10A NCAC 09 .0604 · Violation

Name of Operation: LITTLEFACES CHILDCARE CENTER LLC Facility ID: 06000079 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/16/2025 Number Present: 23 Completed Date: 4/16/2025 Age: From 0 To 4 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Margaret Simerly, lead teacher/assistant director. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Administrator, Elvie Sheppard, however, was not on-site/available today. Upon my arrival I greeted Ms. Simerly, and I explained the reason for my visit. She is the teacher in the toddler classroom, but she was available and answered my questions. I began my walkthrough in space #4 where children were playing in centers and working on constructing a bunny box for Easter. Others were playing with a variety of materials in the classroom. In space #3, the teacher was sitting in the floor with the group of infants. She was feeding one while others played on the floor nearby her. Three (3) children eat table food and lunch arrived. The teacher assisted them in washing their hands and sitting in the high chair. She served them lunch and they began eating. In space #2, children were sitting at the table eating their lunch. Their teacher talked to them about what a good job they were doing eating lunch. In space #1, some children were finishing lunch while others had finished and were asleep on their cots. Lunch today consisted of spaghetti with meat sauce, corn, peaches, garlic bread and milk. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Littlefaces Childcare Center LLC, is current/active as of 4/15/25. There are no new teachers at this facility today, so no staff files were monitored. There are thirty-two (32) children enrolled and twenty-three (23) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance with rated license visit was 12/4/24. During Tropical Storm Helene, this facility was -closed from September 26th to November 4th, 2024. Water came into the preschool classroom a little, but their main issue was playground damage from the wind and rain. They still have damage on one section of the playground that they are expecting to be repaired soon. I instructed them not to use this area until the fence can be repaired. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective December 4, 2024. Permit Restrictions- Daytime care only, meets enhanced space and enhanced ratios. The last fire drill was practiced on 3/14/25. A lock down drill was conducted on 2/7/25. The last playground inspection was on 1/11/25. Due to an extended absence of the administrator, this has been overlooked. The last fire inspection was 7/17/24. The last sanitation inspection was completed on 11/26/24 with five (5) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The last lead water test was dated 3/18/25 and is due every three (3) years. The Lead-Based Paint and Asbestos testing has not been completed. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #3, an infant feeding plan for a newly enrolled child was not signed by the parent. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #3, a power strip did not have all the unused outlets covered with a safety cap. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not conducted in February or March. .0605(q) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #3, the bottle warmer was lower than five (5) feet. .0604(e) Technical assistance: Item #898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. *In space #3, the bottle warmer was lower than five (5) feet. Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. *In space #3, a power strip did not have all the unused outlets covered with a safety cap. Item #541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. *In space #3, a infant feeding plan for a newly enrolled child was not signed by the parent. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. *A playground inspection was not conducted in February or March. We did one together today with another staff that has had the training. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by April 30, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. • New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • Today, the cook, J. White said she has been trained in playground safety. We found her certificate in her file. When I did my outside inspection, she accompanied me so she could do a playground safety check for the administrator. I answered questions and we did this together as hands on learning. • Damage from Tropical Storm Helene to fence and one of the gates are extensive and need to be repaired before children can use those areas. We discussed that the main playground area can be used, and we also discussed using the temporary fencing to be used where the gate is missing. • One staff, (M.S.) will need to renew the criminal background check by August 14, 2025. • There is a new version of the Summary of the Law for you to post and to give to new enrolled students. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: LITTLEFACES CHILDCARE CENTER LLC Facility ID: 06000079 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/16/2025 Number Present: 23 Completed Date: 4/16/2025 Age: From 0 To 4 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Margaret Simerly, lead teacher/assistant director. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Administrator, Elvie Sheppard, however, was not on-site/available today. Upon my arrival I greeted Ms. Simerly, and I explained the reason for my visit. She is the teacher in the toddler classroom, but she was available and answered my questions. I began my walkthrough in space #4 where children were playing in centers and working on constructing a bunny box for Easter. Others were playing with a variety of materials in the classroom. In space #3, the teacher was sitting in the floor with the group of infants. She was feeding one while others played on the floor nearby her. Three (3) children eat table food and lunch arrived. The teacher assisted them in washing their hands and sitting in the high chair. She served them lunch and they began eating. In space #2, children were sitting at the table eating their lunch. Their teacher talked to them about what a good job they were doing eating lunch. In space #1, some children were finishing lunch while others had finished and were asleep on their cots. Lunch today consisted of spaghetti with meat sauce, corn, peaches, garlic bread and milk. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Littlefaces Childcare Center LLC, is current/active as of 4/15/25. There are no new teachers at this facility today, so no staff files were monitored. There are thirty-two (32) children enrolled and twenty-three (23) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance with rated license visit was 12/4/24. During Tropical Storm Helene, this facility was -closed from September 26th to November 4th, 2024. Water came into the preschool classroom a little, but their main issue was playground damage from the wind and rain. They still have damage on one section of the playground that they are expecting to be repaired soon. I instructed them not to use this area until the fence can be repaired. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective December 4, 2024. Permit Restrictions- Daytime care only, meets enhanced space and enhanced ratios. The last fire drill was practiced on 3/14/25. A lock down drill was conducted on 2/7/25. The last playground inspection was on 1/11/25. Due to an extended absence of the administrator, this has been overlooked. The last fire inspection was 7/17/24. The last sanitation inspection was completed on 11/26/24 with five (5) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The last lead water test was dated 3/18/25 and is due every three (3) years. The Lead-Based Paint and Asbestos testing has not been completed. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #3, an infant feeding plan for a newly enrolled child was not signed by the parent. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #3, a power strip did not have all the unused outlets covered with a safety cap. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not conducted in February or March. .0605(q) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #3, the bottle warmer was lower than five (5) feet. .0604(e) Technical assistance: Item #898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. *In space #3, the bottle warmer was lower than five (5) feet. Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. *In space #3, a power strip did not have all the unused outlets covered with a safety cap. Item #541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. *In space #3, a infant feeding plan for a newly enrolled child was not signed by the parent. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. *A playground inspection was not conducted in February or March. We did one together today with another staff that has had the training. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by April 30, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. • New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • Today, the cook, J. White said she has been trained in playground safety. We found her certificate in her file. When I did my outside inspection, she accompanied me so she could do a playground safety check for the administrator. I answered questions and we did this together as hands on learning. • Damage from Tropical Storm Helene to fence and one of the gates are extensive and need to be repaired before children can use those areas. We discussed that the main playground area can be used, and we also discussed using the temporary fencing to be used where the gate is missing. • One staff, (M.S.) will need to renew the criminal background check by August 14, 2025. • There is a new version of the Summary of the Law for you to post and to give to new enrolled students. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: LITTLEFACES CHILDCARE CENTER LLC Facility ID: 06000079 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/16/2025 Number Present: 23 Completed Date: 4/16/2025 Age: From 0 To 4 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Margaret Simerly, lead teacher/assistant director. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Administrator, Elvie Sheppard, however, was not on-site/available today. Upon my arrival I greeted Ms. Simerly, and I explained the reason for my visit. She is the teacher in the toddler classroom, but she was available and answered my questions. I began my walkthrough in space #4 where children were playing in centers and working on constructing a bunny box for Easter. Others were playing with a variety of materials in the classroom. In space #3, the teacher was sitting in the floor with the group of infants. She was feeding one while others played on the floor nearby her. Three (3) children eat table food and lunch arrived. The teacher assisted them in washing their hands and sitting in the high chair. She served them lunch and they began eating. In space #2, children were sitting at the table eating their lunch. Their teacher talked to them about what a good job they were doing eating lunch. In space #1, some children were finishing lunch while others had finished and were asleep on their cots. Lunch today consisted of spaghetti with meat sauce, corn, peaches, garlic bread and milk. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Littlefaces Childcare Center LLC, is current/active as of 4/15/25. There are no new teachers at this facility today, so no staff files were monitored. There are thirty-two (32) children enrolled and twenty-three (23) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance with rated license visit was 12/4/24. During Tropical Storm Helene, this facility was -closed from September 26th to November 4th, 2024. Water came into the preschool classroom a little, but their main issue was playground damage from the wind and rain. They still have damage on one section of the playground that they are expecting to be repaired soon. I instructed them not to use this area until the fence can be repaired. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective December 4, 2024. Permit Restrictions- Daytime care only, meets enhanced space and enhanced ratios. The last fire drill was practiced on 3/14/25. A lock down drill was conducted on 2/7/25. The last playground inspection was on 1/11/25. Due to an extended absence of the administrator, this has been overlooked. The last fire inspection was 7/17/24. The last sanitation inspection was completed on 11/26/24 with five (5) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The last lead water test was dated 3/18/25 and is due every three (3) years. The Lead-Based Paint and Asbestos testing has not been completed. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #3, an infant feeding plan for a newly enrolled child was not signed by the parent. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #3, a power strip did not have all the unused outlets covered with a safety cap. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not conducted in February or March. .0605(q) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #3, the bottle warmer was lower than five (5) feet. .0604(e) Technical assistance: Item #898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. *In space #3, the bottle warmer was lower than five (5) feet. Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. *In space #3, a power strip did not have all the unused outlets covered with a safety cap. Item #541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. *In space #3, a infant feeding plan for a newly enrolled child was not signed by the parent. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. *A playground inspection was not conducted in February or March. We did one together today with another staff that has had the training. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by April 30, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. • New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • Today, the cook, J. White said she has been trained in playground safety. We found her certificate in her file. When I did my outside inspection, she accompanied me so she could do a playground safety check for the administrator. I answered questions and we did this together as hands on learning. • Damage from Tropical Storm Helene to fence and one of the gates are extensive and need to be repaired before children can use those areas. We discussed that the main playground area can be used, and we also discussed using the temporary fencing to be used where the gate is missing. • One staff, (M.S.) will need to renew the criminal background check by August 14, 2025. • There is a new version of the Summary of the Law for you to post and to give to new enrolled students. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: LITTLEFACES CHILDCARE CENTER LLC Facility ID: 06000079 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/16/2025 Number Present: 23 Completed Date: 4/16/2025 Age: From 0 To 4 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Margaret Simerly, lead teacher/assistant director. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Administrator, Elvie Sheppard, however, was not on-site/available today. Upon my arrival I greeted Ms. Simerly, and I explained the reason for my visit. She is the teacher in the toddler classroom, but she was available and answered my questions. I began my walkthrough in space #4 where children were playing in centers and working on constructing a bunny box for Easter. Others were playing with a variety of materials in the classroom. In space #3, the teacher was sitting in the floor with the group of infants. She was feeding one while others played on the floor nearby her. Three (3) children eat table food and lunch arrived. The teacher assisted them in washing their hands and sitting in the high chair. She served them lunch and they began eating. In space #2, children were sitting at the table eating their lunch. Their teacher talked to them about what a good job they were doing eating lunch. In space #1, some children were finishing lunch while others had finished and were asleep on their cots. Lunch today consisted of spaghetti with meat sauce, corn, peaches, garlic bread and milk. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Littlefaces Childcare Center LLC, is current/active as of 4/15/25. There are no new teachers at this facility today, so no staff files were monitored. There are thirty-two (32) children enrolled and twenty-three (23) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance with rated license visit was 12/4/24. During Tropical Storm Helene, this facility was -closed from September 26th to November 4th, 2024. Water came into the preschool classroom a little, but their main issue was playground damage from the wind and rain. They still have damage on one section of the playground that they are expecting to be repaired soon. I instructed them not to use this area until the fence can be repaired. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective December 4, 2024. Permit Restrictions- Daytime care only, meets enhanced space and enhanced ratios. The last fire drill was practiced on 3/14/25. A lock down drill was conducted on 2/7/25. The last playground inspection was on 1/11/25. Due to an extended absence of the administrator, this has been overlooked. The last fire inspection was 7/17/24. The last sanitation inspection was completed on 11/26/24 with five (5) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The last lead water test was dated 3/18/25 and is due every three (3) years. The Lead-Based Paint and Asbestos testing has not been completed. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #3, an infant feeding plan for a newly enrolled child was not signed by the parent. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #3, a power strip did not have all the unused outlets covered with a safety cap. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not conducted in February or March. .0605(q) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #3, the bottle warmer was lower than five (5) feet. .0604(e) Technical assistance: Item #898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. *In space #3, the bottle warmer was lower than five (5) feet. Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. *In space #3, a power strip did not have all the unused outlets covered with a safety cap. Item #541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. *In space #3, a infant feeding plan for a newly enrolled child was not signed by the parent. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. *A playground inspection was not conducted in February or March. We did one together today with another staff that has had the training. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by April 30, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. • New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • Today, the cook, J. White said she has been trained in playground safety. We found her certificate in her file. When I did my outside inspection, she accompanied me so she could do a playground safety check for the administrator. I answered questions and we did this together as hands on learning. • Damage from Tropical Storm Helene to fence and one of the gates are extensive and need to be repaired before children can use those areas. We discussed that the main playground area can be used, and we also discussed using the temporary fencing to be used where the gate is missing. • One staff, (M.S.) will need to renew the criminal background check by August 14, 2025. • There is a new version of the Summary of the Law for you to post and to give to new enrolled students. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: LITTLEFACES CHILDCARE CENTER LLC Facility ID: 06000079 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/16/2025 Number Present: 23 Completed Date: 4/16/2025 Age: From 0 To 4 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Margaret Simerly, lead teacher/assistant director. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Administrator, Elvie Sheppard, however, was not on-site/available today. Upon my arrival I greeted Ms. Simerly, and I explained the reason for my visit. She is the teacher in the toddler classroom, but she was available and answered my questions. I began my walkthrough in space #4 where children were playing in centers and working on constructing a bunny box for Easter. Others were playing with a variety of materials in the classroom. In space #3, the teacher was sitting in the floor with the group of infants. She was feeding one while others played on the floor nearby her. Three (3) children eat table food and lunch arrived. The teacher assisted them in washing their hands and sitting in the high chair. She served them lunch and they began eating. In space #2, children were sitting at the table eating their lunch. Their teacher talked to them about what a good job they were doing eating lunch. In space #1, some children were finishing lunch while others had finished and were asleep on their cots. Lunch today consisted of spaghetti with meat sauce, corn, peaches, garlic bread and milk. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Littlefaces Childcare Center LLC, is current/active as of 4/15/25. There are no new teachers at this facility today, so no staff files were monitored. There are thirty-two (32) children enrolled and twenty-three (23) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance with rated license visit was 12/4/24. During Tropical Storm Helene, this facility was -closed from September 26th to November 4th, 2024. Water came into the preschool classroom a little, but their main issue was playground damage from the wind and rain. They still have damage on one section of the playground that they are expecting to be repaired soon. I instructed them not to use this area until the fence can be repaired. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective December 4, 2024. Permit Restrictions- Daytime care only, meets enhanced space and enhanced ratios. The last fire drill was practiced on 3/14/25. A lock down drill was conducted on 2/7/25. The last playground inspection was on 1/11/25. Due to an extended absence of the administrator, this has been overlooked. The last fire inspection was 7/17/24. The last sanitation inspection was completed on 11/26/24 with five (5) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The last lead water test was dated 3/18/25 and is due every three (3) years. The Lead-Based Paint and Asbestos testing has not been completed. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #3, an infant feeding plan for a newly enrolled child was not signed by the parent. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #3, a power strip did not have all the unused outlets covered with a safety cap. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not conducted in February or March. .0605(q) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #3, the bottle warmer was lower than five (5) feet. .0604(e) Technical assistance: Item #898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. *In space #3, the bottle warmer was lower than five (5) feet. Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. *In space #3, a power strip did not have all the unused outlets covered with a safety cap. Item #541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. *In space #3, a infant feeding plan for a newly enrolled child was not signed by the parent. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. *A playground inspection was not conducted in February or March. We did one together today with another staff that has had the training. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by April 30, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. • New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • Today, the cook, J. White said she has been trained in playground safety. We found her certificate in her file. When I did my outside inspection, she accompanied me so she could do a playground safety check for the administrator. I answered questions and we did this together as hands on learning. • Damage from Tropical Storm Helene to fence and one of the gates are extensive and need to be repaired before children can use those areas. We discussed that the main playground area can be used, and we also discussed using the temporary fencing to be used where the gate is missing. • One staff, (M.S.) will need to renew the criminal background check by August 14, 2025. • There is a new version of the Summary of the Law for you to post and to give to new enrolled students. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: LITTLEFACES CHILDCARE CENTER LLC Facility ID: 06000079 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/16/2025 Number Present: 23 Completed Date: 4/16/2025 Age: From 0 To 4 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Margaret Simerly, lead teacher/assistant director. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Administrator, Elvie Sheppard, however, was not on-site/available today. Upon my arrival I greeted Ms. Simerly, and I explained the reason for my visit. She is the teacher in the toddler classroom, but she was available and answered my questions. I began my walkthrough in space #4 where children were playing in centers and working on constructing a bunny box for Easter. Others were playing with a variety of materials in the classroom. In space #3, the teacher was sitting in the floor with the group of infants. She was feeding one while others played on the floor nearby her. Three (3) children eat table food and lunch arrived. The teacher assisted them in washing their hands and sitting in the high chair. She served them lunch and they began eating. In space #2, children were sitting at the table eating their lunch. Their teacher talked to them about what a good job they were doing eating lunch. In space #1, some children were finishing lunch while others had finished and were asleep on their cots. Lunch today consisted of spaghetti with meat sauce, corn, peaches, garlic bread and milk. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Littlefaces Childcare Center LLC, is current/active as of 4/15/25. There are no new teachers at this facility today, so no staff files were monitored. There are thirty-two (32) children enrolled and twenty-three (23) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance with rated license visit was 12/4/24. During Tropical Storm Helene, this facility was -closed from September 26th to November 4th, 2024. Water came into the preschool classroom a little, but their main issue was playground damage from the wind and rain. They still have damage on one section of the playground that they are expecting to be repaired soon. I instructed them not to use this area until the fence can be repaired. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective December 4, 2024. Permit Restrictions- Daytime care only, meets enhanced space and enhanced ratios. The last fire drill was practiced on 3/14/25. A lock down drill was conducted on 2/7/25. The last playground inspection was on 1/11/25. Due to an extended absence of the administrator, this has been overlooked. The last fire inspection was 7/17/24. The last sanitation inspection was completed on 11/26/24 with five (5) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The last lead water test was dated 3/18/25 and is due every three (3) years. The Lead-Based Paint and Asbestos testing has not been completed. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #3, an infant feeding plan for a newly enrolled child was not signed by the parent. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #3, a power strip did not have all the unused outlets covered with a safety cap. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not conducted in February or March. .0605(q) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #3, the bottle warmer was lower than five (5) feet. .0604(e) Technical assistance: Item #898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. *In space #3, the bottle warmer was lower than five (5) feet. Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. *In space #3, a power strip did not have all the unused outlets covered with a safety cap. Item #541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. *In space #3, a infant feeding plan for a newly enrolled child was not signed by the parent. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. *A playground inspection was not conducted in February or March. We did one together today with another staff that has had the training. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by April 30, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. • New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • Today, the cook, J. White said she has been trained in playground safety. We found her certificate in her file. When I did my outside inspection, she accompanied me so she could do a playground safety check for the administrator. I answered questions and we did this together as hands on learning. • Damage from Tropical Storm Helene to fence and one of the gates are extensive and need to be repaired before children can use those areas. We discussed that the main playground area can be used, and we also discussed using the temporary fencing to be used where the gate is missing. • One staff, (M.S.) will need to renew the criminal background check by August 14, 2025. • There is a new version of the Summary of the Law for you to post and to give to new enrolled students. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: LITTLEFACES CHILDCARE CENTER LLC Facility ID: 06000079 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 21 Completed Date: 5/21/2024 Age: From 0 To 4 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elvie Sheppard, owner/administrator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Sheppard and explained the reason for my visit. In space #4 the children were cleaning up to go outside to play. In space #2 the children were playing with table toys and the teacher was assisting them in sharing and redirecting them when children took toys away from each other. In space #1 the children had just sat down at the table for lunch. The teacher stated that she had one that just started today and was adjusting to the new environment and one that started last week that was having a hard time today. The child fell asleep in arms. In space #3, the infants were sitting all around the teacher crawling and practicing walking. The teacher was talking to each of them comforting and holding them. Lunch today was corndogs, tater tots, peaches and milk. There was one (1) new teacher at this facility, and that file was monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid ITS-SIDS Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Four (4) star license issued August 1, 2022 to Elvie Sheppard, Littlefaces Childcare Center, LLC. Permit Restrictions- Daytime care only, meets enhanced ratios and meets enhanced space. The last annual compliance visit was 12/5/23. The last fire drill was practiced on 5/17/24. A lock down drill was conducted on 2/8/24. The last fire inspection was 7/27/23. The last sanitation inspection was completed on 11/22/23 with seven (7) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. There were two (2) infant feeding plans that were not signed by the parent. .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was missing from 12/23. .0604(t); .0302(d)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill should have been done in January but was done in February making in four (4) months apart instead of three (3). .0604(u);.0302(d)(8) Technical assistance: Item #541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: There were two (2) infant feeding plans that were not signed by the parent. Items #805 and 1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: A fire drill was missing from 12/23 and an emergency drill should have been done in January but was done in February making in four (4) months apart instead of three (3). Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by June 4, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • This facility has applied for the prep-year assessment. I made the request om 5/8/24 and the facilities assessment window will open 6/24/24. • Reminder: C.T. will need to renew her criminal background check (including fingerprints) prior to 10/6/24. • Reminder: C.T. needs to renew pediatric first aid and CPR prior to 6/13/24. • Reminder: M.S, needs to renew ITS-SIDS prior to 6/17/24. D.F. should take ITS-SIDS in case she ever needs to fill in or help with the infants in case of an emergency. • The preschool classroom should use the same activity plan as the classroom with two your old children. It is more detailed and more age appropriate for this classroom. Ms. Sheppard stated that she could provide a laptop for D.F. to use for her activity planning. • Make sure that food served is ready to eat. If a teacher cuts up food, that is food prep and an extra sink may be required. Talk to your environmental health (sanitation) person about this. Please remind all teacher when they touch food, they should be wearing serving gloves. • Mulch needs to be fluffed. Today I suggested to Ms. Sheppard to get a playground mat to place at the end of the slide to prevent the children from sliding down and moving all the mulch out leaving a hole. • I also suggest that the infant and toddler/two playgrounds have more on them for the children to do. It was stated that the teachers have things that they take out with them to use. • I would consider moving the big black mat off of the infant playground since it gets hot to the touch and the black rubs off. • All classrooms, especially the infants need to go outside in the morning and evening weather permitting. Do not limit to only one (1) hour per day. Don’t wait until the end of the day because it may start raining. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: LITTLEFACES CHILDCARE CENTER LLC Facility ID: 06000079 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 21 Completed Date: 5/21/2024 Age: From 0 To 4 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elvie Sheppard, owner/administrator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Sheppard and explained the reason for my visit. In space #4 the children were cleaning up to go outside to play. In space #2 the children were playing with table toys and the teacher was assisting them in sharing and redirecting them when children took toys away from each other. In space #1 the children had just sat down at the table for lunch. The teacher stated that she had one that just started today and was adjusting to the new environment and one that started last week that was having a hard time today. The child fell asleep in arms. In space #3, the infants were sitting all around the teacher crawling and practicing walking. The teacher was talking to each of them comforting and holding them. Lunch today was corndogs, tater tots, peaches and milk. There was one (1) new teacher at this facility, and that file was monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid ITS-SIDS Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Four (4) star license issued August 1, 2022 to Elvie Sheppard, Littlefaces Childcare Center, LLC. Permit Restrictions- Daytime care only, meets enhanced ratios and meets enhanced space. The last annual compliance visit was 12/5/23. The last fire drill was practiced on 5/17/24. A lock down drill was conducted on 2/8/24. The last fire inspection was 7/27/23. The last sanitation inspection was completed on 11/22/23 with seven (7) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. There were two (2) infant feeding plans that were not signed by the parent. .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was missing from 12/23. .0604(t); .0302(d)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill should have been done in January but was done in February making in four (4) months apart instead of three (3). .0604(u);.0302(d)(8) Technical assistance: Item #541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: There were two (2) infant feeding plans that were not signed by the parent. Items #805 and 1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: A fire drill was missing from 12/23 and an emergency drill should have been done in January but was done in February making in four (4) months apart instead of three (3). Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by June 4, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • This facility has applied for the prep-year assessment. I made the request om 5/8/24 and the facilities assessment window will open 6/24/24. • Reminder: C.T. will need to renew her criminal background check (including fingerprints) prior to 10/6/24. • Reminder: C.T. needs to renew pediatric first aid and CPR prior to 6/13/24. • Reminder: M.S, needs to renew ITS-SIDS prior to 6/17/24. D.F. should take ITS-SIDS in case she ever needs to fill in or help with the infants in case of an emergency. • The preschool classroom should use the same activity plan as the classroom with two your old children. It is more detailed and more age appropriate for this classroom. Ms. Sheppard stated that she could provide a laptop for D.F. to use for her activity planning. • Make sure that food served is ready to eat. If a teacher cuts up food, that is food prep and an extra sink may be required. Talk to your environmental health (sanitation) person about this. Please remind all teacher when they touch food, they should be wearing serving gloves. • Mulch needs to be fluffed. Today I suggested to Ms. Sheppard to get a playground mat to place at the end of the slide to prevent the children from sliding down and moving all the mulch out leaving a hole. • I also suggest that the infant and toddler/two playgrounds have more on them for the children to do. It was stated that the teachers have things that they take out with them to use. • I would consider moving the big black mat off of the infant playground since it gets hot to the touch and the black rubs off. • All classrooms, especially the infants need to go outside in the morning and evening weather permitting. Do not limit to only one (1) hour per day. Don’t wait until the end of the day because it may start raining. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: LITTLEFACES CHILDCARE CENTER LLC Facility ID: 06000079 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 21 Completed Date: 5/21/2024 Age: From 0 To 4 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elvie Sheppard, owner/administrator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Sheppard and explained the reason for my visit. In space #4 the children were cleaning up to go outside to play. In space #2 the children were playing with table toys and the teacher was assisting them in sharing and redirecting them when children took toys away from each other. In space #1 the children had just sat down at the table for lunch. The teacher stated that she had one that just started today and was adjusting to the new environment and one that started last week that was having a hard time today. The child fell asleep in arms. In space #3, the infants were sitting all around the teacher crawling and practicing walking. The teacher was talking to each of them comforting and holding them. Lunch today was corndogs, tater tots, peaches and milk. There was one (1) new teacher at this facility, and that file was monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid ITS-SIDS Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Four (4) star license issued August 1, 2022 to Elvie Sheppard, Littlefaces Childcare Center, LLC. Permit Restrictions- Daytime care only, meets enhanced ratios and meets enhanced space. The last annual compliance visit was 12/5/23. The last fire drill was practiced on 5/17/24. A lock down drill was conducted on 2/8/24. The last fire inspection was 7/27/23. The last sanitation inspection was completed on 11/22/23 with seven (7) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. There were two (2) infant feeding plans that were not signed by the parent. .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was missing from 12/23. .0604(t); .0302(d)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill should have been done in January but was done in February making in four (4) months apart instead of three (3). .0604(u);.0302(d)(8) Technical assistance: Item #541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: There were two (2) infant feeding plans that were not signed by the parent. Items #805 and 1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: A fire drill was missing from 12/23 and an emergency drill should have been done in January but was done in February making in four (4) months apart instead of three (3). Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by June 4, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • This facility has applied for the prep-year assessment. I made the request om 5/8/24 and the facilities assessment window will open 6/24/24. • Reminder: C.T. will need to renew her criminal background check (including fingerprints) prior to 10/6/24. • Reminder: C.T. needs to renew pediatric first aid and CPR prior to 6/13/24. • Reminder: M.S, needs to renew ITS-SIDS prior to 6/17/24. D.F. should take ITS-SIDS in case she ever needs to fill in or help with the infants in case of an emergency. • The preschool classroom should use the same activity plan as the classroom with two your old children. It is more detailed and more age appropriate for this classroom. Ms. Sheppard stated that she could provide a laptop for D.F. to use for her activity planning. • Make sure that food served is ready to eat. If a teacher cuts up food, that is food prep and an extra sink may be required. Talk to your environmental health (sanitation) person about this. Please remind all teacher when they touch food, they should be wearing serving gloves. • Mulch needs to be fluffed. Today I suggested to Ms. Sheppard to get a playground mat to place at the end of the slide to prevent the children from sliding down and moving all the mulch out leaving a hole. • I also suggest that the infant and toddler/two playgrounds have more on them for the children to do. It was stated that the teachers have things that they take out with them to use. • I would consider moving the big black mat off of the infant playground since it gets hot to the touch and the black rubs off. • All classrooms, especially the infants need to go outside in the morning and evening weather permitting. Do not limit to only one (1) hour per day. Don’t wait until the end of the day because it may start raining. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: LITTLEFACES CHILDCARE CENTER LLC Facility ID: 06000079 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 21 Completed Date: 5/21/2024 Age: From 0 To 4 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elvie Sheppard, owner/administrator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Sheppard and explained the reason for my visit. In space #4 the children were cleaning up to go outside to play. In space #2 the children were playing with table toys and the teacher was assisting them in sharing and redirecting them when children took toys away from each other. In space #1 the children had just sat down at the table for lunch. The teacher stated that she had one that just started today and was adjusting to the new environment and one that started last week that was having a hard time today. The child fell asleep in arms. In space #3, the infants were sitting all around the teacher crawling and practicing walking. The teacher was talking to each of them comforting and holding them. Lunch today was corndogs, tater tots, peaches and milk. There was one (1) new teacher at this facility, and that file was monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid ITS-SIDS Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Four (4) star license issued August 1, 2022 to Elvie Sheppard, Littlefaces Childcare Center, LLC. Permit Restrictions- Daytime care only, meets enhanced ratios and meets enhanced space. The last annual compliance visit was 12/5/23. The last fire drill was practiced on 5/17/24. A lock down drill was conducted on 2/8/24. The last fire inspection was 7/27/23. The last sanitation inspection was completed on 11/22/23 with seven (7) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. There were two (2) infant feeding plans that were not signed by the parent. .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was missing from 12/23. .0604(t); .0302(d)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill should have been done in January but was done in February making in four (4) months apart instead of three (3). .0604(u);.0302(d)(8) Technical assistance: Item #541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: There were two (2) infant feeding plans that were not signed by the parent. Items #805 and 1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: A fire drill was missing from 12/23 and an emergency drill should have been done in January but was done in February making in four (4) months apart instead of three (3). Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by June 4, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • This facility has applied for the prep-year assessment. I made the request om 5/8/24 and the facilities assessment window will open 6/24/24. • Reminder: C.T. will need to renew her criminal background check (including fingerprints) prior to 10/6/24. • Reminder: C.T. needs to renew pediatric first aid and CPR prior to 6/13/24. • Reminder: M.S, needs to renew ITS-SIDS prior to 6/17/24. D.F. should take ITS-SIDS in case she ever needs to fill in or help with the infants in case of an emergency. • The preschool classroom should use the same activity plan as the classroom with two your old children. It is more detailed and more age appropriate for this classroom. Ms. Sheppard stated that she could provide a laptop for D.F. to use for her activity planning. • Make sure that food served is ready to eat. If a teacher cuts up food, that is food prep and an extra sink may be required. Talk to your environmental health (sanitation) person about this. Please remind all teacher when they touch food, they should be wearing serving gloves. • Mulch needs to be fluffed. Today I suggested to Ms. Sheppard to get a playground mat to place at the end of the slide to prevent the children from sliding down and moving all the mulch out leaving a hole. • I also suggest that the infant and toddler/two playgrounds have more on them for the children to do. It was stated that the teachers have things that they take out with them to use. • I would consider moving the big black mat off of the infant playground since it gets hot to the touch and the black rubs off. • All classrooms, especially the infants need to go outside in the morning and evening weather permitting. Do not limit to only one (1) hour per day. Don’t wait until the end of the day because it may start raining. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: LITTLEFACES CHILDCARE CENTER LLC Facility ID: 06000079 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 21 Completed Date: 5/21/2024 Age: From 0 To 4 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elvie Sheppard, owner/administrator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Sheppard and explained the reason for my visit. In space #4 the children were cleaning up to go outside to play. In space #2 the children were playing with table toys and the teacher was assisting them in sharing and redirecting them when children took toys away from each other. In space #1 the children had just sat down at the table for lunch. The teacher stated that she had one that just started today and was adjusting to the new environment and one that started last week that was having a hard time today. The child fell asleep in arms. In space #3, the infants were sitting all around the teacher crawling and practicing walking. The teacher was talking to each of them comforting and holding them. Lunch today was corndogs, tater tots, peaches and milk. There was one (1) new teacher at this facility, and that file was monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid ITS-SIDS Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Four (4) star license issued August 1, 2022 to Elvie Sheppard, Littlefaces Childcare Center, LLC. Permit Restrictions- Daytime care only, meets enhanced ratios and meets enhanced space. The last annual compliance visit was 12/5/23. The last fire drill was practiced on 5/17/24. A lock down drill was conducted on 2/8/24. The last fire inspection was 7/27/23. The last sanitation inspection was completed on 11/22/23 with seven (7) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. There were two (2) infant feeding plans that were not signed by the parent. .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was missing from 12/23. .0604(t); .0302(d)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill should have been done in January but was done in February making in four (4) months apart instead of three (3). .0604(u);.0302(d)(8) Technical assistance: Item #541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: There were two (2) infant feeding plans that were not signed by the parent. Items #805 and 1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: A fire drill was missing from 12/23 and an emergency drill should have been done in January but was done in February making in four (4) months apart instead of three (3). Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by June 4, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • This facility has applied for the prep-year assessment. I made the request om 5/8/24 and the facilities assessment window will open 6/24/24. • Reminder: C.T. will need to renew her criminal background check (including fingerprints) prior to 10/6/24. • Reminder: C.T. needs to renew pediatric first aid and CPR prior to 6/13/24. • Reminder: M.S, needs to renew ITS-SIDS prior to 6/17/24. D.F. should take ITS-SIDS in case she ever needs to fill in or help with the infants in case of an emergency. • The preschool classroom should use the same activity plan as the classroom with two your old children. It is more detailed and more age appropriate for this classroom. Ms. Sheppard stated that she could provide a laptop for D.F. to use for her activity planning. • Make sure that food served is ready to eat. If a teacher cuts up food, that is food prep and an extra sink may be required. Talk to your environmental health (sanitation) person about this. Please remind all teacher when they touch food, they should be wearing serving gloves. • Mulch needs to be fluffed. Today I suggested to Ms. Sheppard to get a playground mat to place at the end of the slide to prevent the children from sliding down and moving all the mulch out leaving a hole. • I also suggest that the infant and toddler/two playgrounds have more on them for the children to do. It was stated that the teachers have things that they take out with them to use. • I would consider moving the big black mat off of the infant playground since it gets hot to the touch and the black rubs off. • All classrooms, especially the infants need to go outside in the morning and evening weather permitting. Do not limit to only one (1) hour per day. Don’t wait until the end of the day because it may start raining. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: LITTLEFACES CHILDCARE CENTER LLC Facility ID: 06000079 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 21 Completed Date: 5/21/2024 Age: From 0 To 4 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elvie Sheppard, owner/administrator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Sheppard and explained the reason for my visit. In space #4 the children were cleaning up to go outside to play. In space #2 the children were playing with table toys and the teacher was assisting them in sharing and redirecting them when children took toys away from each other. In space #1 the children had just sat down at the table for lunch. The teacher stated that she had one that just started today and was adjusting to the new environment and one that started last week that was having a hard time today. The child fell asleep in arms. In space #3, the infants were sitting all around the teacher crawling and practicing walking. The teacher was talking to each of them comforting and holding them. Lunch today was corndogs, tater tots, peaches and milk. There was one (1) new teacher at this facility, and that file was monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid ITS-SIDS Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Four (4) star license issued August 1, 2022 to Elvie Sheppard, Littlefaces Childcare Center, LLC. Permit Restrictions- Daytime care only, meets enhanced ratios and meets enhanced space. The last annual compliance visit was 12/5/23. The last fire drill was practiced on 5/17/24. A lock down drill was conducted on 2/8/24. The last fire inspection was 7/27/23. The last sanitation inspection was completed on 11/22/23 with seven (7) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. There were two (2) infant feeding plans that were not signed by the parent. .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was missing from 12/23. .0604(t); .0302(d)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill should have been done in January but was done in February making in four (4) months apart instead of three (3). .0604(u);.0302(d)(8) Technical assistance: Item #541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: There were two (2) infant feeding plans that were not signed by the parent. Items #805 and 1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: A fire drill was missing from 12/23 and an emergency drill should have been done in January but was done in February making in four (4) months apart instead of three (3). Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by June 4, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • This facility has applied for the prep-year assessment. I made the request om 5/8/24 and the facilities assessment window will open 6/24/24. • Reminder: C.T. will need to renew her criminal background check (including fingerprints) prior to 10/6/24. • Reminder: C.T. needs to renew pediatric first aid and CPR prior to 6/13/24. • Reminder: M.S, needs to renew ITS-SIDS prior to 6/17/24. D.F. should take ITS-SIDS in case she ever needs to fill in or help with the infants in case of an emergency. • The preschool classroom should use the same activity plan as the classroom with two your old children. It is more detailed and more age appropriate for this classroom. Ms. Sheppard stated that she could provide a laptop for D.F. to use for her activity planning. • Make sure that food served is ready to eat. If a teacher cuts up food, that is food prep and an extra sink may be required. Talk to your environmental health (sanitation) person about this. Please remind all teacher when they touch food, they should be wearing serving gloves. • Mulch needs to be fluffed. Today I suggested to Ms. Sheppard to get a playground mat to place at the end of the slide to prevent the children from sliding down and moving all the mulch out leaving a hole. • I also suggest that the infant and toddler/two playgrounds have more on them for the children to do. It was stated that the teachers have things that they take out with them to use. • I would consider moving the big black mat off of the infant playground since it gets hot to the touch and the black rubs off. • All classrooms, especially the infants need to go outside in the morning and evening weather permitting. Do not limit to only one (1) hour per day. Don’t wait until the end of the day because it may start raining. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: LITTLEFACES CHILDCARE CENTER LLC Facility ID: 06000079 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 21 Completed Date: 5/21/2024 Age: From 0 To 4 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elvie Sheppard, owner/administrator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Sheppard and explained the reason for my visit. In space #4 the children were cleaning up to go outside to play. In space #2 the children were playing with table toys and the teacher was assisting them in sharing and redirecting them when children took toys away from each other. In space #1 the children had just sat down at the table for lunch. The teacher stated that she had one that just started today and was adjusting to the new environment and one that started last week that was having a hard time today. The child fell asleep in arms. In space #3, the infants were sitting all around the teacher crawling and practicing walking. The teacher was talking to each of them comforting and holding them. Lunch today was corndogs, tater tots, peaches and milk. There was one (1) new teacher at this facility, and that file was monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid ITS-SIDS Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Four (4) star license issued August 1, 2022 to Elvie Sheppard, Littlefaces Childcare Center, LLC. Permit Restrictions- Daytime care only, meets enhanced ratios and meets enhanced space. The last annual compliance visit was 12/5/23. The last fire drill was practiced on 5/17/24. A lock down drill was conducted on 2/8/24. The last fire inspection was 7/27/23. The last sanitation inspection was completed on 11/22/23 with seven (7) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. There were two (2) infant feeding plans that were not signed by the parent. .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was missing from 12/23. .0604(t); .0302(d)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill should have been done in January but was done in February making in four (4) months apart instead of three (3). .0604(u);.0302(d)(8) Technical assistance: Item #541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: There were two (2) infant feeding plans that were not signed by the parent. Items #805 and 1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: A fire drill was missing from 12/23 and an emergency drill should have been done in January but was done in February making in four (4) months apart instead of three (3). Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by June 4, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • This facility has applied for the prep-year assessment. I made the request om 5/8/24 and the facilities assessment window will open 6/24/24. • Reminder: C.T. will need to renew her criminal background check (including fingerprints) prior to 10/6/24. • Reminder: C.T. needs to renew pediatric first aid and CPR prior to 6/13/24. • Reminder: M.S, needs to renew ITS-SIDS prior to 6/17/24. D.F. should take ITS-SIDS in case she ever needs to fill in or help with the infants in case of an emergency. • The preschool classroom should use the same activity plan as the classroom with two your old children. It is more detailed and more age appropriate for this classroom. Ms. Sheppard stated that she could provide a laptop for D.F. to use for her activity planning. • Make sure that food served is ready to eat. If a teacher cuts up food, that is food prep and an extra sink may be required. Talk to your environmental health (sanitation) person about this. Please remind all teacher when they touch food, they should be wearing serving gloves. • Mulch needs to be fluffed. Today I suggested to Ms. Sheppard to get a playground mat to place at the end of the slide to prevent the children from sliding down and moving all the mulch out leaving a hole. • I also suggest that the infant and toddler/two playgrounds have more on them for the children to do. It was stated that the teachers have things that they take out with them to use. • I would consider moving the big black mat off of the infant playground since it gets hot to the touch and the black rubs off. • All classrooms, especially the infants need to go outside in the morning and evening weather permitting. Do not limit to only one (1) hour per day. Don’t wait until the end of the day because it may start raining. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: LITTLEFACES CHILDCARE CENTER LLC Facility ID: 06000079 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 21 Completed Date: 5/21/2024 Age: From 0 To 4 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elvie Sheppard, owner/administrator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Sheppard and explained the reason for my visit. In space #4 the children were cleaning up to go outside to play. In space #2 the children were playing with table toys and the teacher was assisting them in sharing and redirecting them when children took toys away from each other. In space #1 the children had just sat down at the table for lunch. The teacher stated that she had one that just started today and was adjusting to the new environment and one that started last week that was having a hard time today. The child fell asleep in arms. In space #3, the infants were sitting all around the teacher crawling and practicing walking. The teacher was talking to each of them comforting and holding them. Lunch today was corndogs, tater tots, peaches and milk. There was one (1) new teacher at this facility, and that file was monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid ITS-SIDS Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Four (4) star license issued August 1, 2022 to Elvie Sheppard, Littlefaces Childcare Center, LLC. Permit Restrictions- Daytime care only, meets enhanced ratios and meets enhanced space. The last annual compliance visit was 12/5/23. The last fire drill was practiced on 5/17/24. A lock down drill was conducted on 2/8/24. The last fire inspection was 7/27/23. The last sanitation inspection was completed on 11/22/23 with seven (7) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. There were two (2) infant feeding plans that were not signed by the parent. .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was missing from 12/23. .0604(t); .0302(d)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill should have been done in January but was done in February making in four (4) months apart instead of three (3). .0604(u);.0302(d)(8) Technical assistance: Item #541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: There were two (2) infant feeding plans that were not signed by the parent. Items #805 and 1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: A fire drill was missing from 12/23 and an emergency drill should have been done in January but was done in February making in four (4) months apart instead of three (3). Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by June 4, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • This facility has applied for the prep-year assessment. I made the request om 5/8/24 and the facilities assessment window will open 6/24/24. • Reminder: C.T. will need to renew her criminal background check (including fingerprints) prior to 10/6/24. • Reminder: C.T. needs to renew pediatric first aid and CPR prior to 6/13/24. • Reminder: M.S, needs to renew ITS-SIDS prior to 6/17/24. D.F. should take ITS-SIDS in case she ever needs to fill in or help with the infants in case of an emergency. • The preschool classroom should use the same activity plan as the classroom with two your old children. It is more detailed and more age appropriate for this classroom. Ms. Sheppard stated that she could provide a laptop for D.F. to use for her activity planning. • Make sure that food served is ready to eat. If a teacher cuts up food, that is food prep and an extra sink may be required. Talk to your environmental health (sanitation) person about this. Please remind all teacher when they touch food, they should be wearing serving gloves. • Mulch needs to be fluffed. Today I suggested to Ms. Sheppard to get a playground mat to place at the end of the slide to prevent the children from sliding down and moving all the mulch out leaving a hole. • I also suggest that the infant and toddler/two playgrounds have more on them for the children to do. It was stated that the teachers have things that they take out with them to use. • I would consider moving the big black mat off of the infant playground since it gets hot to the touch and the black rubs off. • All classrooms, especially the infants need to go outside in the morning and evening weather permitting. Do not limit to only one (1) hour per day. Don’t wait until the end of the day because it may start raining. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: LITTLEFACES CHILDCARE CENTER LLC Facility ID: 06000079 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 21 Completed Date: 5/21/2024 Age: From 0 To 4 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elvie Sheppard, owner/administrator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Sheppard and explained the reason for my visit. In space #4 the children were cleaning up to go outside to play. In space #2 the children were playing with table toys and the teacher was assisting them in sharing and redirecting them when children took toys away from each other. In space #1 the children had just sat down at the table for lunch. The teacher stated that she had one that just started today and was adjusting to the new environment and one that started last week that was having a hard time today. The child fell asleep in arms. In space #3, the infants were sitting all around the teacher crawling and practicing walking. The teacher was talking to each of them comforting and holding them. Lunch today was corndogs, tater tots, peaches and milk. There was one (1) new teacher at this facility, and that file was monitored today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid ITS-SIDS Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Four (4) star license issued August 1, 2022 to Elvie Sheppard, Littlefaces Childcare Center, LLC. Permit Restrictions- Daytime care only, meets enhanced ratios and meets enhanced space. The last annual compliance visit was 12/5/23. The last fire drill was practiced on 5/17/24. A lock down drill was conducted on 2/8/24. The last fire inspection was 7/27/23. The last sanitation inspection was completed on 11/22/23 with seven (7) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. There were two (2) infant feeding plans that were not signed by the parent. .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was missing from 12/23. .0604(t); .0302(d)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill should have been done in January but was done in February making in four (4) months apart instead of three (3). .0604(u);.0302(d)(8) Technical assistance: Item #541 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Note: There were two (2) infant feeding plans that were not signed by the parent. Items #805 and 1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: A fire drill was missing from 12/23 and an emergency drill should have been done in January but was done in February making in four (4) months apart instead of three (3). Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by June 4, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • This facility has applied for the prep-year assessment. I made the request om 5/8/24 and the facilities assessment window will open 6/24/24. • Reminder: C.T. will need to renew her criminal background check (including fingerprints) prior to 10/6/24. • Reminder: C.T. needs to renew pediatric first aid and CPR prior to 6/13/24. • Reminder: M.S, needs to renew ITS-SIDS prior to 6/17/24. D.F. should take ITS-SIDS in case she ever needs to fill in or help with the infants in case of an emergency. • The preschool classroom should use the same activity plan as the classroom with two your old children. It is more detailed and more age appropriate for this classroom. Ms. Sheppard stated that she could provide a laptop for D.F. to use for her activity planning. • Make sure that food served is ready to eat. If a teacher cuts up food, that is food prep and an extra sink may be required. Talk to your environmental health (sanitation) person about this. Please remind all teacher when they touch food, they should be wearing serving gloves. • Mulch needs to be fluffed. Today I suggested to Ms. Sheppard to get a playground mat to place at the end of the slide to prevent the children from sliding down and moving all the mulch out leaving a hole. • I also suggest that the infant and toddler/two playgrounds have more on them for the children to do. It was stated that the teachers have things that they take out with them to use. • I would consider moving the big black mat off of the infant playground since it gets hot to the touch and the black rubs off. • All classrooms, especially the infants need to go outside in the morning and evening weather permitting. Do not limit to only one (1) hour per day. Don’t wait until the end of the day because it may start raining. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: LITTLEFACES CHILDCARE CENTER LLC Facility ID: 06000079 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/5/2023 Number Present: 18 Completed Date: 12/5/2023 Age: From 0 To 3 Total Minutes: 420 Time In: 10:00 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elvie Sheppard, owner/administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, Elvie Sheppard, owner/administrator accompanied me today during the visist. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty four (84%) percentage as of 12/05/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, LCC , is current/active as Littlefaces Childare of 12/05/23. Permit type – Four Star license issued August 01, 2022. Special Services/Restrictions – Daytime care only, meets enhanced ratios and space. The last annual compliance visit was conducted on 12/14/23. The last fire drill was practiced on 11/15/23. The last lock down drill practiced on 10/24/23. The last playground inspection was documented on 11/15/23. The last fire inspection was approved on 07/27/23. The last sanitation inspection was conducted on 11/22/23 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. We discussed that she may need to use the grant money to purchase more curriculum material. Upon my arrival, I was greeted by Ms. Sheppard, the owner/administrator. She accompanied me during my walk through of the facility and playground. One group of children were going outside to play. The toddler/two-year-old children were playing with manipulative toys at the table while getting diapers changed. The infant/toddler children were napping, and one was getting fed a bottle. Lunch today consisted of bow tie macaroni and cheese with ham, green beans, whole wheat bread, pears and milk. After lunch children cleaned up and prepared for rest time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There was a gap under the fence in the infant playground area. The double gate leading onto the preschool playground was not secured into the ground. The logs on the preschool playground area were decaying and splintering. The little Tykes climbers on the toddler/two’s playground area, are is poor condition. Broken items need to be removed. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than four feet, was not free from protrusions. There was a nail protruding off a wooden fence rail in the infant playground area. GS 110-91(6); .0605((i) Technical assistance was provided as follows: Item #.0824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: There was a nail protruding off a wooden fence rail in the infant playground area. Item #.0807 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. Note: There was a gap under the fence in the infant playground area. The double gate leading onto the preschool playground was not secured into the ground. The logs on the preschool playground area were decaying and splintering. The little Tykes climbers on the toddler/two’s playground area, are is poor condition. Broken items need to be removed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 19, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC, 29698 Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. The bill was enacted on August 30, 2021 and expired on June 30, 2023. Senate Bill 570 Hold Harmless was extended and signed into law on Monday June 12th, 2023. The bill allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from seventy-five percent (75%) to fifty percent (50%) until June of 2026. To prepare for the reassessment process, the Division of Child Development and Early Education has developed a cohort system. There are three (3) cohorts, and each includes a preparation year and a reassessment year. Littlefaces Childcare, LLC is in cohort one (1) with a preparation year beginning July 1, 2023, and ending June 30, 2024. Assessment year beginning July 1, 2024, and ending June 30, 2025. Elvie Sheppard, Administrator, voluntarily elected to apply for a star rated license reassessment. I received the application for reassessment today, December 05, 2023. Prep year assessment and outreach assessment information was emailed to Ms. Sheppard during today’s visit. We discussed her reaching out to the Child Care Resource and Referral for assistance in preparing for the rating scales. • The summary of the law that is posted needs to be updated. • The mulch has been dumped on the playground, however it hasn’t been spread out. We discussed that the mulch has some sharp pieces in it and may need to be double shredded for safety. • The thermometers in the refrigerators may need to be replace. • We discussed the process for a shelter in place and how the next emergency drill should be a shelter in place. We discussed the best place for that to occur. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: LITTLEFACES CHILDCARE CENTER LLC Facility ID: 06000079 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/5/2023 Number Present: 18 Completed Date: 12/5/2023 Age: From 0 To 3 Total Minutes: 420 Time In: 10:00 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elvie Sheppard, owner/administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, Elvie Sheppard, owner/administrator accompanied me today during the visist. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty four (84%) percentage as of 12/05/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, LCC , is current/active as Littlefaces Childare of 12/05/23. Permit type – Four Star license issued August 01, 2022. Special Services/Restrictions – Daytime care only, meets enhanced ratios and space. The last annual compliance visit was conducted on 12/14/23. The last fire drill was practiced on 11/15/23. The last lock down drill practiced on 10/24/23. The last playground inspection was documented on 11/15/23. The last fire inspection was approved on 07/27/23. The last sanitation inspection was conducted on 11/22/23 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. We discussed that she may need to use the grant money to purchase more curriculum material. Upon my arrival, I was greeted by Ms. Sheppard, the owner/administrator. She accompanied me during my walk through of the facility and playground. One group of children were going outside to play. The toddler/two-year-old children were playing with manipulative toys at the table while getting diapers changed. The infant/toddler children were napping, and one was getting fed a bottle. Lunch today consisted of bow tie macaroni and cheese with ham, green beans, whole wheat bread, pears and milk. After lunch children cleaned up and prepared for rest time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There was a gap under the fence in the infant playground area. The double gate leading onto the preschool playground was not secured into the ground. The logs on the preschool playground area were decaying and splintering. The little Tykes climbers on the toddler/two’s playground area, are is poor condition. Broken items need to be removed. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than four feet, was not free from protrusions. There was a nail protruding off a wooden fence rail in the infant playground area. GS 110-91(6); .0605((i) Technical assistance was provided as follows: Item #.0824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: There was a nail protruding off a wooden fence rail in the infant playground area. Item #.0807 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. Note: There was a gap under the fence in the infant playground area. The double gate leading onto the preschool playground was not secured into the ground. The logs on the preschool playground area were decaying and splintering. The little Tykes climbers on the toddler/two’s playground area, are is poor condition. Broken items need to be removed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 19, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC, 29698 Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. The bill was enacted on August 30, 2021 and expired on June 30, 2023. Senate Bill 570 Hold Harmless was extended and signed into law on Monday June 12th, 2023. The bill allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from seventy-five percent (75%) to fifty percent (50%) until June of 2026. To prepare for the reassessment process, the Division of Child Development and Early Education has developed a cohort system. There are three (3) cohorts, and each includes a preparation year and a reassessment year. Littlefaces Childcare, LLC is in cohort one (1) with a preparation year beginning July 1, 2023, and ending June 30, 2024. Assessment year beginning July 1, 2024, and ending June 30, 2025. Elvie Sheppard, Administrator, voluntarily elected to apply for a star rated license reassessment. I received the application for reassessment today, December 05, 2023. Prep year assessment and outreach assessment information was emailed to Ms. Sheppard during today’s visit. We discussed her reaching out to the Child Care Resource and Referral for assistance in preparing for the rating scales. • The summary of the law that is posted needs to be updated. • The mulch has been dumped on the playground, however it hasn’t been spread out. We discussed that the mulch has some sharp pieces in it and may need to be double shredded for safety. • The thermometers in the refrigerators may need to be replace. • We discussed the process for a shelter in place and how the next emergency drill should be a shelter in place. We discussed the best place for that to occur. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: LITTLEFACES CHILDCARE CENTER LLC Facility ID: 06000079 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/5/2023 Number Present: 18 Completed Date: 12/5/2023 Age: From 0 To 3 Total Minutes: 420 Time In: 10:00 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elvie Sheppard, owner/administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, Elvie Sheppard, owner/administrator accompanied me today during the visist. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty four (84%) percentage as of 12/05/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, LCC , is current/active as Littlefaces Childare of 12/05/23. Permit type – Four Star license issued August 01, 2022. Special Services/Restrictions – Daytime care only, meets enhanced ratios and space. The last annual compliance visit was conducted on 12/14/23. The last fire drill was practiced on 11/15/23. The last lock down drill practiced on 10/24/23. The last playground inspection was documented on 11/15/23. The last fire inspection was approved on 07/27/23. The last sanitation inspection was conducted on 11/22/23 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. We discussed that she may need to use the grant money to purchase more curriculum material. Upon my arrival, I was greeted by Ms. Sheppard, the owner/administrator. She accompanied me during my walk through of the facility and playground. One group of children were going outside to play. The toddler/two-year-old children were playing with manipulative toys at the table while getting diapers changed. The infant/toddler children were napping, and one was getting fed a bottle. Lunch today consisted of bow tie macaroni and cheese with ham, green beans, whole wheat bread, pears and milk. After lunch children cleaned up and prepared for rest time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There was a gap under the fence in the infant playground area. The double gate leading onto the preschool playground was not secured into the ground. The logs on the preschool playground area were decaying and splintering. The little Tykes climbers on the toddler/two’s playground area, are is poor condition. Broken items need to be removed. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than four feet, was not free from protrusions. There was a nail protruding off a wooden fence rail in the infant playground area. GS 110-91(6); .0605((i) Technical assistance was provided as follows: Item #.0824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: There was a nail protruding off a wooden fence rail in the infant playground area. Item #.0807 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. Note: There was a gap under the fence in the infant playground area. The double gate leading onto the preschool playground was not secured into the ground. The logs on the preschool playground area were decaying and splintering. The little Tykes climbers on the toddler/two’s playground area, are is poor condition. Broken items need to be removed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 19, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC, 29698 Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. The bill was enacted on August 30, 2021 and expired on June 30, 2023. Senate Bill 570 Hold Harmless was extended and signed into law on Monday June 12th, 2023. The bill allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from seventy-five percent (75%) to fifty percent (50%) until June of 2026. To prepare for the reassessment process, the Division of Child Development and Early Education has developed a cohort system. There are three (3) cohorts, and each includes a preparation year and a reassessment year. Littlefaces Childcare, LLC is in cohort one (1) with a preparation year beginning July 1, 2023, and ending June 30, 2024. Assessment year beginning July 1, 2024, and ending June 30, 2025. Elvie Sheppard, Administrator, voluntarily elected to apply for a star rated license reassessment. I received the application for reassessment today, December 05, 2023. Prep year assessment and outreach assessment information was emailed to Ms. Sheppard during today’s visit. We discussed her reaching out to the Child Care Resource and Referral for assistance in preparing for the rating scales. • The summary of the law that is posted needs to be updated. • The mulch has been dumped on the playground, however it hasn’t been spread out. We discussed that the mulch has some sharp pieces in it and may need to be double shredded for safety. • The thermometers in the refrigerators may need to be replace. • We discussed the process for a shelter in place and how the next emergency drill should be a shelter in place. We discussed the best place for that to occur. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0605 · Violation

Name of Operation: LITTLEFACES CHILDCARE CENTER LLC Facility ID: 06000079 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/5/2023 Number Present: 18 Completed Date: 12/5/2023 Age: From 0 To 3 Total Minutes: 420 Time In: 10:00 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elvie Sheppard, owner/administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, Elvie Sheppard, owner/administrator accompanied me today during the visist. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty four (84%) percentage as of 12/05/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, LCC , is current/active as Littlefaces Childare of 12/05/23. Permit type – Four Star license issued August 01, 2022. Special Services/Restrictions – Daytime care only, meets enhanced ratios and space. The last annual compliance visit was conducted on 12/14/23. The last fire drill was practiced on 11/15/23. The last lock down drill practiced on 10/24/23. The last playground inspection was documented on 11/15/23. The last fire inspection was approved on 07/27/23. The last sanitation inspection was conducted on 11/22/23 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. We discussed that she may need to use the grant money to purchase more curriculum material. Upon my arrival, I was greeted by Ms. Sheppard, the owner/administrator. She accompanied me during my walk through of the facility and playground. One group of children were going outside to play. The toddler/two-year-old children were playing with manipulative toys at the table while getting diapers changed. The infant/toddler children were napping, and one was getting fed a bottle. Lunch today consisted of bow tie macaroni and cheese with ham, green beans, whole wheat bread, pears and milk. After lunch children cleaned up and prepared for rest time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There was a gap under the fence in the infant playground area. The double gate leading onto the preschool playground was not secured into the ground. The logs on the preschool playground area were decaying and splintering. The little Tykes climbers on the toddler/two’s playground area, are is poor condition. Broken items need to be removed. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than four feet, was not free from protrusions. There was a nail protruding off a wooden fence rail in the infant playground area. GS 110-91(6); .0605((i) Technical assistance was provided as follows: Item #.0824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: There was a nail protruding off a wooden fence rail in the infant playground area. Item #.0807 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. Note: There was a gap under the fence in the infant playground area. The double gate leading onto the preschool playground was not secured into the ground. The logs on the preschool playground area were decaying and splintering. The little Tykes climbers on the toddler/two’s playground area, are is poor condition. Broken items need to be removed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 19, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC, 29698 Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. The bill was enacted on August 30, 2021 and expired on June 30, 2023. Senate Bill 570 Hold Harmless was extended and signed into law on Monday June 12th, 2023. The bill allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from seventy-five percent (75%) to fifty percent (50%) until June of 2026. To prepare for the reassessment process, the Division of Child Development and Early Education has developed a cohort system. There are three (3) cohorts, and each includes a preparation year and a reassessment year. Littlefaces Childcare, LLC is in cohort one (1) with a preparation year beginning July 1, 2023, and ending June 30, 2024. Assessment year beginning July 1, 2024, and ending June 30, 2025. Elvie Sheppard, Administrator, voluntarily elected to apply for a star rated license reassessment. I received the application for reassessment today, December 05, 2023. Prep year assessment and outreach assessment information was emailed to Ms. Sheppard during today’s visit. We discussed her reaching out to the Child Care Resource and Referral for assistance in preparing for the rating scales. • The summary of the law that is posted needs to be updated. • The mulch has been dumped on the playground, however it hasn’t been spread out. We discussed that the mulch has some sharp pieces in it and may need to be double shredded for safety. • The thermometers in the refrigerators may need to be replace. • We discussed the process for a shelter in place and how the next emergency drill should be a shelter in place. We discussed the best place for that to occur. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: LITTLEFACES CHILDCARE CENTER LLC Facility ID: 06000079 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/5/2023 Number Present: 18 Completed Date: 12/5/2023 Age: From 0 To 3 Total Minutes: 420 Time In: 10:00 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elvie Sheppard, owner/administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, Elvie Sheppard, owner/administrator accompanied me today during the visist. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty four (84%) percentage as of 12/05/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, LCC , is current/active as Littlefaces Childare of 12/05/23. Permit type – Four Star license issued August 01, 2022. Special Services/Restrictions – Daytime care only, meets enhanced ratios and space. The last annual compliance visit was conducted on 12/14/23. The last fire drill was practiced on 11/15/23. The last lock down drill practiced on 10/24/23. The last playground inspection was documented on 11/15/23. The last fire inspection was approved on 07/27/23. The last sanitation inspection was conducted on 11/22/23 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. We discussed that she may need to use the grant money to purchase more curriculum material. Upon my arrival, I was greeted by Ms. Sheppard, the owner/administrator. She accompanied me during my walk through of the facility and playground. One group of children were going outside to play. The toddler/two-year-old children were playing with manipulative toys at the table while getting diapers changed. The infant/toddler children were napping, and one was getting fed a bottle. Lunch today consisted of bow tie macaroni and cheese with ham, green beans, whole wheat bread, pears and milk. After lunch children cleaned up and prepared for rest time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There was a gap under the fence in the infant playground area. The double gate leading onto the preschool playground was not secured into the ground. The logs on the preschool playground area were decaying and splintering. The little Tykes climbers on the toddler/two’s playground area, are is poor condition. Broken items need to be removed. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than four feet, was not free from protrusions. There was a nail protruding off a wooden fence rail in the infant playground area. GS 110-91(6); .0605((i) Technical assistance was provided as follows: Item #.0824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: There was a nail protruding off a wooden fence rail in the infant playground area. Item #.0807 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. Note: There was a gap under the fence in the infant playground area. The double gate leading onto the preschool playground was not secured into the ground. The logs on the preschool playground area were decaying and splintering. The little Tykes climbers on the toddler/two’s playground area, are is poor condition. Broken items need to be removed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 19, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC, 29698 Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. The bill was enacted on August 30, 2021 and expired on June 30, 2023. Senate Bill 570 Hold Harmless was extended and signed into law on Monday June 12th, 2023. The bill allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from seventy-five percent (75%) to fifty percent (50%) until June of 2026. To prepare for the reassessment process, the Division of Child Development and Early Education has developed a cohort system. There are three (3) cohorts, and each includes a preparation year and a reassessment year. Littlefaces Childcare, LLC is in cohort one (1) with a preparation year beginning July 1, 2023, and ending June 30, 2024. Assessment year beginning July 1, 2024, and ending June 30, 2025. Elvie Sheppard, Administrator, voluntarily elected to apply for a star rated license reassessment. I received the application for reassessment today, December 05, 2023. Prep year assessment and outreach assessment information was emailed to Ms. Sheppard during today’s visit. We discussed her reaching out to the Child Care Resource and Referral for assistance in preparing for the rating scales. • The summary of the law that is posted needs to be updated. • The mulch has been dumped on the playground, however it hasn’t been spread out. We discussed that the mulch has some sharp pieces in it and may need to be double shredded for safety. • The thermometers in the refrigerators may need to be replace. • We discussed the process for a shelter in place and how the next emergency drill should be a shelter in place. We discussed the best place for that to occur. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: LITTLEFACES CHILDCARE CENTER LLC Facility ID: 06000079 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/5/2023 Number Present: 18 Completed Date: 12/5/2023 Age: From 0 To 3 Total Minutes: 420 Time In: 10:00 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elvie Sheppard, owner/administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, Elvie Sheppard, owner/administrator accompanied me today during the visist. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty four (84%) percentage as of 12/05/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, LCC , is current/active as Littlefaces Childare of 12/05/23. Permit type – Four Star license issued August 01, 2022. Special Services/Restrictions – Daytime care only, meets enhanced ratios and space. The last annual compliance visit was conducted on 12/14/23. The last fire drill was practiced on 11/15/23. The last lock down drill practiced on 10/24/23. The last playground inspection was documented on 11/15/23. The last fire inspection was approved on 07/27/23. The last sanitation inspection was conducted on 11/22/23 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. We discussed that she may need to use the grant money to purchase more curriculum material. Upon my arrival, I was greeted by Ms. Sheppard, the owner/administrator. She accompanied me during my walk through of the facility and playground. One group of children were going outside to play. The toddler/two-year-old children were playing with manipulative toys at the table while getting diapers changed. The infant/toddler children were napping, and one was getting fed a bottle. Lunch today consisted of bow tie macaroni and cheese with ham, green beans, whole wheat bread, pears and milk. After lunch children cleaned up and prepared for rest time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There was a gap under the fence in the infant playground area. The double gate leading onto the preschool playground was not secured into the ground. The logs on the preschool playground area were decaying and splintering. The little Tykes climbers on the toddler/two’s playground area, are is poor condition. Broken items need to be removed. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than four feet, was not free from protrusions. There was a nail protruding off a wooden fence rail in the infant playground area. GS 110-91(6); .0605((i) Technical assistance was provided as follows: Item #.0824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: There was a nail protruding off a wooden fence rail in the infant playground area. Item #.0807 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. Note: There was a gap under the fence in the infant playground area. The double gate leading onto the preschool playground was not secured into the ground. The logs on the preschool playground area were decaying and splintering. The little Tykes climbers on the toddler/two’s playground area, are is poor condition. Broken items need to be removed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 19, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC, 29698 Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. The bill was enacted on August 30, 2021 and expired on June 30, 2023. Senate Bill 570 Hold Harmless was extended and signed into law on Monday June 12th, 2023. The bill allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from seventy-five percent (75%) to fifty percent (50%) until June of 2026. To prepare for the reassessment process, the Division of Child Development and Early Education has developed a cohort system. There are three (3) cohorts, and each includes a preparation year and a reassessment year. Littlefaces Childcare, LLC is in cohort one (1) with a preparation year beginning July 1, 2023, and ending June 30, 2024. Assessment year beginning July 1, 2024, and ending June 30, 2025. Elvie Sheppard, Administrator, voluntarily elected to apply for a star rated license reassessment. I received the application for reassessment today, December 05, 2023. Prep year assessment and outreach assessment information was emailed to Ms. Sheppard during today’s visit. We discussed her reaching out to the Child Care Resource and Referral for assistance in preparing for the rating scales. • The summary of the law that is posted needs to be updated. • The mulch has been dumped on the playground, however it hasn’t been spread out. We discussed that the mulch has some sharp pieces in it and may need to be double shredded for safety. • The thermometers in the refrigerators may need to be replace. • We discussed the process for a shelter in place and how the next emergency drill should be a shelter in place. We discussed the best place for that to occur. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: LITTLEFACES CHILDCARE CENTER LLC Facility ID: 06000079 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/5/2023 Number Present: 18 Completed Date: 12/5/2023 Age: From 0 To 3 Total Minutes: 420 Time In: 10:00 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elvie Sheppard, owner/administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, Elvie Sheppard, owner/administrator accompanied me today during the visist. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty four (84%) percentage as of 12/05/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, LCC , is current/active as Littlefaces Childare of 12/05/23. Permit type – Four Star license issued August 01, 2022. Special Services/Restrictions – Daytime care only, meets enhanced ratios and space. The last annual compliance visit was conducted on 12/14/23. The last fire drill was practiced on 11/15/23. The last lock down drill practiced on 10/24/23. The last playground inspection was documented on 11/15/23. The last fire inspection was approved on 07/27/23. The last sanitation inspection was conducted on 11/22/23 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. We discussed that she may need to use the grant money to purchase more curriculum material. Upon my arrival, I was greeted by Ms. Sheppard, the owner/administrator. She accompanied me during my walk through of the facility and playground. One group of children were going outside to play. The toddler/two-year-old children were playing with manipulative toys at the table while getting diapers changed. The infant/toddler children were napping, and one was getting fed a bottle. Lunch today consisted of bow tie macaroni and cheese with ham, green beans, whole wheat bread, pears and milk. After lunch children cleaned up and prepared for rest time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There was a gap under the fence in the infant playground area. The double gate leading onto the preschool playground was not secured into the ground. The logs on the preschool playground area were decaying and splintering. The little Tykes climbers on the toddler/two’s playground area, are is poor condition. Broken items need to be removed. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than four feet, was not free from protrusions. There was a nail protruding off a wooden fence rail in the infant playground area. GS 110-91(6); .0605((i) Technical assistance was provided as follows: Item #.0824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: There was a nail protruding off a wooden fence rail in the infant playground area. Item #.0807 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. Note: There was a gap under the fence in the infant playground area. The double gate leading onto the preschool playground was not secured into the ground. The logs on the preschool playground area were decaying and splintering. The little Tykes climbers on the toddler/two’s playground area, are is poor condition. Broken items need to be removed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 19, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC, 29698 Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. The bill was enacted on August 30, 2021 and expired on June 30, 2023. Senate Bill 570 Hold Harmless was extended and signed into law on Monday June 12th, 2023. The bill allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from seventy-five percent (75%) to fifty percent (50%) until June of 2026. To prepare for the reassessment process, the Division of Child Development and Early Education has developed a cohort system. There are three (3) cohorts, and each includes a preparation year and a reassessment year. Littlefaces Childcare, LLC is in cohort one (1) with a preparation year beginning July 1, 2023, and ending June 30, 2024. Assessment year beginning July 1, 2024, and ending June 30, 2025. Elvie Sheppard, Administrator, voluntarily elected to apply for a star rated license reassessment. I received the application for reassessment today, December 05, 2023. Prep year assessment and outreach assessment information was emailed to Ms. Sheppard during today’s visit. We discussed her reaching out to the Child Care Resource and Referral for assistance in preparing for the rating scales. • The summary of the law that is posted needs to be updated. • The mulch has been dumped on the playground, however it hasn’t been spread out. We discussed that the mulch has some sharp pieces in it and may need to be double shredded for safety. • The thermometers in the refrigerators may need to be replace. • We discussed the process for a shelter in place and how the next emergency drill should be a shelter in place. We discussed the best place for that to occur. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: LITTLEFACES CHILDCARE CENTER LLC Facility ID: 06000079 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/5/2023 Number Present: 18 Completed Date: 12/5/2023 Age: From 0 To 3 Total Minutes: 420 Time In: 10:00 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elvie Sheppard, owner/administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, Elvie Sheppard, owner/administrator accompanied me today during the visist. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty four (84%) percentage as of 12/05/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, LCC , is current/active as Littlefaces Childare of 12/05/23. Permit type – Four Star license issued August 01, 2022. Special Services/Restrictions – Daytime care only, meets enhanced ratios and space. The last annual compliance visit was conducted on 12/14/23. The last fire drill was practiced on 11/15/23. The last lock down drill practiced on 10/24/23. The last playground inspection was documented on 11/15/23. The last fire inspection was approved on 07/27/23. The last sanitation inspection was conducted on 11/22/23 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. We discussed that she may need to use the grant money to purchase more curriculum material. Upon my arrival, I was greeted by Ms. Sheppard, the owner/administrator. She accompanied me during my walk through of the facility and playground. One group of children were going outside to play. The toddler/two-year-old children were playing with manipulative toys at the table while getting diapers changed. The infant/toddler children were napping, and one was getting fed a bottle. Lunch today consisted of bow tie macaroni and cheese with ham, green beans, whole wheat bread, pears and milk. After lunch children cleaned up and prepared for rest time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There was a gap under the fence in the infant playground area. The double gate leading onto the preschool playground was not secured into the ground. The logs on the preschool playground area were decaying and splintering. The little Tykes climbers on the toddler/two’s playground area, are is poor condition. Broken items need to be removed. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than four feet, was not free from protrusions. There was a nail protruding off a wooden fence rail in the infant playground area. GS 110-91(6); .0605((i) Technical assistance was provided as follows: Item #.0824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: There was a nail protruding off a wooden fence rail in the infant playground area. Item #.0807 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. Note: There was a gap under the fence in the infant playground area. The double gate leading onto the preschool playground was not secured into the ground. The logs on the preschool playground area were decaying and splintering. The little Tykes climbers on the toddler/two’s playground area, are is poor condition. Broken items need to be removed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 19, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC, 29698 Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. The bill was enacted on August 30, 2021 and expired on June 30, 2023. Senate Bill 570 Hold Harmless was extended and signed into law on Monday June 12th, 2023. The bill allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from seventy-five percent (75%) to fifty percent (50%) until June of 2026. To prepare for the reassessment process, the Division of Child Development and Early Education has developed a cohort system. There are three (3) cohorts, and each includes a preparation year and a reassessment year. Littlefaces Childcare, LLC is in cohort one (1) with a preparation year beginning July 1, 2023, and ending June 30, 2024. Assessment year beginning July 1, 2024, and ending June 30, 2025. Elvie Sheppard, Administrator, voluntarily elected to apply for a star rated license reassessment. I received the application for reassessment today, December 05, 2023. Prep year assessment and outreach assessment information was emailed to Ms. Sheppard during today’s visit. We discussed her reaching out to the Child Care Resource and Referral for assistance in preparing for the rating scales. • The summary of the law that is posted needs to be updated. • The mulch has been dumped on the playground, however it hasn’t been spread out. We discussed that the mulch has some sharp pieces in it and may need to be double shredded for safety. • The thermometers in the refrigerators may need to be replace. • We discussed the process for a shelter in place and how the next emergency drill should be a shelter in place. We discussed the best place for that to occur. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: LITTLEFACES CHILDCARE CENTER LLC Facility ID: 06000079 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/5/2023 Number Present: 18 Completed Date: 12/5/2023 Age: From 0 To 3 Total Minutes: 420 Time In: 10:00 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elvie Sheppard, owner/administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, Elvie Sheppard, owner/administrator accompanied me today during the visist. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty four (84%) percentage as of 12/05/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, LCC , is current/active as Littlefaces Childare of 12/05/23. Permit type – Four Star license issued August 01, 2022. Special Services/Restrictions – Daytime care only, meets enhanced ratios and space. The last annual compliance visit was conducted on 12/14/23. The last fire drill was practiced on 11/15/23. The last lock down drill practiced on 10/24/23. The last playground inspection was documented on 11/15/23. The last fire inspection was approved on 07/27/23. The last sanitation inspection was conducted on 11/22/23 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. We discussed that she may need to use the grant money to purchase more curriculum material. Upon my arrival, I was greeted by Ms. Sheppard, the owner/administrator. She accompanied me during my walk through of the facility and playground. One group of children were going outside to play. The toddler/two-year-old children were playing with manipulative toys at the table while getting diapers changed. The infant/toddler children were napping, and one was getting fed a bottle. Lunch today consisted of bow tie macaroni and cheese with ham, green beans, whole wheat bread, pears and milk. After lunch children cleaned up and prepared for rest time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There was a gap under the fence in the infant playground area. The double gate leading onto the preschool playground was not secured into the ground. The logs on the preschool playground area were decaying and splintering. The little Tykes climbers on the toddler/two’s playground area, are is poor condition. Broken items need to be removed. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than four feet, was not free from protrusions. There was a nail protruding off a wooden fence rail in the infant playground area. GS 110-91(6); .0605((i) Technical assistance was provided as follows: Item #.0824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: There was a nail protruding off a wooden fence rail in the infant playground area. Item #.0807 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. Note: There was a gap under the fence in the infant playground area. The double gate leading onto the preschool playground was not secured into the ground. The logs on the preschool playground area were decaying and splintering. The little Tykes climbers on the toddler/two’s playground area, are is poor condition. Broken items need to be removed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 19, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC, 29698 Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. The bill was enacted on August 30, 2021 and expired on June 30, 2023. Senate Bill 570 Hold Harmless was extended and signed into law on Monday June 12th, 2023. The bill allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from seventy-five percent (75%) to fifty percent (50%) until June of 2026. To prepare for the reassessment process, the Division of Child Development and Early Education has developed a cohort system. There are three (3) cohorts, and each includes a preparation year and a reassessment year. Littlefaces Childcare, LLC is in cohort one (1) with a preparation year beginning July 1, 2023, and ending June 30, 2024. Assessment year beginning July 1, 2024, and ending June 30, 2025. Elvie Sheppard, Administrator, voluntarily elected to apply for a star rated license reassessment. I received the application for reassessment today, December 05, 2023. Prep year assessment and outreach assessment information was emailed to Ms. Sheppard during today’s visit. We discussed her reaching out to the Child Care Resource and Referral for assistance in preparing for the rating scales. • The summary of the law that is posted needs to be updated. • The mulch has been dumped on the playground, however it hasn’t been spread out. We discussed that the mulch has some sharp pieces in it and may need to be double shredded for safety. • The thermometers in the refrigerators may need to be replace. • We discussed the process for a shelter in place and how the next emergency drill should be a shelter in place. We discussed the best place for that to occur. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times