance for this item. Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following item: 106: fire inspection Even though Ms. Bell stated that the fire inspection was completed in recent months, no record of the inspection was found. Currently, the inspection completed on 12/21/23 was the only inspection presented by Ms. Bell. Please contact Buncombe County Fire department to issue you another inspection form at the earliest convenience possible. Refer to 10A NCAC 09 .0304(a). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/29/25. Email the compliance letter on signed letterhead or in 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 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: Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. For Lead-based paint and asbestos testing, please visit https://www.cleanwaterforuskids.org/en/carolina/ and complete a survey for lead-based paint and asbestos. Additional information from Clean Classroom for Carolina Kids website and left with Ms. Bell as reference. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. Fire inspection: Please contact Buncombe County Fire Department to schedule a fire inspection as soon as possible. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 6 Completed Date: 4/15/2025 Age: From 1 To 4 Total Minutes: 201 Time In: 09:09 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of 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 Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and safe environment. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. Permit type – Three Start Center License issued on 12/16/19. Special Services/Restrictions – daytime care, Meets enhanced space. The last annual compliance visit was conducted on 11/21/24. The last fire drill was logged on 9/15/24 per Emergency drill log. A violation of not conducting fire drills monthly and/or not documenting the information of each drill was cited during the annual compliance visit conducted on 11/21/24. The compliance letter was submitted by Ms. Bell on 11/26/24. Per compliance statement, Ms. Bell wrote “Fire drills are usually conducted every month, since the flood was in October it got is off schedule however, we had a fire drill Monday25 at 10:00. We will have them every month. The last shelter-in-place drill was documented on 6/5/24. A violation of not conducting a shelter-in-place or a lockdown drill and/or not documenting the information of each dill was cited during the annual compliance visit conducted on 11/21/24. The compliance letter was submitted by Ms. Bell on 11/26/24. Per compliance statement, Ms. Bell wrote “we will have shelter in place or lock down drill every three months”. The last playground inspection was documented on 12/2/24. However, the playground inspection conducted on 11/1/24 was not filled out except for the date and the name. The last fire inspection was approved on 12/21/23. Ms. Bell stated that a fire inspection was conducted in recent months, but she was unable to locate the inspection form. The last sanitation inspection was conducted on 2/11/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The program’s Emergency Preparedness and Response (EPR) plan was last updated on 5/23/23 and reviewed with all staff members on 5/24/23. Lead water testing was completed on 10/10/23 without hazards. Lead paint and asbestos testing has not been completed. Please see the additional note under the consultation section. Upon arrival, I announced my presence and the purpose of the visit. When I arrived, three (3) children, two (2) to four (4) years of age, were present with two (2) staff members. A children’s TV show was on from 9:09 a.m. to approximately 9:35 a.m. Two (2) additional children, both two (2) years of age, arrived during the visit. The children played with toy vehicles, puzzles, large interlocking blocks, and pretend food. One (1) child, two (2) years of age, cried continuously due to separation anxiety. A staff member held this child throughout the morning. Interaction and supervision were adequate. I did not request a fire drill or shelter-in-place drill to be performed during the visit due to Ms. Bell’s health condition. At 10:40 am, an additional child, (1) year of age, arrived. At the same time, the child who has been crying was picked up by the parent. The child arrived at 10:40 am, according to Ms. Bell, was not officially enrolled yet and is scheduled to start on Monday. This child was dropped off because the child’s mother needed to go to an appointment. This child’s file was reviewed. The child had a medical report completed on 3/17/25, an emergency information form including the names of the parents, address, contact information. Emergency medical treatment was authorized, and the family’s preferred health care provider was also listed. The program’s discipline policy was reviewed and signed by the parent. Based on the discipline policy document, the child’s enrollment date was listed as 4/14/25. On the separate application form, the child’s health care needs as well as a person who was authorized to pick the child up were also noted. There was a note on the program’s tobacco restriction policy as well as parent participation. Five (5) children and one (1) staff member played on the playground with portable slide structure, balls and riding toys. Children and staff washed their hands when they returned from outdoor play. Lunch was served during the visit. Fish sticks, green beans, carrots, bread and milk were served. The doors to unlicensed spaces were locked. The fire/carbon monoxide alarms were in working order, and a fire extinguisher was mounted on the wall. A bottle of Clorox bleach, a can of Equate sunscreen spray, and a bottle of infants’ oral suspension pain reliever/fever reducer were stored on the top shelf of a kitchen cabinet. The kitchen area is separated by a baby gate. I had a conversation with Ms. Bell regarding the requirement for chemicals and medications to be stored in locked storage. However, the storage of Clorox bleach, sunscreen, and infant pain reliever was approved by an environmental specialist to be stored on the top shelf in the kitchen cabinet, as long as the gate to the kitchen remains closed, according to Ms. Bell. I witnessed a child opening the baby gate three (3) times during the visit for undetermined reason. The ABCMS System was reviewed for Ms. Bell and a staff member prior to this visit. Per review, criminal background check for B. Bell expired on 2/14/25. The other staff member has a valid criminal background letter, per AMCMS. No records were found on the CWA system, reviewed on 4/14/25. Two (2) staff files were monitored partially for criminal background letters and CPR/First Aid certificates. Both staff members have current CPR/First Aid certificates in their files. The program does not provide transportation but only for emergencies. 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 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. From 9:09 am to approximately 9:35 am, children's TV show was played on the television during the visit, but screen time log was not completed. .0510(d)(2)(A-C) 544 Screen time was offered to children under three years of age. From 9:09 am to approximately 9:35 am, a children's TV show was played on the television. During the period, two (2) children, two (2) years of age, were present along with one (1) child, aged three (3) and one (1) child, aged four (4). .0510(f) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last documented fire drill is dated 9/15/24. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on 12/2/24. .0605(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).B. Bell's criminal background qualification letter expired on 2/24/25. At the time of the visit, no application to renew the application had been submitted. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. Due to criminal background letter for B. Bell being expired on 2/14/25, no valid qualification letter was in her file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented shelter-in-place is dated 6/5/24. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The program's EPR is dated May 23, 2023. The staff members signed and dated for the annual review, and the date was May 24, 2023 for both staff members. .0607(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The acknowledgement form with parent signature for the program's Shaken Baby Syndrome policy was not in file for a child, who was one (1) year of age. The day of the visit was the child's first day. .0608(b)(1-6) Technical assistance was provided as follows: 524 and 544: Screen Time Screen time is permitted for children three (3) and older for maximum of thirty (30) minutes each day and no more than a total of two and a half (2 ½) hours per week. No screen time shall be offered to children two (2) years of age or younger. Upon providing any screen time to children three (3) and up, you must log the minutes on the screen time log. Refer to 10A NCAC 09 .0510. If children two (2) years of age or younger were in the group, offer separate activities for them away from the television or in a separate licensed space if enough staff members are present. If screen time is regularly offered, put the screen time log on a clipboard and place it near the television. Item #544 has been cited four (4) times since November 2022. Not maintaining compliance may be considered a pattern of non-compliance. In your compliance letter, please describe the following: • Your plan to offer screen time when children two (2) years of age and younger, were present. • Your plan to sufficiently maintain the log. 805: Fire Drill Fire drills shall be conducted if there is one (1) opening day per month, per 10A NCAC 09 .0604(t). You must document the information of each drill on the emergency drill log sheet upon completions of each drill. Conducting drills on the same day of each month, putting reminders on the phone helps you remember the day to conduct fire drills. In your compliance letter, please describe the following: • The date you completed the fire drill. Please conduct a fire drill at your earliest convenience possible. • Please verify if the fire drill you conducted was documented. • Your plan to maintain compliance for this item. 859: Playground inspection Playground inspection must be conducted monthly. Refer to 10A NCAC 09 .0605(q). Conducting an inspection on the same day of each month helps you remember the task. In your compliance letter, please include the following: • The date you completed the playground inspection. Please conduct the inspection at your earliest convenience possible. • Your plan to maintain compliance with this tiem. 1044: Renewal of criminal background check Criminal background check must be renewed prior to its expiration date per G.S. 110-90.2(b). B. Bell’s qualification letter expired on 2/14/25 based on the ABCMS system. You have fifteen (15) days to renew the criminal background check. If you do not complete the process, including fingerprinting and putting your qualification letter filed in your staff file by April 30, 2025, you must close the program until you obtain the letter. Please complete the criminal background check application at https://ncabcms.nc.gov/DCDEE/Home. Additionally, you must complete finger printing at local government office. $5-$10 fee may apply depending on your status. Only cash are accepted. You can contact Buncombe County Bureau of Identification for more information at 52 Coxe Ave. Asheville, NC 28801 and (828)250-4665. In the compliance letter, please include the following: • Your statement confirming that your criminal background check was renewed. • The issue date of your criminal background qualification letter and expiration date. • Your statement on how to maintain compliance for this item. 1757: Criminal background letter A valid qualification letter must be on file and available for review at the facility. Please re-apply for criminal background check, complete fingerprinting, print the letter and maintain it in your file. If you do not have the letter within fifteenth day (April 30, 2025), a repeat violation may be cited. Refer to G.S. 110-90.2(b). You can receive fingerprinting services at Buncombe County Bureau of Identification. You must take the application for criminal background letter to fingerprinting appointment. Appointments for fingerprinting will be processed between 8:00am-8:30am, 11:30am-1:30pm and 4:30am-5:00pm Monday-Friday. You can visit their website and complete the fingerprinting application at https://www.buncombecounty.org/governing/depts/id/default.aspx In your compliance letter, please include the following: • Your statement verifying that the criminal background letter was printed and maintained in your staff file. • Your statement on how to maintain the compliance for this item. 1811: Shelter-in-place drill A shelter-in-place drill or a lockdown drill is required every three (3) months per 10A NCAC 09 .0604(u). You must document the information of the drills on the emergency drill log as soon as you complete the drills. Please conduct a shelter-in-place or a lockdown drill as soon as possible. Conducting drills on the same day of each month, putting reminders on the phone helps you remember the day to conduct drills. In the compliance letter, please include the following: • The date you complete a shelter-in-place or a lockdown drill. Please state which drill was conducted. Please conduct the drill at your earliest convenience possible. • Your statement verifying that the drill was documented. • Your statement on how to maintain compliance for this item. 1824: Emergency Preparedness and Response (EPR) Plan The facility’s EPR plan must be reviewed and updated annually. In addition, a trained staff member shall go over the plan with all staff members annually. The document of the review shall be kept in staff file(s). Refer to 10A NCAC 09 .0607. The program’s EPR plan can be accessed at North Carolina Risk Management Portal at https://rmp.nc.gov/portal/portal.aspx In the compliance letter, please include the following: • The date you completed review and/or update of your program EPR plan on https://rmp.nc.gov/portal/portal.aspx. If no changes were made, you can print the first page of the EPR plan and maintain the page along with the current EPR plan. • If you have made changes to your EPR plan, please print the entire plan and maintain it for review. • The EPR plan must be reviewed with all staff members annually. Please state the date you reviewed the plan with your staff member. • Your statement on how to maintain compliance for this item. 1908: Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy The program’s shaken baby syndrome policy must be reviewed with parents on or before the first day of child’s attendance and the acknowledgement must be maintained in the child’s file. Refer to 10A NCAC 09 .0608(b). In the compliance letter, please include the following: • Please review the program’s shaken baby syndrome policy with the child’s parent and obtain his/her signature on the acknowledgement form as soon as possible. State the date when you acquire the signature from the parents. • Your statement verifying that the form was filed in the child’s file. • Your statement on how to maintain compliance for this item. Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following item: 106: fire inspection Even though Ms. Bell stated that the fire inspection was completed in recent months, no record of the inspection was found. Currently, the inspection completed on 12/21/23 was the only inspection presented by Ms. Bell. Please contact Buncombe County Fire department to issue you another inspection form at the earliest convenience possible. Refer to 10A NCAC 09 .0304(a). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/29/25. Email the compliance letter on signed letterhead or in 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 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: Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. For Lead-based paint and asbestos testing, please visit https://www.cleanwaterforuskids.org/en/carolina/ and complete a survey for lead-based paint and asbestos. Additional information from Clean Classroom for Carolina Kids website and left with Ms. Bell as reference. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. Fire inspection: Please contact Buncombe County Fire Department to schedule a fire inspection as soon as possible. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 6 Completed Date: 4/15/2025 Age: From 1 To 4 Total Minutes: 201 Time In: 09:09 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of 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 Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and safe environment. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. Permit type – Three Start Center License issued on 12/16/19. Special Services/Restrictions – daytime care, Meets enhanced space. The last annual compliance visit was conducted on 11/21/24. The last fire drill was logged on 9/15/24 per Emergency drill log. A violation of not conducting fire drills monthly and/or not documenting the information of each drill was cited during the annual compliance visit conducted on 11/21/24. The compliance letter was submitted by Ms. Bell on 11/26/24. Per compliance statement, Ms. Bell wrote “Fire drills are usually conducted every month, since the flood was in October it got is off schedule however, we had a fire drill Monday25 at 10:00. We will have them every month. The last shelter-in-place drill was documented on 6/5/24. A violation of not conducting a shelter-in-place or a lockdown drill and/or not documenting the information of each dill was cited during the annual compliance visit conducted on 11/21/24. The compliance letter was submitted by Ms. Bell on 11/26/24. Per compliance statement, Ms. Bell wrote “we will have shelter in place or lock down drill every three months”. The last playground inspection was documented on 12/2/24. However, the playground inspection conducted on 11/1/24 was not filled out except for the date and the name. The last fire inspection was approved on 12/21/23. Ms. Bell stated that a fire inspection was conducted in recent months, but she was unable to locate the inspection form. The last sanitation inspection was conducted on 2/11/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The program’s Emergency Preparedness and Response (EPR) plan was last updated on 5/23/23 and reviewed with all staff members on 5/24/23. Lead water testing was completed on 10/10/23 without hazards. Lead paint and asbestos testing has not been completed. Please see the additional note under the consultation section. Upon arrival, I announced my presence and the purpose of the visit. When I arrived, three (3) children, two (2) to four (4) years of age, were present with two (2) staff members. A children’s TV show was on from 9:09 a.m. to approximately 9:35 a.m. Two (2) additional children, both two (2) years of age, arrived during the visit. The children played with toy vehicles, puzzles, large interlocking blocks, and pretend food. One (1) child, two (2) years of age, cried continuously due to separation anxiety. A staff member held this child throughout the morning. Interaction and supervision were adequate. I did not request a fire drill or shelter-in-place drill to be performed during the visit due to Ms. Bell’s health condition. At 10:40 am, an additional child, (1) year of age, arrived. At the same time, the child who has been crying was picked up by the parent. The child arrived at 10:40 am, according to Ms. Bell, was not officially enrolled yet and is scheduled to start on Monday. This child was dropped off because the child’s mother needed to go to an appointment. This child’s file was reviewed. The child had a medical report completed on 3/17/25, an emergency information form including the names of the parents, address, contact information. Emergency medical treatment was authorized, and the family’s preferred health care provider was also listed. The program’s discipline policy was reviewed and signed by the parent. Based on the discipline policy document, the child’s enrollment date was listed as 4/14/25. On the separate application form, the child’s health care needs as well as a person who was authorized to pick the child up were also noted. There was a note on the program’s tobacco restriction policy as well as parent participation. Five (5) children and one (1) staff member played on the playground with portable slide structure, balls and riding toys. Children and staff washed their hands when they returned from outdoor play. Lunch was served during the visit. Fish sticks, green beans, carrots, bread and milk were served. The doors to unlicensed spaces were locked. The fire/carbon monoxide alarms were in working order, and a fire extinguisher was mounted on the wall. A bottle of Clorox bleach, a can of Equate sunscreen spray, and a bottle of infants’ oral suspension pain reliever/fever reducer were stored on the top shelf of a kitchen cabinet. The kitchen area is separated by a baby gate. I had a conversation with Ms. Bell regarding the requirement for chemicals and medications to be stored in locked storage. However, the storage of Clorox bleach, sunscreen, and infant pain reliever was approved by an environmental specialist to be stored on the top shelf in the kitchen cabinet, as long as the gate to the kitchen remains closed, according to Ms. Bell. I witnessed a child opening the baby gate three (3) times during the visit for undetermined reason. The ABCMS System was reviewed for Ms. Bell and a staff member prior to this visit. Per review, criminal background check for B. Bell expired on 2/14/25. The other staff member has a valid criminal background letter, per AMCMS. No records were found on the CWA system, reviewed on 4/14/25. Two (2) staff files were monitored partially for criminal background letters and CPR/First Aid certificates. Both staff members have current CPR/First Aid certificates in their files. The program does not provide transportation but only for emergencies. 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 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. From 9:09 am to approximately 9:35 am, children's TV show was played on the television during the visit, but screen time log was not completed. .0510(d)(2)(A-C) 544 Screen time was offered to children under three years of age. From 9:09 am to approximately 9:35 am, a children's TV show was played on the television. During the period, two (2) children, two (2) years of age, were present along with one (1) child, aged three (3) and one (1) child, aged four (4). .0510(f) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last documented fire drill is dated 9/15/24. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on 12/2/24. .0605(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).B. Bell's criminal background qualification letter expired on 2/24/25. At the time of the visit, no application to renew the application had been submitted. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. Due to criminal background letter for B. Bell being expired on 2/14/25, no valid qualification letter was in her file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented shelter-in-place is dated 6/5/24. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The program's EPR is dated May 23, 2023. The staff members signed and dated for the annual review, and the date was May 24, 2023 for both staff members. .0607(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The acknowledgement form with parent signature for the program's Shaken Baby Syndrome policy was not in file for a child, who was one (1) year of age. The day of the visit was the child's first day. .0608(b)(1-6) Technical assistance was provided as follows: 524 and 544: Screen Time Screen time is permitted for children three (3) and older for maximum of thirty (30) minutes each day and no more than a total of two and a half (2 ½) hours per week. No screen time shall be offered to children two (2) years of age or younger. Upon providing any screen time to children three (3) and up, you must log the minutes on the screen time log. Refer to 10A NCAC 09 .0510. If children two (2) years of age or younger were in the group, offer separate activities for them away from the television or in a separate licensed space if enough staff members are present. If screen time is regularly offered, put the screen time log on a clipboard and place it near the television. Item #544 has been cited four (4) times since November 2022. Not maintaining compliance may be considered a pattern of non-compliance. In your compliance letter, please describe the following: • Your plan to offer screen time when children two (2) years of age and younger, were present. • Your plan to sufficiently maintain the log. 805: Fire Drill Fire drills shall be conducted if there is one (1) opening day per month, per 10A NCAC 09 .0604(t). You must document the information of each drill on the emergency drill log sheet upon completions of each drill. Conducting drills on the same day of each month, putting reminders on the phone helps you remember the day to conduct fire drills. In your compliance letter, please describe the following: • The date you completed the fire drill. Please conduct a fire drill at your earliest convenience possible. • Please verify if the fire drill you conducted was documented. • Your plan to maintain compliance for this item. 859: Playground inspection Playground inspection must be conducted monthly. Refer to 10A NCAC 09 .0605(q). Conducting an inspection on the same day of each month helps you remember the task. In your compliance letter, please include the following: • The date you completed the playground inspection. Please conduct the inspection at your earliest convenience possible. • Your plan to maintain compliance with this tiem. 1044: Renewal of criminal background check Criminal background check must be renewed prior to its expiration date per G.S. 110-90.2(b). B. Bell’s qualification letter expired on 2/14/25 based on the ABCMS system. You have fifteen (15) days to renew the criminal background check. If you do not complete the process, including fingerprinting and putting your qualification letter filed in your staff file by April 30, 2025, you must close the program until you obtain the letter. Please complete the criminal background check application at https://ncabcms.nc.gov/DCDEE/Home. Additionally, you must complete finger printing at local government office. $5-$10 fee may apply depending on your status. Only cash are accepted. You can contact Buncombe County Bureau of Identification for more information at 52 Coxe Ave. Asheville, NC 28801 and (828)250-4665. In the compliance letter, please include the following: • Your statement confirming that your criminal background check was renewed. • The issue date of your criminal background qualification letter and expiration date. • Your statement on how to maintain compliance for this item. 1757: Criminal background letter A valid qualification letter must be on file and available for review at the facility. Please re-apply for criminal background check, complete fingerprinting, print the letter and maintain it in your file. If you do not have the letter within fifteenth day (April 30, 2025), a repeat violation may be cited. Refer to G.S. 110-90.2(b). You can receive fingerprinting services at Buncombe County Bureau of Identification. You must take the application for criminal background letter to fingerprinting appointment. Appointments for fingerprinting will be processed between 8:00am-8:30am, 11:30am-1:30pm and 4:30am-5:00pm Monday-Friday. You can visit their website and complete the fingerprinting application at https://www.buncombecounty.org/governing/depts/id/default.aspx In your compliance letter, please include the following: • Your statement verifying that the criminal background letter was printed and maintained in your staff file. • Your statement on how to maintain the compliance for this item. 1811: Shelter-in-place drill A shelter-in-place drill or a lockdown drill is required every three (3) months per 10A NCAC 09 .0604(u). You must document the information of the drills on the emergency drill log as soon as you complete the drills. Please conduct a shelter-in-place or a lockdown drill as soon as possible. Conducting drills on the same day of each month, putting reminders on the phone helps you remember the day to conduct drills. In the compliance letter, please include the following: • The date you complete a shelter-in-place or a lockdown drill. Please state which drill was conducted. Please conduct the drill at your earliest convenience possible. • Your statement verifying that the drill was documented. • Your statement on how to maintain compliance for this item. 1824: Emergency Preparedness and Response (EPR) Plan The facility’s EPR plan must be reviewed and updated annually. In addition, a trained staff member shall go over the plan with all staff members annually. The document of the review shall be kept in staff file(s). Refer to 10A NCAC 09 .0607. The program’s EPR plan can be accessed at North Carolina Risk Management Portal at https://rmp.nc.gov/portal/portal.aspx In the compliance letter, please include the following: • The date you completed review and/or update of your program EPR plan on https://rmp.nc.gov/portal/portal.aspx. If no changes were made, you can print the first page of the EPR plan and maintain the page along with the current EPR plan. • If you have made changes to your EPR plan, please print the entire plan and maintain it for review. • The EPR plan must be reviewed with all staff members annually. Please state the date you reviewed the plan with your staff member. • Your statement on how to maintain compliance for this item. 1908: Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy The program’s shaken baby syndrome policy must be reviewed with parents on or before the first day of child’s attendance and the acknowledgement must be maintained in the child’s file. Refer to 10A NCAC 09 .0608(b). In the compliance letter, please include the following: • Please review the program’s shaken baby syndrome policy with the child’s parent and obtain his/her signature on the acknowledgement form as soon as possible. State the date when you acquire the signature from the parents. • Your statement verifying that the form was filed in the child’s file. • Your statement on how to maintain compliance for this item. Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following item: 106: fire inspection Even though Ms. Bell stated that the fire inspection was completed in recent months, no record of the inspection was found. Currently, the inspection completed on 12/21/23 was the only inspection presented by Ms. Bell. Please contact Buncombe County Fire department to issue you another inspection form at the earliest convenience possible. Refer to 10A NCAC 09 .0304(a). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/29/25. Email the compliance letter on signed letterhead or in 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 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: Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. For Lead-based paint and asbestos testing, please visit https://www.cleanwaterforuskids.org/en/carolina/ and complete a survey for lead-based paint and asbestos. Additional information from Clean Classroom for Carolina Kids website and left with Ms. Bell as reference. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. Fire inspection: Please contact Buncombe County Fire Department to schedule a fire inspection as soon as possible. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 6 Completed Date: 4/15/2025 Age: From 1 To 4 Total Minutes: 201 Time In: 09:09 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of 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 Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and safe environment. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. Permit type – Three Start Center License issued on 12/16/19. Special Services/Restrictions – daytime care, Meets enhanced space. The last annual compliance visit was conducted on 11/21/24. The last fire drill was logged on 9/15/24 per Emergency drill log. A violation of not conducting fire drills monthly and/or not documenting the information of each drill was cited during the annual compliance visit conducted on 11/21/24. The compliance letter was submitted by Ms. Bell on 11/26/24. Per compliance statement, Ms. Bell wrote “Fire drills are usually conducted every month, since the flood was in October it got is off schedule however, we had a fire drill Monday25 at 10:00. We will have them every month. The last shelter-in-place drill was documented on 6/5/24. A violation of not conducting a shelter-in-place or a lockdown drill and/or not documenting the information of each dill was cited during the annual compliance visit conducted on 11/21/24. The compliance letter was submitted by Ms. Bell on 11/26/24. Per compliance statement, Ms. Bell wrote “we will have shelter in place or lock down drill every three months”. The last playground inspection was documented on 12/2/24. However, the playground inspection conducted on 11/1/24 was not filled out except for the date and the name. The last fire inspection was approved on 12/21/23. Ms. Bell stated that a fire inspection was conducted in recent months, but she was unable to locate the inspection form. The last sanitation inspection was conducted on 2/11/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The program’s Emergency Preparedness and Response (EPR) plan was last updated on 5/23/23 and reviewed with all staff members on 5/24/23. Lead water testing was completed on 10/10/23 without hazards. Lead paint and asbestos testing has not been completed. Please see the additional note under the consultation section. Upon arrival, I announced my presence and the purpose of the visit. When I arrived, three (3) children, two (2) to four (4) years of age, were present with two (2) staff members. A children’s TV show was on from 9:09 a.m. to approximately 9:35 a.m. Two (2) additional children, both two (2) years of age, arrived during the visit. The children played with toy vehicles, puzzles, large interlocking blocks, and pretend food. One (1) child, two (2) years of age, cried continuously due to separation anxiety. A staff member held this child throughout the morning. Interaction and supervision were adequate. I did not request a fire drill or shelter-in-place drill to be performed during the visit due to Ms. Bell’s health condition. At 10:40 am, an additional child, (1) year of age, arrived. At the same time, the child who has been crying was picked up by the parent. The child arrived at 10:40 am, according to Ms. Bell, was not officially enrolled yet and is scheduled to start on Monday. This child was dropped off because the child’s mother needed to go to an appointment. This child’s file was reviewed. The child had a medical report completed on 3/17/25, an emergency information form including the names of the parents, address, contact information. Emergency medical treatment was authorized, and the family’s preferred health care provider was also listed. The program’s discipline policy was reviewed and signed by the parent. Based on the discipline policy document, the child’s enrollment date was listed as 4/14/25. On the separate application form, the child’s health care needs as well as a person who was authorized to pick the child up were also noted. There was a note on the program’s tobacco restriction policy as well as parent participation. Five (5) children and one (1) staff member played on the playground with portable slide structure, balls and riding toys. Children and staff washed their hands when they returned from outdoor play. Lunch was served during the visit. Fish sticks, green beans, carrots, bread and milk were served. The doors to unlicensed spaces were locked. The fire/carbon monoxide alarms were in working order, and a fire extinguisher was mounted on the wall. A bottle of Clorox bleach, a can of Equate sunscreen spray, and a bottle of infants’ oral suspension pain reliever/fever reducer were stored on the top shelf of a kitchen cabinet. The kitchen area is separated by a baby gate. I had a conversation with Ms. Bell regarding the requirement for chemicals and medications to be stored in locked storage. However, the storage of Clorox bleach, sunscreen, and infant pain reliever was approved by an environmental specialist to be stored on the top shelf in the kitchen cabinet, as long as the gate to the kitchen remains closed, according to Ms. Bell. I witnessed a child opening the baby gate three (3) times during the visit for undetermined reason. The ABCMS System was reviewed for Ms. Bell and a staff member prior to this visit. Per review, criminal background check for B. Bell expired on 2/14/25. The other staff member has a valid criminal background letter, per AMCMS. No records were found on the CWA system, reviewed on 4/14/25. Two (2) staff files were monitored partially for criminal background letters and CPR/First Aid certificates. Both staff members have current CPR/First Aid certificates in their files. The program does not provide transportation but only for emergencies. 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 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. From 9:09 am to approximately 9:35 am, children's TV show was played on the television during the visit, but screen time log was not completed. .0510(d)(2)(A-C) 544 Screen time was offered to children under three years of age. From 9:09 am to approximately 9:35 am, a children's TV show was played on the television. During the period, two (2) children, two (2) years of age, were present along with one (1) child, aged three (3) and one (1) child, aged four (4). .0510(f) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last documented fire drill is dated 9/15/24. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on 12/2/24. .0605(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).B. Bell's criminal background qualification letter expired on 2/24/25. At the time of the visit, no application to renew the application had been submitted. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. Due to criminal background letter for B. Bell being expired on 2/14/25, no valid qualification letter was in her file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented shelter-in-place is dated 6/5/24. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The program's EPR is dated May 23, 2023. The staff members signed and dated for the annual review, and the date was May 24, 2023 for both staff members. .0607(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The acknowledgement form with parent signature for the program's Shaken Baby Syndrome policy was not in file for a child, who was one (1) year of age. The day of the visit was the child's first day. .0608(b)(1-6) Technical assistance was provided as follows: 524 and 544: Screen Time Screen time is permitted for children three (3) and older for maximum of thirty (30) minutes each day and no more than a total of two and a half (2 ½) hours per week. No screen time shall be offered to children two (2) years of age or younger. Upon providing any screen time to children three (3) and up, you must log the minutes on the screen time log. Refer to 10A NCAC 09 .0510. If children two (2) years of age or younger were in the group, offer separate activities for them away from the television or in a separate licensed space if enough staff members are present. If screen time is regularly offered, put the screen time log on a clipboard and place it near the television. Item #544 has been cited four (4) times since November 2022. Not maintaining compliance may be considered a pattern of non-compliance. In your compliance letter, please describe the following: • Your plan to offer screen time when children two (2) years of age and younger, were present. • Your plan to sufficiently maintain the log. 805: Fire Drill Fire drills shall be conducted if there is one (1) opening day per month, per 10A NCAC 09 .0604(t). You must document the information of each drill on the emergency drill log sheet upon completions of each drill. Conducting drills on the same day of each month, putting reminders on the phone helps you remember the day to conduct fire drills. In your compliance letter, please describe the following: • The date you completed the fire drill. Please conduct a fire drill at your earliest convenience possible. • Please verify if the fire drill you conducted was documented. • Your plan to maintain compliance for this item. 859: Playground inspection Playground inspection must be conducted monthly. Refer to 10A NCAC 09 .0605(q). Conducting an inspection on the same day of each month helps you remember the task. In your compliance letter, please include the following: • The date you completed the playground inspection. Please conduct the inspection at your earliest convenience possible. • Your plan to maintain compliance with this tiem. 1044: Renewal of criminal background check Criminal background check must be renewed prior to its expiration date per G.S. 110-90.2(b). B. Bell’s qualification letter expired on 2/14/25 based on the ABCMS system. You have fifteen (15) days to renew the criminal background check. If you do not complete the process, including fingerprinting and putting your qualification letter filed in your staff file by April 30, 2025, you must close the program until you obtain the letter. Please complete the criminal background check application at https://ncabcms.nc.gov/DCDEE/Home. Additionally, you must complete finger printing at local government office. $5-$10 fee may apply depending on your status. Only cash are accepted. You can contact Buncombe County Bureau of Identification for more information at 52 Coxe Ave. Asheville, NC 28801 and (828)250-4665. In the compliance letter, please include the following: • Your statement confirming that your criminal background check was renewed. • The issue date of your criminal background qualification letter and expiration date. • Your statement on how to maintain compliance for this item. 1757: Criminal background letter A valid qualification letter must be on file and available for review at the facility. Please re-apply for criminal background check, complete fingerprinting, print the letter and maintain it in your file. If you do not have the letter within fifteenth day (April 30, 2025), a repeat violation may be cited. Refer to G.S. 110-90.2(b). You can receive fingerprinting services at Buncombe County Bureau of Identification. You must take the application for criminal background letter to fingerprinting appointment. Appointments for fingerprinting will be processed between 8:00am-8:30am, 11:30am-1:30pm and 4:30am-5:00pm Monday-Friday. You can visit their website and complete the fingerprinting application at https://www.buncombecounty.org/governing/depts/id/default.aspx In your compliance letter, please include the following: • Your statement verifying that the criminal background letter was printed and maintained in your staff file. • Your statement on how to maintain the compliance for this item. 1811: Shelter-in-place drill A shelter-in-place drill or a lockdown drill is required every three (3) months per 10A NCAC 09 .0604(u). You must document the information of the drills on the emergency drill log as soon as you complete the drills. Please conduct a shelter-in-place or a lockdown drill as soon as possible. Conducting drills on the same day of each month, putting reminders on the phone helps you remember the day to conduct drills. In the compliance letter, please include the following: • The date you complete a shelter-in-place or a lockdown drill. Please state which drill was conducted. Please conduct the drill at your earliest convenience possible. • Your statement verifying that the drill was documented. • Your statement on how to maintain compliance for this item. 1824: Emergency Preparedness and Response (EPR) Plan The facility’s EPR plan must be reviewed and updated annually. In addition, a trained staff member shall go over the plan with all staff members annually. The document of the review shall be kept in staff file(s). Refer to 10A NCAC 09 .0607. The program’s EPR plan can be accessed at North Carolina Risk Management Portal at https://rmp.nc.gov/portal/portal.aspx In the compliance letter, please include the following: • The date you completed review and/or update of your program EPR plan on https://rmp.nc.gov/portal/portal.aspx. If no changes were made, you can print the first page of the EPR plan and maintain the page along with the current EPR plan. • If you have made changes to your EPR plan, please print the entire plan and maintain it for review. • The EPR plan must be reviewed with all staff members annually. Please state the date you reviewed the plan with your staff member. • Your statement on how to maintain compliance for this item. 1908: Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy The program’s shaken baby syndrome policy must be reviewed with parents on or before the first day of child’s attendance and the acknowledgement must be maintained in the child’s file. Refer to 10A NCAC 09 .0608(b). In the compliance letter, please include the following: • Please review the program’s shaken baby syndrome policy with the child’s parent and obtain his/her signature on the acknowledgement form as soon as possible. State the date when you acquire the signature from the parents. • Your statement verifying that the form was filed in the child’s file. • Your statement on how to maintain compliance for this item. Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following item: 106: fire inspection Even though Ms. Bell stated that the fire inspection was completed in recent months, no record of the inspection was found. Currently, the inspection completed on 12/21/23 was the only inspection presented by Ms. Bell. Please contact Buncombe County Fire department to issue you another inspection form at the earliest convenience possible. Refer to 10A NCAC 09 .0304(a). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/29/25. Email the compliance letter on signed letterhead or in 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 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: Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. For Lead-based paint and asbestos testing, please visit https://www.cleanwaterforuskids.org/en/carolina/ and complete a survey for lead-based paint and asbestos. Additional information from Clean Classroom for Carolina Kids website and left with Ms. Bell as reference. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. Fire inspection: Please contact Buncombe County Fire Department to schedule a fire inspection as soon as possible. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 6 Completed Date: 4/15/2025 Age: From 1 To 4 Total Minutes: 201 Time In: 09:09 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of 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 Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and safe environment. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. Permit type – Three Start Center License issued on 12/16/19. Special Services/Restrictions – daytime care, Meets enhanced space. The last annual compliance visit was conducted on 11/21/24. The last fire drill was logged on 9/15/24 per Emergency drill log. A violation of not conducting fire drills monthly and/or not documenting the information of each drill was cited during the annual compliance visit conducted on 11/21/24. The compliance letter was submitted by Ms. Bell on 11/26/24. Per compliance statement, Ms. Bell wrote “Fire drills are usually conducted every month, since the flood was in October it got is off schedule however, we had a fire drill Monday25 at 10:00. We will have them every month. The last shelter-in-place drill was documented on 6/5/24. A violation of not conducting a shelter-in-place or a lockdown drill and/or not documenting the information of each dill was cited during the annual compliance visit conducted on 11/21/24. The compliance letter was submitted by Ms. Bell on 11/26/24. Per compliance statement, Ms. Bell wrote “we will have shelter in place or lock down drill every three months”. The last playground inspection was documented on 12/2/24. However, the playground inspection conducted on 11/1/24 was not filled out except for the date and the name. The last fire inspection was approved on 12/21/23. Ms. Bell stated that a fire inspection was conducted in recent months, but she was unable to locate the inspection form. The last sanitation inspection was conducted on 2/11/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The program’s Emergency Preparedness and Response (EPR) plan was last updated on 5/23/23 and reviewed with all staff members on 5/24/23. Lead water testing was completed on 10/10/23 without hazards. Lead paint and asbestos testing has not been completed. Please see the additional note under the consultation section. Upon arrival, I announced my presence and the purpose of the visit. When I arrived, three (3) children, two (2) to four (4) years of age, were present with two (2) staff members. A children’s TV show was on from 9:09 a.m. to approximately 9:35 a.m. Two (2) additional children, both two (2) years of age, arrived during the visit. The children played with toy vehicles, puzzles, large interlocking blocks, and pretend food. One (1) child, two (2) years of age, cried continuously due to separation anxiety. A staff member held this child throughout the morning. Interaction and supervision were adequate. I did not request a fire drill or shelter-in-place drill to be performed during the visit due to Ms. Bell’s health condition. At 10:40 am, an additional child, (1) year of age, arrived. At the same time, the child who has been crying was picked up by the parent. The child arrived at 10:40 am, according to Ms. Bell, was not officially enrolled yet and is scheduled to start on Monday. This child was dropped off because the child’s mother needed to go to an appointment. This child’s file was reviewed. The child had a medical report completed on 3/17/25, an emergency information form including the names of the parents, address, contact information. Emergency medical treatment was authorized, and the family’s preferred health care provider was also listed. The program’s discipline policy was reviewed and signed by the parent. Based on the discipline policy document, the child’s enrollment date was listed as 4/14/25. On the separate application form, the child’s health care needs as well as a person who was authorized to pick the child up were also noted. There was a note on the program’s tobacco restriction policy as well as parent participation. Five (5) children and one (1) staff member played on the playground with portable slide structure, balls and riding toys. Children and staff washed their hands when they returned from outdoor play. Lunch was served during the visit. Fish sticks, green beans, carrots, bread and milk were served. The doors to unlicensed spaces were locked. The fire/carbon monoxide alarms were in working order, and a fire extinguisher was mounted on the wall. A bottle of Clorox bleach, a can of Equate sunscreen spray, and a bottle of infants’ oral suspension pain reliever/fever reducer were stored on the top shelf of a kitchen cabinet. The kitchen area is separated by a baby gate. I had a conversation with Ms. Bell regarding the requirement for chemicals and medications to be stored in locked storage. However, the storage of Clorox bleach, sunscreen, and infant pain reliever was approved by an environmental specialist to be stored on the top shelf in the kitchen cabinet, as long as the gate to the kitchen remains closed, according to Ms. Bell. I witnessed a child opening the baby gate three (3) times during the visit for undetermined reason. The ABCMS System was reviewed for Ms. Bell and a staff member prior to this visit. Per review, criminal background check for B. Bell expired on 2/14/25. The other staff member has a valid criminal background letter, per AMCMS. No records were found on the CWA system, reviewed on 4/14/25. Two (2) staff files were monitored partially for criminal background letters and CPR/First Aid certificates. Both staff members have current CPR/First Aid certificates in their files. The program does not provide transportation but only for emergencies. 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 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. From 9:09 am to approximately 9:35 am, children's TV show was played on the television during the visit, but screen time log was not completed. .0510(d)(2)(A-C) 544 Screen time was offered to children under three years of age. From 9:09 am to approximately 9:35 am, a children's TV show was played on the television. During the period, two (2) children, two (2) years of age, were present along with one (1) child, aged three (3) and one (1) child, aged four (4). .0510(f) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last documented fire drill is dated 9/15/24. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on 12/2/24. .0605(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).B. Bell's criminal background qualification letter expired on 2/24/25. At the time of the visit, no application to renew the application had been submitted. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. Due to criminal background letter for B. Bell being expired on 2/14/25, no valid qualification letter was in her file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented shelter-in-place is dated 6/5/24. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The program's EPR is dated May 23, 2023. The staff members signed and dated for the annual review, and the date was May 24, 2023 for both staff members. .0607(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The acknowledgement form with parent signature for the program's Shaken Baby Syndrome policy was not in file for a child, who was one (1) year of age. The day of the visit was the child's first day. .0608(b)(1-6) Technical assistance was provided as follows: 524 and 544: Screen Time Screen time is permitted for children three (3) and older for maximum of thirty (30) minutes each day and no more than a total of two and a half (2 ½) hours per week. No screen time shall be offered to children two (2) years of age or younger. Upon providing any screen time to children three (3) and up, you must log the minutes on the screen time log. Refer to 10A NCAC 09 .0510. If children two (2) years of age or younger were in the group, offer separate activities for them away from the television or in a separate licensed space if enough staff members are present. If screen time is regularly offered, put the screen time log on a clipboard and place it near the television. Item #544 has been cited four (4) times since November 2022. Not maintaining compliance may be considered a pattern of non-compliance. In your compliance letter, please describe the following: • Your plan to offer screen time when children two (2) years of age and younger, were present. • Your plan to sufficiently maintain the log. 805: Fire Drill Fire drills shall be conducted if there is one (1) opening day per month, per 10A NCAC 09 .0604(t). You must document the information of each drill on the emergency drill log sheet upon completions of each drill. Conducting drills on the same day of each month, putting reminders on the phone helps you remember the day to conduct fire drills. In your compliance letter, please describe the following: • The date you completed the fire drill. Please conduct a fire drill at your earliest convenience possible. • Please verify if the fire drill you conducted was documented. • Your plan to maintain compliance for this item. 859: Playground inspection Playground inspection must be conducted monthly. Refer to 10A NCAC 09 .0605(q). Conducting an inspection on the same day of each month helps you remember the task. In your compliance letter, please include the following: • The date you completed the playground inspection. Please conduct the inspection at your earliest convenience possible. • Your plan to maintain compliance with this tiem. 1044: Renewal of criminal background check Criminal background check must be renewed prior to its expiration date per G.S. 110-90.2(b). B. Bell’s qualification letter expired on 2/14/25 based on the ABCMS system. You have fifteen (15) days to renew the criminal background check. If you do not complete the process, including fingerprinting and putting your qualification letter filed in your staff file by April 30, 2025, you must close the program until you obtain the letter. Please complete the criminal background check application at https://ncabcms.nc.gov/DCDEE/Home. Additionally, you must complete finger printing at local government office. $5-$10 fee may apply depending on your status. Only cash are accepted. You can contact Buncombe County Bureau of Identification for more information at 52 Coxe Ave. Asheville, NC 28801 and (828)250-4665. In the compliance letter, please include the following: • Your statement confirming that your criminal background check was renewed. • The issue date of your criminal background qualification letter and expiration date. • Your statement on how to maintain compliance for this item. 1757: Criminal background letter A valid qualification letter must be on file and available for review at the facility. Please re-apply for criminal background check, complete fingerprinting, print the letter and maintain it in your file. If you do not have the letter within fifteenth day (April 30, 2025), a repeat violation may be cited. Refer to G.S. 110-90.2(b). You can receive fingerprinting services at Buncombe County Bureau of Identification. You must take the application for criminal background letter to fingerprinting appointment. Appointments for fingerprinting will be processed between 8:00am-8:30am, 11:30am-1:30pm and 4:30am-5:00pm Monday-Friday. You can visit their website and complete the fingerprinting application at https://www.buncombecounty.org/governing/depts/id/default.aspx In your compliance letter, please include the following: • Your statement verifying that the criminal background letter was printed and maintained in your staff file. • Your statement on how to maintain the compliance for this item. 1811: Shelter-in-place drill A shelter-in-place drill or a lockdown drill is required every three (3) months per 10A NCAC 09 .0604(u). You must document the information of the drills on the emergency drill log as soon as you complete the drills. Please conduct a shelter-in-place or a lockdown drill as soon as possible. Conducting drills on the same day of each month, putting reminders on the phone helps you remember the day to conduct drills. In the compliance letter, please include the following: • The date you complete a shelter-in-place or a lockdown drill. Please state which drill was conducted. Please conduct the drill at your earliest convenience possible. • Your statement verifying that the drill was documented. • Your statement on how to maintain compliance for this item. 1824: Emergency Preparedness and Response (EPR) Plan The facility’s EPR plan must be reviewed and updated annually. In addition, a trained staff member shall go over the plan with all staff members annually. The document of the review shall be kept in staff file(s). Refer to 10A NCAC 09 .0607. The program’s EPR plan can be accessed at North Carolina Risk Management Portal at https://rmp.nc.gov/portal/portal.aspx In the compliance letter, please include the following: • The date you completed review and/or update of your program EPR plan on https://rmp.nc.gov/portal/portal.aspx. If no changes were made, you can print the first page of the EPR plan and maintain the page along with the current EPR plan. • If you have made changes to your EPR plan, please print the entire plan and maintain it for review. • The EPR plan must be reviewed with all staff members annually. Please state the date you reviewed the plan with your staff member. • Your statement on how to maintain compliance for this item. 1908: Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy The program’s shaken baby syndrome policy must be reviewed with parents on or before the first day of child’s attendance and the acknowledgement must be maintained in the child’s file. Refer to 10A NCAC 09 .0608(b). In the compliance letter, please include the following: • Please review the program’s shaken baby syndrome policy with the child’s parent and obtain his/her signature on the acknowledgement form as soon as possible. State the date when you acquire the signature from the parents. • Your statement verifying that the form was filed in the child’s file. • Your statement on how to maintain compliance for this item. Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following item: 106: fire inspection Even though Ms. Bell stated that the fire inspection was completed in recent months, no record of the inspection was found. Currently, the inspection completed on 12/21/23 was the only inspection presented by Ms. Bell. Please contact Buncombe County Fire department to issue you another inspection form at the earliest convenience possible. Refer to 10A NCAC 09 .0304(a). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/29/25. Email the compliance letter on signed letterhead or in 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 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: Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. For Lead-based paint and asbestos testing, please visit https://www.cleanwaterforuskids.org/en/carolina/ and complete a survey for lead-based paint and asbestos. Additional information from Clean Classroom for Carolina Kids website and left with Ms. Bell as reference. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. Fire inspection: Please contact Buncombe County Fire Department to schedule a fire inspection as soon as possible. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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

NC GS 110-90 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 6 Completed Date: 4/15/2025 Age: From 1 To 4 Total Minutes: 201 Time In: 09:09 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of 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 Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Today, Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and safe environment. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. Permit type – Three Start Center License issued on 12/16/19. Special Services/Restrictions – daytime care, Meets enhanced space. The last annual compliance visit was conducted on 11/21/24. The last fire drill was logged on 9/15/24 per Emergency drill log. A violation of not conducting fire drills monthly and/or not documenting the information of each drill was cited during the annual compliance visit conducted on 11/21/24. The compliance letter was submitted by Ms. Bell on 11/26/24. Per compliance statement, Ms. Bell wrote “Fire drills are usually conducted every month, since the flood was in October it got is off schedule however, we had a fire drill Monday25 at 10:00. We will have them every month. The last shelter-in-place drill was documented on 6/5/24. A violation of not conducting a shelter-in-place or a lockdown drill and/or not documenting the information of each dill was cited during the annual compliance visit conducted on 11/21/24. The compliance letter was submitted by Ms. Bell on 11/26/24. Per compliance statement, Ms. Bell wrote “we will have shelter in place or lock down drill every three months”. The last playground inspection was documented on 12/2/24. However, the playground inspection conducted on 11/1/24 was not filled out except for the date and the name. The last fire inspection was approved on 12/21/23. Ms. Bell stated that a fire inspection was conducted in recent months, but she was unable to locate the inspection form. The last sanitation inspection was conducted on 2/11/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The program’s Emergency Preparedness and Response (EPR) plan was last updated on 5/23/23 and reviewed with all staff members on 5/24/23. Lead water testing was completed on 10/10/23 without hazards. Lead paint and asbestos testing has not been completed. Please see the additional note under the consultation section. Upon arrival, I announced my presence and the purpose of the visit. When I arrived, three (3) children, two (2) to four (4) years of age, were present with two (2) staff members. A children’s TV show was on from 9:09 a.m. to approximately 9:35 a.m. Two (2) additional children, both two (2) years of age, arrived during the visit. The children played with toy vehicles, puzzles, large interlocking blocks, and pretend food. One (1) child, two (2) years of age, cried continuously due to separation anxiety. A staff member held this child throughout the morning. Interaction and supervision were adequate. I did not request a fire drill or shelter-in-place drill to be performed during the visit due to Ms. Bell’s health condition. At 10:40 am, an additional child, (1) year of age, arrived. At the same time, the child who has been crying was picked up by the parent. The child arrived at 10:40 am, according to Ms. Bell, was not officially enrolled yet and is scheduled to start on Monday. This child was dropped off because the child’s mother needed to go to an appointment. This child’s file was reviewed. The child had a medical report completed on 3/17/25, an emergency information form including the names of the parents, address, contact information. Emergency medical treatment was authorized, and the family’s preferred health care provider was also listed. The program’s discipline policy was reviewed and signed by the parent. Based on the discipline policy document, the child’s enrollment date was listed as 4/14/25. On the separate application form, the child’s health care needs as well as a person who was authorized to pick the child up were also noted. There was a note on the program’s tobacco restriction policy as well as parent participation. Five (5) children and one (1) staff member played on the playground with portable slide structure, balls and riding toys. Children and staff washed their hands when they returned from outdoor play. Lunch was served during the visit. Fish sticks, green beans, carrots, bread and milk were served. The doors to unlicensed spaces were locked. The fire/carbon monoxide alarms were in working order, and a fire extinguisher was mounted on the wall. A bottle of Clorox bleach, a can of Equate sunscreen spray, and a bottle of infants’ oral suspension pain reliever/fever reducer were stored on the top shelf of a kitchen cabinet. The kitchen area is separated by a baby gate. I had a conversation with Ms. Bell regarding the requirement for chemicals and medications to be stored in locked storage. However, the storage of Clorox bleach, sunscreen, and infant pain reliever was approved by an environmental specialist to be stored on the top shelf in the kitchen cabinet, as long as the gate to the kitchen remains closed, according to Ms. Bell. I witnessed a child opening the baby gate three (3) times during the visit for undetermined reason. The ABCMS System was reviewed for Ms. Bell and a staff member prior to this visit. Per review, criminal background check for B. Bell expired on 2/14/25. The other staff member has a valid criminal background letter, per AMCMS. No records were found on the CWA system, reviewed on 4/14/25. Two (2) staff files were monitored partially for criminal background letters and CPR/First Aid certificates. Both staff members have current CPR/First Aid certificates in their files. The program does not provide transportation but only for emergencies. 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 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. From 9:09 am to approximately 9:35 am, children's TV show was played on the television during the visit, but screen time log was not completed. .0510(d)(2)(A-C) 544 Screen time was offered to children under three years of age. From 9:09 am to approximately 9:35 am, a children's TV show was played on the television. During the period, two (2) children, two (2) years of age, were present along with one (1) child, aged three (3) and one (1) child, aged four (4). .0510(f) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last documented fire drill is dated 9/15/24. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on 12/2/24. .0605(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).B. Bell's criminal background qualification letter expired on 2/24/25. At the time of the visit, no application to renew the application had been submitted. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. Due to criminal background letter for B. Bell being expired on 2/14/25, no valid qualification letter was in her file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented shelter-in-place is dated 6/5/24. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The program's EPR is dated May 23, 2023. The staff members signed and dated for the annual review, and the date was May 24, 2023 for both staff members. .0607(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The acknowledgement form with parent signature for the program's Shaken Baby Syndrome policy was not in file for a child, who was one (1) year of age. The day of the visit was the child's first day. .0608(b)(1-6) Technical assistance was provided as follows: 524 and 544: Screen Time Screen time is permitted for children three (3) and older for maximum of thirty (30) minutes each day and no more than a total of two and a half (2 ½) hours per week. No screen time shall be offered to children two (2) years of age or younger. Upon providing any screen time to children three (3) and up, you must log the minutes on the screen time log. Refer to 10A NCAC 09 .0510. If children two (2) years of age or younger were in the group, offer separate activities for them away from the television or in a separate licensed space if enough staff members are present. If screen time is regularly offered, put the screen time log on a clipboard and place it near the television. Item #544 has been cited four (4) times since November 2022. Not maintaining compliance may be considered a pattern of non-compliance. In your compliance letter, please describe the following: • Your plan to offer screen time when children two (2) years of age and younger, were present. • Your plan to sufficiently maintain the log. 805: Fire Drill Fire drills shall be conducted if there is one (1) opening day per month, per 10A NCAC 09 .0604(t). You must document the information of each drill on the emergency drill log sheet upon completions of each drill. Conducting drills on the same day of each month, putting reminders on the phone helps you remember the day to conduct fire drills. In your compliance letter, please describe the following: • The date you completed the fire drill. Please conduct a fire drill at your earliest convenience possible. • Please verify if the fire drill you conducted was documented. • Your plan to maintain compliance for this item. 859: Playground inspection Playground inspection must be conducted monthly. Refer to 10A NCAC 09 .0605(q). Conducting an inspection on the same day of each month helps you remember the task. In your compliance letter, please include the following: • The date you completed the playground inspection. Please conduct the inspection at your earliest convenience possible. • Your plan to maintain compliance with this tiem. 1044: Renewal of criminal background check Criminal background check must be renewed prior to its expiration date per G.S. 110-90.2(b). B. Bell’s qualification letter expired on 2/14/25 based on the ABCMS system. You have fifteen (15) days to renew the criminal background check. If you do not complete the process, including fingerprinting and putting your qualification letter filed in your staff file by April 30, 2025, you must close the program until you obtain the letter. Please complete the criminal background check application at https://ncabcms.nc.gov/DCDEE/Home. Additionally, you must complete finger printing at local government office. $5-$10 fee may apply depending on your status. Only cash are accepted. You can contact Buncombe County Bureau of Identification for more information at 52 Coxe Ave. Asheville, NC 28801 and (828)250-4665. In the compliance letter, please include the following: • Your statement confirming that your criminal background check was renewed. • The issue date of your criminal background qualification letter and expiration date. • Your statement on how to maintain compliance for this item. 1757: Criminal background letter A valid qualification letter must be on file and available for review at the facility. Please re-apply for criminal background check, complete fingerprinting, print the letter and maintain it in your file. If you do not have the letter within fifteenth day (April 30, 2025), a repeat violation may be cited. Refer to G.S. 110-90.2(b). You can receive fingerprinting services at Buncombe County Bureau of Identification. You must take the application for criminal background letter to fingerprinting appointment. Appointments for fingerprinting will be processed between 8:00am-8:30am, 11:30am-1:30pm and 4:30am-5:00pm Monday-Friday. You can visit their website and complete the fingerprinting application at https://www.buncombecounty.org/governing/depts/id/default.aspx In your compliance letter, please include the following: • Your statement verifying that the criminal background letter was printed and maintained in your staff file. • Your statement on how to maintain the compliance for this item. 1811: Shelter-in-place drill A shelter-in-place drill or a lockdown drill is required every three (3) months per 10A NCAC 09 .0604(u). You must document the information of the drills on the emergency drill log as soon as you complete the drills. Please conduct a shelter-in-place or a lockdown drill as soon as possible. Conducting drills on the same day of each month, putting reminders on the phone helps you remember the day to conduct drills. In the compliance letter, please include the following: • The date you complete a shelter-in-place or a lockdown drill. Please state which drill was conducted. Please conduct the drill at your earliest convenience possible. • Your statement verifying that the drill was documented. • Your statement on how to maintain compliance for this item. 1824: Emergency Preparedness and Response (EPR) Plan The facility’s EPR plan must be reviewed and updated annually. In addition, a trained staff member shall go over the plan with all staff members annually. The document of the review shall be kept in staff file(s). Refer to 10A NCAC 09 .0607. The program’s EPR plan can be accessed at North Carolina Risk Management Portal at https://rmp.nc.gov/portal/portal.aspx In the compliance letter, please include the following: • The date you completed review and/or update of your program EPR plan on https://rmp.nc.gov/portal/portal.aspx. If no changes were made, you can print the first page of the EPR plan and maintain the page along with the current EPR plan. • If you have made changes to your EPR plan, please print the entire plan and maintain it for review. • The EPR plan must be reviewed with all staff members annually. Please state the date you reviewed the plan with your staff member. • Your statement on how to maintain compliance for this item. 1908: Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy The program’s shaken baby syndrome policy must be reviewed with parents on or before the first day of child’s attendance and the acknowledgement must be maintained in the child’s file. Refer to 10A NCAC 09 .0608(b). In the compliance letter, please include the following: • Please review the program’s shaken baby syndrome policy with the child’s parent and obtain his/her signature on the acknowledgement form as soon as possible. State the date when you acquire the signature from the parents. • Your statement verifying that the form was filed in the child’s file. • Your statement on how to maintain compliance for this item. Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following item: 106: fire inspection Even though Ms. Bell stated that the fire inspection was completed in recent months, no record of the inspection was found. Currently, the inspection completed on 12/21/23 was the only inspection presented by Ms. Bell. Please contact Buncombe County Fire department to issue you another inspection form at the earliest convenience possible. Refer to 10A NCAC 09 .0304(a). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/29/25. Email the compliance letter on signed letterhead or in 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 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: Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. For Lead-based paint and asbestos testing, please visit https://www.cleanwaterforuskids.org/en/carolina/ and complete a survey for lead-based paint and asbestos. Additional information from Clean Classroom for Carolina Kids website and left with Ms. Bell as reference. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. Fire inspection: Please contact Buncombe County Fire Department to schedule a fire inspection as soon as possible. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0304 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/21/2024 Number Present: 5 Completed Date: 11/21/2024 Age: From 2 To 4 Total Minutes: 237 Time In: 09:03 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Administrator, during the visit. A signed copy of the visit summary was printed and left with you. Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of today prior to this visit. Ms. Bell identified her business as sole proprietor. New applications, including Application- Facility Profile, Appendix A and Appendix I was asked to be completed during the visit. Permit type – three-start center license issued on 12/16/19. Special Services/Restrictions – daytime care, meets enhanced space. The last annual compliance visit was conducted on 10/26/24. Due to the effect of Tropical Storm Helene, no routine visits were conducted in October 2024. The last fire drill was practiced on 9/15/24. The last shelter-in-place drill was practiced on 6/15/24. The last playground inspection was documented in October 2024. The document was noted on the month but not the date. The last fire inspection was approved on 12/21/23. The last sanitation inspection was conducted on 3/4/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. Five (5) children were present. All five (5) children played with large interlocking blocks in the large container. Ms. Bell read children books to individual children. The children played with toys houses, wooden beads with strings and a few other items, such as dinosaurs and animals, a purse, a pot and people/character figures. At approximately 11:02 am, some potato chips were provided for the children. At approximately 11:10 am, a visitor came and had a group time with the children. The visitor sang songs with the children and asked the children questions. The visitor visits the program occasionally. The visitor was not counted in the ratio. Shortly after the visit, additional staff member arrived. Playground was inspected. There were multiple portable slide structures, riding toys, rockers and other gross motor activities available. Interaction and supervision were adequate. All children’s files were monitored during the visit. The program does not provide transportation. There are no Plan of Care for children due to no routine tasks being completed during operation hours. 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 402 Each child's diapers were not changed at areas designated exclusively for diapering, on a surface that was smooth, nonabsorbent, easily cleanable and of tight construction. Between 9:02 am to 11:35 am, the children's diapers and pull-ups were not checked or changed. 15A NCAC 18A .2819(a) & (b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. At approximately 11:05 am, Ms. Bell pulled handful of potato chips and handed to each child's hands to eat. The children ate the potato chips while waling around. They did not wash their hands prior to eating. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. At approximately 11:05 am, Ms. Bell grabbed a handful of potato chips and handed them to each child on the couch. She did not wash her hands prior to serving the children. 15A NCAC 18A .2803(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 9/15/24. .0604(t); .0302(d)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place was conducted on 6/5/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 402: diapering Per 10A NCAC 09 .0806 (a), the children with diapers and pull-ups shall be changed as needed basis. In order to do so, diapers and pull-ups shall be checked periodically throughout the day. Please check the child’s diaper every hour and change them as needed. 608: children’s hand washing Per 15A NCAC 18A , .2803 (c), children shall wash their hands prior to eating. You shall not serve any types of food on the couch or while the children are walking around. Please clean the table with appropriate cleaning solution and serve them at the table after proper handwashing. 609: Staff member’s hand washing Per 15A NCAC 18A, .2803 (a), staff members shall wash their hands prior to handling food. Staff members shall follow proper handwashing procedure before serving any types of food to the children. 805: Fire Drill Fire drill shall be conducted if there is one (1) opening day per month, per 10A NCAC 09 .0604(t). Please conduct a fire drill as soon as possible. 1811: Shelter-in-place drill A shelter-in-place drill or a lockdown drill is required every three (3) months per 10A NCAC 09 .0604(u). Please conduct a shelter-in-place or a lockdown drill as soon as possible. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/5/24. Email the compliance letter on signed letterhead or in 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 Address: 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 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. Additional technical assistance was provided as follows: Due to the effects of Tropical Storm Helene, additional time is permitted to achieve compliance with the following items: 428: Activity plans Per 10 A NCAC 09, .0508(a), activity plan shall be current and posted. 434: Materials Sufficient quantity and variety of materials shall be provided to promote social/emotional development, health and physical development, approaches to play and learning, language and communication development and cognitive development. I suggest variety of materials to be accessible to the children independently, including additional manipulatives, such as gears, magnetic tiles, puzzles. Math/number toys, such as counting bears and shape wooden blocks can promote mathematical knowledge. Variety of books should be accessible to the children throughout the day. Art materials, such as variety of writing tools, paper, glue, collage materials promote children’s creativity. Sensory materials, such as playdough and moon sand shall be available. Dramatic play materials, such as pretend toys, pots and pans are also recommended. Please allow children to play independently. Not having sufficient amount of materials cause unnecessary behavioral challenges. 445: Materials for children under three (3) years of age Per rules below, the children under three (3) years of age shall have access to variety of materials listed below. Additionally, please provide close supervision for the children under three (3). Small materials can be choking hazard, such as broken crayons and small pieces of toys. 10A NCAC 09 .0510 ACTIVITY AREAS (e) When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: (A) books; (B) blocks; (C) dolls; (D) pretend play materials; (E) musical toys; (F) sensory toys; and (G) fine motor toys; 1203: Operational Policy Operations policies of the program must be discussed with parents on or before the children’s first day. The documentation of the review shall be maintained in the children’s files. All six (6) enrolled children needs the documentation of review of your operational policy. 1207: Parent Participation Plan Parent participation plan shall be discussed upon initial enrollment, and the documentation of the discussion shall be maintained in the children’s files. Three (3) children need documentation of discussion of the program’s parent participation plan. 1320 and 1321: health assessment Per G.S.110-91 (1), each child’s health assessment shall be submitted to the program within thirty (30) days of enrollment, and the document shall be maintained in the children’s files. Two (2) children need health assessment immediately. 1323: Immunization records Per G.S. 110-91 (1), each child’s immunization record shall be submitted to the program within thirty (30) days of enrollment, and the documentation shall be maintained in the children’s files. Three (3) children need their immunization record immediately. For children’s records, please refer to Children’s Record checklist. Consultation was provided as follows: Use of tap water: Per new guidance provided by Environmental Health, bottled water shall be used for cooking and drinking due to elevated level of lead in water. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0510 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/21/2024 Number Present: 5 Completed Date: 11/21/2024 Age: From 2 To 4 Total Minutes: 237 Time In: 09:03 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Administrator, during the visit. A signed copy of the visit summary was printed and left with you. Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of today prior to this visit. Ms. Bell identified her business as sole proprietor. New applications, including Application- Facility Profile, Appendix A and Appendix I was asked to be completed during the visit. Permit type – three-start center license issued on 12/16/19. Special Services/Restrictions – daytime care, meets enhanced space. The last annual compliance visit was conducted on 10/26/24. Due to the effect of Tropical Storm Helene, no routine visits were conducted in October 2024. The last fire drill was practiced on 9/15/24. The last shelter-in-place drill was practiced on 6/15/24. The last playground inspection was documented in October 2024. The document was noted on the month but not the date. The last fire inspection was approved on 12/21/23. The last sanitation inspection was conducted on 3/4/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. Five (5) children were present. All five (5) children played with large interlocking blocks in the large container. Ms. Bell read children books to individual children. The children played with toys houses, wooden beads with strings and a few other items, such as dinosaurs and animals, a purse, a pot and people/character figures. At approximately 11:02 am, some potato chips were provided for the children. At approximately 11:10 am, a visitor came and had a group time with the children. The visitor sang songs with the children and asked the children questions. The visitor visits the program occasionally. The visitor was not counted in the ratio. Shortly after the visit, additional staff member arrived. Playground was inspected. There were multiple portable slide structures, riding toys, rockers and other gross motor activities available. Interaction and supervision were adequate. All children’s files were monitored during the visit. The program does not provide transportation. There are no Plan of Care for children due to no routine tasks being completed during operation hours. 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 402 Each child's diapers were not changed at areas designated exclusively for diapering, on a surface that was smooth, nonabsorbent, easily cleanable and of tight construction. Between 9:02 am to 11:35 am, the children's diapers and pull-ups were not checked or changed. 15A NCAC 18A .2819(a) & (b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. At approximately 11:05 am, Ms. Bell pulled handful of potato chips and handed to each child's hands to eat. The children ate the potato chips while waling around. They did not wash their hands prior to eating. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. At approximately 11:05 am, Ms. Bell grabbed a handful of potato chips and handed them to each child on the couch. She did not wash her hands prior to serving the children. 15A NCAC 18A .2803(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 9/15/24. .0604(t); .0302(d)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place was conducted on 6/5/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 402: diapering Per 10A NCAC 09 .0806 (a), the children with diapers and pull-ups shall be changed as needed basis. In order to do so, diapers and pull-ups shall be checked periodically throughout the day. Please check the child’s diaper every hour and change them as needed. 608: children’s hand washing Per 15A NCAC 18A , .2803 (c), children shall wash their hands prior to eating. You shall not serve any types of food on the couch or while the children are walking around. Please clean the table with appropriate cleaning solution and serve them at the table after proper handwashing. 609: Staff member’s hand washing Per 15A NCAC 18A, .2803 (a), staff members shall wash their hands prior to handling food. Staff members shall follow proper handwashing procedure before serving any types of food to the children. 805: Fire Drill Fire drill shall be conducted if there is one (1) opening day per month, per 10A NCAC 09 .0604(t). Please conduct a fire drill as soon as possible. 1811: Shelter-in-place drill A shelter-in-place drill or a lockdown drill is required every three (3) months per 10A NCAC 09 .0604(u). Please conduct a shelter-in-place or a lockdown drill as soon as possible. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/5/24. Email the compliance letter on signed letterhead or in 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 Address: 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 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. Additional technical assistance was provided as follows: Due to the effects of Tropical Storm Helene, additional time is permitted to achieve compliance with the following items: 428: Activity plans Per 10 A NCAC 09, .0508(a), activity plan shall be current and posted. 434: Materials Sufficient quantity and variety of materials shall be provided to promote social/emotional development, health and physical development, approaches to play and learning, language and communication development and cognitive development. I suggest variety of materials to be accessible to the children independently, including additional manipulatives, such as gears, magnetic tiles, puzzles. Math/number toys, such as counting bears and shape wooden blocks can promote mathematical knowledge. Variety of books should be accessible to the children throughout the day. Art materials, such as variety of writing tools, paper, glue, collage materials promote children’s creativity. Sensory materials, such as playdough and moon sand shall be available. Dramatic play materials, such as pretend toys, pots and pans are also recommended. Please allow children to play independently. Not having sufficient amount of materials cause unnecessary behavioral challenges. 445: Materials for children under three (3) years of age Per rules below, the children under three (3) years of age shall have access to variety of materials listed below. Additionally, please provide close supervision for the children under three (3). Small materials can be choking hazard, such as broken crayons and small pieces of toys. 10A NCAC 09 .0510 ACTIVITY AREAS (e) When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: (A) books; (B) blocks; (C) dolls; (D) pretend play materials; (E) musical toys; (F) sensory toys; and (G) fine motor toys; 1203: Operational Policy Operations policies of the program must be discussed with parents on or before the children’s first day. The documentation of the review shall be maintained in the children’s files. All six (6) enrolled children needs the documentation of review of your operational policy. 1207: Parent Participation Plan Parent participation plan shall be discussed upon initial enrollment, and the documentation of the discussion shall be maintained in the children’s files. Three (3) children need documentation of discussion of the program’s parent participation plan. 1320 and 1321: health assessment Per G.S.110-91 (1), each child’s health assessment shall be submitted to the program within thirty (30) days of enrollment, and the document shall be maintained in the children’s files. Two (2) children need health assessment immediately. 1323: Immunization records Per G.S. 110-91 (1), each child’s immunization record shall be submitted to the program within thirty (30) days of enrollment, and the documentation shall be maintained in the children’s files. Three (3) children need their immunization record immediately. For children’s records, please refer to Children’s Record checklist. Consultation was provided as follows: Use of tap water: Per new guidance provided by Environmental Health, bottled water shall be used for cooking and drinking due to elevated level of lead in water. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0604 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/21/2024 Number Present: 5 Completed Date: 11/21/2024 Age: From 2 To 4 Total Minutes: 237 Time In: 09:03 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Administrator, during the visit. A signed copy of the visit summary was printed and left with you. Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of today prior to this visit. Ms. Bell identified her business as sole proprietor. New applications, including Application- Facility Profile, Appendix A and Appendix I was asked to be completed during the visit. Permit type – three-start center license issued on 12/16/19. Special Services/Restrictions – daytime care, meets enhanced space. The last annual compliance visit was conducted on 10/26/24. Due to the effect of Tropical Storm Helene, no routine visits were conducted in October 2024. The last fire drill was practiced on 9/15/24. The last shelter-in-place drill was practiced on 6/15/24. The last playground inspection was documented in October 2024. The document was noted on the month but not the date. The last fire inspection was approved on 12/21/23. The last sanitation inspection was conducted on 3/4/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. Five (5) children were present. All five (5) children played with large interlocking blocks in the large container. Ms. Bell read children books to individual children. The children played with toys houses, wooden beads with strings and a few other items, such as dinosaurs and animals, a purse, a pot and people/character figures. At approximately 11:02 am, some potato chips were provided for the children. At approximately 11:10 am, a visitor came and had a group time with the children. The visitor sang songs with the children and asked the children questions. The visitor visits the program occasionally. The visitor was not counted in the ratio. Shortly after the visit, additional staff member arrived. Playground was inspected. There were multiple portable slide structures, riding toys, rockers and other gross motor activities available. Interaction and supervision were adequate. All children’s files were monitored during the visit. The program does not provide transportation. There are no Plan of Care for children due to no routine tasks being completed during operation hours. 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 402 Each child's diapers were not changed at areas designated exclusively for diapering, on a surface that was smooth, nonabsorbent, easily cleanable and of tight construction. Between 9:02 am to 11:35 am, the children's diapers and pull-ups were not checked or changed. 15A NCAC 18A .2819(a) & (b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. At approximately 11:05 am, Ms. Bell pulled handful of potato chips and handed to each child's hands to eat. The children ate the potato chips while waling around. They did not wash their hands prior to eating. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. At approximately 11:05 am, Ms. Bell grabbed a handful of potato chips and handed them to each child on the couch. She did not wash her hands prior to serving the children. 15A NCAC 18A .2803(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 9/15/24. .0604(t); .0302(d)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place was conducted on 6/5/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 402: diapering Per 10A NCAC 09 .0806 (a), the children with diapers and pull-ups shall be changed as needed basis. In order to do so, diapers and pull-ups shall be checked periodically throughout the day. Please check the child’s diaper every hour and change them as needed. 608: children’s hand washing Per 15A NCAC 18A , .2803 (c), children shall wash their hands prior to eating. You shall not serve any types of food on the couch or while the children are walking around. Please clean the table with appropriate cleaning solution and serve them at the table after proper handwashing. 609: Staff member’s hand washing Per 15A NCAC 18A, .2803 (a), staff members shall wash their hands prior to handling food. Staff members shall follow proper handwashing procedure before serving any types of food to the children. 805: Fire Drill Fire drill shall be conducted if there is one (1) opening day per month, per 10A NCAC 09 .0604(t). Please conduct a fire drill as soon as possible. 1811: Shelter-in-place drill A shelter-in-place drill or a lockdown drill is required every three (3) months per 10A NCAC 09 .0604(u). Please conduct a shelter-in-place or a lockdown drill as soon as possible. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/5/24. Email the compliance letter on signed letterhead or in 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 Address: 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 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. Additional technical assistance was provided as follows: Due to the effects of Tropical Storm Helene, additional time is permitted to achieve compliance with the following items: 428: Activity plans Per 10 A NCAC 09, .0508(a), activity plan shall be current and posted. 434: Materials Sufficient quantity and variety of materials shall be provided to promote social/emotional development, health and physical development, approaches to play and learning, language and communication development and cognitive development. I suggest variety of materials to be accessible to the children independently, including additional manipulatives, such as gears, magnetic tiles, puzzles. Math/number toys, such as counting bears and shape wooden blocks can promote mathematical knowledge. Variety of books should be accessible to the children throughout the day. Art materials, such as variety of writing tools, paper, glue, collage materials promote children’s creativity. Sensory materials, such as playdough and moon sand shall be available. Dramatic play materials, such as pretend toys, pots and pans are also recommended. Please allow children to play independently. Not having sufficient amount of materials cause unnecessary behavioral challenges. 445: Materials for children under three (3) years of age Per rules below, the children under three (3) years of age shall have access to variety of materials listed below. Additionally, please provide close supervision for the children under three (3). Small materials can be choking hazard, such as broken crayons and small pieces of toys. 10A NCAC 09 .0510 ACTIVITY AREAS (e) When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: (A) books; (B) blocks; (C) dolls; (D) pretend play materials; (E) musical toys; (F) sensory toys; and (G) fine motor toys; 1203: Operational Policy Operations policies of the program must be discussed with parents on or before the children’s first day. The documentation of the review shall be maintained in the children’s files. All six (6) enrolled children needs the documentation of review of your operational policy. 1207: Parent Participation Plan Parent participation plan shall be discussed upon initial enrollment, and the documentation of the discussion shall be maintained in the children’s files. Three (3) children need documentation of discussion of the program’s parent participation plan. 1320 and 1321: health assessment Per G.S.110-91 (1), each child’s health assessment shall be submitted to the program within thirty (30) days of enrollment, and the document shall be maintained in the children’s files. Two (2) children need health assessment immediately. 1323: Immunization records Per G.S. 110-91 (1), each child’s immunization record shall be submitted to the program within thirty (30) days of enrollment, and the documentation shall be maintained in the children’s files. Three (3) children need their immunization record immediately. For children’s records, please refer to Children’s Record checklist. Consultation was provided as follows: Use of tap water: Per new guidance provided by Environmental Health, bottled water shall be used for cooking and drinking due to elevated level of lead in water. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0806 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/21/2024 Number Present: 5 Completed Date: 11/21/2024 Age: From 2 To 4 Total Minutes: 237 Time In: 09:03 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Administrator, during the visit. A signed copy of the visit summary was printed and left with you. Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of today prior to this visit. Ms. Bell identified her business as sole proprietor. New applications, including Application- Facility Profile, Appendix A and Appendix I was asked to be completed during the visit. Permit type – three-start center license issued on 12/16/19. Special Services/Restrictions – daytime care, meets enhanced space. The last annual compliance visit was conducted on 10/26/24. Due to the effect of Tropical Storm Helene, no routine visits were conducted in October 2024. The last fire drill was practiced on 9/15/24. The last shelter-in-place drill was practiced on 6/15/24. The last playground inspection was documented in October 2024. The document was noted on the month but not the date. The last fire inspection was approved on 12/21/23. The last sanitation inspection was conducted on 3/4/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. Five (5) children were present. All five (5) children played with large interlocking blocks in the large container. Ms. Bell read children books to individual children. The children played with toys houses, wooden beads with strings and a few other items, such as dinosaurs and animals, a purse, a pot and people/character figures. At approximately 11:02 am, some potato chips were provided for the children. At approximately 11:10 am, a visitor came and had a group time with the children. The visitor sang songs with the children and asked the children questions. The visitor visits the program occasionally. The visitor was not counted in the ratio. Shortly after the visit, additional staff member arrived. Playground was inspected. There were multiple portable slide structures, riding toys, rockers and other gross motor activities available. Interaction and supervision were adequate. All children’s files were monitored during the visit. The program does not provide transportation. There are no Plan of Care for children due to no routine tasks being completed during operation hours. 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 402 Each child's diapers were not changed at areas designated exclusively for diapering, on a surface that was smooth, nonabsorbent, easily cleanable and of tight construction. Between 9:02 am to 11:35 am, the children's diapers and pull-ups were not checked or changed. 15A NCAC 18A .2819(a) & (b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. At approximately 11:05 am, Ms. Bell pulled handful of potato chips and handed to each child's hands to eat. The children ate the potato chips while waling around. They did not wash their hands prior to eating. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. At approximately 11:05 am, Ms. Bell grabbed a handful of potato chips and handed them to each child on the couch. She did not wash her hands prior to serving the children. 15A NCAC 18A .2803(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 9/15/24. .0604(t); .0302(d)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place was conducted on 6/5/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 402: diapering Per 10A NCAC 09 .0806 (a), the children with diapers and pull-ups shall be changed as needed basis. In order to do so, diapers and pull-ups shall be checked periodically throughout the day. Please check the child’s diaper every hour and change them as needed. 608: children’s hand washing Per 15A NCAC 18A , .2803 (c), children shall wash their hands prior to eating. You shall not serve any types of food on the couch or while the children are walking around. Please clean the table with appropriate cleaning solution and serve them at the table after proper handwashing. 609: Staff member’s hand washing Per 15A NCAC 18A, .2803 (a), staff members shall wash their hands prior to handling food. Staff members shall follow proper handwashing procedure before serving any types of food to the children. 805: Fire Drill Fire drill shall be conducted if there is one (1) opening day per month, per 10A NCAC 09 .0604(t). Please conduct a fire drill as soon as possible. 1811: Shelter-in-place drill A shelter-in-place drill or a lockdown drill is required every three (3) months per 10A NCAC 09 .0604(u). Please conduct a shelter-in-place or a lockdown drill as soon as possible. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/5/24. Email the compliance letter on signed letterhead or in 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 Address: 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 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. Additional technical assistance was provided as follows: Due to the effects of Tropical Storm Helene, additional time is permitted to achieve compliance with the following items: 428: Activity plans Per 10 A NCAC 09, .0508(a), activity plan shall be current and posted. 434: Materials Sufficient quantity and variety of materials shall be provided to promote social/emotional development, health and physical development, approaches to play and learning, language and communication development and cognitive development. I suggest variety of materials to be accessible to the children independently, including additional manipulatives, such as gears, magnetic tiles, puzzles. Math/number toys, such as counting bears and shape wooden blocks can promote mathematical knowledge. Variety of books should be accessible to the children throughout the day. Art materials, such as variety of writing tools, paper, glue, collage materials promote children’s creativity. Sensory materials, such as playdough and moon sand shall be available. Dramatic play materials, such as pretend toys, pots and pans are also recommended. Please allow children to play independently. Not having sufficient amount of materials cause unnecessary behavioral challenges. 445: Materials for children under three (3) years of age Per rules below, the children under three (3) years of age shall have access to variety of materials listed below. Additionally, please provide close supervision for the children under three (3). Small materials can be choking hazard, such as broken crayons and small pieces of toys. 10A NCAC 09 .0510 ACTIVITY AREAS (e) When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: (A) books; (B) blocks; (C) dolls; (D) pretend play materials; (E) musical toys; (F) sensory toys; and (G) fine motor toys; 1203: Operational Policy Operations policies of the program must be discussed with parents on or before the children’s first day. The documentation of the review shall be maintained in the children’s files. All six (6) enrolled children needs the documentation of review of your operational policy. 1207: Parent Participation Plan Parent participation plan shall be discussed upon initial enrollment, and the documentation of the discussion shall be maintained in the children’s files. Three (3) children need documentation of discussion of the program’s parent participation plan. 1320 and 1321: health assessment Per G.S.110-91 (1), each child’s health assessment shall be submitted to the program within thirty (30) days of enrollment, and the document shall be maintained in the children’s files. Two (2) children need health assessment immediately. 1323: Immunization records Per G.S. 110-91 (1), each child’s immunization record shall be submitted to the program within thirty (30) days of enrollment, and the documentation shall be maintained in the children’s files. Three (3) children need their immunization record immediately. For children’s records, please refer to Children’s Record checklist. Consultation was provided as follows: Use of tap water: Per new guidance provided by Environmental Health, bottled water shall be used for cooking and drinking due to elevated level of lead in water. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/21/2024 Number Present: 5 Completed Date: 11/21/2024 Age: From 2 To 4 Total Minutes: 237 Time In: 09:03 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Administrator, during the visit. A signed copy of the visit summary was printed and left with you. Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of today prior to this visit. Ms. Bell identified her business as sole proprietor. New applications, including Application- Facility Profile, Appendix A and Appendix I was asked to be completed during the visit. Permit type – three-start center license issued on 12/16/19. Special Services/Restrictions – daytime care, meets enhanced space. The last annual compliance visit was conducted on 10/26/24. Due to the effect of Tropical Storm Helene, no routine visits were conducted in October 2024. The last fire drill was practiced on 9/15/24. The last shelter-in-place drill was practiced on 6/15/24. The last playground inspection was documented in October 2024. The document was noted on the month but not the date. The last fire inspection was approved on 12/21/23. The last sanitation inspection was conducted on 3/4/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. Five (5) children were present. All five (5) children played with large interlocking blocks in the large container. Ms. Bell read children books to individual children. The children played with toys houses, wooden beads with strings and a few other items, such as dinosaurs and animals, a purse, a pot and people/character figures. At approximately 11:02 am, some potato chips were provided for the children. At approximately 11:10 am, a visitor came and had a group time with the children. The visitor sang songs with the children and asked the children questions. The visitor visits the program occasionally. The visitor was not counted in the ratio. Shortly after the visit, additional staff member arrived. Playground was inspected. There were multiple portable slide structures, riding toys, rockers and other gross motor activities available. Interaction and supervision were adequate. All children’s files were monitored during the visit. The program does not provide transportation. There are no Plan of Care for children due to no routine tasks being completed during operation hours. 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 402 Each child's diapers were not changed at areas designated exclusively for diapering, on a surface that was smooth, nonabsorbent, easily cleanable and of tight construction. Between 9:02 am to 11:35 am, the children's diapers and pull-ups were not checked or changed. 15A NCAC 18A .2819(a) & (b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. At approximately 11:05 am, Ms. Bell pulled handful of potato chips and handed to each child's hands to eat. The children ate the potato chips while waling around. They did not wash their hands prior to eating. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. At approximately 11:05 am, Ms. Bell grabbed a handful of potato chips and handed them to each child on the couch. She did not wash her hands prior to serving the children. 15A NCAC 18A .2803(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 9/15/24. .0604(t); .0302(d)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place was conducted on 6/5/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 402: diapering Per 10A NCAC 09 .0806 (a), the children with diapers and pull-ups shall be changed as needed basis. In order to do so, diapers and pull-ups shall be checked periodically throughout the day. Please check the child’s diaper every hour and change them as needed. 608: children’s hand washing Per 15A NCAC 18A , .2803 (c), children shall wash their hands prior to eating. You shall not serve any types of food on the couch or while the children are walking around. Please clean the table with appropriate cleaning solution and serve them at the table after proper handwashing. 609: Staff member’s hand washing Per 15A NCAC 18A, .2803 (a), staff members shall wash their hands prior to handling food. Staff members shall follow proper handwashing procedure before serving any types of food to the children. 805: Fire Drill Fire drill shall be conducted if there is one (1) opening day per month, per 10A NCAC 09 .0604(t). Please conduct a fire drill as soon as possible. 1811: Shelter-in-place drill A shelter-in-place drill or a lockdown drill is required every three (3) months per 10A NCAC 09 .0604(u). Please conduct a shelter-in-place or a lockdown drill as soon as possible. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/5/24. Email the compliance letter on signed letterhead or in 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 Address: 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 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. Additional technical assistance was provided as follows: Due to the effects of Tropical Storm Helene, additional time is permitted to achieve compliance with the following items: 428: Activity plans Per 10 A NCAC 09, .0508(a), activity plan shall be current and posted. 434: Materials Sufficient quantity and variety of materials shall be provided to promote social/emotional development, health and physical development, approaches to play and learning, language and communication development and cognitive development. I suggest variety of materials to be accessible to the children independently, including additional manipulatives, such as gears, magnetic tiles, puzzles. Math/number toys, such as counting bears and shape wooden blocks can promote mathematical knowledge. Variety of books should be accessible to the children throughout the day. Art materials, such as variety of writing tools, paper, glue, collage materials promote children’s creativity. Sensory materials, such as playdough and moon sand shall be available. Dramatic play materials, such as pretend toys, pots and pans are also recommended. Please allow children to play independently. Not having sufficient amount of materials cause unnecessary behavioral challenges. 445: Materials for children under three (3) years of age Per rules below, the children under three (3) years of age shall have access to variety of materials listed below. Additionally, please provide close supervision for the children under three (3). Small materials can be choking hazard, such as broken crayons and small pieces of toys. 10A NCAC 09 .0510 ACTIVITY AREAS (e) When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: (A) books; (B) blocks; (C) dolls; (D) pretend play materials; (E) musical toys; (F) sensory toys; and (G) fine motor toys; 1203: Operational Policy Operations policies of the program must be discussed with parents on or before the children’s first day. The documentation of the review shall be maintained in the children’s files. All six (6) enrolled children needs the documentation of review of your operational policy. 1207: Parent Participation Plan Parent participation plan shall be discussed upon initial enrollment, and the documentation of the discussion shall be maintained in the children’s files. Three (3) children need documentation of discussion of the program’s parent participation plan. 1320 and 1321: health assessment Per G.S.110-91 (1), each child’s health assessment shall be submitted to the program within thirty (30) days of enrollment, and the document shall be maintained in the children’s files. Two (2) children need health assessment immediately. 1323: Immunization records Per G.S. 110-91 (1), each child’s immunization record shall be submitted to the program within thirty (30) days of enrollment, and the documentation shall be maintained in the children’s files. Three (3) children need their immunization record immediately. For children’s records, please refer to Children’s Record checklist. Consultation was provided as follows: Use of tap water: Per new guidance provided by Environmental Health, bottled water shall be used for cooking and drinking due to elevated level of lead in water. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/21/2024 Number Present: 5 Completed Date: 11/21/2024 Age: From 2 To 4 Total Minutes: 237 Time In: 09:03 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Administrator, during the visit. A signed copy of the visit summary was printed and left with you. Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of today prior to this visit. Ms. Bell identified her business as sole proprietor. New applications, including Application- Facility Profile, Appendix A and Appendix I was asked to be completed during the visit. Permit type – three-start center license issued on 12/16/19. Special Services/Restrictions – daytime care, meets enhanced space. The last annual compliance visit was conducted on 10/26/24. Due to the effect of Tropical Storm Helene, no routine visits were conducted in October 2024. The last fire drill was practiced on 9/15/24. The last shelter-in-place drill was practiced on 6/15/24. The last playground inspection was documented in October 2024. The document was noted on the month but not the date. The last fire inspection was approved on 12/21/23. The last sanitation inspection was conducted on 3/4/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. Five (5) children were present. All five (5) children played with large interlocking blocks in the large container. Ms. Bell read children books to individual children. The children played with toys houses, wooden beads with strings and a few other items, such as dinosaurs and animals, a purse, a pot and people/character figures. At approximately 11:02 am, some potato chips were provided for the children. At approximately 11:10 am, a visitor came and had a group time with the children. The visitor sang songs with the children and asked the children questions. The visitor visits the program occasionally. The visitor was not counted in the ratio. Shortly after the visit, additional staff member arrived. Playground was inspected. There were multiple portable slide structures, riding toys, rockers and other gross motor activities available. Interaction and supervision were adequate. All children’s files were monitored during the visit. The program does not provide transportation. There are no Plan of Care for children due to no routine tasks being completed during operation hours. 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 402 Each child's diapers were not changed at areas designated exclusively for diapering, on a surface that was smooth, nonabsorbent, easily cleanable and of tight construction. Between 9:02 am to 11:35 am, the children's diapers and pull-ups were not checked or changed. 15A NCAC 18A .2819(a) & (b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. At approximately 11:05 am, Ms. Bell pulled handful of potato chips and handed to each child's hands to eat. The children ate the potato chips while waling around. They did not wash their hands prior to eating. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. At approximately 11:05 am, Ms. Bell grabbed a handful of potato chips and handed them to each child on the couch. She did not wash her hands prior to serving the children. 15A NCAC 18A .2803(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 9/15/24. .0604(t); .0302(d)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place was conducted on 6/5/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 402: diapering Per 10A NCAC 09 .0806 (a), the children with diapers and pull-ups shall be changed as needed basis. In order to do so, diapers and pull-ups shall be checked periodically throughout the day. Please check the child’s diaper every hour and change them as needed. 608: children’s hand washing Per 15A NCAC 18A , .2803 (c), children shall wash their hands prior to eating. You shall not serve any types of food on the couch or while the children are walking around. Please clean the table with appropriate cleaning solution and serve them at the table after proper handwashing. 609: Staff member’s hand washing Per 15A NCAC 18A, .2803 (a), staff members shall wash their hands prior to handling food. Staff members shall follow proper handwashing procedure before serving any types of food to the children. 805: Fire Drill Fire drill shall be conducted if there is one (1) opening day per month, per 10A NCAC 09 .0604(t). Please conduct a fire drill as soon as possible. 1811: Shelter-in-place drill A shelter-in-place drill or a lockdown drill is required every three (3) months per 10A NCAC 09 .0604(u). Please conduct a shelter-in-place or a lockdown drill as soon as possible. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/5/24. Email the compliance letter on signed letterhead or in 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 Address: 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 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. Additional technical assistance was provided as follows: Due to the effects of Tropical Storm Helene, additional time is permitted to achieve compliance with the following items: 428: Activity plans Per 10 A NCAC 09, .0508(a), activity plan shall be current and posted. 434: Materials Sufficient quantity and variety of materials shall be provided to promote social/emotional development, health and physical development, approaches to play and learning, language and communication development and cognitive development. I suggest variety of materials to be accessible to the children independently, including additional manipulatives, such as gears, magnetic tiles, puzzles. Math/number toys, such as counting bears and shape wooden blocks can promote mathematical knowledge. Variety of books should be accessible to the children throughout the day. Art materials, such as variety of writing tools, paper, glue, collage materials promote children’s creativity. Sensory materials, such as playdough and moon sand shall be available. Dramatic play materials, such as pretend toys, pots and pans are also recommended. Please allow children to play independently. Not having sufficient amount of materials cause unnecessary behavioral challenges. 445: Materials for children under three (3) years of age Per rules below, the children under three (3) years of age shall have access to variety of materials listed below. Additionally, please provide close supervision for the children under three (3). Small materials can be choking hazard, such as broken crayons and small pieces of toys. 10A NCAC 09 .0510 ACTIVITY AREAS (e) When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: (A) books; (B) blocks; (C) dolls; (D) pretend play materials; (E) musical toys; (F) sensory toys; and (G) fine motor toys; 1203: Operational Policy Operations policies of the program must be discussed with parents on or before the children’s first day. The documentation of the review shall be maintained in the children’s files. All six (6) enrolled children needs the documentation of review of your operational policy. 1207: Parent Participation Plan Parent participation plan shall be discussed upon initial enrollment, and the documentation of the discussion shall be maintained in the children’s files. Three (3) children need documentation of discussion of the program’s parent participation plan. 1320 and 1321: health assessment Per G.S.110-91 (1), each child’s health assessment shall be submitted to the program within thirty (30) days of enrollment, and the document shall be maintained in the children’s files. Two (2) children need health assessment immediately. 1323: Immunization records Per G.S. 110-91 (1), each child’s immunization record shall be submitted to the program within thirty (30) days of enrollment, and the documentation shall be maintained in the children’s files. Three (3) children need their immunization record immediately. For children’s records, please refer to Children’s Record checklist. Consultation was provided as follows: Use of tap water: Per new guidance provided by Environmental Health, bottled water shall be used for cooking and drinking due to elevated level of lead in water. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/21/2024 Number Present: 5 Completed Date: 11/21/2024 Age: From 2 To 4 Total Minutes: 237 Time In: 09:03 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Administrator, during the visit. A signed copy of the visit summary was printed and left with you. Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of today prior to this visit. Ms. Bell identified her business as sole proprietor. New applications, including Application- Facility Profile, Appendix A and Appendix I was asked to be completed during the visit. Permit type – three-start center license issued on 12/16/19. Special Services/Restrictions – daytime care, meets enhanced space. The last annual compliance visit was conducted on 10/26/24. Due to the effect of Tropical Storm Helene, no routine visits were conducted in October 2024. The last fire drill was practiced on 9/15/24. The last shelter-in-place drill was practiced on 6/15/24. The last playground inspection was documented in October 2024. The document was noted on the month but not the date. The last fire inspection was approved on 12/21/23. The last sanitation inspection was conducted on 3/4/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. Five (5) children were present. All five (5) children played with large interlocking blocks in the large container. Ms. Bell read children books to individual children. The children played with toys houses, wooden beads with strings and a few other items, such as dinosaurs and animals, a purse, a pot and people/character figures. At approximately 11:02 am, some potato chips were provided for the children. At approximately 11:10 am, a visitor came and had a group time with the children. The visitor sang songs with the children and asked the children questions. The visitor visits the program occasionally. The visitor was not counted in the ratio. Shortly after the visit, additional staff member arrived. Playground was inspected. There were multiple portable slide structures, riding toys, rockers and other gross motor activities available. Interaction and supervision were adequate. All children’s files were monitored during the visit. The program does not provide transportation. There are no Plan of Care for children due to no routine tasks being completed during operation hours. 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 402 Each child's diapers were not changed at areas designated exclusively for diapering, on a surface that was smooth, nonabsorbent, easily cleanable and of tight construction. Between 9:02 am to 11:35 am, the children's diapers and pull-ups were not checked or changed. 15A NCAC 18A .2819(a) & (b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. At approximately 11:05 am, Ms. Bell pulled handful of potato chips and handed to each child's hands to eat. The children ate the potato chips while waling around. They did not wash their hands prior to eating. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. At approximately 11:05 am, Ms. Bell grabbed a handful of potato chips and handed them to each child on the couch. She did not wash her hands prior to serving the children. 15A NCAC 18A .2803(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 9/15/24. .0604(t); .0302(d)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place was conducted on 6/5/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 402: diapering Per 10A NCAC 09 .0806 (a), the children with diapers and pull-ups shall be changed as needed basis. In order to do so, diapers and pull-ups shall be checked periodically throughout the day. Please check the child’s diaper every hour and change them as needed. 608: children’s hand washing Per 15A NCAC 18A , .2803 (c), children shall wash their hands prior to eating. You shall not serve any types of food on the couch or while the children are walking around. Please clean the table with appropriate cleaning solution and serve them at the table after proper handwashing. 609: Staff member’s hand washing Per 15A NCAC 18A, .2803 (a), staff members shall wash their hands prior to handling food. Staff members shall follow proper handwashing procedure before serving any types of food to the children. 805: Fire Drill Fire drill shall be conducted if there is one (1) opening day per month, per 10A NCAC 09 .0604(t). Please conduct a fire drill as soon as possible. 1811: Shelter-in-place drill A shelter-in-place drill or a lockdown drill is required every three (3) months per 10A NCAC 09 .0604(u). Please conduct a shelter-in-place or a lockdown drill as soon as possible. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/5/24. Email the compliance letter on signed letterhead or in 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 Address: 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 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. Additional technical assistance was provided as follows: Due to the effects of Tropical Storm Helene, additional time is permitted to achieve compliance with the following items: 428: Activity plans Per 10 A NCAC 09, .0508(a), activity plan shall be current and posted. 434: Materials Sufficient quantity and variety of materials shall be provided to promote social/emotional development, health and physical development, approaches to play and learning, language and communication development and cognitive development. I suggest variety of materials to be accessible to the children independently, including additional manipulatives, such as gears, magnetic tiles, puzzles. Math/number toys, such as counting bears and shape wooden blocks can promote mathematical knowledge. Variety of books should be accessible to the children throughout the day. Art materials, such as variety of writing tools, paper, glue, collage materials promote children’s creativity. Sensory materials, such as playdough and moon sand shall be available. Dramatic play materials, such as pretend toys, pots and pans are also recommended. Please allow children to play independently. Not having sufficient amount of materials cause unnecessary behavioral challenges. 445: Materials for children under three (3) years of age Per rules below, the children under three (3) years of age shall have access to variety of materials listed below. Additionally, please provide close supervision for the children under three (3). Small materials can be choking hazard, such as broken crayons and small pieces of toys. 10A NCAC 09 .0510 ACTIVITY AREAS (e) When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: (A) books; (B) blocks; (C) dolls; (D) pretend play materials; (E) musical toys; (F) sensory toys; and (G) fine motor toys; 1203: Operational Policy Operations policies of the program must be discussed with parents on or before the children’s first day. The documentation of the review shall be maintained in the children’s files. All six (6) enrolled children needs the documentation of review of your operational policy. 1207: Parent Participation Plan Parent participation plan shall be discussed upon initial enrollment, and the documentation of the discussion shall be maintained in the children’s files. Three (3) children need documentation of discussion of the program’s parent participation plan. 1320 and 1321: health assessment Per G.S.110-91 (1), each child’s health assessment shall be submitted to the program within thirty (30) days of enrollment, and the document shall be maintained in the children’s files. Two (2) children need health assessment immediately. 1323: Immunization records Per G.S. 110-91 (1), each child’s immunization record shall be submitted to the program within thirty (30) days of enrollment, and the documentation shall be maintained in the children’s files. Three (3) children need their immunization record immediately. For children’s records, please refer to Children’s Record checklist. Consultation was provided as follows: Use of tap water: Per new guidance provided by Environmental Health, bottled water shall be used for cooking and drinking due to elevated level of lead in water. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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. 110-91 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/21/2024 Number Present: 5 Completed Date: 11/21/2024 Age: From 2 To 4 Total Minutes: 237 Time In: 09:03 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Administrator, during the visit. A signed copy of the visit summary was printed and left with you. Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of today prior to this visit. Ms. Bell identified her business as sole proprietor. New applications, including Application- Facility Profile, Appendix A and Appendix I was asked to be completed during the visit. Permit type – three-start center license issued on 12/16/19. Special Services/Restrictions – daytime care, meets enhanced space. The last annual compliance visit was conducted on 10/26/24. Due to the effect of Tropical Storm Helene, no routine visits were conducted in October 2024. The last fire drill was practiced on 9/15/24. The last shelter-in-place drill was practiced on 6/15/24. The last playground inspection was documented in October 2024. The document was noted on the month but not the date. The last fire inspection was approved on 12/21/23. The last sanitation inspection was conducted on 3/4/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. Five (5) children were present. All five (5) children played with large interlocking blocks in the large container. Ms. Bell read children books to individual children. The children played with toys houses, wooden beads with strings and a few other items, such as dinosaurs and animals, a purse, a pot and people/character figures. At approximately 11:02 am, some potato chips were provided for the children. At approximately 11:10 am, a visitor came and had a group time with the children. The visitor sang songs with the children and asked the children questions. The visitor visits the program occasionally. The visitor was not counted in the ratio. Shortly after the visit, additional staff member arrived. Playground was inspected. There were multiple portable slide structures, riding toys, rockers and other gross motor activities available. Interaction and supervision were adequate. All children’s files were monitored during the visit. The program does not provide transportation. There are no Plan of Care for children due to no routine tasks being completed during operation hours. 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 402 Each child's diapers were not changed at areas designated exclusively for diapering, on a surface that was smooth, nonabsorbent, easily cleanable and of tight construction. Between 9:02 am to 11:35 am, the children's diapers and pull-ups were not checked or changed. 15A NCAC 18A .2819(a) & (b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. At approximately 11:05 am, Ms. Bell pulled handful of potato chips and handed to each child's hands to eat. The children ate the potato chips while waling around. They did not wash their hands prior to eating. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. At approximately 11:05 am, Ms. Bell grabbed a handful of potato chips and handed them to each child on the couch. She did not wash her hands prior to serving the children. 15A NCAC 18A .2803(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 9/15/24. .0604(t); .0302(d)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place was conducted on 6/5/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 402: diapering Per 10A NCAC 09 .0806 (a), the children with diapers and pull-ups shall be changed as needed basis. In order to do so, diapers and pull-ups shall be checked periodically throughout the day. Please check the child’s diaper every hour and change them as needed. 608: children’s hand washing Per 15A NCAC 18A , .2803 (c), children shall wash their hands prior to eating. You shall not serve any types of food on the couch or while the children are walking around. Please clean the table with appropriate cleaning solution and serve them at the table after proper handwashing. 609: Staff member’s hand washing Per 15A NCAC 18A, .2803 (a), staff members shall wash their hands prior to handling food. Staff members shall follow proper handwashing procedure before serving any types of food to the children. 805: Fire Drill Fire drill shall be conducted if there is one (1) opening day per month, per 10A NCAC 09 .0604(t). Please conduct a fire drill as soon as possible. 1811: Shelter-in-place drill A shelter-in-place drill or a lockdown drill is required every three (3) months per 10A NCAC 09 .0604(u). Please conduct a shelter-in-place or a lockdown drill as soon as possible. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/5/24. Email the compliance letter on signed letterhead or in 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 Address: 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 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. Additional technical assistance was provided as follows: Due to the effects of Tropical Storm Helene, additional time is permitted to achieve compliance with the following items: 428: Activity plans Per 10 A NCAC 09, .0508(a), activity plan shall be current and posted. 434: Materials Sufficient quantity and variety of materials shall be provided to promote social/emotional development, health and physical development, approaches to play and learning, language and communication development and cognitive development. I suggest variety of materials to be accessible to the children independently, including additional manipulatives, such as gears, magnetic tiles, puzzles. Math/number toys, such as counting bears and shape wooden blocks can promote mathematical knowledge. Variety of books should be accessible to the children throughout the day. Art materials, such as variety of writing tools, paper, glue, collage materials promote children’s creativity. Sensory materials, such as playdough and moon sand shall be available. Dramatic play materials, such as pretend toys, pots and pans are also recommended. Please allow children to play independently. Not having sufficient amount of materials cause unnecessary behavioral challenges. 445: Materials for children under three (3) years of age Per rules below, the children under three (3) years of age shall have access to variety of materials listed below. Additionally, please provide close supervision for the children under three (3). Small materials can be choking hazard, such as broken crayons and small pieces of toys. 10A NCAC 09 .0510 ACTIVITY AREAS (e) When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: (A) books; (B) blocks; (C) dolls; (D) pretend play materials; (E) musical toys; (F) sensory toys; and (G) fine motor toys; 1203: Operational Policy Operations policies of the program must be discussed with parents on or before the children’s first day. The documentation of the review shall be maintained in the children’s files. All six (6) enrolled children needs the documentation of review of your operational policy. 1207: Parent Participation Plan Parent participation plan shall be discussed upon initial enrollment, and the documentation of the discussion shall be maintained in the children’s files. Three (3) children need documentation of discussion of the program’s parent participation plan. 1320 and 1321: health assessment Per G.S.110-91 (1), each child’s health assessment shall be submitted to the program within thirty (30) days of enrollment, and the document shall be maintained in the children’s files. Two (2) children need health assessment immediately. 1323: Immunization records Per G.S. 110-91 (1), each child’s immunization record shall be submitted to the program within thirty (30) days of enrollment, and the documentation shall be maintained in the children’s files. Three (3) children need their immunization record immediately. For children’s records, please refer to Children’s Record checklist. Consultation was provided as follows: Use of tap water: Per new guidance provided by Environmental Health, bottled water shall be used for cooking and drinking due to elevated level of lead in water. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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.110-91 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/21/2024 Number Present: 5 Completed Date: 11/21/2024 Age: From 2 To 4 Total Minutes: 237 Time In: 09:03 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Administrator, during the visit. A signed copy of the visit summary was printed and left with you. Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of today prior to this visit. Ms. Bell identified her business as sole proprietor. New applications, including Application- Facility Profile, Appendix A and Appendix I was asked to be completed during the visit. Permit type – three-start center license issued on 12/16/19. Special Services/Restrictions – daytime care, meets enhanced space. The last annual compliance visit was conducted on 10/26/24. Due to the effect of Tropical Storm Helene, no routine visits were conducted in October 2024. The last fire drill was practiced on 9/15/24. The last shelter-in-place drill was practiced on 6/15/24. The last playground inspection was documented in October 2024. The document was noted on the month but not the date. The last fire inspection was approved on 12/21/23. The last sanitation inspection was conducted on 3/4/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. Five (5) children were present. All five (5) children played with large interlocking blocks in the large container. Ms. Bell read children books to individual children. The children played with toys houses, wooden beads with strings and a few other items, such as dinosaurs and animals, a purse, a pot and people/character figures. At approximately 11:02 am, some potato chips were provided for the children. At approximately 11:10 am, a visitor came and had a group time with the children. The visitor sang songs with the children and asked the children questions. The visitor visits the program occasionally. The visitor was not counted in the ratio. Shortly after the visit, additional staff member arrived. Playground was inspected. There were multiple portable slide structures, riding toys, rockers and other gross motor activities available. Interaction and supervision were adequate. All children’s files were monitored during the visit. The program does not provide transportation. There are no Plan of Care for children due to no routine tasks being completed during operation hours. 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 402 Each child's diapers were not changed at areas designated exclusively for diapering, on a surface that was smooth, nonabsorbent, easily cleanable and of tight construction. Between 9:02 am to 11:35 am, the children's diapers and pull-ups were not checked or changed. 15A NCAC 18A .2819(a) & (b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. At approximately 11:05 am, Ms. Bell pulled handful of potato chips and handed to each child's hands to eat. The children ate the potato chips while waling around. They did not wash their hands prior to eating. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. At approximately 11:05 am, Ms. Bell grabbed a handful of potato chips and handed them to each child on the couch. She did not wash her hands prior to serving the children. 15A NCAC 18A .2803(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 9/15/24. .0604(t); .0302(d)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place was conducted on 6/5/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 402: diapering Per 10A NCAC 09 .0806 (a), the children with diapers and pull-ups shall be changed as needed basis. In order to do so, diapers and pull-ups shall be checked periodically throughout the day. Please check the child’s diaper every hour and change them as needed. 608: children’s hand washing Per 15A NCAC 18A , .2803 (c), children shall wash their hands prior to eating. You shall not serve any types of food on the couch or while the children are walking around. Please clean the table with appropriate cleaning solution and serve them at the table after proper handwashing. 609: Staff member’s hand washing Per 15A NCAC 18A, .2803 (a), staff members shall wash their hands prior to handling food. Staff members shall follow proper handwashing procedure before serving any types of food to the children. 805: Fire Drill Fire drill shall be conducted if there is one (1) opening day per month, per 10A NCAC 09 .0604(t). Please conduct a fire drill as soon as possible. 1811: Shelter-in-place drill A shelter-in-place drill or a lockdown drill is required every three (3) months per 10A NCAC 09 .0604(u). Please conduct a shelter-in-place or a lockdown drill as soon as possible. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/5/24. Email the compliance letter on signed letterhead or in 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 Address: 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 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. Additional technical assistance was provided as follows: Due to the effects of Tropical Storm Helene, additional time is permitted to achieve compliance with the following items: 428: Activity plans Per 10 A NCAC 09, .0508(a), activity plan shall be current and posted. 434: Materials Sufficient quantity and variety of materials shall be provided to promote social/emotional development, health and physical development, approaches to play and learning, language and communication development and cognitive development. I suggest variety of materials to be accessible to the children independently, including additional manipulatives, such as gears, magnetic tiles, puzzles. Math/number toys, such as counting bears and shape wooden blocks can promote mathematical knowledge. Variety of books should be accessible to the children throughout the day. Art materials, such as variety of writing tools, paper, glue, collage materials promote children’s creativity. Sensory materials, such as playdough and moon sand shall be available. Dramatic play materials, such as pretend toys, pots and pans are also recommended. Please allow children to play independently. Not having sufficient amount of materials cause unnecessary behavioral challenges. 445: Materials for children under three (3) years of age Per rules below, the children under three (3) years of age shall have access to variety of materials listed below. Additionally, please provide close supervision for the children under three (3). Small materials can be choking hazard, such as broken crayons and small pieces of toys. 10A NCAC 09 .0510 ACTIVITY AREAS (e) When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: (A) books; (B) blocks; (C) dolls; (D) pretend play materials; (E) musical toys; (F) sensory toys; and (G) fine motor toys; 1203: Operational Policy Operations policies of the program must be discussed with parents on or before the children’s first day. The documentation of the review shall be maintained in the children’s files. All six (6) enrolled children needs the documentation of review of your operational policy. 1207: Parent Participation Plan Parent participation plan shall be discussed upon initial enrollment, and the documentation of the discussion shall be maintained in the children’s files. Three (3) children need documentation of discussion of the program’s parent participation plan. 1320 and 1321: health assessment Per G.S.110-91 (1), each child’s health assessment shall be submitted to the program within thirty (30) days of enrollment, and the document shall be maintained in the children’s files. Two (2) children need health assessment immediately. 1323: Immunization records Per G.S. 110-91 (1), each child’s immunization record shall be submitted to the program within thirty (30) days of enrollment, and the documentation shall be maintained in the children’s files. Three (3) children need their immunization record immediately. For children’s records, please refer to Children’s Record checklist. Consultation was provided as follows: Use of tap water: Per new guidance provided by Environmental Health, bottled water shall be used for cooking and drinking due to elevated level of lead in water. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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

NC GS 110-90 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/21/2024 Number Present: 5 Completed Date: 11/21/2024 Age: From 2 To 4 Total Minutes: 237 Time In: 09:03 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Administrator, during the visit. A signed copy of the visit summary was printed and left with you. Ms. Bell was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of today prior to this visit. Ms. Bell identified her business as sole proprietor. New applications, including Application- Facility Profile, Appendix A and Appendix I was asked to be completed during the visit. Permit type – three-start center license issued on 12/16/19. Special Services/Restrictions – daytime care, meets enhanced space. The last annual compliance visit was conducted on 10/26/24. Due to the effect of Tropical Storm Helene, no routine visits were conducted in October 2024. The last fire drill was practiced on 9/15/24. The last shelter-in-place drill was practiced on 6/15/24. The last playground inspection was documented in October 2024. The document was noted on the month but not the date. The last fire inspection was approved on 12/21/23. The last sanitation inspection was conducted on 3/4/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. Five (5) children were present. All five (5) children played with large interlocking blocks in the large container. Ms. Bell read children books to individual children. The children played with toys houses, wooden beads with strings and a few other items, such as dinosaurs and animals, a purse, a pot and people/character figures. At approximately 11:02 am, some potato chips were provided for the children. At approximately 11:10 am, a visitor came and had a group time with the children. The visitor sang songs with the children and asked the children questions. The visitor visits the program occasionally. The visitor was not counted in the ratio. Shortly after the visit, additional staff member arrived. Playground was inspected. There were multiple portable slide structures, riding toys, rockers and other gross motor activities available. Interaction and supervision were adequate. All children’s files were monitored during the visit. The program does not provide transportation. There are no Plan of Care for children due to no routine tasks being completed during operation hours. 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 402 Each child's diapers were not changed at areas designated exclusively for diapering, on a surface that was smooth, nonabsorbent, easily cleanable and of tight construction. Between 9:02 am to 11:35 am, the children's diapers and pull-ups were not checked or changed. 15A NCAC 18A .2819(a) & (b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. At approximately 11:05 am, Ms. Bell pulled handful of potato chips and handed to each child's hands to eat. The children ate the potato chips while waling around. They did not wash their hands prior to eating. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. At approximately 11:05 am, Ms. Bell grabbed a handful of potato chips and handed them to each child on the couch. She did not wash her hands prior to serving the children. 15A NCAC 18A .2803(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 9/15/24. .0604(t); .0302(d)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place was conducted on 6/5/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 402: diapering Per 10A NCAC 09 .0806 (a), the children with diapers and pull-ups shall be changed as needed basis. In order to do so, diapers and pull-ups shall be checked periodically throughout the day. Please check the child’s diaper every hour and change them as needed. 608: children’s hand washing Per 15A NCAC 18A , .2803 (c), children shall wash their hands prior to eating. You shall not serve any types of food on the couch or while the children are walking around. Please clean the table with appropriate cleaning solution and serve them at the table after proper handwashing. 609: Staff member’s hand washing Per 15A NCAC 18A, .2803 (a), staff members shall wash their hands prior to handling food. Staff members shall follow proper handwashing procedure before serving any types of food to the children. 805: Fire Drill Fire drill shall be conducted if there is one (1) opening day per month, per 10A NCAC 09 .0604(t). Please conduct a fire drill as soon as possible. 1811: Shelter-in-place drill A shelter-in-place drill or a lockdown drill is required every three (3) months per 10A NCAC 09 .0604(u). Please conduct a shelter-in-place or a lockdown drill as soon as possible. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/5/24. Email the compliance letter on signed letterhead or in 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 Address: 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 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. Additional technical assistance was provided as follows: Due to the effects of Tropical Storm Helene, additional time is permitted to achieve compliance with the following items: 428: Activity plans Per 10 A NCAC 09, .0508(a), activity plan shall be current and posted. 434: Materials Sufficient quantity and variety of materials shall be provided to promote social/emotional development, health and physical development, approaches to play and learning, language and communication development and cognitive development. I suggest variety of materials to be accessible to the children independently, including additional manipulatives, such as gears, magnetic tiles, puzzles. Math/number toys, such as counting bears and shape wooden blocks can promote mathematical knowledge. Variety of books should be accessible to the children throughout the day. Art materials, such as variety of writing tools, paper, glue, collage materials promote children’s creativity. Sensory materials, such as playdough and moon sand shall be available. Dramatic play materials, such as pretend toys, pots and pans are also recommended. Please allow children to play independently. Not having sufficient amount of materials cause unnecessary behavioral challenges. 445: Materials for children under three (3) years of age Per rules below, the children under three (3) years of age shall have access to variety of materials listed below. Additionally, please provide close supervision for the children under three (3). Small materials can be choking hazard, such as broken crayons and small pieces of toys. 10A NCAC 09 .0510 ACTIVITY AREAS (e) When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: (A) books; (B) blocks; (C) dolls; (D) pretend play materials; (E) musical toys; (F) sensory toys; and (G) fine motor toys; 1203: Operational Policy Operations policies of the program must be discussed with parents on or before the children’s first day. The documentation of the review shall be maintained in the children’s files. All six (6) enrolled children needs the documentation of review of your operational policy. 1207: Parent Participation Plan Parent participation plan shall be discussed upon initial enrollment, and the documentation of the discussion shall be maintained in the children’s files. Three (3) children need documentation of discussion of the program’s parent participation plan. 1320 and 1321: health assessment Per G.S.110-91 (1), each child’s health assessment shall be submitted to the program within thirty (30) days of enrollment, and the document shall be maintained in the children’s files. Two (2) children need health assessment immediately. 1323: Immunization records Per G.S. 110-91 (1), each child’s immunization record shall be submitted to the program within thirty (30) days of enrollment, and the documentation shall be maintained in the children’s files. Three (3) children need their immunization record immediately. For children’s records, please refer to Children’s Record checklist. Consultation was provided as follows: Use of tap water: Per new guidance provided by Environmental Health, bottled water shall be used for cooking and drinking due to elevated level of lead in water. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0102 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 5 Completed Date: 4/16/2024 Age: From 2 To 4 Total Minutes: 185 Time In: 09:10 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. 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 Beverly Bells, Owner/Operator, during the visit. An electronic signed copy of the visit summary was printed and shared with you. Ms. Bells was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81) percent as of 4/13/24. Permit type – Three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 10/26/23. The last fire drill was practiced on 12/15/23. The last shelter-in-place drill was practiced on 10/25/23. The last playground inspection was documented on 4/4/24. The last fire inspection was approved on 12/21/23. The last sanitation inspection was conducted on 3/4/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response (EPR) plan was last updated on 5/23/23. Upon arrival, I announced my presence and the purpose of the visit. Three (3) children, raged from two (2) to four (4) years of age, were present. The children sat on the chair and watched a Nick Jr. show on TV. The TV was turned off shortly after my arrival, and two (2) more children arrived. The children colored and played with blocks. Ms. Bell read a book to the children during group time. At 10: 34 am, one (1) staff member took the children to the playground. The children played with balls, slide structure and engaged in other gross motor activities. At 11:06 am, one (1) of the staff members left the facility to pick-up lunch for the children from McDonald's. The staff member returned at 11:20 am. Milk, peas and pineapples were added to hamburgers and fries to supplement the lunch. The playground was inspected. There are two (2) portable slide structures, riding toys and other gross motor equipment. An air conditioning unit is located against the house on the playground. The opening of the metal mesh is squares of ½ inch. The child’s fingers can still go through the openings; therefore, the openings of the mesh shall be smaller. Additionally, the mesh is not secured on to the unit. Please make sure that the guard is securely attached to the AC unit to prevent children from putting hands/fingers onto the blade. Two (2) existing staff files were monitored for criminal background letters and CPR/First Aid training certificates. Both staff members’ CPR/First Aid certificates expired in March 2024. Both criminal background letters were valid. ABCMS system was also monitored during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Upon my arrival, a program from Nick Jr. channel was playing on the TV, and the screen time log was not filled out. .0510(d)(2)(A-C) 544 Screen time was offered to children under three years of age. During the time, a program on Nick Jr. channel was playing, two-year-old children were present. .0510(f) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two (2) children arrived after my arrival. Neither children washed their hands upon their arrival. 15A NCAC 18A .2803(c) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The facility's safe pick-up and delivery procedures were not posted at the facility. .1003(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Per facility's emergency drill log, the last fire drill was conducted on 12/15/23. .0604(t); .0302(d)(5) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning unit is located on the playground. There is a metal mesh over the top of the unit. However, the mesh is not secured, therefore it can easily removed. Additionally, the openings of the mesh are 1/2 inch squares, which is wide enough for my pinky finger to go through. The children's fingers can still access the blades of the AC unit. .0604 (m) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. First Aid poster was not posted at the facility. .0802(h) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #2, there are children's cubbies located approximately thirty-eight (38) inches high. On the first cubby by the door to outside, there are six (6) Parent Choice baby wipes with a warning label present. In the 3rd cubby from the door, there was a Unscented Non-Perfumees Bay Wipes with a warning label present. On the 8th cubby from the door, a grocery bag with baby wipes was present. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Both staff member's first aid certificates expired on 3/25/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Both staff member's CPR certificates expired on 3/25/24. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the facility's emergency drill log, the last shelter-in-place/Lockdown drill was conducted on 10/25/23. .0604(u);.0302(d)(8) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. Both staff members First Aid and CPR training expired on 3/25/24. .1102(c-d) Technical assistance was provided as follows: 524: Screen time log When screen time is offered to a child who is three (3) years of age as above, the program shall be educational, and the time must be logged on the screen time log. 544: Screen time for children under three (3) years of age No screen time is permitted for children under three (3) years of age. The TV cannot be turned on whether the children are paying attention to the TV or not. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. 608: Handwashing The children shall wash their hands upon arrival. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash their hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 802: Safe arrival procedure Safe arrival and departure procedures shall be posted where the parents can see. Please print and post the procedures. 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. 805: Monthly fire drill Fire drills are required monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly, and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 828: Air Conditioning unit The air conditioning unit shall be inaccessible to the children. The fingers and hands of the children cannot reach the blades of the AC unit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (m) Air conditioning units shall be located so that they are not accessible to children or shall be fitted with a mesh guard to prevent objects from being thrown into them. (n) Gas tanks and gas or charcoal grills shall be inaccessible to children or shall be in a protective enclosure. 830: First Aid Poster First aid posters shall be posted. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in the place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. 858: Plastics Easily torn plastics, such as grocery bags, Ziplock bags and diaper wipes with warning to keep the item out of reach of children shall be stored out of reach of children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment and renewed before they expire. The training certificate shall be maintained in the staff file. If certification is not available, proof of attendance can be filed in place for the certification for a reasonable time period. If you did not receive the training certificate, please contact your trainer and request one. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov 1811: Shelter-in-place/Lockdown Drill Shelter-in-place/lockdown drill is required every three (3) months. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 1894: First Aid/CPR certification Per Child Care rule, 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c-d) listed above, at least one (1) person who is certified in First Aid and CPR shall be present while the children are present. 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 4/30/24. Email the compliance letter on signed letterhead or in 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 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: The facility’s EPR plan shall be updated and reviewed with all staff members on or prior to 5/23/24. Record retention: A chart of record retention was printed during the visit and shared with you. Logs: During the visit, safe arrival procedures guideline and screen time log were printed and shared with Ms. Bell. Rated License assessment: Bev’s Day Care is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to 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 .0302 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 5 Completed Date: 4/16/2024 Age: From 2 To 4 Total Minutes: 185 Time In: 09:10 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. 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 Beverly Bells, Owner/Operator, during the visit. An electronic signed copy of the visit summary was printed and shared with you. Ms. Bells was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81) percent as of 4/13/24. Permit type – Three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 10/26/23. The last fire drill was practiced on 12/15/23. The last shelter-in-place drill was practiced on 10/25/23. The last playground inspection was documented on 4/4/24. The last fire inspection was approved on 12/21/23. The last sanitation inspection was conducted on 3/4/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response (EPR) plan was last updated on 5/23/23. Upon arrival, I announced my presence and the purpose of the visit. Three (3) children, raged from two (2) to four (4) years of age, were present. The children sat on the chair and watched a Nick Jr. show on TV. The TV was turned off shortly after my arrival, and two (2) more children arrived. The children colored and played with blocks. Ms. Bell read a book to the children during group time. At 10: 34 am, one (1) staff member took the children to the playground. The children played with balls, slide structure and engaged in other gross motor activities. At 11:06 am, one (1) of the staff members left the facility to pick-up lunch for the children from McDonald's. The staff member returned at 11:20 am. Milk, peas and pineapples were added to hamburgers and fries to supplement the lunch. The playground was inspected. There are two (2) portable slide structures, riding toys and other gross motor equipment. An air conditioning unit is located against the house on the playground. The opening of the metal mesh is squares of ½ inch. The child’s fingers can still go through the openings; therefore, the openings of the mesh shall be smaller. Additionally, the mesh is not secured on to the unit. Please make sure that the guard is securely attached to the AC unit to prevent children from putting hands/fingers onto the blade. Two (2) existing staff files were monitored for criminal background letters and CPR/First Aid training certificates. Both staff members’ CPR/First Aid certificates expired in March 2024. Both criminal background letters were valid. ABCMS system was also monitored during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Upon my arrival, a program from Nick Jr. channel was playing on the TV, and the screen time log was not filled out. .0510(d)(2)(A-C) 544 Screen time was offered to children under three years of age. During the time, a program on Nick Jr. channel was playing, two-year-old children were present. .0510(f) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two (2) children arrived after my arrival. Neither children washed their hands upon their arrival. 15A NCAC 18A .2803(c) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The facility's safe pick-up and delivery procedures were not posted at the facility. .1003(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Per facility's emergency drill log, the last fire drill was conducted on 12/15/23. .0604(t); .0302(d)(5) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning unit is located on the playground. There is a metal mesh over the top of the unit. However, the mesh is not secured, therefore it can easily removed. Additionally, the openings of the mesh are 1/2 inch squares, which is wide enough for my pinky finger to go through. The children's fingers can still access the blades of the AC unit. .0604 (m) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. First Aid poster was not posted at the facility. .0802(h) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #2, there are children's cubbies located approximately thirty-eight (38) inches high. On the first cubby by the door to outside, there are six (6) Parent Choice baby wipes with a warning label present. In the 3rd cubby from the door, there was a Unscented Non-Perfumees Bay Wipes with a warning label present. On the 8th cubby from the door, a grocery bag with baby wipes was present. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Both staff member's first aid certificates expired on 3/25/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Both staff member's CPR certificates expired on 3/25/24. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the facility's emergency drill log, the last shelter-in-place/Lockdown drill was conducted on 10/25/23. .0604(u);.0302(d)(8) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. Both staff members First Aid and CPR training expired on 3/25/24. .1102(c-d) Technical assistance was provided as follows: 524: Screen time log When screen time is offered to a child who is three (3) years of age as above, the program shall be educational, and the time must be logged on the screen time log. 544: Screen time for children under three (3) years of age No screen time is permitted for children under three (3) years of age. The TV cannot be turned on whether the children are paying attention to the TV or not. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. 608: Handwashing The children shall wash their hands upon arrival. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash their hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 802: Safe arrival procedure Safe arrival and departure procedures shall be posted where the parents can see. Please print and post the procedures. 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. 805: Monthly fire drill Fire drills are required monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly, and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 828: Air Conditioning unit The air conditioning unit shall be inaccessible to the children. The fingers and hands of the children cannot reach the blades of the AC unit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (m) Air conditioning units shall be located so that they are not accessible to children or shall be fitted with a mesh guard to prevent objects from being thrown into them. (n) Gas tanks and gas or charcoal grills shall be inaccessible to children or shall be in a protective enclosure. 830: First Aid Poster First aid posters shall be posted. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in the place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. 858: Plastics Easily torn plastics, such as grocery bags, Ziplock bags and diaper wipes with warning to keep the item out of reach of children shall be stored out of reach of children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment and renewed before they expire. The training certificate shall be maintained in the staff file. If certification is not available, proof of attendance can be filed in place for the certification for a reasonable time period. If you did not receive the training certificate, please contact your trainer and request one. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov 1811: Shelter-in-place/Lockdown Drill Shelter-in-place/lockdown drill is required every three (3) months. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 1894: First Aid/CPR certification Per Child Care rule, 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c-d) listed above, at least one (1) person who is certified in First Aid and CPR shall be present while the children are present. 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 4/30/24. Email the compliance letter on signed letterhead or in 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 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: The facility’s EPR plan shall be updated and reviewed with all staff members on or prior to 5/23/24. Record retention: A chart of record retention was printed during the visit and shared with you. Logs: During the visit, safe arrival procedures guideline and screen time log were printed and shared with Ms. Bell. Rated License assessment: Bev’s Day Care is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to 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 .0304 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 5 Completed Date: 4/16/2024 Age: From 2 To 4 Total Minutes: 185 Time In: 09:10 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. 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 Beverly Bells, Owner/Operator, during the visit. An electronic signed copy of the visit summary was printed and shared with you. Ms. Bells was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81) percent as of 4/13/24. Permit type – Three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 10/26/23. The last fire drill was practiced on 12/15/23. The last shelter-in-place drill was practiced on 10/25/23. The last playground inspection was documented on 4/4/24. The last fire inspection was approved on 12/21/23. The last sanitation inspection was conducted on 3/4/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response (EPR) plan was last updated on 5/23/23. Upon arrival, I announced my presence and the purpose of the visit. Three (3) children, raged from two (2) to four (4) years of age, were present. The children sat on the chair and watched a Nick Jr. show on TV. The TV was turned off shortly after my arrival, and two (2) more children arrived. The children colored and played with blocks. Ms. Bell read a book to the children during group time. At 10: 34 am, one (1) staff member took the children to the playground. The children played with balls, slide structure and engaged in other gross motor activities. At 11:06 am, one (1) of the staff members left the facility to pick-up lunch for the children from McDonald's. The staff member returned at 11:20 am. Milk, peas and pineapples were added to hamburgers and fries to supplement the lunch. The playground was inspected. There are two (2) portable slide structures, riding toys and other gross motor equipment. An air conditioning unit is located against the house on the playground. The opening of the metal mesh is squares of ½ inch. The child’s fingers can still go through the openings; therefore, the openings of the mesh shall be smaller. Additionally, the mesh is not secured on to the unit. Please make sure that the guard is securely attached to the AC unit to prevent children from putting hands/fingers onto the blade. Two (2) existing staff files were monitored for criminal background letters and CPR/First Aid training certificates. Both staff members’ CPR/First Aid certificates expired in March 2024. Both criminal background letters were valid. ABCMS system was also monitored during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Upon my arrival, a program from Nick Jr. channel was playing on the TV, and the screen time log was not filled out. .0510(d)(2)(A-C) 544 Screen time was offered to children under three years of age. During the time, a program on Nick Jr. channel was playing, two-year-old children were present. .0510(f) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two (2) children arrived after my arrival. Neither children washed their hands upon their arrival. 15A NCAC 18A .2803(c) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The facility's safe pick-up and delivery procedures were not posted at the facility. .1003(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Per facility's emergency drill log, the last fire drill was conducted on 12/15/23. .0604(t); .0302(d)(5) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning unit is located on the playground. There is a metal mesh over the top of the unit. However, the mesh is not secured, therefore it can easily removed. Additionally, the openings of the mesh are 1/2 inch squares, which is wide enough for my pinky finger to go through. The children's fingers can still access the blades of the AC unit. .0604 (m) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. First Aid poster was not posted at the facility. .0802(h) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #2, there are children's cubbies located approximately thirty-eight (38) inches high. On the first cubby by the door to outside, there are six (6) Parent Choice baby wipes with a warning label present. In the 3rd cubby from the door, there was a Unscented Non-Perfumees Bay Wipes with a warning label present. On the 8th cubby from the door, a grocery bag with baby wipes was present. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Both staff member's first aid certificates expired on 3/25/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Both staff member's CPR certificates expired on 3/25/24. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the facility's emergency drill log, the last shelter-in-place/Lockdown drill was conducted on 10/25/23. .0604(u);.0302(d)(8) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. Both staff members First Aid and CPR training expired on 3/25/24. .1102(c-d) Technical assistance was provided as follows: 524: Screen time log When screen time is offered to a child who is three (3) years of age as above, the program shall be educational, and the time must be logged on the screen time log. 544: Screen time for children under three (3) years of age No screen time is permitted for children under three (3) years of age. The TV cannot be turned on whether the children are paying attention to the TV or not. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. 608: Handwashing The children shall wash their hands upon arrival. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash their hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 802: Safe arrival procedure Safe arrival and departure procedures shall be posted where the parents can see. Please print and post the procedures. 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. 805: Monthly fire drill Fire drills are required monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly, and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 828: Air Conditioning unit The air conditioning unit shall be inaccessible to the children. The fingers and hands of the children cannot reach the blades of the AC unit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (m) Air conditioning units shall be located so that they are not accessible to children or shall be fitted with a mesh guard to prevent objects from being thrown into them. (n) Gas tanks and gas or charcoal grills shall be inaccessible to children or shall be in a protective enclosure. 830: First Aid Poster First aid posters shall be posted. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in the place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. 858: Plastics Easily torn plastics, such as grocery bags, Ziplock bags and diaper wipes with warning to keep the item out of reach of children shall be stored out of reach of children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment and renewed before they expire. The training certificate shall be maintained in the staff file. If certification is not available, proof of attendance can be filed in place for the certification for a reasonable time period. If you did not receive the training certificate, please contact your trainer and request one. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov 1811: Shelter-in-place/Lockdown Drill Shelter-in-place/lockdown drill is required every three (3) months. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 1894: First Aid/CPR certification Per Child Care rule, 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c-d) listed above, at least one (1) person who is certified in First Aid and CPR shall be present while the children are present. 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 4/30/24. Email the compliance letter on signed letterhead or in 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 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: The facility’s EPR plan shall be updated and reviewed with all staff members on or prior to 5/23/24. Record retention: A chart of record retention was printed during the visit and shared with you. Logs: During the visit, safe arrival procedures guideline and screen time log were printed and shared with Ms. Bell. Rated License assessment: Bev’s Day Care is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to 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 .0510 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 5 Completed Date: 4/16/2024 Age: From 2 To 4 Total Minutes: 185 Time In: 09:10 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. 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 Beverly Bells, Owner/Operator, during the visit. An electronic signed copy of the visit summary was printed and shared with you. Ms. Bells was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81) percent as of 4/13/24. Permit type – Three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 10/26/23. The last fire drill was practiced on 12/15/23. The last shelter-in-place drill was practiced on 10/25/23. The last playground inspection was documented on 4/4/24. The last fire inspection was approved on 12/21/23. The last sanitation inspection was conducted on 3/4/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response (EPR) plan was last updated on 5/23/23. Upon arrival, I announced my presence and the purpose of the visit. Three (3) children, raged from two (2) to four (4) years of age, were present. The children sat on the chair and watched a Nick Jr. show on TV. The TV was turned off shortly after my arrival, and two (2) more children arrived. The children colored and played with blocks. Ms. Bell read a book to the children during group time. At 10: 34 am, one (1) staff member took the children to the playground. The children played with balls, slide structure and engaged in other gross motor activities. At 11:06 am, one (1) of the staff members left the facility to pick-up lunch for the children from McDonald's. The staff member returned at 11:20 am. Milk, peas and pineapples were added to hamburgers and fries to supplement the lunch. The playground was inspected. There are two (2) portable slide structures, riding toys and other gross motor equipment. An air conditioning unit is located against the house on the playground. The opening of the metal mesh is squares of ½ inch. The child’s fingers can still go through the openings; therefore, the openings of the mesh shall be smaller. Additionally, the mesh is not secured on to the unit. Please make sure that the guard is securely attached to the AC unit to prevent children from putting hands/fingers onto the blade. Two (2) existing staff files were monitored for criminal background letters and CPR/First Aid training certificates. Both staff members’ CPR/First Aid certificates expired in March 2024. Both criminal background letters were valid. ABCMS system was also monitored during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Upon my arrival, a program from Nick Jr. channel was playing on the TV, and the screen time log was not filled out. .0510(d)(2)(A-C) 544 Screen time was offered to children under three years of age. During the time, a program on Nick Jr. channel was playing, two-year-old children were present. .0510(f) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two (2) children arrived after my arrival. Neither children washed their hands upon their arrival. 15A NCAC 18A .2803(c) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The facility's safe pick-up and delivery procedures were not posted at the facility. .1003(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Per facility's emergency drill log, the last fire drill was conducted on 12/15/23. .0604(t); .0302(d)(5) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning unit is located on the playground. There is a metal mesh over the top of the unit. However, the mesh is not secured, therefore it can easily removed. Additionally, the openings of the mesh are 1/2 inch squares, which is wide enough for my pinky finger to go through. The children's fingers can still access the blades of the AC unit. .0604 (m) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. First Aid poster was not posted at the facility. .0802(h) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #2, there are children's cubbies located approximately thirty-eight (38) inches high. On the first cubby by the door to outside, there are six (6) Parent Choice baby wipes with a warning label present. In the 3rd cubby from the door, there was a Unscented Non-Perfumees Bay Wipes with a warning label present. On the 8th cubby from the door, a grocery bag with baby wipes was present. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Both staff member's first aid certificates expired on 3/25/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Both staff member's CPR certificates expired on 3/25/24. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the facility's emergency drill log, the last shelter-in-place/Lockdown drill was conducted on 10/25/23. .0604(u);.0302(d)(8) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. Both staff members First Aid and CPR training expired on 3/25/24. .1102(c-d) Technical assistance was provided as follows: 524: Screen time log When screen time is offered to a child who is three (3) years of age as above, the program shall be educational, and the time must be logged on the screen time log. 544: Screen time for children under three (3) years of age No screen time is permitted for children under three (3) years of age. The TV cannot be turned on whether the children are paying attention to the TV or not. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. 608: Handwashing The children shall wash their hands upon arrival. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash their hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 802: Safe arrival procedure Safe arrival and departure procedures shall be posted where the parents can see. Please print and post the procedures. 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. 805: Monthly fire drill Fire drills are required monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly, and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 828: Air Conditioning unit The air conditioning unit shall be inaccessible to the children. The fingers and hands of the children cannot reach the blades of the AC unit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (m) Air conditioning units shall be located so that they are not accessible to children or shall be fitted with a mesh guard to prevent objects from being thrown into them. (n) Gas tanks and gas or charcoal grills shall be inaccessible to children or shall be in a protective enclosure. 830: First Aid Poster First aid posters shall be posted. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in the place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. 858: Plastics Easily torn plastics, such as grocery bags, Ziplock bags and diaper wipes with warning to keep the item out of reach of children shall be stored out of reach of children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment and renewed before they expire. The training certificate shall be maintained in the staff file. If certification is not available, proof of attendance can be filed in place for the certification for a reasonable time period. If you did not receive the training certificate, please contact your trainer and request one. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov 1811: Shelter-in-place/Lockdown Drill Shelter-in-place/lockdown drill is required every three (3) months. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 1894: First Aid/CPR certification Per Child Care rule, 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c-d) listed above, at least one (1) person who is certified in First Aid and CPR shall be present while the children are present. 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 4/30/24. Email the compliance letter on signed letterhead or in 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 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: The facility’s EPR plan shall be updated and reviewed with all staff members on or prior to 5/23/24. Record retention: A chart of record retention was printed during the visit and shared with you. Logs: During the visit, safe arrival procedures guideline and screen time log were printed and shared with Ms. Bell. Rated License assessment: Bev’s Day Care is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to 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 .0604 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 5 Completed Date: 4/16/2024 Age: From 2 To 4 Total Minutes: 185 Time In: 09:10 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. 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 Beverly Bells, Owner/Operator, during the visit. An electronic signed copy of the visit summary was printed and shared with you. Ms. Bells was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81) percent as of 4/13/24. Permit type – Three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 10/26/23. The last fire drill was practiced on 12/15/23. The last shelter-in-place drill was practiced on 10/25/23. The last playground inspection was documented on 4/4/24. The last fire inspection was approved on 12/21/23. The last sanitation inspection was conducted on 3/4/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response (EPR) plan was last updated on 5/23/23. Upon arrival, I announced my presence and the purpose of the visit. Three (3) children, raged from two (2) to four (4) years of age, were present. The children sat on the chair and watched a Nick Jr. show on TV. The TV was turned off shortly after my arrival, and two (2) more children arrived. The children colored and played with blocks. Ms. Bell read a book to the children during group time. At 10: 34 am, one (1) staff member took the children to the playground. The children played with balls, slide structure and engaged in other gross motor activities. At 11:06 am, one (1) of the staff members left the facility to pick-up lunch for the children from McDonald's. The staff member returned at 11:20 am. Milk, peas and pineapples were added to hamburgers and fries to supplement the lunch. The playground was inspected. There are two (2) portable slide structures, riding toys and other gross motor equipment. An air conditioning unit is located against the house on the playground. The opening of the metal mesh is squares of ½ inch. The child’s fingers can still go through the openings; therefore, the openings of the mesh shall be smaller. Additionally, the mesh is not secured on to the unit. Please make sure that the guard is securely attached to the AC unit to prevent children from putting hands/fingers onto the blade. Two (2) existing staff files were monitored for criminal background letters and CPR/First Aid training certificates. Both staff members’ CPR/First Aid certificates expired in March 2024. Both criminal background letters were valid. ABCMS system was also monitored during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Upon my arrival, a program from Nick Jr. channel was playing on the TV, and the screen time log was not filled out. .0510(d)(2)(A-C) 544 Screen time was offered to children under three years of age. During the time, a program on Nick Jr. channel was playing, two-year-old children were present. .0510(f) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two (2) children arrived after my arrival. Neither children washed their hands upon their arrival. 15A NCAC 18A .2803(c) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The facility's safe pick-up and delivery procedures were not posted at the facility. .1003(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Per facility's emergency drill log, the last fire drill was conducted on 12/15/23. .0604(t); .0302(d)(5) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning unit is located on the playground. There is a metal mesh over the top of the unit. However, the mesh is not secured, therefore it can easily removed. Additionally, the openings of the mesh are 1/2 inch squares, which is wide enough for my pinky finger to go through. The children's fingers can still access the blades of the AC unit. .0604 (m) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. First Aid poster was not posted at the facility. .0802(h) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #2, there are children's cubbies located approximately thirty-eight (38) inches high. On the first cubby by the door to outside, there are six (6) Parent Choice baby wipes with a warning label present. In the 3rd cubby from the door, there was a Unscented Non-Perfumees Bay Wipes with a warning label present. On the 8th cubby from the door, a grocery bag with baby wipes was present. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Both staff member's first aid certificates expired on 3/25/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Both staff member's CPR certificates expired on 3/25/24. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the facility's emergency drill log, the last shelter-in-place/Lockdown drill was conducted on 10/25/23. .0604(u);.0302(d)(8) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. Both staff members First Aid and CPR training expired on 3/25/24. .1102(c-d) Technical assistance was provided as follows: 524: Screen time log When screen time is offered to a child who is three (3) years of age as above, the program shall be educational, and the time must be logged on the screen time log. 544: Screen time for children under three (3) years of age No screen time is permitted for children under three (3) years of age. The TV cannot be turned on whether the children are paying attention to the TV or not. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. 608: Handwashing The children shall wash their hands upon arrival. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash their hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 802: Safe arrival procedure Safe arrival and departure procedures shall be posted where the parents can see. Please print and post the procedures. 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. 805: Monthly fire drill Fire drills are required monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly, and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 828: Air Conditioning unit The air conditioning unit shall be inaccessible to the children. The fingers and hands of the children cannot reach the blades of the AC unit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (m) Air conditioning units shall be located so that they are not accessible to children or shall be fitted with a mesh guard to prevent objects from being thrown into them. (n) Gas tanks and gas or charcoal grills shall be inaccessible to children or shall be in a protective enclosure. 830: First Aid Poster First aid posters shall be posted. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in the place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. 858: Plastics Easily torn plastics, such as grocery bags, Ziplock bags and diaper wipes with warning to keep the item out of reach of children shall be stored out of reach of children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment and renewed before they expire. The training certificate shall be maintained in the staff file. If certification is not available, proof of attendance can be filed in place for the certification for a reasonable time period. If you did not receive the training certificate, please contact your trainer and request one. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov 1811: Shelter-in-place/Lockdown Drill Shelter-in-place/lockdown drill is required every three (3) months. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 1894: First Aid/CPR certification Per Child Care rule, 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c-d) listed above, at least one (1) person who is certified in First Aid and CPR shall be present while the children are present. 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 4/30/24. Email the compliance letter on signed letterhead or in 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 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: The facility’s EPR plan shall be updated and reviewed with all staff members on or prior to 5/23/24. Record retention: A chart of record retention was printed during the visit and shared with you. Logs: During the visit, safe arrival procedures guideline and screen time log were printed and shared with Ms. Bell. Rated License assessment: Bev’s Day Care is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to 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 .0802 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 5 Completed Date: 4/16/2024 Age: From 2 To 4 Total Minutes: 185 Time In: 09:10 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. 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 Beverly Bells, Owner/Operator, during the visit. An electronic signed copy of the visit summary was printed and shared with you. Ms. Bells was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81) percent as of 4/13/24. Permit type – Three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 10/26/23. The last fire drill was practiced on 12/15/23. The last shelter-in-place drill was practiced on 10/25/23. The last playground inspection was documented on 4/4/24. The last fire inspection was approved on 12/21/23. The last sanitation inspection was conducted on 3/4/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response (EPR) plan was last updated on 5/23/23. Upon arrival, I announced my presence and the purpose of the visit. Three (3) children, raged from two (2) to four (4) years of age, were present. The children sat on the chair and watched a Nick Jr. show on TV. The TV was turned off shortly after my arrival, and two (2) more children arrived. The children colored and played with blocks. Ms. Bell read a book to the children during group time. At 10: 34 am, one (1) staff member took the children to the playground. The children played with balls, slide structure and engaged in other gross motor activities. At 11:06 am, one (1) of the staff members left the facility to pick-up lunch for the children from McDonald's. The staff member returned at 11:20 am. Milk, peas and pineapples were added to hamburgers and fries to supplement the lunch. The playground was inspected. There are two (2) portable slide structures, riding toys and other gross motor equipment. An air conditioning unit is located against the house on the playground. The opening of the metal mesh is squares of ½ inch. The child’s fingers can still go through the openings; therefore, the openings of the mesh shall be smaller. Additionally, the mesh is not secured on to the unit. Please make sure that the guard is securely attached to the AC unit to prevent children from putting hands/fingers onto the blade. Two (2) existing staff files were monitored for criminal background letters and CPR/First Aid training certificates. Both staff members’ CPR/First Aid certificates expired in March 2024. Both criminal background letters were valid. ABCMS system was also monitored during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Upon my arrival, a program from Nick Jr. channel was playing on the TV, and the screen time log was not filled out. .0510(d)(2)(A-C) 544 Screen time was offered to children under three years of age. During the time, a program on Nick Jr. channel was playing, two-year-old children were present. .0510(f) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two (2) children arrived after my arrival. Neither children washed their hands upon their arrival. 15A NCAC 18A .2803(c) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The facility's safe pick-up and delivery procedures were not posted at the facility. .1003(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Per facility's emergency drill log, the last fire drill was conducted on 12/15/23. .0604(t); .0302(d)(5) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning unit is located on the playground. There is a metal mesh over the top of the unit. However, the mesh is not secured, therefore it can easily removed. Additionally, the openings of the mesh are 1/2 inch squares, which is wide enough for my pinky finger to go through. The children's fingers can still access the blades of the AC unit. .0604 (m) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. First Aid poster was not posted at the facility. .0802(h) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #2, there are children's cubbies located approximately thirty-eight (38) inches high. On the first cubby by the door to outside, there are six (6) Parent Choice baby wipes with a warning label present. In the 3rd cubby from the door, there was a Unscented Non-Perfumees Bay Wipes with a warning label present. On the 8th cubby from the door, a grocery bag with baby wipes was present. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Both staff member's first aid certificates expired on 3/25/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Both staff member's CPR certificates expired on 3/25/24. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the facility's emergency drill log, the last shelter-in-place/Lockdown drill was conducted on 10/25/23. .0604(u);.0302(d)(8) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. Both staff members First Aid and CPR training expired on 3/25/24. .1102(c-d) Technical assistance was provided as follows: 524: Screen time log When screen time is offered to a child who is three (3) years of age as above, the program shall be educational, and the time must be logged on the screen time log. 544: Screen time for children under three (3) years of age No screen time is permitted for children under three (3) years of age. The TV cannot be turned on whether the children are paying attention to the TV or not. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. 608: Handwashing The children shall wash their hands upon arrival. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash their hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 802: Safe arrival procedure Safe arrival and departure procedures shall be posted where the parents can see. Please print and post the procedures. 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. 805: Monthly fire drill Fire drills are required monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly, and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 828: Air Conditioning unit The air conditioning unit shall be inaccessible to the children. The fingers and hands of the children cannot reach the blades of the AC unit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (m) Air conditioning units shall be located so that they are not accessible to children or shall be fitted with a mesh guard to prevent objects from being thrown into them. (n) Gas tanks and gas or charcoal grills shall be inaccessible to children or shall be in a protective enclosure. 830: First Aid Poster First aid posters shall be posted. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in the place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. 858: Plastics Easily torn plastics, such as grocery bags, Ziplock bags and diaper wipes with warning to keep the item out of reach of children shall be stored out of reach of children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment and renewed before they expire. The training certificate shall be maintained in the staff file. If certification is not available, proof of attendance can be filed in place for the certification for a reasonable time period. If you did not receive the training certificate, please contact your trainer and request one. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov 1811: Shelter-in-place/Lockdown Drill Shelter-in-place/lockdown drill is required every three (3) months. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 1894: First Aid/CPR certification Per Child Care rule, 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c-d) listed above, at least one (1) person who is certified in First Aid and CPR shall be present while the children are present. 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 4/30/24. Email the compliance letter on signed letterhead or in 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 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: The facility’s EPR plan shall be updated and reviewed with all staff members on or prior to 5/23/24. Record retention: A chart of record retention was printed during the visit and shared with you. Logs: During the visit, safe arrival procedures guideline and screen time log were printed and shared with Ms. Bell. Rated License assessment: Bev’s Day Care is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to 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 .1003 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 5 Completed Date: 4/16/2024 Age: From 2 To 4 Total Minutes: 185 Time In: 09:10 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. 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 Beverly Bells, Owner/Operator, during the visit. An electronic signed copy of the visit summary was printed and shared with you. Ms. Bells was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81) percent as of 4/13/24. Permit type – Three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 10/26/23. The last fire drill was practiced on 12/15/23. The last shelter-in-place drill was practiced on 10/25/23. The last playground inspection was documented on 4/4/24. The last fire inspection was approved on 12/21/23. The last sanitation inspection was conducted on 3/4/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response (EPR) plan was last updated on 5/23/23. Upon arrival, I announced my presence and the purpose of the visit. Three (3) children, raged from two (2) to four (4) years of age, were present. The children sat on the chair and watched a Nick Jr. show on TV. The TV was turned off shortly after my arrival, and two (2) more children arrived. The children colored and played with blocks. Ms. Bell read a book to the children during group time. At 10: 34 am, one (1) staff member took the children to the playground. The children played with balls, slide structure and engaged in other gross motor activities. At 11:06 am, one (1) of the staff members left the facility to pick-up lunch for the children from McDonald's. The staff member returned at 11:20 am. Milk, peas and pineapples were added to hamburgers and fries to supplement the lunch. The playground was inspected. There are two (2) portable slide structures, riding toys and other gross motor equipment. An air conditioning unit is located against the house on the playground. The opening of the metal mesh is squares of ½ inch. The child’s fingers can still go through the openings; therefore, the openings of the mesh shall be smaller. Additionally, the mesh is not secured on to the unit. Please make sure that the guard is securely attached to the AC unit to prevent children from putting hands/fingers onto the blade. Two (2) existing staff files were monitored for criminal background letters and CPR/First Aid training certificates. Both staff members’ CPR/First Aid certificates expired in March 2024. Both criminal background letters were valid. ABCMS system was also monitored during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Upon my arrival, a program from Nick Jr. channel was playing on the TV, and the screen time log was not filled out. .0510(d)(2)(A-C) 544 Screen time was offered to children under three years of age. During the time, a program on Nick Jr. channel was playing, two-year-old children were present. .0510(f) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two (2) children arrived after my arrival. Neither children washed their hands upon their arrival. 15A NCAC 18A .2803(c) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The facility's safe pick-up and delivery procedures were not posted at the facility. .1003(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Per facility's emergency drill log, the last fire drill was conducted on 12/15/23. .0604(t); .0302(d)(5) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning unit is located on the playground. There is a metal mesh over the top of the unit. However, the mesh is not secured, therefore it can easily removed. Additionally, the openings of the mesh are 1/2 inch squares, which is wide enough for my pinky finger to go through. The children's fingers can still access the blades of the AC unit. .0604 (m) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. First Aid poster was not posted at the facility. .0802(h) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #2, there are children's cubbies located approximately thirty-eight (38) inches high. On the first cubby by the door to outside, there are six (6) Parent Choice baby wipes with a warning label present. In the 3rd cubby from the door, there was a Unscented Non-Perfumees Bay Wipes with a warning label present. On the 8th cubby from the door, a grocery bag with baby wipes was present. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Both staff member's first aid certificates expired on 3/25/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Both staff member's CPR certificates expired on 3/25/24. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the facility's emergency drill log, the last shelter-in-place/Lockdown drill was conducted on 10/25/23. .0604(u);.0302(d)(8) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. Both staff members First Aid and CPR training expired on 3/25/24. .1102(c-d) Technical assistance was provided as follows: 524: Screen time log When screen time is offered to a child who is three (3) years of age as above, the program shall be educational, and the time must be logged on the screen time log. 544: Screen time for children under three (3) years of age No screen time is permitted for children under three (3) years of age. The TV cannot be turned on whether the children are paying attention to the TV or not. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. 608: Handwashing The children shall wash their hands upon arrival. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash their hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 802: Safe arrival procedure Safe arrival and departure procedures shall be posted where the parents can see. Please print and post the procedures. 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. 805: Monthly fire drill Fire drills are required monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly, and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 828: Air Conditioning unit The air conditioning unit shall be inaccessible to the children. The fingers and hands of the children cannot reach the blades of the AC unit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (m) Air conditioning units shall be located so that they are not accessible to children or shall be fitted with a mesh guard to prevent objects from being thrown into them. (n) Gas tanks and gas or charcoal grills shall be inaccessible to children or shall be in a protective enclosure. 830: First Aid Poster First aid posters shall be posted. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in the place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. 858: Plastics Easily torn plastics, such as grocery bags, Ziplock bags and diaper wipes with warning to keep the item out of reach of children shall be stored out of reach of children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment and renewed before they expire. The training certificate shall be maintained in the staff file. If certification is not available, proof of attendance can be filed in place for the certification for a reasonable time period. If you did not receive the training certificate, please contact your trainer and request one. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov 1811: Shelter-in-place/Lockdown Drill Shelter-in-place/lockdown drill is required every three (3) months. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 1894: First Aid/CPR certification Per Child Care rule, 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c-d) listed above, at least one (1) person who is certified in First Aid and CPR shall be present while the children are present. 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 4/30/24. Email the compliance letter on signed letterhead or in 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 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: The facility’s EPR plan shall be updated and reviewed with all staff members on or prior to 5/23/24. Record retention: A chart of record retention was printed during the visit and shared with you. Logs: During the visit, safe arrival procedures guideline and screen time log were printed and shared with Ms. Bell. Rated License assessment: Bev’s Day Care is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to 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: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 5 Completed Date: 4/16/2024 Age: From 2 To 4 Total Minutes: 185 Time In: 09:10 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. 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 Beverly Bells, Owner/Operator, during the visit. An electronic signed copy of the visit summary was printed and shared with you. Ms. Bells was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81) percent as of 4/13/24. Permit type – Three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 10/26/23. The last fire drill was practiced on 12/15/23. The last shelter-in-place drill was practiced on 10/25/23. The last playground inspection was documented on 4/4/24. The last fire inspection was approved on 12/21/23. The last sanitation inspection was conducted on 3/4/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response (EPR) plan was last updated on 5/23/23. Upon arrival, I announced my presence and the purpose of the visit. Three (3) children, raged from two (2) to four (4) years of age, were present. The children sat on the chair and watched a Nick Jr. show on TV. The TV was turned off shortly after my arrival, and two (2) more children arrived. The children colored and played with blocks. Ms. Bell read a book to the children during group time. At 10: 34 am, one (1) staff member took the children to the playground. The children played with balls, slide structure and engaged in other gross motor activities. At 11:06 am, one (1) of the staff members left the facility to pick-up lunch for the children from McDonald's. The staff member returned at 11:20 am. Milk, peas and pineapples were added to hamburgers and fries to supplement the lunch. The playground was inspected. There are two (2) portable slide structures, riding toys and other gross motor equipment. An air conditioning unit is located against the house on the playground. The opening of the metal mesh is squares of ½ inch. The child’s fingers can still go through the openings; therefore, the openings of the mesh shall be smaller. Additionally, the mesh is not secured on to the unit. Please make sure that the guard is securely attached to the AC unit to prevent children from putting hands/fingers onto the blade. Two (2) existing staff files were monitored for criminal background letters and CPR/First Aid training certificates. Both staff members’ CPR/First Aid certificates expired in March 2024. Both criminal background letters were valid. ABCMS system was also monitored during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Upon my arrival, a program from Nick Jr. channel was playing on the TV, and the screen time log was not filled out. .0510(d)(2)(A-C) 544 Screen time was offered to children under three years of age. During the time, a program on Nick Jr. channel was playing, two-year-old children were present. .0510(f) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two (2) children arrived after my arrival. Neither children washed their hands upon their arrival. 15A NCAC 18A .2803(c) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The facility's safe pick-up and delivery procedures were not posted at the facility. .1003(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Per facility's emergency drill log, the last fire drill was conducted on 12/15/23. .0604(t); .0302(d)(5) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning unit is located on the playground. There is a metal mesh over the top of the unit. However, the mesh is not secured, therefore it can easily removed. Additionally, the openings of the mesh are 1/2 inch squares, which is wide enough for my pinky finger to go through. The children's fingers can still access the blades of the AC unit. .0604 (m) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. First Aid poster was not posted at the facility. .0802(h) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #2, there are children's cubbies located approximately thirty-eight (38) inches high. On the first cubby by the door to outside, there are six (6) Parent Choice baby wipes with a warning label present. In the 3rd cubby from the door, there was a Unscented Non-Perfumees Bay Wipes with a warning label present. On the 8th cubby from the door, a grocery bag with baby wipes was present. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Both staff member's first aid certificates expired on 3/25/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Both staff member's CPR certificates expired on 3/25/24. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the facility's emergency drill log, the last shelter-in-place/Lockdown drill was conducted on 10/25/23. .0604(u);.0302(d)(8) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. Both staff members First Aid and CPR training expired on 3/25/24. .1102(c-d) Technical assistance was provided as follows: 524: Screen time log When screen time is offered to a child who is three (3) years of age as above, the program shall be educational, and the time must be logged on the screen time log. 544: Screen time for children under three (3) years of age No screen time is permitted for children under three (3) years of age. The TV cannot be turned on whether the children are paying attention to the TV or not. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. 608: Handwashing The children shall wash their hands upon arrival. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash their hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 802: Safe arrival procedure Safe arrival and departure procedures shall be posted where the parents can see. Please print and post the procedures. 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. 805: Monthly fire drill Fire drills are required monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly, and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 828: Air Conditioning unit The air conditioning unit shall be inaccessible to the children. The fingers and hands of the children cannot reach the blades of the AC unit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (m) Air conditioning units shall be located so that they are not accessible to children or shall be fitted with a mesh guard to prevent objects from being thrown into them. (n) Gas tanks and gas or charcoal grills shall be inaccessible to children or shall be in a protective enclosure. 830: First Aid Poster First aid posters shall be posted. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in the place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. 858: Plastics Easily torn plastics, such as grocery bags, Ziplock bags and diaper wipes with warning to keep the item out of reach of children shall be stored out of reach of children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment and renewed before they expire. The training certificate shall be maintained in the staff file. If certification is not available, proof of attendance can be filed in place for the certification for a reasonable time period. If you did not receive the training certificate, please contact your trainer and request one. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov 1811: Shelter-in-place/Lockdown Drill Shelter-in-place/lockdown drill is required every three (3) months. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 1894: First Aid/CPR certification Per Child Care rule, 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c-d) listed above, at least one (1) person who is certified in First Aid and CPR shall be present while the children are present. 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 4/30/24. Email the compliance letter on signed letterhead or in 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 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: The facility’s EPR plan shall be updated and reviewed with all staff members on or prior to 5/23/24. Record retention: A chart of record retention was printed during the visit and shared with you. Logs: During the visit, safe arrival procedures guideline and screen time log were printed and shared with Ms. Bell. Rated License assessment: Bev’s Day Care is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to 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: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 5 Completed Date: 4/16/2024 Age: From 2 To 4 Total Minutes: 185 Time In: 09:10 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. 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 Beverly Bells, Owner/Operator, during the visit. An electronic signed copy of the visit summary was printed and shared with you. Ms. Bells was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81) percent as of 4/13/24. Permit type – Three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 10/26/23. The last fire drill was practiced on 12/15/23. The last shelter-in-place drill was practiced on 10/25/23. The last playground inspection was documented on 4/4/24. The last fire inspection was approved on 12/21/23. The last sanitation inspection was conducted on 3/4/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response (EPR) plan was last updated on 5/23/23. Upon arrival, I announced my presence and the purpose of the visit. Three (3) children, raged from two (2) to four (4) years of age, were present. The children sat on the chair and watched a Nick Jr. show on TV. The TV was turned off shortly after my arrival, and two (2) more children arrived. The children colored and played with blocks. Ms. Bell read a book to the children during group time. At 10: 34 am, one (1) staff member took the children to the playground. The children played with balls, slide structure and engaged in other gross motor activities. At 11:06 am, one (1) of the staff members left the facility to pick-up lunch for the children from McDonald's. The staff member returned at 11:20 am. Milk, peas and pineapples were added to hamburgers and fries to supplement the lunch. The playground was inspected. There are two (2) portable slide structures, riding toys and other gross motor equipment. An air conditioning unit is located against the house on the playground. The opening of the metal mesh is squares of ½ inch. The child’s fingers can still go through the openings; therefore, the openings of the mesh shall be smaller. Additionally, the mesh is not secured on to the unit. Please make sure that the guard is securely attached to the AC unit to prevent children from putting hands/fingers onto the blade. Two (2) existing staff files were monitored for criminal background letters and CPR/First Aid training certificates. Both staff members’ CPR/First Aid certificates expired in March 2024. Both criminal background letters were valid. ABCMS system was also monitored during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Upon my arrival, a program from Nick Jr. channel was playing on the TV, and the screen time log was not filled out. .0510(d)(2)(A-C) 544 Screen time was offered to children under three years of age. During the time, a program on Nick Jr. channel was playing, two-year-old children were present. .0510(f) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two (2) children arrived after my arrival. Neither children washed their hands upon their arrival. 15A NCAC 18A .2803(c) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The facility's safe pick-up and delivery procedures were not posted at the facility. .1003(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Per facility's emergency drill log, the last fire drill was conducted on 12/15/23. .0604(t); .0302(d)(5) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning unit is located on the playground. There is a metal mesh over the top of the unit. However, the mesh is not secured, therefore it can easily removed. Additionally, the openings of the mesh are 1/2 inch squares, which is wide enough for my pinky finger to go through. The children's fingers can still access the blades of the AC unit. .0604 (m) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. First Aid poster was not posted at the facility. .0802(h) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #2, there are children's cubbies located approximately thirty-eight (38) inches high. On the first cubby by the door to outside, there are six (6) Parent Choice baby wipes with a warning label present. In the 3rd cubby from the door, there was a Unscented Non-Perfumees Bay Wipes with a warning label present. On the 8th cubby from the door, a grocery bag with baby wipes was present. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Both staff member's first aid certificates expired on 3/25/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Both staff member's CPR certificates expired on 3/25/24. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the facility's emergency drill log, the last shelter-in-place/Lockdown drill was conducted on 10/25/23. .0604(u);.0302(d)(8) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. Both staff members First Aid and CPR training expired on 3/25/24. .1102(c-d) Technical assistance was provided as follows: 524: Screen time log When screen time is offered to a child who is three (3) years of age as above, the program shall be educational, and the time must be logged on the screen time log. 544: Screen time for children under three (3) years of age No screen time is permitted for children under three (3) years of age. The TV cannot be turned on whether the children are paying attention to the TV or not. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. 608: Handwashing The children shall wash their hands upon arrival. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash their hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 802: Safe arrival procedure Safe arrival and departure procedures shall be posted where the parents can see. Please print and post the procedures. 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. 805: Monthly fire drill Fire drills are required monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly, and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 828: Air Conditioning unit The air conditioning unit shall be inaccessible to the children. The fingers and hands of the children cannot reach the blades of the AC unit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (m) Air conditioning units shall be located so that they are not accessible to children or shall be fitted with a mesh guard to prevent objects from being thrown into them. (n) Gas tanks and gas or charcoal grills shall be inaccessible to children or shall be in a protective enclosure. 830: First Aid Poster First aid posters shall be posted. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in the place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. 858: Plastics Easily torn plastics, such as grocery bags, Ziplock bags and diaper wipes with warning to keep the item out of reach of children shall be stored out of reach of children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment and renewed before they expire. The training certificate shall be maintained in the staff file. If certification is not available, proof of attendance can be filed in place for the certification for a reasonable time period. If you did not receive the training certificate, please contact your trainer and request one. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov 1811: Shelter-in-place/Lockdown Drill Shelter-in-place/lockdown drill is required every three (3) months. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 1894: First Aid/CPR certification Per Child Care rule, 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c-d) listed above, at least one (1) person who is certified in First Aid and CPR shall be present while the children are present. 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 4/30/24. Email the compliance letter on signed letterhead or in 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 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: The facility’s EPR plan shall be updated and reviewed with all staff members on or prior to 5/23/24. Record retention: A chart of record retention was printed during the visit and shared with you. Logs: During the visit, safe arrival procedures guideline and screen time log were printed and shared with Ms. Bell. Rated License assessment: Bev’s Day Care is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to 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: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 5 Completed Date: 4/16/2024 Age: From 2 To 4 Total Minutes: 185 Time In: 09:10 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. 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 Beverly Bells, Owner/Operator, during the visit. An electronic signed copy of the visit summary was printed and shared with you. Ms. Bells was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81) percent as of 4/13/24. Permit type – Three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 10/26/23. The last fire drill was practiced on 12/15/23. The last shelter-in-place drill was practiced on 10/25/23. The last playground inspection was documented on 4/4/24. The last fire inspection was approved on 12/21/23. The last sanitation inspection was conducted on 3/4/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response (EPR) plan was last updated on 5/23/23. Upon arrival, I announced my presence and the purpose of the visit. Three (3) children, raged from two (2) to four (4) years of age, were present. The children sat on the chair and watched a Nick Jr. show on TV. The TV was turned off shortly after my arrival, and two (2) more children arrived. The children colored and played with blocks. Ms. Bell read a book to the children during group time. At 10: 34 am, one (1) staff member took the children to the playground. The children played with balls, slide structure and engaged in other gross motor activities. At 11:06 am, one (1) of the staff members left the facility to pick-up lunch for the children from McDonald's. The staff member returned at 11:20 am. Milk, peas and pineapples were added to hamburgers and fries to supplement the lunch. The playground was inspected. There are two (2) portable slide structures, riding toys and other gross motor equipment. An air conditioning unit is located against the house on the playground. The opening of the metal mesh is squares of ½ inch. The child’s fingers can still go through the openings; therefore, the openings of the mesh shall be smaller. Additionally, the mesh is not secured on to the unit. Please make sure that the guard is securely attached to the AC unit to prevent children from putting hands/fingers onto the blade. Two (2) existing staff files were monitored for criminal background letters and CPR/First Aid training certificates. Both staff members’ CPR/First Aid certificates expired in March 2024. Both criminal background letters were valid. ABCMS system was also monitored during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Upon my arrival, a program from Nick Jr. channel was playing on the TV, and the screen time log was not filled out. .0510(d)(2)(A-C) 544 Screen time was offered to children under three years of age. During the time, a program on Nick Jr. channel was playing, two-year-old children were present. .0510(f) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two (2) children arrived after my arrival. Neither children washed their hands upon their arrival. 15A NCAC 18A .2803(c) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The facility's safe pick-up and delivery procedures were not posted at the facility. .1003(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Per facility's emergency drill log, the last fire drill was conducted on 12/15/23. .0604(t); .0302(d)(5) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning unit is located on the playground. There is a metal mesh over the top of the unit. However, the mesh is not secured, therefore it can easily removed. Additionally, the openings of the mesh are 1/2 inch squares, which is wide enough for my pinky finger to go through. The children's fingers can still access the blades of the AC unit. .0604 (m) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. First Aid poster was not posted at the facility. .0802(h) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #2, there are children's cubbies located approximately thirty-eight (38) inches high. On the first cubby by the door to outside, there are six (6) Parent Choice baby wipes with a warning label present. In the 3rd cubby from the door, there was a Unscented Non-Perfumees Bay Wipes with a warning label present. On the 8th cubby from the door, a grocery bag with baby wipes was present. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Both staff member's first aid certificates expired on 3/25/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Both staff member's CPR certificates expired on 3/25/24. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the facility's emergency drill log, the last shelter-in-place/Lockdown drill was conducted on 10/25/23. .0604(u);.0302(d)(8) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. Both staff members First Aid and CPR training expired on 3/25/24. .1102(c-d) Technical assistance was provided as follows: 524: Screen time log When screen time is offered to a child who is three (3) years of age as above, the program shall be educational, and the time must be logged on the screen time log. 544: Screen time for children under three (3) years of age No screen time is permitted for children under three (3) years of age. The TV cannot be turned on whether the children are paying attention to the TV or not. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. 608: Handwashing The children shall wash their hands upon arrival. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash their hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 802: Safe arrival procedure Safe arrival and departure procedures shall be posted where the parents can see. Please print and post the procedures. 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. 805: Monthly fire drill Fire drills are required monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly, and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 828: Air Conditioning unit The air conditioning unit shall be inaccessible to the children. The fingers and hands of the children cannot reach the blades of the AC unit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (m) Air conditioning units shall be located so that they are not accessible to children or shall be fitted with a mesh guard to prevent objects from being thrown into them. (n) Gas tanks and gas or charcoal grills shall be inaccessible to children or shall be in a protective enclosure. 830: First Aid Poster First aid posters shall be posted. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in the place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. 858: Plastics Easily torn plastics, such as grocery bags, Ziplock bags and diaper wipes with warning to keep the item out of reach of children shall be stored out of reach of children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment and renewed before they expire. The training certificate shall be maintained in the staff file. If certification is not available, proof of attendance can be filed in place for the certification for a reasonable time period. If you did not receive the training certificate, please contact your trainer and request one. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov 1811: Shelter-in-place/Lockdown Drill Shelter-in-place/lockdown drill is required every three (3) months. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 1894: First Aid/CPR certification Per Child Care rule, 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c-d) listed above, at least one (1) person who is certified in First Aid and CPR shall be present while the children are present. 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 4/30/24. Email the compliance letter on signed letterhead or in 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 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: The facility’s EPR plan shall be updated and reviewed with all staff members on or prior to 5/23/24. Record retention: A chart of record retention was printed during the visit and shared with you. Logs: During the visit, safe arrival procedures guideline and screen time log were printed and shared with Ms. Bell. Rated License assessment: Bev’s Day Care is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to 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

NC GS 110-90 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 5 Completed Date: 4/16/2024 Age: From 2 To 4 Total Minutes: 185 Time In: 09:10 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. 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 Beverly Bells, Owner/Operator, during the visit. An electronic signed copy of the visit summary was printed and shared with you. Ms. Bells was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81) percent as of 4/13/24. Permit type – Three-star center license issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 10/26/23. The last fire drill was practiced on 12/15/23. The last shelter-in-place drill was practiced on 10/25/23. The last playground inspection was documented on 4/4/24. The last fire inspection was approved on 12/21/23. The last sanitation inspection was conducted on 3/4/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response (EPR) plan was last updated on 5/23/23. Upon arrival, I announced my presence and the purpose of the visit. Three (3) children, raged from two (2) to four (4) years of age, were present. The children sat on the chair and watched a Nick Jr. show on TV. The TV was turned off shortly after my arrival, and two (2) more children arrived. The children colored and played with blocks. Ms. Bell read a book to the children during group time. At 10: 34 am, one (1) staff member took the children to the playground. The children played with balls, slide structure and engaged in other gross motor activities. At 11:06 am, one (1) of the staff members left the facility to pick-up lunch for the children from McDonald's. The staff member returned at 11:20 am. Milk, peas and pineapples were added to hamburgers and fries to supplement the lunch. The playground was inspected. There are two (2) portable slide structures, riding toys and other gross motor equipment. An air conditioning unit is located against the house on the playground. The opening of the metal mesh is squares of ½ inch. The child’s fingers can still go through the openings; therefore, the openings of the mesh shall be smaller. Additionally, the mesh is not secured on to the unit. Please make sure that the guard is securely attached to the AC unit to prevent children from putting hands/fingers onto the blade. Two (2) existing staff files were monitored for criminal background letters and CPR/First Aid training certificates. Both staff members’ CPR/First Aid certificates expired in March 2024. Both criminal background letters were valid. ABCMS system was also monitored during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Upon my arrival, a program from Nick Jr. channel was playing on the TV, and the screen time log was not filled out. .0510(d)(2)(A-C) 544 Screen time was offered to children under three years of age. During the time, a program on Nick Jr. channel was playing, two-year-old children were present. .0510(f) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two (2) children arrived after my arrival. Neither children washed their hands upon their arrival. 15A NCAC 18A .2803(c) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The facility's safe pick-up and delivery procedures were not posted at the facility. .1003(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Per facility's emergency drill log, the last fire drill was conducted on 12/15/23. .0604(t); .0302(d)(5) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The air conditioning unit is located on the playground. There is a metal mesh over the top of the unit. However, the mesh is not secured, therefore it can easily removed. Additionally, the openings of the mesh are 1/2 inch squares, which is wide enough for my pinky finger to go through. The children's fingers can still access the blades of the AC unit. .0604 (m) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. First Aid poster was not posted at the facility. .0802(h) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #2, there are children's cubbies located approximately thirty-eight (38) inches high. On the first cubby by the door to outside, there are six (6) Parent Choice baby wipes with a warning label present. In the 3rd cubby from the door, there was a Unscented Non-Perfumees Bay Wipes with a warning label present. On the 8th cubby from the door, a grocery bag with baby wipes was present. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Both staff member's first aid certificates expired on 3/25/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Both staff member's CPR certificates expired on 3/25/24. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the facility's emergency drill log, the last shelter-in-place/Lockdown drill was conducted on 10/25/23. .0604(u);.0302(d)(8) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. Both staff members First Aid and CPR training expired on 3/25/24. .1102(c-d) Technical assistance was provided as follows: 524: Screen time log When screen time is offered to a child who is three (3) years of age as above, the program shall be educational, and the time must be logged on the screen time log. 544: Screen time for children under three (3) years of age No screen time is permitted for children under three (3) years of age. The TV cannot be turned on whether the children are paying attention to the TV or not. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. 608: Handwashing The children shall wash their hands upon arrival. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash their hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 802: Safe arrival procedure Safe arrival and departure procedures shall be posted where the parents can see. Please print and post the procedures. 10A NCAC 09 .1003 SAFE PROCEDURES (b) Each center shall establish procedures for pick-up and delivery of children to ensure children are protected from danger and not exposed to risk of harm. These procedures shall be communicated to parents, and a copy shall be posted in the center where they can be seen by the parents. 805: Monthly fire drill Fire drills are required monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly, and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 828: Air Conditioning unit The air conditioning unit shall be inaccessible to the children. The fingers and hands of the children cannot reach the blades of the AC unit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (m) Air conditioning units shall be located so that they are not accessible to children or shall be fitted with a mesh guard to prevent objects from being thrown into them. (n) Gas tanks and gas or charcoal grills shall be inaccessible to children or shall be in a protective enclosure. 830: First Aid Poster First aid posters shall be posted. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in the place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. 858: Plastics Easily torn plastics, such as grocery bags, Ziplock bags and diaper wipes with warning to keep the item out of reach of children shall be stored out of reach of children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment and renewed before they expire. The training certificate shall be maintained in the staff file. If certification is not available, proof of attendance can be filed in place for the certification for a reasonable time period. If you did not receive the training certificate, please contact your trainer and request one. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov 1811: Shelter-in-place/Lockdown Drill Shelter-in-place/lockdown drill is required every three (3) months. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 1894: First Aid/CPR certification Per Child Care rule, 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c-d) listed above, at least one (1) person who is certified in First Aid and CPR shall be present while the children are present. 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 4/30/24. Email the compliance letter on signed letterhead or in 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 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: The facility’s EPR plan shall be updated and reviewed with all staff members on or prior to 5/23/24. Record retention: A chart of record retention was printed during the visit and shared with you. Logs: During the visit, safe arrival procedures guideline and screen time log were printed and shared with Ms. Bell. Rated License assessment: Bev’s Day Care is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to 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 .0302 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 4 Completed Date: 10/26/2023 Age: From 2 To 4 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Owner/Operator, during the visit. An electronic signed copy of the visit summary was printed and left on-site with you. Today, Beverly Bell, Owner/Operator was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine (79) percentage as of 10/20/23. Permit type –Three-star Center License issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/2/23. The last fire drill was practiced on 9/14/23. The last shelter-in-place drill was practiced on 8/16/23. The last playground inspection was documented on 9/5/23. The last fire inspection was approved on 10/31/22. The last sanitation inspection was conducted on 4/27/23 with ten (10) demerits and a superior rating. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was last updated on 5/23/23. Upon arrival, I announced my presence and the purpose of the visit. Ms. Bell supervised four (4) children in space #1. The other teacher arrived around 9:10 am. Upon arrival, the children played with blocks in space #1, while Paw Patrol on Nick Jr. was on the television. The TV was turned off at 9:15 am. In space #2, toys houses and structures, books, soft materials, baby dolls, kitchen, pretend food and dishes and baby doll accessories were accessible to children. On the shelf above five (5) feet, manipulatives, puzzles, games and art materials were stored. Children and Ms. Bell sang ABC songs multiple times as the children marched on the alphabet carpet. The other teacher left to buy milk and other groceries. While the teacher was gone, Ms. Bell discussed food at the grocery store with the children. During a group time, Ms. Bell reviewed days of the week and read “Brown Bear, Brown Bear” story. Ms. Bell supervised space #1 and the other teacher supervised space #2. When the other teacher was not present, Ms. Bell kept all children in space #1. Interaction was positive, and the supervision was sufficient. The playground was monitored. There were three (3) portable slide structures, toy vehicles and a basket ball hoop. One child has an action plan, but no medication is brought to school. A diaper cream was stored in space #2 stored accessible to children. No over-the-counter medication permission form was in the file for the diaper cream. Three (3) children’s files were monitored and FCCH and Centers Located in a Residence verification of required information for Operator and Additional Caregivers were filled out during the visit by me. The Staff and Training Worksheet was mistakenly sent to Ms. Bells upon notification of the annual compliance visit. Ms. Bell and the other teacher filled out FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form. Lunch was prepared during the visit. Today's menus were fish sticks, French fries, bread, fruit cocktail and milk. All items were listed on the menu. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 544 Screen time was offered to children under three years of age. From 9:00 am - 9:15 am, Paw Patrol on Nick Jr. was on the television. .0510(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Destine Daily Defense was stored in the cubby approximately four (4) feet high. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. A permission form for Destine Daily Defense was not available for review. 10A NCAC 09 .0803(4)(6-9) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. There is no immunization form was filed in one (1) of the child's file. GS 110-91(1);.0302(d)(2); .0304(g) Technical assistance was provided as follows: 544: Screen time Screen time is prohibited for children under three (3) years of age. 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. 841: storage of medication Over-the-counter ointment, such as diaper creams must be kept inaccessible to children, which means that the diaper cream must be kept on the shelf above five (5) feet. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. 847: Medication Permission form A medication permission form singed by parent that allow you to administer the medication is required for all medication including prescription and over-the-counter medication. Diaper creams also require the permission form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 1320: Immunization record Immunization records for each child shall be in file within thirty (30) days after admission. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (g) Each center shall maintain records as described in 10A NCAC 09 .0302(d) and shall make them available to the Division for review. 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 11/9/23. Email the compliance letter on signed letterhead or in 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 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: Rated License Cohort: Bev’s Day Care is in cohort two (2). Your prep year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. I will contact you in July 2024 to discuss details. First Aid poster: Per Ms. Bell, she tried to order the first aid poster but was not able to process it. I have ordered the first aid poster and handwashing procedure poster on behalf of Bev’s Day Care from https://healthychildcare.unc.edu/. Please post them when you receive them. Going forward, this will be cited as a violation. Reminder: Fire inspection is due on 10/31/23. If the Fire Marshall does not show up prior to 10/31/23, please contact your local fire department. On-going training requirements: Based on both of your WORKS letters, both staff members have NCECC. Therefore, the required training hours are ten (10) hours. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0304 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 4 Completed Date: 10/26/2023 Age: From 2 To 4 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Owner/Operator, during the visit. An electronic signed copy of the visit summary was printed and left on-site with you. Today, Beverly Bell, Owner/Operator was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine (79) percentage as of 10/20/23. Permit type –Three-star Center License issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/2/23. The last fire drill was practiced on 9/14/23. The last shelter-in-place drill was practiced on 8/16/23. The last playground inspection was documented on 9/5/23. The last fire inspection was approved on 10/31/22. The last sanitation inspection was conducted on 4/27/23 with ten (10) demerits and a superior rating. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was last updated on 5/23/23. Upon arrival, I announced my presence and the purpose of the visit. Ms. Bell supervised four (4) children in space #1. The other teacher arrived around 9:10 am. Upon arrival, the children played with blocks in space #1, while Paw Patrol on Nick Jr. was on the television. The TV was turned off at 9:15 am. In space #2, toys houses and structures, books, soft materials, baby dolls, kitchen, pretend food and dishes and baby doll accessories were accessible to children. On the shelf above five (5) feet, manipulatives, puzzles, games and art materials were stored. Children and Ms. Bell sang ABC songs multiple times as the children marched on the alphabet carpet. The other teacher left to buy milk and other groceries. While the teacher was gone, Ms. Bell discussed food at the grocery store with the children. During a group time, Ms. Bell reviewed days of the week and read “Brown Bear, Brown Bear” story. Ms. Bell supervised space #1 and the other teacher supervised space #2. When the other teacher was not present, Ms. Bell kept all children in space #1. Interaction was positive, and the supervision was sufficient. The playground was monitored. There were three (3) portable slide structures, toy vehicles and a basket ball hoop. One child has an action plan, but no medication is brought to school. A diaper cream was stored in space #2 stored accessible to children. No over-the-counter medication permission form was in the file for the diaper cream. Three (3) children’s files were monitored and FCCH and Centers Located in a Residence verification of required information for Operator and Additional Caregivers were filled out during the visit by me. The Staff and Training Worksheet was mistakenly sent to Ms. Bells upon notification of the annual compliance visit. Ms. Bell and the other teacher filled out FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form. Lunch was prepared during the visit. Today's menus were fish sticks, French fries, bread, fruit cocktail and milk. All items were listed on the menu. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 544 Screen time was offered to children under three years of age. From 9:00 am - 9:15 am, Paw Patrol on Nick Jr. was on the television. .0510(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Destine Daily Defense was stored in the cubby approximately four (4) feet high. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. A permission form for Destine Daily Defense was not available for review. 10A NCAC 09 .0803(4)(6-9) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. There is no immunization form was filed in one (1) of the child's file. GS 110-91(1);.0302(d)(2); .0304(g) Technical assistance was provided as follows: 544: Screen time Screen time is prohibited for children under three (3) years of age. 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. 841: storage of medication Over-the-counter ointment, such as diaper creams must be kept inaccessible to children, which means that the diaper cream must be kept on the shelf above five (5) feet. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. 847: Medication Permission form A medication permission form singed by parent that allow you to administer the medication is required for all medication including prescription and over-the-counter medication. Diaper creams also require the permission form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 1320: Immunization record Immunization records for each child shall be in file within thirty (30) days after admission. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (g) Each center shall maintain records as described in 10A NCAC 09 .0302(d) and shall make them available to the Division for review. 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 11/9/23. Email the compliance letter on signed letterhead or in 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 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: Rated License Cohort: Bev’s Day Care is in cohort two (2). Your prep year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. I will contact you in July 2024 to discuss details. First Aid poster: Per Ms. Bell, she tried to order the first aid poster but was not able to process it. I have ordered the first aid poster and handwashing procedure poster on behalf of Bev’s Day Care from https://healthychildcare.unc.edu/. Please post them when you receive them. Going forward, this will be cited as a violation. Reminder: Fire inspection is due on 10/31/23. If the Fire Marshall does not show up prior to 10/31/23, please contact your local fire department. On-going training requirements: Based on both of your WORKS letters, both staff members have NCECC. Therefore, the required training hours are ten (10) hours. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0510 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 4 Completed Date: 10/26/2023 Age: From 2 To 4 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Owner/Operator, during the visit. An electronic signed copy of the visit summary was printed and left on-site with you. Today, Beverly Bell, Owner/Operator was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine (79) percentage as of 10/20/23. Permit type –Three-star Center License issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/2/23. The last fire drill was practiced on 9/14/23. The last shelter-in-place drill was practiced on 8/16/23. The last playground inspection was documented on 9/5/23. The last fire inspection was approved on 10/31/22. The last sanitation inspection was conducted on 4/27/23 with ten (10) demerits and a superior rating. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was last updated on 5/23/23. Upon arrival, I announced my presence and the purpose of the visit. Ms. Bell supervised four (4) children in space #1. The other teacher arrived around 9:10 am. Upon arrival, the children played with blocks in space #1, while Paw Patrol on Nick Jr. was on the television. The TV was turned off at 9:15 am. In space #2, toys houses and structures, books, soft materials, baby dolls, kitchen, pretend food and dishes and baby doll accessories were accessible to children. On the shelf above five (5) feet, manipulatives, puzzles, games and art materials were stored. Children and Ms. Bell sang ABC songs multiple times as the children marched on the alphabet carpet. The other teacher left to buy milk and other groceries. While the teacher was gone, Ms. Bell discussed food at the grocery store with the children. During a group time, Ms. Bell reviewed days of the week and read “Brown Bear, Brown Bear” story. Ms. Bell supervised space #1 and the other teacher supervised space #2. When the other teacher was not present, Ms. Bell kept all children in space #1. Interaction was positive, and the supervision was sufficient. The playground was monitored. There were three (3) portable slide structures, toy vehicles and a basket ball hoop. One child has an action plan, but no medication is brought to school. A diaper cream was stored in space #2 stored accessible to children. No over-the-counter medication permission form was in the file for the diaper cream. Three (3) children’s files were monitored and FCCH and Centers Located in a Residence verification of required information for Operator and Additional Caregivers were filled out during the visit by me. The Staff and Training Worksheet was mistakenly sent to Ms. Bells upon notification of the annual compliance visit. Ms. Bell and the other teacher filled out FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form. Lunch was prepared during the visit. Today's menus were fish sticks, French fries, bread, fruit cocktail and milk. All items were listed on the menu. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 544 Screen time was offered to children under three years of age. From 9:00 am - 9:15 am, Paw Patrol on Nick Jr. was on the television. .0510(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Destine Daily Defense was stored in the cubby approximately four (4) feet high. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. A permission form for Destine Daily Defense was not available for review. 10A NCAC 09 .0803(4)(6-9) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. There is no immunization form was filed in one (1) of the child's file. GS 110-91(1);.0302(d)(2); .0304(g) Technical assistance was provided as follows: 544: Screen time Screen time is prohibited for children under three (3) years of age. 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. 841: storage of medication Over-the-counter ointment, such as diaper creams must be kept inaccessible to children, which means that the diaper cream must be kept on the shelf above five (5) feet. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. 847: Medication Permission form A medication permission form singed by parent that allow you to administer the medication is required for all medication including prescription and over-the-counter medication. Diaper creams also require the permission form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 1320: Immunization record Immunization records for each child shall be in file within thirty (30) days after admission. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (g) Each center shall maintain records as described in 10A NCAC 09 .0302(d) and shall make them available to the Division for review. 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 11/9/23. Email the compliance letter on signed letterhead or in 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 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: Rated License Cohort: Bev’s Day Care is in cohort two (2). Your prep year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. I will contact you in July 2024 to discuss details. First Aid poster: Per Ms. Bell, she tried to order the first aid poster but was not able to process it. I have ordered the first aid poster and handwashing procedure poster on behalf of Bev’s Day Care from https://healthychildcare.unc.edu/. Please post them when you receive them. Going forward, this will be cited as a violation. Reminder: Fire inspection is due on 10/31/23. If the Fire Marshall does not show up prior to 10/31/23, please contact your local fire department. On-going training requirements: Based on both of your WORKS letters, both staff members have NCECC. Therefore, the required training hours are ten (10) hours. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0803 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 4 Completed Date: 10/26/2023 Age: From 2 To 4 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Owner/Operator, during the visit. An electronic signed copy of the visit summary was printed and left on-site with you. Today, Beverly Bell, Owner/Operator was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine (79) percentage as of 10/20/23. Permit type –Three-star Center License issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/2/23. The last fire drill was practiced on 9/14/23. The last shelter-in-place drill was practiced on 8/16/23. The last playground inspection was documented on 9/5/23. The last fire inspection was approved on 10/31/22. The last sanitation inspection was conducted on 4/27/23 with ten (10) demerits and a superior rating. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was last updated on 5/23/23. Upon arrival, I announced my presence and the purpose of the visit. Ms. Bell supervised four (4) children in space #1. The other teacher arrived around 9:10 am. Upon arrival, the children played with blocks in space #1, while Paw Patrol on Nick Jr. was on the television. The TV was turned off at 9:15 am. In space #2, toys houses and structures, books, soft materials, baby dolls, kitchen, pretend food and dishes and baby doll accessories were accessible to children. On the shelf above five (5) feet, manipulatives, puzzles, games and art materials were stored. Children and Ms. Bell sang ABC songs multiple times as the children marched on the alphabet carpet. The other teacher left to buy milk and other groceries. While the teacher was gone, Ms. Bell discussed food at the grocery store with the children. During a group time, Ms. Bell reviewed days of the week and read “Brown Bear, Brown Bear” story. Ms. Bell supervised space #1 and the other teacher supervised space #2. When the other teacher was not present, Ms. Bell kept all children in space #1. Interaction was positive, and the supervision was sufficient. The playground was monitored. There were three (3) portable slide structures, toy vehicles and a basket ball hoop. One child has an action plan, but no medication is brought to school. A diaper cream was stored in space #2 stored accessible to children. No over-the-counter medication permission form was in the file for the diaper cream. Three (3) children’s files were monitored and FCCH and Centers Located in a Residence verification of required information for Operator and Additional Caregivers were filled out during the visit by me. The Staff and Training Worksheet was mistakenly sent to Ms. Bells upon notification of the annual compliance visit. Ms. Bell and the other teacher filled out FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form. Lunch was prepared during the visit. Today's menus were fish sticks, French fries, bread, fruit cocktail and milk. All items were listed on the menu. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 544 Screen time was offered to children under three years of age. From 9:00 am - 9:15 am, Paw Patrol on Nick Jr. was on the television. .0510(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Destine Daily Defense was stored in the cubby approximately four (4) feet high. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. A permission form for Destine Daily Defense was not available for review. 10A NCAC 09 .0803(4)(6-9) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. There is no immunization form was filed in one (1) of the child's file. GS 110-91(1);.0302(d)(2); .0304(g) Technical assistance was provided as follows: 544: Screen time Screen time is prohibited for children under three (3) years of age. 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. 841: storage of medication Over-the-counter ointment, such as diaper creams must be kept inaccessible to children, which means that the diaper cream must be kept on the shelf above five (5) feet. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. 847: Medication Permission form A medication permission form singed by parent that allow you to administer the medication is required for all medication including prescription and over-the-counter medication. Diaper creams also require the permission form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 1320: Immunization record Immunization records for each child shall be in file within thirty (30) days after admission. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (g) Each center shall maintain records as described in 10A NCAC 09 .0302(d) and shall make them available to the Division for review. 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 11/9/23. Email the compliance letter on signed letterhead or in 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 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: Rated License Cohort: Bev’s Day Care is in cohort two (2). Your prep year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. I will contact you in July 2024 to discuss details. First Aid poster: Per Ms. Bell, she tried to order the first aid poster but was not able to process it. I have ordered the first aid poster and handwashing procedure poster on behalf of Bev’s Day Care from https://healthychildcare.unc.edu/. Please post them when you receive them. Going forward, this will be cited as a violation. Reminder: Fire inspection is due on 10/31/23. If the Fire Marshall does not show up prior to 10/31/23, please contact your local fire department. On-going training requirements: Based on both of your WORKS letters, both staff members have NCECC. Therefore, the required training hours are ten (10) hours. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 4 Completed Date: 10/26/2023 Age: From 2 To 4 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Owner/Operator, during the visit. An electronic signed copy of the visit summary was printed and left on-site with you. Today, Beverly Bell, Owner/Operator was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine (79) percentage as of 10/20/23. Permit type –Three-star Center License issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/2/23. The last fire drill was practiced on 9/14/23. The last shelter-in-place drill was practiced on 8/16/23. The last playground inspection was documented on 9/5/23. The last fire inspection was approved on 10/31/22. The last sanitation inspection was conducted on 4/27/23 with ten (10) demerits and a superior rating. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was last updated on 5/23/23. Upon arrival, I announced my presence and the purpose of the visit. Ms. Bell supervised four (4) children in space #1. The other teacher arrived around 9:10 am. Upon arrival, the children played with blocks in space #1, while Paw Patrol on Nick Jr. was on the television. The TV was turned off at 9:15 am. In space #2, toys houses and structures, books, soft materials, baby dolls, kitchen, pretend food and dishes and baby doll accessories were accessible to children. On the shelf above five (5) feet, manipulatives, puzzles, games and art materials were stored. Children and Ms. Bell sang ABC songs multiple times as the children marched on the alphabet carpet. The other teacher left to buy milk and other groceries. While the teacher was gone, Ms. Bell discussed food at the grocery store with the children. During a group time, Ms. Bell reviewed days of the week and read “Brown Bear, Brown Bear” story. Ms. Bell supervised space #1 and the other teacher supervised space #2. When the other teacher was not present, Ms. Bell kept all children in space #1. Interaction was positive, and the supervision was sufficient. The playground was monitored. There were three (3) portable slide structures, toy vehicles and a basket ball hoop. One child has an action plan, but no medication is brought to school. A diaper cream was stored in space #2 stored accessible to children. No over-the-counter medication permission form was in the file for the diaper cream. Three (3) children’s files were monitored and FCCH and Centers Located in a Residence verification of required information for Operator and Additional Caregivers were filled out during the visit by me. The Staff and Training Worksheet was mistakenly sent to Ms. Bells upon notification of the annual compliance visit. Ms. Bell and the other teacher filled out FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form. Lunch was prepared during the visit. Today's menus were fish sticks, French fries, bread, fruit cocktail and milk. All items were listed on the menu. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 544 Screen time was offered to children under three years of age. From 9:00 am - 9:15 am, Paw Patrol on Nick Jr. was on the television. .0510(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Destine Daily Defense was stored in the cubby approximately four (4) feet high. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. A permission form for Destine Daily Defense was not available for review. 10A NCAC 09 .0803(4)(6-9) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. There is no immunization form was filed in one (1) of the child's file. GS 110-91(1);.0302(d)(2); .0304(g) Technical assistance was provided as follows: 544: Screen time Screen time is prohibited for children under three (3) years of age. 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. 841: storage of medication Over-the-counter ointment, such as diaper creams must be kept inaccessible to children, which means that the diaper cream must be kept on the shelf above five (5) feet. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. 847: Medication Permission form A medication permission form singed by parent that allow you to administer the medication is required for all medication including prescription and over-the-counter medication. Diaper creams also require the permission form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 1320: Immunization record Immunization records for each child shall be in file within thirty (30) days after admission. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (g) Each center shall maintain records as described in 10A NCAC 09 .0302(d) and shall make them available to the Division for review. 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 11/9/23. Email the compliance letter on signed letterhead or in 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 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: Rated License Cohort: Bev’s Day Care is in cohort two (2). Your prep year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. I will contact you in July 2024 to discuss details. First Aid poster: Per Ms. Bell, she tried to order the first aid poster but was not able to process it. I have ordered the first aid poster and handwashing procedure poster on behalf of Bev’s Day Care from https://healthychildcare.unc.edu/. Please post them when you receive them. Going forward, this will be cited as a violation. Reminder: Fire inspection is due on 10/31/23. If the Fire Marshall does not show up prior to 10/31/23, please contact your local fire department. On-going training requirements: Based on both of your WORKS letters, both staff members have NCECC. Therefore, the required training hours are ten (10) hours. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 4 Completed Date: 10/26/2023 Age: From 2 To 4 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Owner/Operator, during the visit. An electronic signed copy of the visit summary was printed and left on-site with you. Today, Beverly Bell, Owner/Operator was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine (79) percentage as of 10/20/23. Permit type –Three-star Center License issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/2/23. The last fire drill was practiced on 9/14/23. The last shelter-in-place drill was practiced on 8/16/23. The last playground inspection was documented on 9/5/23. The last fire inspection was approved on 10/31/22. The last sanitation inspection was conducted on 4/27/23 with ten (10) demerits and a superior rating. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was last updated on 5/23/23. Upon arrival, I announced my presence and the purpose of the visit. Ms. Bell supervised four (4) children in space #1. The other teacher arrived around 9:10 am. Upon arrival, the children played with blocks in space #1, while Paw Patrol on Nick Jr. was on the television. The TV was turned off at 9:15 am. In space #2, toys houses and structures, books, soft materials, baby dolls, kitchen, pretend food and dishes and baby doll accessories were accessible to children. On the shelf above five (5) feet, manipulatives, puzzles, games and art materials were stored. Children and Ms. Bell sang ABC songs multiple times as the children marched on the alphabet carpet. The other teacher left to buy milk and other groceries. While the teacher was gone, Ms. Bell discussed food at the grocery store with the children. During a group time, Ms. Bell reviewed days of the week and read “Brown Bear, Brown Bear” story. Ms. Bell supervised space #1 and the other teacher supervised space #2. When the other teacher was not present, Ms. Bell kept all children in space #1. Interaction was positive, and the supervision was sufficient. The playground was monitored. There were three (3) portable slide structures, toy vehicles and a basket ball hoop. One child has an action plan, but no medication is brought to school. A diaper cream was stored in space #2 stored accessible to children. No over-the-counter medication permission form was in the file for the diaper cream. Three (3) children’s files were monitored and FCCH and Centers Located in a Residence verification of required information for Operator and Additional Caregivers were filled out during the visit by me. The Staff and Training Worksheet was mistakenly sent to Ms. Bells upon notification of the annual compliance visit. Ms. Bell and the other teacher filled out FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form. Lunch was prepared during the visit. Today's menus were fish sticks, French fries, bread, fruit cocktail and milk. All items were listed on the menu. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 544 Screen time was offered to children under three years of age. From 9:00 am - 9:15 am, Paw Patrol on Nick Jr. was on the television. .0510(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Destine Daily Defense was stored in the cubby approximately four (4) feet high. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. A permission form for Destine Daily Defense was not available for review. 10A NCAC 09 .0803(4)(6-9) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. There is no immunization form was filed in one (1) of the child's file. GS 110-91(1);.0302(d)(2); .0304(g) Technical assistance was provided as follows: 544: Screen time Screen time is prohibited for children under three (3) years of age. 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. 841: storage of medication Over-the-counter ointment, such as diaper creams must be kept inaccessible to children, which means that the diaper cream must be kept on the shelf above five (5) feet. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. 847: Medication Permission form A medication permission form singed by parent that allow you to administer the medication is required for all medication including prescription and over-the-counter medication. Diaper creams also require the permission form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 1320: Immunization record Immunization records for each child shall be in file within thirty (30) days after admission. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (g) Each center shall maintain records as described in 10A NCAC 09 .0302(d) and shall make them available to the Division for review. 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 11/9/23. Email the compliance letter on signed letterhead or in 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 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: Rated License Cohort: Bev’s Day Care is in cohort two (2). Your prep year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. I will contact you in July 2024 to discuss details. First Aid poster: Per Ms. Bell, she tried to order the first aid poster but was not able to process it. I have ordered the first aid poster and handwashing procedure poster on behalf of Bev’s Day Care from https://healthychildcare.unc.edu/. Please post them when you receive them. Going forward, this will be cited as a violation. Reminder: Fire inspection is due on 10/31/23. If the Fire Marshall does not show up prior to 10/31/23, please contact your local fire department. On-going training requirements: Based on both of your WORKS letters, both staff members have NCECC. Therefore, the required training hours are ten (10) hours. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 4 Completed Date: 10/26/2023 Age: From 2 To 4 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Owner/Operator, during the visit. An electronic signed copy of the visit summary was printed and left on-site with you. Today, Beverly Bell, Owner/Operator was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine (79) percentage as of 10/20/23. Permit type –Three-star Center License issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/2/23. The last fire drill was practiced on 9/14/23. The last shelter-in-place drill was practiced on 8/16/23. The last playground inspection was documented on 9/5/23. The last fire inspection was approved on 10/31/22. The last sanitation inspection was conducted on 4/27/23 with ten (10) demerits and a superior rating. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was last updated on 5/23/23. Upon arrival, I announced my presence and the purpose of the visit. Ms. Bell supervised four (4) children in space #1. The other teacher arrived around 9:10 am. Upon arrival, the children played with blocks in space #1, while Paw Patrol on Nick Jr. was on the television. The TV was turned off at 9:15 am. In space #2, toys houses and structures, books, soft materials, baby dolls, kitchen, pretend food and dishes and baby doll accessories were accessible to children. On the shelf above five (5) feet, manipulatives, puzzles, games and art materials were stored. Children and Ms. Bell sang ABC songs multiple times as the children marched on the alphabet carpet. The other teacher left to buy milk and other groceries. While the teacher was gone, Ms. Bell discussed food at the grocery store with the children. During a group time, Ms. Bell reviewed days of the week and read “Brown Bear, Brown Bear” story. Ms. Bell supervised space #1 and the other teacher supervised space #2. When the other teacher was not present, Ms. Bell kept all children in space #1. Interaction was positive, and the supervision was sufficient. The playground was monitored. There were three (3) portable slide structures, toy vehicles and a basket ball hoop. One child has an action plan, but no medication is brought to school. A diaper cream was stored in space #2 stored accessible to children. No over-the-counter medication permission form was in the file for the diaper cream. Three (3) children’s files were monitored and FCCH and Centers Located in a Residence verification of required information for Operator and Additional Caregivers were filled out during the visit by me. The Staff and Training Worksheet was mistakenly sent to Ms. Bells upon notification of the annual compliance visit. Ms. Bell and the other teacher filled out FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form. Lunch was prepared during the visit. Today's menus were fish sticks, French fries, bread, fruit cocktail and milk. All items were listed on the menu. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 544 Screen time was offered to children under three years of age. From 9:00 am - 9:15 am, Paw Patrol on Nick Jr. was on the television. .0510(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Destine Daily Defense was stored in the cubby approximately four (4) feet high. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. A permission form for Destine Daily Defense was not available for review. 10A NCAC 09 .0803(4)(6-9) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. There is no immunization form was filed in one (1) of the child's file. GS 110-91(1);.0302(d)(2); .0304(g) Technical assistance was provided as follows: 544: Screen time Screen time is prohibited for children under three (3) years of age. 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. 841: storage of medication Over-the-counter ointment, such as diaper creams must be kept inaccessible to children, which means that the diaper cream must be kept on the shelf above five (5) feet. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. 847: Medication Permission form A medication permission form singed by parent that allow you to administer the medication is required for all medication including prescription and over-the-counter medication. Diaper creams also require the permission form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 1320: Immunization record Immunization records for each child shall be in file within thirty (30) days after admission. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (g) Each center shall maintain records as described in 10A NCAC 09 .0302(d) and shall make them available to the Division for review. 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 11/9/23. Email the compliance letter on signed letterhead or in 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 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: Rated License Cohort: Bev’s Day Care is in cohort two (2). Your prep year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. I will contact you in July 2024 to discuss details. First Aid poster: Per Ms. Bell, she tried to order the first aid poster but was not able to process it. I have ordered the first aid poster and handwashing procedure poster on behalf of Bev’s Day Care from https://healthychildcare.unc.edu/. Please post them when you receive them. Going forward, this will be cited as a violation. Reminder: Fire inspection is due on 10/31/23. If the Fire Marshall does not show up prior to 10/31/23, please contact your local fire department. On-going training requirements: Based on both of your WORKS letters, both staff members have NCECC. Therefore, the required training hours are ten (10) hours. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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

GS 110-91 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 4 Completed Date: 10/26/2023 Age: From 2 To 4 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Owner/Operator, during the visit. An electronic signed copy of the visit summary was printed and left on-site with you. Today, Beverly Bell, Owner/Operator was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine (79) percentage as of 10/20/23. Permit type –Three-star Center License issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/2/23. The last fire drill was practiced on 9/14/23. The last shelter-in-place drill was practiced on 8/16/23. The last playground inspection was documented on 9/5/23. The last fire inspection was approved on 10/31/22. The last sanitation inspection was conducted on 4/27/23 with ten (10) demerits and a superior rating. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was last updated on 5/23/23. Upon arrival, I announced my presence and the purpose of the visit. Ms. Bell supervised four (4) children in space #1. The other teacher arrived around 9:10 am. Upon arrival, the children played with blocks in space #1, while Paw Patrol on Nick Jr. was on the television. The TV was turned off at 9:15 am. In space #2, toys houses and structures, books, soft materials, baby dolls, kitchen, pretend food and dishes and baby doll accessories were accessible to children. On the shelf above five (5) feet, manipulatives, puzzles, games and art materials were stored. Children and Ms. Bell sang ABC songs multiple times as the children marched on the alphabet carpet. The other teacher left to buy milk and other groceries. While the teacher was gone, Ms. Bell discussed food at the grocery store with the children. During a group time, Ms. Bell reviewed days of the week and read “Brown Bear, Brown Bear” story. Ms. Bell supervised space #1 and the other teacher supervised space #2. When the other teacher was not present, Ms. Bell kept all children in space #1. Interaction was positive, and the supervision was sufficient. The playground was monitored. There were three (3) portable slide structures, toy vehicles and a basket ball hoop. One child has an action plan, but no medication is brought to school. A diaper cream was stored in space #2 stored accessible to children. No over-the-counter medication permission form was in the file for the diaper cream. Three (3) children’s files were monitored and FCCH and Centers Located in a Residence verification of required information for Operator and Additional Caregivers were filled out during the visit by me. The Staff and Training Worksheet was mistakenly sent to Ms. Bells upon notification of the annual compliance visit. Ms. Bell and the other teacher filled out FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form. Lunch was prepared during the visit. Today's menus were fish sticks, French fries, bread, fruit cocktail and milk. All items were listed on the menu. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 544 Screen time was offered to children under three years of age. From 9:00 am - 9:15 am, Paw Patrol on Nick Jr. was on the television. .0510(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Destine Daily Defense was stored in the cubby approximately four (4) feet high. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. A permission form for Destine Daily Defense was not available for review. 10A NCAC 09 .0803(4)(6-9) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. There is no immunization form was filed in one (1) of the child's file. GS 110-91(1);.0302(d)(2); .0304(g) Technical assistance was provided as follows: 544: Screen time Screen time is prohibited for children under three (3) years of age. 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. 841: storage of medication Over-the-counter ointment, such as diaper creams must be kept inaccessible to children, which means that the diaper cream must be kept on the shelf above five (5) feet. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. 847: Medication Permission form A medication permission form singed by parent that allow you to administer the medication is required for all medication including prescription and over-the-counter medication. Diaper creams also require the permission form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 1320: Immunization record Immunization records for each child shall be in file within thirty (30) days after admission. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (g) Each center shall maintain records as described in 10A NCAC 09 .0302(d) and shall make them available to the Division for review. 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 11/9/23. Email the compliance letter on signed letterhead or in 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 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: Rated License Cohort: Bev’s Day Care is in cohort two (2). Your prep year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. I will contact you in July 2024 to discuss details. First Aid poster: Per Ms. Bell, she tried to order the first aid poster but was not able to process it. I have ordered the first aid poster and handwashing procedure poster on behalf of Bev’s Day Care from https://healthychildcare.unc.edu/. Please post them when you receive them. Going forward, this will be cited as a violation. Reminder: Fire inspection is due on 10/31/23. If the Fire Marshall does not show up prior to 10/31/23, please contact your local fire department. On-going training requirements: Based on both of your WORKS letters, both staff members have NCECC. Therefore, the required training hours are ten (10) hours. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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

NC GS 110-90 · Violation

Name of Operation: BEV'S DAY CARE Facility ID: 1155158 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 4 Completed Date: 10/26/2023 Age: From 2 To 4 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Beverly Bell, Owner/Operator, during the visit. An electronic signed copy of the visit summary was printed and left on-site with you. Today, Beverly Bell, Owner/Operator was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine (79) percentage as of 10/20/23. Permit type –Three-star Center License issued on 12/16/19. Special Services/Restrictions – daytime care and meets enhanced space. The last annual compliance visit was conducted on 11/2/23. The last fire drill was practiced on 9/14/23. The last shelter-in-place drill was practiced on 8/16/23. The last playground inspection was documented on 9/5/23. The last fire inspection was approved on 10/31/22. The last sanitation inspection was conducted on 4/27/23 with ten (10) demerits and a superior rating. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was last updated on 5/23/23. Upon arrival, I announced my presence and the purpose of the visit. Ms. Bell supervised four (4) children in space #1. The other teacher arrived around 9:10 am. Upon arrival, the children played with blocks in space #1, while Paw Patrol on Nick Jr. was on the television. The TV was turned off at 9:15 am. In space #2, toys houses and structures, books, soft materials, baby dolls, kitchen, pretend food and dishes and baby doll accessories were accessible to children. On the shelf above five (5) feet, manipulatives, puzzles, games and art materials were stored. Children and Ms. Bell sang ABC songs multiple times as the children marched on the alphabet carpet. The other teacher left to buy milk and other groceries. While the teacher was gone, Ms. Bell discussed food at the grocery store with the children. During a group time, Ms. Bell reviewed days of the week and read “Brown Bear, Brown Bear” story. Ms. Bell supervised space #1 and the other teacher supervised space #2. When the other teacher was not present, Ms. Bell kept all children in space #1. Interaction was positive, and the supervision was sufficient. The playground was monitored. There were three (3) portable slide structures, toy vehicles and a basket ball hoop. One child has an action plan, but no medication is brought to school. A diaper cream was stored in space #2 stored accessible to children. No over-the-counter medication permission form was in the file for the diaper cream. Three (3) children’s files were monitored and FCCH and Centers Located in a Residence verification of required information for Operator and Additional Caregivers were filled out during the visit by me. The Staff and Training Worksheet was mistakenly sent to Ms. Bells upon notification of the annual compliance visit. Ms. Bell and the other teacher filled out FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form. Lunch was prepared during the visit. Today's menus were fish sticks, French fries, bread, fruit cocktail and milk. All items were listed on the menu. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 544 Screen time was offered to children under three years of age. From 9:00 am - 9:15 am, Paw Patrol on Nick Jr. was on the television. .0510(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Destine Daily Defense was stored in the cubby approximately four (4) feet high. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. A permission form for Destine Daily Defense was not available for review. 10A NCAC 09 .0803(4)(6-9) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. There is no immunization form was filed in one (1) of the child's file. GS 110-91(1);.0302(d)(2); .0304(g) Technical assistance was provided as follows: 544: Screen time Screen time is prohibited for children under three (3) years of age. 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. 841: storage of medication Over-the-counter ointment, such as diaper creams must be kept inaccessible to children, which means that the diaper cream must be kept on the shelf above five (5) feet. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. 847: Medication Permission form A medication permission form singed by parent that allow you to administer the medication is required for all medication including prescription and over-the-counter medication. Diaper creams also require the permission form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 1320: Immunization record Immunization records for each child shall be in file within thirty (30) days after admission. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (g) Each center shall maintain records as described in 10A NCAC 09 .0302(d) and shall make them available to the Division for review. 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 11/9/23. Email the compliance letter on signed letterhead or in 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 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: Rated License Cohort: Bev’s Day Care is in cohort two (2). Your prep year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. I will contact you in July 2024 to discuss details. First Aid poster: Per Ms. Bell, she tried to order the first aid poster but was not able to process it. I have ordered the first aid poster and handwashing procedure poster on behalf of Bev’s Day Care from https://healthychildcare.unc.edu/. Please post them when you receive them. Going forward, this will be cited as a violation. Reminder: Fire inspection is due on 10/31/23. If the Fire Marshall does not show up prior to 10/31/23, please contact your local fire department. On-going training requirements: Based on both of your WORKS letters, both staff members have NCECC. Therefore, the required training hours are ten (10) hours. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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