10A NCAC 09 .1721 · Violation

Name of Operation: E-MA'S FAMILY CHILD CARE HOME LLC Facility ID: 71000267 Consultant: TAMMY ROSS Operation Type: Family CC Home Case Number: Visit Date: 8/11/2025 Number Present: 2 Completed Date: 8/11/2025 Age: From 1 To 8 Total Minutes: 75 Time In: 12:15 PM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. A checklist was used to note the requirements I monitored today. Your facility operates with a Four-Star License issued February 29, 2024, earning 7 points in Education, 2 points in Program, and 1 quality point for choosing an Education Option. Restrictions on the license include daytime care only, capacity of 8 children aged 0-12, maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours, and children in care on ground level only. The license was posted, and the restrictions were in compliance. The last annual compliance was conducted at this facility on August 20, 2024. As of August 8, 2025, your facility has an 18-month compliance history of 98%; this information was reviewed with you during today’s visit. The NC Secretary of State website was reviewed today and the owner of this facility, E-Ma’s Family Child Care Home LLC, was listed as current and active. Owner/Operator, Kathi Davis, was present and available for consultation. There were two children present today, one preschool and one school age child; both were observing nap/quiet time. The children were observed laying on covered cots with blankets playing quietly. Ms. Davis’s school-age child was also present during today’s visit. All areas used by the children were monitored. Age-appropriate materials and activities were observed in the child care space. A daily schedule was observed posted. Current activity plan must always be available for review. The information on the Verification of Required Information for Operator and Additional Caregivers Form was verified and/or updated as needed. The following violations were observed and documented today. All violations must be corrected immediately. Continued compliance with applicable child care requirements is always required. Violation Number Comment Rule 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Provider has not completed the Criminal Background Check portal process. G.S. 110-90.2 & .2703(r) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The last emergency drill was conducted at this facility on 04/28/2025; an emergency drill should have been conducted by 07/28/2025. .1719(a )(16) & .1721(e )(7) For your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. On or before August 25, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected as well as how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Email the information to me at Tammy.Ross@dhhs.nc.gov. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always whether they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Technical Assistance regarding violation cited: Lockdown or shelter-in-place drills should be practiced at least every three months as part of your facility's EPR plan. These drills should be documented on the Emergency Drill Record. Frequent practice will allow children and staff members to be familiar with the steps to take to keep everyone safe in an emergency. Today I suggested you plan the dates and times of your drills in advance and use calendar reminders to ensure they are completed at least every three months. CBC Portal – Ms. Davis has completed the training but has not completed the steps to gain access to the portal to complete the roster for her facility. DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff/household members, and run a printable report of the staff roster to assist with compliance visits. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position, and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Access will then be granted within two business days. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. 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 for household members/staff members. 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) 814-8401 and someone will assist you. Please be reminded, I cannot assist you in this task. If you need help contact the CBC Unit as listed above. Other Information CLEAN CLASSROOMS FOR CAROLINA KIDS - Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on March 14, 2023. Water testing must be completed every three (3) years. • Lead-Based Paint-Exempt N/A • Asbestos-Exempt N/A Ensure you keep all paperwork that you receive regarding this matter, and it may be requested to verify compliance. Use this link to view test results/status: https://www.cleanwaterforuskids.org/en/carolina/ Summer 2025: Is it Medicine? We think you’ll enjoy the Summer 2025 edition of the NC Child Care Health and Safety E-Newsletter. It includes in-depth information about health and safety concerns in early care and education settings, as well as information for child care programs to share with families. Check it out! Remember! You can contact the NC Resource Center for information, resources, and referrals on topics related to child health and health and safety in child care. Anyone in the greater early care and education community is welcome to call 1(800) 367-2229 (choose 1 then 2). Reminders: For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ I strongly urge you to review Child Care Rule 10A NCAC 09 .1721 regarding requirements for records. Please pay close attention to the charts located in 10A NCAC 09 .1721(f)(4) which indicate how long records must be kept on file. I also suggest you utilize the checklists for staff files, children’s files and program records to ensure you have all required documents. These checklists are available on the DCDEE website under the Provider Documents tab. You must sign all paperwork that requires your signature – renew each form to make sure it is accurate. At the completion of the visit, this visit summary was reviewed with you. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: E-MA'S FAMILY CHILD CARE HOME LLC Facility ID: 71000267 Consultant: TAMMY ROSS Operation Type: Family CC Home Case Number: Visit Date: 8/11/2025 Number Present: 2 Completed Date: 8/11/2025 Age: From 1 To 8 Total Minutes: 75 Time In: 12:15 PM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. A checklist was used to note the requirements I monitored today. Your facility operates with a Four-Star License issued February 29, 2024, earning 7 points in Education, 2 points in Program, and 1 quality point for choosing an Education Option. Restrictions on the license include daytime care only, capacity of 8 children aged 0-12, maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours, and children in care on ground level only. The license was posted, and the restrictions were in compliance. The last annual compliance was conducted at this facility on August 20, 2024. As of August 8, 2025, your facility has an 18-month compliance history of 98%; this information was reviewed with you during today’s visit. The NC Secretary of State website was reviewed today and the owner of this facility, E-Ma’s Family Child Care Home LLC, was listed as current and active. Owner/Operator, Kathi Davis, was present and available for consultation. There were two children present today, one preschool and one school age child; both were observing nap/quiet time. The children were observed laying on covered cots with blankets playing quietly. Ms. Davis’s school-age child was also present during today’s visit. All areas used by the children were monitored. Age-appropriate materials and activities were observed in the child care space. A daily schedule was observed posted. Current activity plan must always be available for review. The information on the Verification of Required Information for Operator and Additional Caregivers Form was verified and/or updated as needed. The following violations were observed and documented today. All violations must be corrected immediately. Continued compliance with applicable child care requirements is always required. Violation Number Comment Rule 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Provider has not completed the Criminal Background Check portal process. G.S. 110-90.2 & .2703(r) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The last emergency drill was conducted at this facility on 04/28/2025; an emergency drill should have been conducted by 07/28/2025. .1719(a )(16) & .1721(e )(7) For your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. On or before August 25, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected as well as how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Email the information to me at Tammy.Ross@dhhs.nc.gov. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always whether they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Technical Assistance regarding violation cited: Lockdown or shelter-in-place drills should be practiced at least every three months as part of your facility's EPR plan. These drills should be documented on the Emergency Drill Record. Frequent practice will allow children and staff members to be familiar with the steps to take to keep everyone safe in an emergency. Today I suggested you plan the dates and times of your drills in advance and use calendar reminders to ensure they are completed at least every three months. CBC Portal – Ms. Davis has completed the training but has not completed the steps to gain access to the portal to complete the roster for her facility. DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff/household members, and run a printable report of the staff roster to assist with compliance visits. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position, and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Access will then be granted within two business days. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. 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 for household members/staff members. 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) 814-8401 and someone will assist you. Please be reminded, I cannot assist you in this task. If you need help contact the CBC Unit as listed above. Other Information CLEAN CLASSROOMS FOR CAROLINA KIDS - Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on March 14, 2023. Water testing must be completed every three (3) years. • Lead-Based Paint-Exempt N/A • Asbestos-Exempt N/A Ensure you keep all paperwork that you receive regarding this matter, and it may be requested to verify compliance. Use this link to view test results/status: https://www.cleanwaterforuskids.org/en/carolina/ Summer 2025: Is it Medicine? We think you’ll enjoy the Summer 2025 edition of the NC Child Care Health and Safety E-Newsletter. It includes in-depth information about health and safety concerns in early care and education settings, as well as information for child care programs to share with families. Check it out! Remember! You can contact the NC Resource Center for information, resources, and referrals on topics related to child health and health and safety in child care. Anyone in the greater early care and education community is welcome to call 1(800) 367-2229 (choose 1 then 2). Reminders: For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ I strongly urge you to review Child Care Rule 10A NCAC 09 .1721 regarding requirements for records. Please pay close attention to the charts located in 10A NCAC 09 .1721(f)(4) which indicate how long records must be kept on file. I also suggest you utilize the checklists for staff files, children’s files and program records to ensure you have all required documents. These checklists are available on the DCDEE website under the Provider Documents tab. You must sign all paperwork that requires your signature – renew each form to make sure it is accurate. At the completion of the visit, this visit summary was reviewed with you. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. 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: E-MA'S FAMILY CHILD CARE HOME LLC Facility ID: 71000267 Consultant: TAMMY ROSS Operation Type: Family CC Home Case Number: Visit Date: 8/20/2024 Number Present: 4 Completed Date: 8/20/2024 Age: From 2 To 10 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this visit was to monitor compliance with applicable child care requirements during your annual compliance visit. A checklist was used to note the requirements I monitored today. Your facility operates with a Four-Star License issued February 29, 2024, earning 7 points in Education, 2 points in Program, and 1 quality point for choosing an Education Option. Restrictions on the license include daytime care only, capacity of 8 children ages 0-12, maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours, and children in care on ground level only. The license was posted, and the restrictions were in compliance. This facility was license on August 28, 2023. As of August 19, 2024, your facility has an 18-month compliance history of 95%; this information was reviewed with you during today’s visit. The NC Secretary of State website was also reviewed on August 19, 2024, the owner of this facility, E-Ma’s Family Child Care Home LLC was listed as current and active. Owner/Operator, Kathi Davis, was present and caring for the children. There were four (4) children ranging in ages of two (2) through ten (10) years of age enrolled and all were present today. Ms. Davis’s school age child, age 8, was also present today. All areas used by the children were monitored. Age-appropriate materials and activities were provided for all children. A daily schedule and activity plan was observed posted. Children were observed participating in free choice activities. Free choice activities included playing with toys and the older children were playing games with the alphabet, guessing game, and “hot potato.” Children also completed handwashing routines and had lunch. Lunch consisted of lasagna, bake beans, watermelon, garlic bread, and milk. The children were adequately supervised. Caregiver and children interacted in a positive and appropriate manner. During today’s visit, a copy of the FCCH Operator’s Statements of Responsibility and the Verification of Required Information for Operator and Additional Caregivers Form was completed. There were three violations observed today. All violations must be corrected immediately. Continued compliance with applicable child care requirements is required. Violation Number Comment Rule 716 Electrical outlets not in use were not covered. An outlet in the bathroom next to the handwashing sink was observed uncovered. 10A NCAC .1719(a)(27) 910 Copy of each child's health assessment was not on file within 30 days of enrollment. This information was not on file and available for review for two children, a five year old child and a ten year old child. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1712 Operator did not develop and adopt a written plan of care for completing routine tasks to ensure routine tasks did not interfere with the care of children during hours of operation. The written plan of care was not completed, on file, and available for review for two children, a five year old child and a ten year old child. .1712(a) In order for your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. A signed and dated letter of compliance must be received August 31, 2024, describing how this violation was corrected and how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. If I can be of further assistance, please do not hesitate to contact me at (910)824-1143 or you can email me at Tammy.Ross@dhhs.nc.gov. You may email me your verification or mail it to me at: Tammy Ross, Child Care Licensing Consultant, P.O. Box 278, Jacksonville, NC 28541 Technical assistance regarding violations cited: Recordkeeping - The health and safety of individual children requires that information regarding each child in care be kept and available when needed. Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information and parental permission to participate in specific activities. This information is the basis for meeting each child's physical, emotional, cognitive and social needs. I strongly urge you to review Child Care Rule 10A NCAC 09 .1721 regarding requirements for records. Please pay close attention to the charts located in 10A NCAC 09 .1721(f)(4) which indicate how long records must be kept on file. I also suggest you utilize the checklists for staff files, children’s files and program records to ensure you have all required documents. These checklists are available on the DCDEE website under the Provider Documents tab. Ensure all electrical outlets not in use must be covered. Children's innate curiosity and tendency to explore their surroundings make them vulnerable to accidents involving electrical outlets and cords. Potential hazards include electric shocks, burns, and even the risk of electrical fires if cords are damaged or mishandled. Child Care programs are expected to always achieve and maintain compliance 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. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always whether they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Rated License Reassessment Information - Your facility’s three-year rated license reassessment is due to be completed in February 2027. Reminders: You must update yours, as well as additional caregivers - Professional Development Plan (PDP), Emergency Medical Care (EMC) plan and Emergency Preparedness and Response (EPR) plan annually. As discussed during today’s visit, by printing the front page of your EPR plan verifies that you updated it annually. Ensure personal hygiene items such as body washes are stored appropriately in the bathroom. These items must be inaccessible to the children at all times. Other Information Health and Safety Training- These training topics outlined in Child Care Rule 10A NCAC 09 .1703(b) must be completed within the first year of employment for new staff, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment – it must be completed within 90 days of hire. After initial completion of Health and Safety Trainings, they must be completed every five years. Use the Health and Safety Training Record which is found on the DCDEE website under Provider Documents and Forms to track the completion of these trainings. These trainings will be monitored at your next visit. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Clean Classrooms for Kids Program – All child care programs must have their water tested for lead and your building tested for lead and asbestos hazards. May 1, 2024, was the initial deadline to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. Facilities that have not yet enrolled should complete the process by November 1, 2024. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years(centers) and to have inspections for lead paint and asbestos if applicable. Please see steps below: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-leadbased-paint-reimbursement-program-arpa The information above is from https://www.cleanwaterforuskids.org/en/carolina/, which is also where you enroll in the program. Remember, centers must have their water tested every three years. Family child care homes, as of now, are only required to do it once, and the water testing must be completed by January 1, 2025. DPI Pre-K programs do not need to enroll separately as public schools will be tested as a whole. Please refer to the website if you have specific questions! Criminal Background Check Information - DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff/household members, and run a printable report of the staff roster to assist with compliance visits. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position, and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Access will then be granted within 2 business days. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. Transportation: For each child being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required shall be in the vehicle. Child Care Rule 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS states that any vehicle approved and used for transportation must have a First Aid kit and fire extinguisher located in the vehicle used to transport children. Today there was no fire extinguisher in the vehicle. A fire extinguisher must be bought and placed inside the vehicle immediately. In addition to the requirements in the child care rules, here are a few reminders: · The purpose of a field trip should be identified and be developmentally appropriate. · Plan ahead. Visit any site where you are going and make a plan for parking, supervision, bathroom visits, food/water, and communication between staff members at the location and with those left at the child care facility · It is never okay to leave a child unattended in a vehicle! Even with the windows cracked, it can take just a few minutes for interior temperatures to go from comfortable to hot enough to cause heat-related injuries or death. · Do a physical check of the entire vehicle after all children have exited to be certain no child has fallen asleep or been left behind. · Take attendance at regular intervals, including at each transition point, checking children by both name and face. · Have additional staff members while transporting and for off-premise activities to assist. · Forms for transportation, off-premise and aquatic activities can be found on the Division of Child Development and Early Education’s website. · Have a plan for how staff members will respond in case of emergency during transportation and while off premises. · Consider the need for sunscreen/medications and review all related requirements. Check out these excellent child transportation safety resources available for providers to review: · Safe Kids Worldwide is an organization dedicated to “preventing injuries in children, the number one killer of kids in the United States.” · Visit Buckle Up NC to find the vehicle restraint appropriate for each child's age or weight. · Kids and Cars is committed to “preventing injuries and death to children in or around motor vehicles.” Documentation was completed, reviewed, and signed on site. Please remember it is your responsibility to comply with all child care rules and requirements at all times. Continue to contact me with any questions or concerns at Tammy.Ross@dhhs.nc.gov and/or(910)824-1143. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1721 · Violation

Name of Operation: E-MA'S FAMILY CHILD CARE HOME LLC Facility ID: 71000267 Consultant: TAMMY ROSS Operation Type: Family CC Home Case Number: Visit Date: 8/20/2024 Number Present: 4 Completed Date: 8/20/2024 Age: From 2 To 10 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this visit was to monitor compliance with applicable child care requirements during your annual compliance visit. A checklist was used to note the requirements I monitored today. Your facility operates with a Four-Star License issued February 29, 2024, earning 7 points in Education, 2 points in Program, and 1 quality point for choosing an Education Option. Restrictions on the license include daytime care only, capacity of 8 children ages 0-12, maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours, and children in care on ground level only. The license was posted, and the restrictions were in compliance. This facility was license on August 28, 2023. As of August 19, 2024, your facility has an 18-month compliance history of 95%; this information was reviewed with you during today’s visit. The NC Secretary of State website was also reviewed on August 19, 2024, the owner of this facility, E-Ma’s Family Child Care Home LLC was listed as current and active. Owner/Operator, Kathi Davis, was present and caring for the children. There were four (4) children ranging in ages of two (2) through ten (10) years of age enrolled and all were present today. Ms. Davis’s school age child, age 8, was also present today. All areas used by the children were monitored. Age-appropriate materials and activities were provided for all children. A daily schedule and activity plan was observed posted. Children were observed participating in free choice activities. Free choice activities included playing with toys and the older children were playing games with the alphabet, guessing game, and “hot potato.” Children also completed handwashing routines and had lunch. Lunch consisted of lasagna, bake beans, watermelon, garlic bread, and milk. The children were adequately supervised. Caregiver and children interacted in a positive and appropriate manner. During today’s visit, a copy of the FCCH Operator’s Statements of Responsibility and the Verification of Required Information for Operator and Additional Caregivers Form was completed. There were three violations observed today. All violations must be corrected immediately. Continued compliance with applicable child care requirements is required. Violation Number Comment Rule 716 Electrical outlets not in use were not covered. An outlet in the bathroom next to the handwashing sink was observed uncovered. 10A NCAC .1719(a)(27) 910 Copy of each child's health assessment was not on file within 30 days of enrollment. This information was not on file and available for review for two children, a five year old child and a ten year old child. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1712 Operator did not develop and adopt a written plan of care for completing routine tasks to ensure routine tasks did not interfere with the care of children during hours of operation. The written plan of care was not completed, on file, and available for review for two children, a five year old child and a ten year old child. .1712(a) In order for your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. A signed and dated letter of compliance must be received August 31, 2024, describing how this violation was corrected and how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. If I can be of further assistance, please do not hesitate to contact me at (910)824-1143 or you can email me at Tammy.Ross@dhhs.nc.gov. You may email me your verification or mail it to me at: Tammy Ross, Child Care Licensing Consultant, P.O. Box 278, Jacksonville, NC 28541 Technical assistance regarding violations cited: Recordkeeping - The health and safety of individual children requires that information regarding each child in care be kept and available when needed. Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information and parental permission to participate in specific activities. This information is the basis for meeting each child's physical, emotional, cognitive and social needs. I strongly urge you to review Child Care Rule 10A NCAC 09 .1721 regarding requirements for records. Please pay close attention to the charts located in 10A NCAC 09 .1721(f)(4) which indicate how long records must be kept on file. I also suggest you utilize the checklists for staff files, children’s files and program records to ensure you have all required documents. These checklists are available on the DCDEE website under the Provider Documents tab. Ensure all electrical outlets not in use must be covered. Children's innate curiosity and tendency to explore their surroundings make them vulnerable to accidents involving electrical outlets and cords. Potential hazards include electric shocks, burns, and even the risk of electrical fires if cords are damaged or mishandled. Child Care programs are expected to always achieve and maintain compliance 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. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always whether they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Rated License Reassessment Information - Your facility’s three-year rated license reassessment is due to be completed in February 2027. Reminders: You must update yours, as well as additional caregivers - Professional Development Plan (PDP), Emergency Medical Care (EMC) plan and Emergency Preparedness and Response (EPR) plan annually. As discussed during today’s visit, by printing the front page of your EPR plan verifies that you updated it annually. Ensure personal hygiene items such as body washes are stored appropriately in the bathroom. These items must be inaccessible to the children at all times. Other Information Health and Safety Training- These training topics outlined in Child Care Rule 10A NCAC 09 .1703(b) must be completed within the first year of employment for new staff, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment – it must be completed within 90 days of hire. After initial completion of Health and Safety Trainings, they must be completed every five years. Use the Health and Safety Training Record which is found on the DCDEE website under Provider Documents and Forms to track the completion of these trainings. These trainings will be monitored at your next visit. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Clean Classrooms for Kids Program – All child care programs must have their water tested for lead and your building tested for lead and asbestos hazards. May 1, 2024, was the initial deadline to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. Facilities that have not yet enrolled should complete the process by November 1, 2024. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years(centers) and to have inspections for lead paint and asbestos if applicable. Please see steps below: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-leadbased-paint-reimbursement-program-arpa The information above is from https://www.cleanwaterforuskids.org/en/carolina/, which is also where you enroll in the program. Remember, centers must have their water tested every three years. Family child care homes, as of now, are only required to do it once, and the water testing must be completed by January 1, 2025. DPI Pre-K programs do not need to enroll separately as public schools will be tested as a whole. Please refer to the website if you have specific questions! Criminal Background Check Information - DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff/household members, and run a printable report of the staff roster to assist with compliance visits. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position, and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Access will then be granted within 2 business days. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. Transportation: For each child being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required shall be in the vehicle. Child Care Rule 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS states that any vehicle approved and used for transportation must have a First Aid kit and fire extinguisher located in the vehicle used to transport children. Today there was no fire extinguisher in the vehicle. A fire extinguisher must be bought and placed inside the vehicle immediately. In addition to the requirements in the child care rules, here are a few reminders: · The purpose of a field trip should be identified and be developmentally appropriate. · Plan ahead. Visit any site where you are going and make a plan for parking, supervision, bathroom visits, food/water, and communication between staff members at the location and with those left at the child care facility · It is never okay to leave a child unattended in a vehicle! Even with the windows cracked, it can take just a few minutes for interior temperatures to go from comfortable to hot enough to cause heat-related injuries or death. · Do a physical check of the entire vehicle after all children have exited to be certain no child has fallen asleep or been left behind. · Take attendance at regular intervals, including at each transition point, checking children by both name and face. · Have additional staff members while transporting and for off-premise activities to assist. · Forms for transportation, off-premise and aquatic activities can be found on the Division of Child Development and Early Education’s website. · Have a plan for how staff members will respond in case of emergency during transportation and while off premises. · Consider the need for sunscreen/medications and review all related requirements. Check out these excellent child transportation safety resources available for providers to review: · Safe Kids Worldwide is an organization dedicated to “preventing injuries in children, the number one killer of kids in the United States.” · Visit Buckle Up NC to find the vehicle restraint appropriate for each child's age or weight. · Kids and Cars is committed to “preventing injuries and death to children in or around motor vehicles.” Documentation was completed, reviewed, and signed on site. Please remember it is your responsibility to comply with all child care rules and requirements at all times. Continue to contact me with any questions or concerns at Tammy.Ross@dhhs.nc.gov and/or(910)824-1143. 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 .1723 · Violation

Name of Operation: E-MA'S FAMILY CHILD CARE HOME LLC Facility ID: 71000267 Consultant: TAMMY ROSS Operation Type: Family CC Home Case Number: Visit Date: 8/20/2024 Number Present: 4 Completed Date: 8/20/2024 Age: From 2 To 10 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this visit was to monitor compliance with applicable child care requirements during your annual compliance visit. A checklist was used to note the requirements I monitored today. Your facility operates with a Four-Star License issued February 29, 2024, earning 7 points in Education, 2 points in Program, and 1 quality point for choosing an Education Option. Restrictions on the license include daytime care only, capacity of 8 children ages 0-12, maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours, and children in care on ground level only. The license was posted, and the restrictions were in compliance. This facility was license on August 28, 2023. As of August 19, 2024, your facility has an 18-month compliance history of 95%; this information was reviewed with you during today’s visit. The NC Secretary of State website was also reviewed on August 19, 2024, the owner of this facility, E-Ma’s Family Child Care Home LLC was listed as current and active. Owner/Operator, Kathi Davis, was present and caring for the children. There were four (4) children ranging in ages of two (2) through ten (10) years of age enrolled and all were present today. Ms. Davis’s school age child, age 8, was also present today. All areas used by the children were monitored. Age-appropriate materials and activities were provided for all children. A daily schedule and activity plan was observed posted. Children were observed participating in free choice activities. Free choice activities included playing with toys and the older children were playing games with the alphabet, guessing game, and “hot potato.” Children also completed handwashing routines and had lunch. Lunch consisted of lasagna, bake beans, watermelon, garlic bread, and milk. The children were adequately supervised. Caregiver and children interacted in a positive and appropriate manner. During today’s visit, a copy of the FCCH Operator’s Statements of Responsibility and the Verification of Required Information for Operator and Additional Caregivers Form was completed. There were three violations observed today. All violations must be corrected immediately. Continued compliance with applicable child care requirements is required. Violation Number Comment Rule 716 Electrical outlets not in use were not covered. An outlet in the bathroom next to the handwashing sink was observed uncovered. 10A NCAC .1719(a)(27) 910 Copy of each child's health assessment was not on file within 30 days of enrollment. This information was not on file and available for review for two children, a five year old child and a ten year old child. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1712 Operator did not develop and adopt a written plan of care for completing routine tasks to ensure routine tasks did not interfere with the care of children during hours of operation. The written plan of care was not completed, on file, and available for review for two children, a five year old child and a ten year old child. .1712(a) In order for your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. A signed and dated letter of compliance must be received August 31, 2024, describing how this violation was corrected and how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. If I can be of further assistance, please do not hesitate to contact me at (910)824-1143 or you can email me at Tammy.Ross@dhhs.nc.gov. You may email me your verification or mail it to me at: Tammy Ross, Child Care Licensing Consultant, P.O. Box 278, Jacksonville, NC 28541 Technical assistance regarding violations cited: Recordkeeping - The health and safety of individual children requires that information regarding each child in care be kept and available when needed. Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information and parental permission to participate in specific activities. This information is the basis for meeting each child's physical, emotional, cognitive and social needs. I strongly urge you to review Child Care Rule 10A NCAC 09 .1721 regarding requirements for records. Please pay close attention to the charts located in 10A NCAC 09 .1721(f)(4) which indicate how long records must be kept on file. I also suggest you utilize the checklists for staff files, children’s files and program records to ensure you have all required documents. These checklists are available on the DCDEE website under the Provider Documents tab. Ensure all electrical outlets not in use must be covered. Children's innate curiosity and tendency to explore their surroundings make them vulnerable to accidents involving electrical outlets and cords. Potential hazards include electric shocks, burns, and even the risk of electrical fires if cords are damaged or mishandled. Child Care programs are expected to always achieve and maintain compliance 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. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always whether they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Rated License Reassessment Information - Your facility’s three-year rated license reassessment is due to be completed in February 2027. Reminders: You must update yours, as well as additional caregivers - Professional Development Plan (PDP), Emergency Medical Care (EMC) plan and Emergency Preparedness and Response (EPR) plan annually. As discussed during today’s visit, by printing the front page of your EPR plan verifies that you updated it annually. Ensure personal hygiene items such as body washes are stored appropriately in the bathroom. These items must be inaccessible to the children at all times. Other Information Health and Safety Training- These training topics outlined in Child Care Rule 10A NCAC 09 .1703(b) must be completed within the first year of employment for new staff, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment – it must be completed within 90 days of hire. After initial completion of Health and Safety Trainings, they must be completed every five years. Use the Health and Safety Training Record which is found on the DCDEE website under Provider Documents and Forms to track the completion of these trainings. These trainings will be monitored at your next visit. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Clean Classrooms for Kids Program – All child care programs must have their water tested for lead and your building tested for lead and asbestos hazards. May 1, 2024, was the initial deadline to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. Facilities that have not yet enrolled should complete the process by November 1, 2024. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years(centers) and to have inspections for lead paint and asbestos if applicable. Please see steps below: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-leadbased-paint-reimbursement-program-arpa The information above is from https://www.cleanwaterforuskids.org/en/carolina/, which is also where you enroll in the program. Remember, centers must have their water tested every three years. Family child care homes, as of now, are only required to do it once, and the water testing must be completed by January 1, 2025. DPI Pre-K programs do not need to enroll separately as public schools will be tested as a whole. Please refer to the website if you have specific questions! Criminal Background Check Information - DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff/household members, and run a printable report of the staff roster to assist with compliance visits. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position, and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Access will then be granted within 2 business days. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. Transportation: For each child being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required shall be in the vehicle. Child Care Rule 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS states that any vehicle approved and used for transportation must have a First Aid kit and fire extinguisher located in the vehicle used to transport children. Today there was no fire extinguisher in the vehicle. A fire extinguisher must be bought and placed inside the vehicle immediately. In addition to the requirements in the child care rules, here are a few reminders: · The purpose of a field trip should be identified and be developmentally appropriate. · Plan ahead. Visit any site where you are going and make a plan for parking, supervision, bathroom visits, food/water, and communication between staff members at the location and with those left at the child care facility · It is never okay to leave a child unattended in a vehicle! Even with the windows cracked, it can take just a few minutes for interior temperatures to go from comfortable to hot enough to cause heat-related injuries or death. · Do a physical check of the entire vehicle after all children have exited to be certain no child has fallen asleep or been left behind. · Take attendance at regular intervals, including at each transition point, checking children by both name and face. · Have additional staff members while transporting and for off-premise activities to assist. · Forms for transportation, off-premise and aquatic activities can be found on the Division of Child Development and Early Education’s website. · Have a plan for how staff members will respond in case of emergency during transportation and while off premises. · Consider the need for sunscreen/medications and review all related requirements. Check out these excellent child transportation safety resources available for providers to review: · Safe Kids Worldwide is an organization dedicated to “preventing injuries in children, the number one killer of kids in the United States.” · Visit Buckle Up NC to find the vehicle restraint appropriate for each child's age or weight. · Kids and Cars is committed to “preventing injuries and death to children in or around motor vehicles.” Documentation was completed, reviewed, and signed on site. Please remember it is your responsibility to comply with all child care rules and requirements at all times. Continue to contact me with any questions or concerns at Tammy.Ross@dhhs.nc.gov and/or(910)824-1143. 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 09.1721 · Violation

Name of Operation: E-MA'S FAMILY CHILD CARE HOME LLC Facility ID: 71000267 Consultant: TAMMY ROSS Operation Type: Family CC Home Case Number: Visit Date: 8/20/2024 Number Present: 4 Completed Date: 8/20/2024 Age: From 2 To 10 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this visit was to monitor compliance with applicable child care requirements during your annual compliance visit. A checklist was used to note the requirements I monitored today. Your facility operates with a Four-Star License issued February 29, 2024, earning 7 points in Education, 2 points in Program, and 1 quality point for choosing an Education Option. Restrictions on the license include daytime care only, capacity of 8 children ages 0-12, maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours, and children in care on ground level only. The license was posted, and the restrictions were in compliance. This facility was license on August 28, 2023. As of August 19, 2024, your facility has an 18-month compliance history of 95%; this information was reviewed with you during today’s visit. The NC Secretary of State website was also reviewed on August 19, 2024, the owner of this facility, E-Ma’s Family Child Care Home LLC was listed as current and active. Owner/Operator, Kathi Davis, was present and caring for the children. There were four (4) children ranging in ages of two (2) through ten (10) years of age enrolled and all were present today. Ms. Davis’s school age child, age 8, was also present today. All areas used by the children were monitored. Age-appropriate materials and activities were provided for all children. A daily schedule and activity plan was observed posted. Children were observed participating in free choice activities. Free choice activities included playing with toys and the older children were playing games with the alphabet, guessing game, and “hot potato.” Children also completed handwashing routines and had lunch. Lunch consisted of lasagna, bake beans, watermelon, garlic bread, and milk. The children were adequately supervised. Caregiver and children interacted in a positive and appropriate manner. During today’s visit, a copy of the FCCH Operator’s Statements of Responsibility and the Verification of Required Information for Operator and Additional Caregivers Form was completed. There were three violations observed today. All violations must be corrected immediately. Continued compliance with applicable child care requirements is required. Violation Number Comment Rule 716 Electrical outlets not in use were not covered. An outlet in the bathroom next to the handwashing sink was observed uncovered. 10A NCAC .1719(a)(27) 910 Copy of each child's health assessment was not on file within 30 days of enrollment. This information was not on file and available for review for two children, a five year old child and a ten year old child. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1712 Operator did not develop and adopt a written plan of care for completing routine tasks to ensure routine tasks did not interfere with the care of children during hours of operation. The written plan of care was not completed, on file, and available for review for two children, a five year old child and a ten year old child. .1712(a) In order for your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. A signed and dated letter of compliance must be received August 31, 2024, describing how this violation was corrected and how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. If I can be of further assistance, please do not hesitate to contact me at (910)824-1143 or you can email me at Tammy.Ross@dhhs.nc.gov. You may email me your verification or mail it to me at: Tammy Ross, Child Care Licensing Consultant, P.O. Box 278, Jacksonville, NC 28541 Technical assistance regarding violations cited: Recordkeeping - The health and safety of individual children requires that information regarding each child in care be kept and available when needed. Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information and parental permission to participate in specific activities. This information is the basis for meeting each child's physical, emotional, cognitive and social needs. I strongly urge you to review Child Care Rule 10A NCAC 09 .1721 regarding requirements for records. Please pay close attention to the charts located in 10A NCAC 09 .1721(f)(4) which indicate how long records must be kept on file. I also suggest you utilize the checklists for staff files, children’s files and program records to ensure you have all required documents. These checklists are available on the DCDEE website under the Provider Documents tab. Ensure all electrical outlets not in use must be covered. Children's innate curiosity and tendency to explore their surroundings make them vulnerable to accidents involving electrical outlets and cords. Potential hazards include electric shocks, burns, and even the risk of electrical fires if cords are damaged or mishandled. Child Care programs are expected to always achieve and maintain compliance 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. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always whether they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Rated License Reassessment Information - Your facility’s three-year rated license reassessment is due to be completed in February 2027. Reminders: You must update yours, as well as additional caregivers - Professional Development Plan (PDP), Emergency Medical Care (EMC) plan and Emergency Preparedness and Response (EPR) plan annually. As discussed during today’s visit, by printing the front page of your EPR plan verifies that you updated it annually. Ensure personal hygiene items such as body washes are stored appropriately in the bathroom. These items must be inaccessible to the children at all times. Other Information Health and Safety Training- These training topics outlined in Child Care Rule 10A NCAC 09 .1703(b) must be completed within the first year of employment for new staff, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment – it must be completed within 90 days of hire. After initial completion of Health and Safety Trainings, they must be completed every five years. Use the Health and Safety Training Record which is found on the DCDEE website under Provider Documents and Forms to track the completion of these trainings. These trainings will be monitored at your next visit. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Clean Classrooms for Kids Program – All child care programs must have their water tested for lead and your building tested for lead and asbestos hazards. May 1, 2024, was the initial deadline to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. Facilities that have not yet enrolled should complete the process by November 1, 2024. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years(centers) and to have inspections for lead paint and asbestos if applicable. Please see steps below: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-leadbased-paint-reimbursement-program-arpa The information above is from https://www.cleanwaterforuskids.org/en/carolina/, which is also where you enroll in the program. Remember, centers must have their water tested every three years. Family child care homes, as of now, are only required to do it once, and the water testing must be completed by January 1, 2025. DPI Pre-K programs do not need to enroll separately as public schools will be tested as a whole. Please refer to the website if you have specific questions! Criminal Background Check Information - DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff/household members, and run a printable report of the staff roster to assist with compliance visits. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position, and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Access will then be granted within 2 business days. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. Transportation: For each child being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required shall be in the vehicle. Child Care Rule 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS states that any vehicle approved and used for transportation must have a First Aid kit and fire extinguisher located in the vehicle used to transport children. Today there was no fire extinguisher in the vehicle. A fire extinguisher must be bought and placed inside the vehicle immediately. In addition to the requirements in the child care rules, here are a few reminders: · The purpose of a field trip should be identified and be developmentally appropriate. · Plan ahead. Visit any site where you are going and make a plan for parking, supervision, bathroom visits, food/water, and communication between staff members at the location and with those left at the child care facility · It is never okay to leave a child unattended in a vehicle! Even with the windows cracked, it can take just a few minutes for interior temperatures to go from comfortable to hot enough to cause heat-related injuries or death. · Do a physical check of the entire vehicle after all children have exited to be certain no child has fallen asleep or been left behind. · Take attendance at regular intervals, including at each transition point, checking children by both name and face. · Have additional staff members while transporting and for off-premise activities to assist. · Forms for transportation, off-premise and aquatic activities can be found on the Division of Child Development and Early Education’s website. · Have a plan for how staff members will respond in case of emergency during transportation and while off premises. · Consider the need for sunscreen/medications and review all related requirements. Check out these excellent child transportation safety resources available for providers to review: · Safe Kids Worldwide is an organization dedicated to “preventing injuries in children, the number one killer of kids in the United States.” · Visit Buckle Up NC to find the vehicle restraint appropriate for each child's age or weight. · Kids and Cars is committed to “preventing injuries and death to children in or around motor vehicles.” Documentation was completed, reviewed, and signed on site. Please remember it is your responsibility to comply with all child care rules and requirements at all times. Continue to contact me with any questions or concerns at Tammy.Ross@dhhs.nc.gov and/or(910)824-1143. 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: E-MA'S FAMILY CHILD CARE HOME LLC Facility ID: 71000267 Consultant: TAMMY ROSS Operation Type: Family CC Home Case Number: Visit Date: 8/20/2024 Number Present: 4 Completed Date: 8/20/2024 Age: From 2 To 10 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this visit was to monitor compliance with applicable child care requirements during your annual compliance visit. A checklist was used to note the requirements I monitored today. Your facility operates with a Four-Star License issued February 29, 2024, earning 7 points in Education, 2 points in Program, and 1 quality point for choosing an Education Option. Restrictions on the license include daytime care only, capacity of 8 children ages 0-12, maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours, and children in care on ground level only. The license was posted, and the restrictions were in compliance. This facility was license on August 28, 2023. As of August 19, 2024, your facility has an 18-month compliance history of 95%; this information was reviewed with you during today’s visit. The NC Secretary of State website was also reviewed on August 19, 2024, the owner of this facility, E-Ma’s Family Child Care Home LLC was listed as current and active. Owner/Operator, Kathi Davis, was present and caring for the children. There were four (4) children ranging in ages of two (2) through ten (10) years of age enrolled and all were present today. Ms. Davis’s school age child, age 8, was also present today. All areas used by the children were monitored. Age-appropriate materials and activities were provided for all children. A daily schedule and activity plan was observed posted. Children were observed participating in free choice activities. Free choice activities included playing with toys and the older children were playing games with the alphabet, guessing game, and “hot potato.” Children also completed handwashing routines and had lunch. Lunch consisted of lasagna, bake beans, watermelon, garlic bread, and milk. The children were adequately supervised. Caregiver and children interacted in a positive and appropriate manner. During today’s visit, a copy of the FCCH Operator’s Statements of Responsibility and the Verification of Required Information for Operator and Additional Caregivers Form was completed. There were three violations observed today. All violations must be corrected immediately. Continued compliance with applicable child care requirements is required. Violation Number Comment Rule 716 Electrical outlets not in use were not covered. An outlet in the bathroom next to the handwashing sink was observed uncovered. 10A NCAC .1719(a)(27) 910 Copy of each child's health assessment was not on file within 30 days of enrollment. This information was not on file and available for review for two children, a five year old child and a ten year old child. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1712 Operator did not develop and adopt a written plan of care for completing routine tasks to ensure routine tasks did not interfere with the care of children during hours of operation. The written plan of care was not completed, on file, and available for review for two children, a five year old child and a ten year old child. .1712(a) In order for your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. A signed and dated letter of compliance must be received August 31, 2024, describing how this violation was corrected and how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. If I can be of further assistance, please do not hesitate to contact me at (910)824-1143 or you can email me at Tammy.Ross@dhhs.nc.gov. You may email me your verification or mail it to me at: Tammy Ross, Child Care Licensing Consultant, P.O. Box 278, Jacksonville, NC 28541 Technical assistance regarding violations cited: Recordkeeping - The health and safety of individual children requires that information regarding each child in care be kept and available when needed. Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information and parental permission to participate in specific activities. This information is the basis for meeting each child's physical, emotional, cognitive and social needs. I strongly urge you to review Child Care Rule 10A NCAC 09 .1721 regarding requirements for records. Please pay close attention to the charts located in 10A NCAC 09 .1721(f)(4) which indicate how long records must be kept on file. I also suggest you utilize the checklists for staff files, children’s files and program records to ensure you have all required documents. These checklists are available on the DCDEE website under the Provider Documents tab. Ensure all electrical outlets not in use must be covered. Children's innate curiosity and tendency to explore their surroundings make them vulnerable to accidents involving electrical outlets and cords. Potential hazards include electric shocks, burns, and even the risk of electrical fires if cords are damaged or mishandled. Child Care programs are expected to always achieve and maintain compliance 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. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always whether they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Rated License Reassessment Information - Your facility’s three-year rated license reassessment is due to be completed in February 2027. Reminders: You must update yours, as well as additional caregivers - Professional Development Plan (PDP), Emergency Medical Care (EMC) plan and Emergency Preparedness and Response (EPR) plan annually. As discussed during today’s visit, by printing the front page of your EPR plan verifies that you updated it annually. Ensure personal hygiene items such as body washes are stored appropriately in the bathroom. These items must be inaccessible to the children at all times. Other Information Health and Safety Training- These training topics outlined in Child Care Rule 10A NCAC 09 .1703(b) must be completed within the first year of employment for new staff, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment – it must be completed within 90 days of hire. After initial completion of Health and Safety Trainings, they must be completed every five years. Use the Health and Safety Training Record which is found on the DCDEE website under Provider Documents and Forms to track the completion of these trainings. These trainings will be monitored at your next visit. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Clean Classrooms for Kids Program – All child care programs must have their water tested for lead and your building tested for lead and asbestos hazards. May 1, 2024, was the initial deadline to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. Facilities that have not yet enrolled should complete the process by November 1, 2024. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years(centers) and to have inspections for lead paint and asbestos if applicable. Please see steps below: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-leadbased-paint-reimbursement-program-arpa The information above is from https://www.cleanwaterforuskids.org/en/carolina/, which is also where you enroll in the program. Remember, centers must have their water tested every three years. Family child care homes, as of now, are only required to do it once, and the water testing must be completed by January 1, 2025. DPI Pre-K programs do not need to enroll separately as public schools will be tested as a whole. Please refer to the website if you have specific questions! Criminal Background Check Information - DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff/household members, and run a printable report of the staff roster to assist with compliance visits. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position, and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Access will then be granted within 2 business days. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. Transportation: For each child being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required shall be in the vehicle. Child Care Rule 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS states that any vehicle approved and used for transportation must have a First Aid kit and fire extinguisher located in the vehicle used to transport children. Today there was no fire extinguisher in the vehicle. A fire extinguisher must be bought and placed inside the vehicle immediately. In addition to the requirements in the child care rules, here are a few reminders: · The purpose of a field trip should be identified and be developmentally appropriate. · Plan ahead. Visit any site where you are going and make a plan for parking, supervision, bathroom visits, food/water, and communication between staff members at the location and with those left at the child care facility · It is never okay to leave a child unattended in a vehicle! Even with the windows cracked, it can take just a few minutes for interior temperatures to go from comfortable to hot enough to cause heat-related injuries or death. · Do a physical check of the entire vehicle after all children have exited to be certain no child has fallen asleep or been left behind. · Take attendance at regular intervals, including at each transition point, checking children by both name and face. · Have additional staff members while transporting and for off-premise activities to assist. · Forms for transportation, off-premise and aquatic activities can be found on the Division of Child Development and Early Education’s website. · Have a plan for how staff members will respond in case of emergency during transportation and while off premises. · Consider the need for sunscreen/medications and review all related requirements. Check out these excellent child transportation safety resources available for providers to review: · Safe Kids Worldwide is an organization dedicated to “preventing injuries in children, the number one killer of kids in the United States.” · Visit Buckle Up NC to find the vehicle restraint appropriate for each child's age or weight. · Kids and Cars is committed to “preventing injuries and death to children in or around motor vehicles.” Documentation was completed, reviewed, and signed on site. Please remember it is your responsibility to comply with all child care rules and requirements at all times. Continue to contact me with any questions or concerns at Tammy.Ross@dhhs.nc.gov and/or(910)824-1143. 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: E-MA'S FAMILY CHILD CARE HOME LLC Facility ID: 71000267 Consultant: TAMMY ROSS Operation Type: Family CC Home Case Number: Visit Date: 8/20/2024 Number Present: 4 Completed Date: 8/20/2024 Age: From 2 To 10 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this visit was to monitor compliance with applicable child care requirements during your annual compliance visit. A checklist was used to note the requirements I monitored today. Your facility operates with a Four-Star License issued February 29, 2024, earning 7 points in Education, 2 points in Program, and 1 quality point for choosing an Education Option. Restrictions on the license include daytime care only, capacity of 8 children ages 0-12, maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours, and children in care on ground level only. The license was posted, and the restrictions were in compliance. This facility was license on August 28, 2023. As of August 19, 2024, your facility has an 18-month compliance history of 95%; this information was reviewed with you during today’s visit. The NC Secretary of State website was also reviewed on August 19, 2024, the owner of this facility, E-Ma’s Family Child Care Home LLC was listed as current and active. Owner/Operator, Kathi Davis, was present and caring for the children. There were four (4) children ranging in ages of two (2) through ten (10) years of age enrolled and all were present today. Ms. Davis’s school age child, age 8, was also present today. All areas used by the children were monitored. Age-appropriate materials and activities were provided for all children. A daily schedule and activity plan was observed posted. Children were observed participating in free choice activities. Free choice activities included playing with toys and the older children were playing games with the alphabet, guessing game, and “hot potato.” Children also completed handwashing routines and had lunch. Lunch consisted of lasagna, bake beans, watermelon, garlic bread, and milk. The children were adequately supervised. Caregiver and children interacted in a positive and appropriate manner. During today’s visit, a copy of the FCCH Operator’s Statements of Responsibility and the Verification of Required Information for Operator and Additional Caregivers Form was completed. There were three violations observed today. All violations must be corrected immediately. Continued compliance with applicable child care requirements is required. Violation Number Comment Rule 716 Electrical outlets not in use were not covered. An outlet in the bathroom next to the handwashing sink was observed uncovered. 10A NCAC .1719(a)(27) 910 Copy of each child's health assessment was not on file within 30 days of enrollment. This information was not on file and available for review for two children, a five year old child and a ten year old child. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1712 Operator did not develop and adopt a written plan of care for completing routine tasks to ensure routine tasks did not interfere with the care of children during hours of operation. The written plan of care was not completed, on file, and available for review for two children, a five year old child and a ten year old child. .1712(a) In order for your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. A signed and dated letter of compliance must be received August 31, 2024, describing how this violation was corrected and how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. If I can be of further assistance, please do not hesitate to contact me at (910)824-1143 or you can email me at Tammy.Ross@dhhs.nc.gov. You may email me your verification or mail it to me at: Tammy Ross, Child Care Licensing Consultant, P.O. Box 278, Jacksonville, NC 28541 Technical assistance regarding violations cited: Recordkeeping - The health and safety of individual children requires that information regarding each child in care be kept and available when needed. Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information and parental permission to participate in specific activities. This information is the basis for meeting each child's physical, emotional, cognitive and social needs. I strongly urge you to review Child Care Rule 10A NCAC 09 .1721 regarding requirements for records. Please pay close attention to the charts located in 10A NCAC 09 .1721(f)(4) which indicate how long records must be kept on file. I also suggest you utilize the checklists for staff files, children’s files and program records to ensure you have all required documents. These checklists are available on the DCDEE website under the Provider Documents tab. Ensure all electrical outlets not in use must be covered. Children's innate curiosity and tendency to explore their surroundings make them vulnerable to accidents involving electrical outlets and cords. Potential hazards include electric shocks, burns, and even the risk of electrical fires if cords are damaged or mishandled. Child Care programs are expected to always achieve and maintain compliance 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. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always whether they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Rated License Reassessment Information - Your facility’s three-year rated license reassessment is due to be completed in February 2027. Reminders: You must update yours, as well as additional caregivers - Professional Development Plan (PDP), Emergency Medical Care (EMC) plan and Emergency Preparedness and Response (EPR) plan annually. As discussed during today’s visit, by printing the front page of your EPR plan verifies that you updated it annually. Ensure personal hygiene items such as body washes are stored appropriately in the bathroom. These items must be inaccessible to the children at all times. Other Information Health and Safety Training- These training topics outlined in Child Care Rule 10A NCAC 09 .1703(b) must be completed within the first year of employment for new staff, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment – it must be completed within 90 days of hire. After initial completion of Health and Safety Trainings, they must be completed every five years. Use the Health and Safety Training Record which is found on the DCDEE website under Provider Documents and Forms to track the completion of these trainings. These trainings will be monitored at your next visit. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Clean Classrooms for Kids Program – All child care programs must have their water tested for lead and your building tested for lead and asbestos hazards. May 1, 2024, was the initial deadline to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. Facilities that have not yet enrolled should complete the process by November 1, 2024. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years(centers) and to have inspections for lead paint and asbestos if applicable. Please see steps below: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-leadbased-paint-reimbursement-program-arpa The information above is from https://www.cleanwaterforuskids.org/en/carolina/, which is also where you enroll in the program. Remember, centers must have their water tested every three years. Family child care homes, as of now, are only required to do it once, and the water testing must be completed by January 1, 2025. DPI Pre-K programs do not need to enroll separately as public schools will be tested as a whole. Please refer to the website if you have specific questions! Criminal Background Check Information - DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff/household members, and run a printable report of the staff roster to assist with compliance visits. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position, and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Access will then be granted within 2 business days. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. Transportation: For each child being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required shall be in the vehicle. Child Care Rule 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS states that any vehicle approved and used for transportation must have a First Aid kit and fire extinguisher located in the vehicle used to transport children. Today there was no fire extinguisher in the vehicle. A fire extinguisher must be bought and placed inside the vehicle immediately. In addition to the requirements in the child care rules, here are a few reminders: · The purpose of a field trip should be identified and be developmentally appropriate. · Plan ahead. Visit any site where you are going and make a plan for parking, supervision, bathroom visits, food/water, and communication between staff members at the location and with those left at the child care facility · It is never okay to leave a child unattended in a vehicle! Even with the windows cracked, it can take just a few minutes for interior temperatures to go from comfortable to hot enough to cause heat-related injuries or death. · Do a physical check of the entire vehicle after all children have exited to be certain no child has fallen asleep or been left behind. · Take attendance at regular intervals, including at each transition point, checking children by both name and face. · Have additional staff members while transporting and for off-premise activities to assist. · Forms for transportation, off-premise and aquatic activities can be found on the Division of Child Development and Early Education’s website. · Have a plan for how staff members will respond in case of emergency during transportation and while off premises. · Consider the need for sunscreen/medications and review all related requirements. Check out these excellent child transportation safety resources available for providers to review: · Safe Kids Worldwide is an organization dedicated to “preventing injuries in children, the number one killer of kids in the United States.” · Visit Buckle Up NC to find the vehicle restraint appropriate for each child's age or weight. · Kids and Cars is committed to “preventing injuries and death to children in or around motor vehicles.” Documentation was completed, reviewed, and signed on site. Please remember it is your responsibility to comply with all child care rules and requirements at all times. Continue to contact me with any questions or concerns at Tammy.Ross@dhhs.nc.gov and/or(910)824-1143. 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 .1712 · Violation

Name of Operation: E-MA'S FAMILY CHILD CARE HOME LLC Facility ID: 71000267 Consultant: JENNIFER DEMPSEY Operation Type: Family CC Home Case Number: Visit Date: 9/27/2023 Number Present: 0 Completed Date: 9/27/2023 Age: From 0 To 0 Total Minutes: 75 Time In: 09:15 AM Time Out: 10:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements for the facility’s the first temporary time period visit. The facility’s Temporary License was issued August 28, 2023 and is valid through February 28, 2024. Restrictions on the permit include a first shift capacity of 8 children ages 0 to 12 years old; No more than 5 preschool children present at any time, daytime care only, children on the ground level only, outside play in the front yard only, fireplace not used during operating hours. Child Care Consultant April Bosse was present and assisted with today’s visit. You had the following items posted/located in a prominent place in for parents and available for me to review: the Temporary License, emergency phone numbers emergency care plan, activity plan, first aid chart, no smoking sign and the Summary of the NC Child Care Law. Staff and children’s records were reviewed during today’s today. No children were present during today’s visit. Currently only one school age child is enrolled and attends daily before and afterschool. You take the child to school and pick her up from school daily. You provide afternoon snack, assist with homework, have free play and spend time outside in the front yard. Violation Number Comment Rule 919 Accurate records were not maintained for all staff and children. Verification of receipt of the facility's discipline policy, written plan of care and identifying information when transporting was available for review. G.S. 110-91(9) The above violation was observed today. Send me a compliance letter no later than October 6, 2023 stating how the violation has been corrected. If you are emailing your compliance letter, it must be received from the email on file with the Division. Your compliance letter is a legal document. It should have your facility name and ID# and detail how the violation has been corrected. Be sure to use complete sentences. It is your responsibility to ensure you comply with all applicable child care requirements at all times. If you have any questions, please call (910) 824-1447 or email jennifer.dempsey@dhhs.nc.gov me. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to maintain an eighteen-month compliance history score of at least seventy-five percent. Technical Assistance regarding violations cited: Transportation: When transporting children, there must be a picture of the child attached to the emergency information for that child. Today technical assistance was provided on how ensuring that each child that is transported has identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3). Discipline Policy: Child Care Rule 10A NCAC 09 .1727 DISCIPLINE POLICY states that the family child care home operator shall provide a written copy of and explain the operator's discipline practices to each child’s parent at the time of enrollment and this statement shall be kept in the child’s file. Today we discussed the samples of discipline policies on the DCDEE website, and I emailed you a copy of one of the samples. We discussed ensuring that a Discipline Policy was signed for each child as they are enrolled and adding it to your parent handbook. Written Plan of Care: Child Care Rule 10A NCAC 09 .1712 WRITTEN PLAN OF CARE states that each family child care home operator (operator or operators) who intends to complete routine tasks while children are in care shall develop and adopt a written plan of care for completing routine tasks. For purposes of this Rule, routine tasks include running errands, meeting personal and family demands, attending classes, and attending medical appointments. Operators who complete routine tasks with enrolled children shall limit these tasks to no more than two hours per week. If you do not plan to complete any routine tasks with the children, you will need to mark the box stating that you do not perform any routine tasks. We also discussed today that if you do plan to take the children out, for example to the library or the park, you will need to have an off-premise permission slip form. Both forms were emailed to you today Technical Assistance: RATED LICENSE: To continue to be eligible to participate in the North Carolina subsidy program you must earn a minimum of three stars prior to the expiration of your temporary license. If you choose to have the FCCERS completed your application must be received by me no later than November 30, 2023. Failure to submit your application by November 30, 2023 may result in your 2-5 star application being completed without the results from you FCCERS assessment. To earn 2 points in program you must completed a 3-month self-study. You can use the Thinking About FCCERS as your self-study tool. You can download a copy of the Thinking About FCCERS from the NCRALP website, www.ncrlap.org. Education Standards: Today I verified your education in WORKS. You have a bachelor’s degree in child development and have more than 5 years of experience. You would earn 7 points in education. SUBSIDY: Child Care Centers with a Temporary License in good standing may be eligible for participation in the NC Child Care Subsidy System during their first 6 months of operation. Only centers with a 3 Star or higher license to continue to participate in the Subsidy System after the first 6 months of operation. You should begin making plans now to obtain at least a 3 Star License by the expiration of your Temporary License if you intend to participate in the NC Subsidized Child Care System. Emergency Preparedness and Response Training: Within (1) one year, by August 28, 2024, you must complete the Emergency Preparedness and Response Training. Within within (4) four months following completion of the EPR in Child Care training, you will develop and complete your online EPR Plan. The EPR Plan addresses how a family child care home will respond to both natural and man-made disasters; to ensure the safety and protection of the children and staff. Natural and man-made disasters include but are not limited to the following: fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disasters, or a dangerous person(s) in the vicinity. Lockdown or shelter-in-place drills should be practiced at least every three months as part of your facility's EPR plan. These drills should be documented on the Emergency Drill Record. Frequent practice will allow children and staff members to be familiar with the steps to take to keep everyone safe in an emergency. Today I suggested you plan the dates and times of your drills in advance and use calendar reminders to ensure they are completed at least every three months. Health & Safety Training: You have completed all the required CCDF Health and Safety in Child Care Trainings developed by the North Carolina Child Care Health and Safety Resource Center. These trainings must be completed once every five years. Licensed Space: Your entire home is licensed for child care and must meet applicable child care requirements. Any monitoring visit conducted may include spaces other than those designated for child care. You have designated the main living space (playroom), hall bathroom, kitchen and front yard. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .1727 · Violation

Name of Operation: E-MA'S FAMILY CHILD CARE HOME LLC Facility ID: 71000267 Consultant: JENNIFER DEMPSEY Operation Type: Family CC Home Case Number: Visit Date: 9/27/2023 Number Present: 0 Completed Date: 9/27/2023 Age: From 0 To 0 Total Minutes: 75 Time In: 09:15 AM Time Out: 10:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements for the facility’s the first temporary time period visit. The facility’s Temporary License was issued August 28, 2023 and is valid through February 28, 2024. Restrictions on the permit include a first shift capacity of 8 children ages 0 to 12 years old; No more than 5 preschool children present at any time, daytime care only, children on the ground level only, outside play in the front yard only, fireplace not used during operating hours. Child Care Consultant April Bosse was present and assisted with today’s visit. You had the following items posted/located in a prominent place in for parents and available for me to review: the Temporary License, emergency phone numbers emergency care plan, activity plan, first aid chart, no smoking sign and the Summary of the NC Child Care Law. Staff and children’s records were reviewed during today’s today. No children were present during today’s visit. Currently only one school age child is enrolled and attends daily before and afterschool. You take the child to school and pick her up from school daily. You provide afternoon snack, assist with homework, have free play and spend time outside in the front yard. Violation Number Comment Rule 919 Accurate records were not maintained for all staff and children. Verification of receipt of the facility's discipline policy, written plan of care and identifying information when transporting was available for review. G.S. 110-91(9) The above violation was observed today. Send me a compliance letter no later than October 6, 2023 stating how the violation has been corrected. If you are emailing your compliance letter, it must be received from the email on file with the Division. Your compliance letter is a legal document. It should have your facility name and ID# and detail how the violation has been corrected. Be sure to use complete sentences. It is your responsibility to ensure you comply with all applicable child care requirements at all times. If you have any questions, please call (910) 824-1447 or email jennifer.dempsey@dhhs.nc.gov me. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to maintain an eighteen-month compliance history score of at least seventy-five percent. Technical Assistance regarding violations cited: Transportation: When transporting children, there must be a picture of the child attached to the emergency information for that child. Today technical assistance was provided on how ensuring that each child that is transported has identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3). Discipline Policy: Child Care Rule 10A NCAC 09 .1727 DISCIPLINE POLICY states that the family child care home operator shall provide a written copy of and explain the operator's discipline practices to each child’s parent at the time of enrollment and this statement shall be kept in the child’s file. Today we discussed the samples of discipline policies on the DCDEE website, and I emailed you a copy of one of the samples. We discussed ensuring that a Discipline Policy was signed for each child as they are enrolled and adding it to your parent handbook. Written Plan of Care: Child Care Rule 10A NCAC 09 .1712 WRITTEN PLAN OF CARE states that each family child care home operator (operator or operators) who intends to complete routine tasks while children are in care shall develop and adopt a written plan of care for completing routine tasks. For purposes of this Rule, routine tasks include running errands, meeting personal and family demands, attending classes, and attending medical appointments. Operators who complete routine tasks with enrolled children shall limit these tasks to no more than two hours per week. If you do not plan to complete any routine tasks with the children, you will need to mark the box stating that you do not perform any routine tasks. We also discussed today that if you do plan to take the children out, for example to the library or the park, you will need to have an off-premise permission slip form. Both forms were emailed to you today Technical Assistance: RATED LICENSE: To continue to be eligible to participate in the North Carolina subsidy program you must earn a minimum of three stars prior to the expiration of your temporary license. If you choose to have the FCCERS completed your application must be received by me no later than November 30, 2023. Failure to submit your application by November 30, 2023 may result in your 2-5 star application being completed without the results from you FCCERS assessment. To earn 2 points in program you must completed a 3-month self-study. You can use the Thinking About FCCERS as your self-study tool. You can download a copy of the Thinking About FCCERS from the NCRALP website, www.ncrlap.org. Education Standards: Today I verified your education in WORKS. You have a bachelor’s degree in child development and have more than 5 years of experience. You would earn 7 points in education. SUBSIDY: Child Care Centers with a Temporary License in good standing may be eligible for participation in the NC Child Care Subsidy System during their first 6 months of operation. Only centers with a 3 Star or higher license to continue to participate in the Subsidy System after the first 6 months of operation. You should begin making plans now to obtain at least a 3 Star License by the expiration of your Temporary License if you intend to participate in the NC Subsidized Child Care System. Emergency Preparedness and Response Training: Within (1) one year, by August 28, 2024, you must complete the Emergency Preparedness and Response Training. Within within (4) four months following completion of the EPR in Child Care training, you will develop and complete your online EPR Plan. The EPR Plan addresses how a family child care home will respond to both natural and man-made disasters; to ensure the safety and protection of the children and staff. Natural and man-made disasters include but are not limited to the following: fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disasters, or a dangerous person(s) in the vicinity. Lockdown or shelter-in-place drills should be practiced at least every three months as part of your facility's EPR plan. These drills should be documented on the Emergency Drill Record. Frequent practice will allow children and staff members to be familiar with the steps to take to keep everyone safe in an emergency. Today I suggested you plan the dates and times of your drills in advance and use calendar reminders to ensure they are completed at least every three months. Health & Safety Training: You have completed all the required CCDF Health and Safety in Child Care Trainings developed by the North Carolina Child Care Health and Safety Resource Center. These trainings must be completed once every five years. Licensed Space: Your entire home is licensed for child care and must meet applicable child care requirements. Any monitoring visit conducted may include spaces other than those designated for child care. You have designated the main living space (playroom), hall bathroom, kitchen and front yard. 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: E-MA'S FAMILY CHILD CARE HOME LLC Facility ID: 71000267 Consultant: JENNIFER DEMPSEY Operation Type: Family CC Home Case Number: Visit Date: 9/27/2023 Number Present: 0 Completed Date: 9/27/2023 Age: From 0 To 0 Total Minutes: 75 Time In: 09:15 AM Time Out: 10:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements for the facility’s the first temporary time period visit. The facility’s Temporary License was issued August 28, 2023 and is valid through February 28, 2024. Restrictions on the permit include a first shift capacity of 8 children ages 0 to 12 years old; No more than 5 preschool children present at any time, daytime care only, children on the ground level only, outside play in the front yard only, fireplace not used during operating hours. Child Care Consultant April Bosse was present and assisted with today’s visit. You had the following items posted/located in a prominent place in for parents and available for me to review: the Temporary License, emergency phone numbers emergency care plan, activity plan, first aid chart, no smoking sign and the Summary of the NC Child Care Law. Staff and children’s records were reviewed during today’s today. No children were present during today’s visit. Currently only one school age child is enrolled and attends daily before and afterschool. You take the child to school and pick her up from school daily. You provide afternoon snack, assist with homework, have free play and spend time outside in the front yard. Violation Number Comment Rule 919 Accurate records were not maintained for all staff and children. Verification of receipt of the facility's discipline policy, written plan of care and identifying information when transporting was available for review. G.S. 110-91(9) The above violation was observed today. Send me a compliance letter no later than October 6, 2023 stating how the violation has been corrected. If you are emailing your compliance letter, it must be received from the email on file with the Division. Your compliance letter is a legal document. It should have your facility name and ID# and detail how the violation has been corrected. Be sure to use complete sentences. It is your responsibility to ensure you comply with all applicable child care requirements at all times. If you have any questions, please call (910) 824-1447 or email jennifer.dempsey@dhhs.nc.gov me. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to maintain an eighteen-month compliance history score of at least seventy-five percent. Technical Assistance regarding violations cited: Transportation: When transporting children, there must be a picture of the child attached to the emergency information for that child. Today technical assistance was provided on how ensuring that each child that is transported has identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3). Discipline Policy: Child Care Rule 10A NCAC 09 .1727 DISCIPLINE POLICY states that the family child care home operator shall provide a written copy of and explain the operator's discipline practices to each child’s parent at the time of enrollment and this statement shall be kept in the child’s file. Today we discussed the samples of discipline policies on the DCDEE website, and I emailed you a copy of one of the samples. We discussed ensuring that a Discipline Policy was signed for each child as they are enrolled and adding it to your parent handbook. Written Plan of Care: Child Care Rule 10A NCAC 09 .1712 WRITTEN PLAN OF CARE states that each family child care home operator (operator or operators) who intends to complete routine tasks while children are in care shall develop and adopt a written plan of care for completing routine tasks. For purposes of this Rule, routine tasks include running errands, meeting personal and family demands, attending classes, and attending medical appointments. Operators who complete routine tasks with enrolled children shall limit these tasks to no more than two hours per week. If you do not plan to complete any routine tasks with the children, you will need to mark the box stating that you do not perform any routine tasks. We also discussed today that if you do plan to take the children out, for example to the library or the park, you will need to have an off-premise permission slip form. Both forms were emailed to you today Technical Assistance: RATED LICENSE: To continue to be eligible to participate in the North Carolina subsidy program you must earn a minimum of three stars prior to the expiration of your temporary license. If you choose to have the FCCERS completed your application must be received by me no later than November 30, 2023. Failure to submit your application by November 30, 2023 may result in your 2-5 star application being completed without the results from you FCCERS assessment. To earn 2 points in program you must completed a 3-month self-study. You can use the Thinking About FCCERS as your self-study tool. You can download a copy of the Thinking About FCCERS from the NCRALP website, www.ncrlap.org. Education Standards: Today I verified your education in WORKS. You have a bachelor’s degree in child development and have more than 5 years of experience. You would earn 7 points in education. SUBSIDY: Child Care Centers with a Temporary License in good standing may be eligible for participation in the NC Child Care Subsidy System during their first 6 months of operation. Only centers with a 3 Star or higher license to continue to participate in the Subsidy System after the first 6 months of operation. You should begin making plans now to obtain at least a 3 Star License by the expiration of your Temporary License if you intend to participate in the NC Subsidized Child Care System. Emergency Preparedness and Response Training: Within (1) one year, by August 28, 2024, you must complete the Emergency Preparedness and Response Training. Within within (4) four months following completion of the EPR in Child Care training, you will develop and complete your online EPR Plan. The EPR Plan addresses how a family child care home will respond to both natural and man-made disasters; to ensure the safety and protection of the children and staff. Natural and man-made disasters include but are not limited to the following: fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disasters, or a dangerous person(s) in the vicinity. Lockdown or shelter-in-place drills should be practiced at least every three months as part of your facility's EPR plan. These drills should be documented on the Emergency Drill Record. Frequent practice will allow children and staff members to be familiar with the steps to take to keep everyone safe in an emergency. Today I suggested you plan the dates and times of your drills in advance and use calendar reminders to ensure they are completed at least every three months. Health & Safety Training: You have completed all the required CCDF Health and Safety in Child Care Trainings developed by the North Carolina Child Care Health and Safety Resource Center. These trainings must be completed once every five years. Licensed Space: Your entire home is licensed for child care and must meet applicable child care requirements. Any monitoring visit conducted may include spaces other than those designated for child care. You have designated the main living space (playroom), hall bathroom, kitchen and front yard. 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: E-MA'S FAMILY CHILD CARE HOME LLC Facility ID: 71000267 Consultant: JENNIFER DEMPSEY Operation Type: Family CC Home Case Number: Visit Date: 9/27/2023 Number Present: 0 Completed Date: 9/27/2023 Age: From 0 To 0 Total Minutes: 75 Time In: 09:15 AM Time Out: 10:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements for the facility’s the first temporary time period visit. The facility’s Temporary License was issued August 28, 2023 and is valid through February 28, 2024. Restrictions on the permit include a first shift capacity of 8 children ages 0 to 12 years old; No more than 5 preschool children present at any time, daytime care only, children on the ground level only, outside play in the front yard only, fireplace not used during operating hours. Child Care Consultant April Bosse was present and assisted with today’s visit. You had the following items posted/located in a prominent place in for parents and available for me to review: the Temporary License, emergency phone numbers emergency care plan, activity plan, first aid chart, no smoking sign and the Summary of the NC Child Care Law. Staff and children’s records were reviewed during today’s today. No children were present during today’s visit. Currently only one school age child is enrolled and attends daily before and afterschool. You take the child to school and pick her up from school daily. You provide afternoon snack, assist with homework, have free play and spend time outside in the front yard. Violation Number Comment Rule 919 Accurate records were not maintained for all staff and children. Verification of receipt of the facility's discipline policy, written plan of care and identifying information when transporting was available for review. G.S. 110-91(9) The above violation was observed today. Send me a compliance letter no later than October 6, 2023 stating how the violation has been corrected. If you are emailing your compliance letter, it must be received from the email on file with the Division. Your compliance letter is a legal document. It should have your facility name and ID# and detail how the violation has been corrected. Be sure to use complete sentences. It is your responsibility to ensure you comply with all applicable child care requirements at all times. If you have any questions, please call (910) 824-1447 or email jennifer.dempsey@dhhs.nc.gov me. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to maintain an eighteen-month compliance history score of at least seventy-five percent. Technical Assistance regarding violations cited: Transportation: When transporting children, there must be a picture of the child attached to the emergency information for that child. Today technical assistance was provided on how ensuring that each child that is transported has identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3). Discipline Policy: Child Care Rule 10A NCAC 09 .1727 DISCIPLINE POLICY states that the family child care home operator shall provide a written copy of and explain the operator's discipline practices to each child’s parent at the time of enrollment and this statement shall be kept in the child’s file. Today we discussed the samples of discipline policies on the DCDEE website, and I emailed you a copy of one of the samples. We discussed ensuring that a Discipline Policy was signed for each child as they are enrolled and adding it to your parent handbook. Written Plan of Care: Child Care Rule 10A NCAC 09 .1712 WRITTEN PLAN OF CARE states that each family child care home operator (operator or operators) who intends to complete routine tasks while children are in care shall develop and adopt a written plan of care for completing routine tasks. For purposes of this Rule, routine tasks include running errands, meeting personal and family demands, attending classes, and attending medical appointments. Operators who complete routine tasks with enrolled children shall limit these tasks to no more than two hours per week. If you do not plan to complete any routine tasks with the children, you will need to mark the box stating that you do not perform any routine tasks. We also discussed today that if you do plan to take the children out, for example to the library or the park, you will need to have an off-premise permission slip form. Both forms were emailed to you today Technical Assistance: RATED LICENSE: To continue to be eligible to participate in the North Carolina subsidy program you must earn a minimum of three stars prior to the expiration of your temporary license. If you choose to have the FCCERS completed your application must be received by me no later than November 30, 2023. Failure to submit your application by November 30, 2023 may result in your 2-5 star application being completed without the results from you FCCERS assessment. To earn 2 points in program you must completed a 3-month self-study. You can use the Thinking About FCCERS as your self-study tool. You can download a copy of the Thinking About FCCERS from the NCRALP website, www.ncrlap.org. Education Standards: Today I verified your education in WORKS. You have a bachelor’s degree in child development and have more than 5 years of experience. You would earn 7 points in education. SUBSIDY: Child Care Centers with a Temporary License in good standing may be eligible for participation in the NC Child Care Subsidy System during their first 6 months of operation. Only centers with a 3 Star or higher license to continue to participate in the Subsidy System after the first 6 months of operation. You should begin making plans now to obtain at least a 3 Star License by the expiration of your Temporary License if you intend to participate in the NC Subsidized Child Care System. Emergency Preparedness and Response Training: Within (1) one year, by August 28, 2024, you must complete the Emergency Preparedness and Response Training. Within within (4) four months following completion of the EPR in Child Care training, you will develop and complete your online EPR Plan. The EPR Plan addresses how a family child care home will respond to both natural and man-made disasters; to ensure the safety and protection of the children and staff. Natural and man-made disasters include but are not limited to the following: fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disasters, or a dangerous person(s) in the vicinity. Lockdown or shelter-in-place drills should be practiced at least every three months as part of your facility's EPR plan. These drills should be documented on the Emergency Drill Record. Frequent practice will allow children and staff members to be familiar with the steps to take to keep everyone safe in an emergency. Today I suggested you plan the dates and times of your drills in advance and use calendar reminders to ensure they are completed at least every three months. Health & Safety Training: You have completed all the required CCDF Health and Safety in Child Care Trainings developed by the North Carolina Child Care Health and Safety Resource Center. These trainings must be completed once every five years. Licensed Space: Your entire home is licensed for child care and must meet applicable child care requirements. Any monitoring visit conducted may include spaces other than those designated for child care. You have designated the main living space (playroom), hall bathroom, kitchen and front yard. 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