10A NCAC 09 .0604 · Violation

Name of Operation: SUSIE'S DAY CARE Facility ID: 3655203 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 7/30/2024 Number Present: 49 Completed Date: 7/30/2024 Age: From 2 To 11 Total Minutes: 194 Time In: 11:05 AM Time Out: 01:00 PM Time In: 02:56 PM Time Out: 04:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety requirements. Your last annual compliance visit was conducted on August 10, 2023. Upon arrival you, Dawn Swanson, Administrator, assisted me with the visit. Tiffani Sims, Child Care Consultant, accompanied me on the visit. The North Carolina Secretary of State website was viewed on July 12, 2024, and Susie’s Day Care, Inc. was listed as current and active. If you decide to sell your business, then you must notify me, Farran Rhyne, at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. You had no updates to report. Your program operates with a three (3) star rated license issued on October 29, 2020, earning four (4) points in staff education, two (2) points in program standards, and one (1) quality point. The program’s license restrictions include the following: daytime care, 2nd shift, and meets enhanced ratios. You stated you do not have any children currently enrolled on 2nd shift. A walk-through was completed and all licensed indoor and outdoor spaces were monitored. A checklist was used to note the requirements I monitored. Staff and children were observed during outdoor gross motor play & indoor free play. Inspections/Drills: The last fire inspection was completed on January 25, 2024. The last sanitation inspection was completed on January 23, 2024. A “superior” classification was issued with four (4) demerits noted on the grade card. The last monthly fire drill was completed on July 21, 2024, at 3:15pm. The last emergency drill was a shelter in place drill completed on May 28, 2024, at 2:15pm. The last playground inspection was completed on July 1, 2024. The Emergency Preparedness Plan on file was completed on June 23, 2024. Lead Testing: The last lead water test was completed on May 5, 2024. Files Reviewed: Children’s files, staff files, and program files were monitored. Six (6) children’s files were reviewed. One (1) new staff file and one (1) existing staff file were reviewed. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violations were observed: Violation Number Comment Rule 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 the girl’s bathroom, adjacent to Space #3, was two (2) electrical outlets that were not covered with a safety plug. 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. On April 9, 2024, May 10, 2024, and December 21, 2023, the incident reports were not documented on the incident report log. .0802(g)(1-6) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child enrolled on February 27, 2024, did not have documentation on file available for review of the receipt and discussion of the facilities Operational Policies at enrollment. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. One child enrolled on February 27, 2024, did not have documentation on file available for review of discussion and reviewing with parents the Parent Participant Plan at enrollment. 10A NCAC 09 .0515(a) 1314 Emergency information did not name child's health care professional. One child enrolled on October 2, 2023, on the child’s application the name of the child’s health care professional was blank and unavailable for review. .0802(c)(2) 1329 Application for enrollment did not include all required information. One child enrolled on October 2, 2023, and September 8, 2023, did not have documentation on file and available for review all the required information in the health care needs section in the children’s application. The health care needs section was left blank and unavailable for review. .0801(a)(1-7) 1756 Enhanced staff/child ratios and group sizes were not met. In Space #1, at 11:10am, the staff/child ratios were observed as one staff member caring for twelve (12) ages three (3) to five (5) years old. In Space #3, at 11:35am, the staff/child ratios were observed as one staff member caring for twenty-six (26) school-age children. At 12:30pm, Space #1 and Space #3 were in compliance with staff/child ratios. 10A NCAC 09 .2818 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on October 2, 2023, had documentation on file for review of Recognizing and Responding to Suspicions of Child Maltreatment training on file dated July 1, 2024. The Recognizing and Responding to Suspicions of Child Maltreatment training needed to be completed by January 2, 2024. One staff member employed on January 17, 2022, had documentation on file for review of Recognizing and Responding to Suspicions of Child Maltreatment training on file dated August 23, 2022. The Recognizing and Responding to Suspicions of Child Maltreatment training needed to be completed by April 17, 2022. .1102(g) Staff/Child Ratios We discussed the child care requirement for meeting enhanced ratios and the number of children allowed in each child care space based on the posted classroom staff to child ratio form. These ratios must be always maintained. Each classroom shall have a daily attendance record, including the ages of children enrolled in the classroom and must be completed by the end of the day to meet requirements. Review daily sign-in/sign-out records often to ensure you have a staffing plan to maintain compliance with staff/child ratio. Staff need to report immediately when they have reached staff/child ratio capacity. This is a repeated violation. Outlet Safety Covers I reminded you to conduct daily safety check to ensure all outlet covers either have safety covers and/or something is plugged into the outlet to make it in accessible to children. This was corrected during the visit. Children’s Records As a reminder when reviewing children’s applications annually and/or upon enrollment, all information on the application must be filled in. There should not be any missing information on the children’s application. I also suggested using the DCDEE children's file checklist to help organize children’s files and to ensure that all required information is documented. I provided you with the link below for the children’s file checklist. https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist_Children_Center.pdf?ver=v1ow3tGY4c0timz8K3ogSg%3d%3d Consultation: -Lead Testing: I reviewed with you the new child care rule for lead testing that went into effect on January 1, 2024. I also discussed with you that I had checked the Clean Water for Kids website and that your program has completed the lead water, lead-based paint, and asbestos testing. -Resuming Star Rated License Reassessment Information: You asked questions regarding resuming Star Rated License Reassessment. Hold harmless has been extended until the new QRIS system is implemented. Your program has the option to choose to voluntarily complete the star rated license reassessment if you so desire. For more information, please visit the DCDEE website under the providers tab. You will then scroll to Licensing tab, scroll to the Star Rated License tab, and then click on to the Resuming Star Rated License tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License Repeated violations: I discussed with you concern due to violations cited today, your past compliance history and repeated violations. An administrative action may be recommended. An unannounced follow up visit will be conducted. Reminders & Resources: -Under rule 15A NCAC 18A .2816, child care centers are required to complete lead water testing every three (3) years. Your next lead water test is due by May 5, 2027. -You must complete on-going health and safety trainings every five years. -Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to maintain at least a 75% compliance history for each 18-month period. Any violation(s) documented may impact the compliance history. Repeated violations or violations left unresolved may lead to an administrative action. -For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. -For natural learning environment resources, consider using The Green Desk that is provided by the Natural Learning Initiative. The Green Desk contains numerous resources meant to improve outdoor learning environments and promote health, natural child development, physical activity, and nature-based learning. To access this page, Go to www.naturalearning.org, hover on the link for ‘resources’, click on the link for ‘The Green Desk’. Compliance History: The program’s compliance history was 77 percent (77%) prior to today's visit. 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. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by August 13, 2024. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at farran.m.rhyne@dhhs.nc.gov Farran M. Rhyne PO Box 92 Maiden, NC 28650 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0300. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@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 .0514 · Violation

Name of Operation: SUSIE'S DAY CARE Facility ID: 3655203 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 7/30/2024 Number Present: 49 Completed Date: 7/30/2024 Age: From 2 To 11 Total Minutes: 194 Time In: 11:05 AM Time Out: 01:00 PM Time In: 02:56 PM Time Out: 04:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety requirements. Your last annual compliance visit was conducted on August 10, 2023. Upon arrival you, Dawn Swanson, Administrator, assisted me with the visit. Tiffani Sims, Child Care Consultant, accompanied me on the visit. The North Carolina Secretary of State website was viewed on July 12, 2024, and Susie’s Day Care, Inc. was listed as current and active. If you decide to sell your business, then you must notify me, Farran Rhyne, at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. You had no updates to report. Your program operates with a three (3) star rated license issued on October 29, 2020, earning four (4) points in staff education, two (2) points in program standards, and one (1) quality point. The program’s license restrictions include the following: daytime care, 2nd shift, and meets enhanced ratios. You stated you do not have any children currently enrolled on 2nd shift. A walk-through was completed and all licensed indoor and outdoor spaces were monitored. A checklist was used to note the requirements I monitored. Staff and children were observed during outdoor gross motor play & indoor free play. Inspections/Drills: The last fire inspection was completed on January 25, 2024. The last sanitation inspection was completed on January 23, 2024. A “superior” classification was issued with four (4) demerits noted on the grade card. The last monthly fire drill was completed on July 21, 2024, at 3:15pm. The last emergency drill was a shelter in place drill completed on May 28, 2024, at 2:15pm. The last playground inspection was completed on July 1, 2024. The Emergency Preparedness Plan on file was completed on June 23, 2024. Lead Testing: The last lead water test was completed on May 5, 2024. Files Reviewed: Children’s files, staff files, and program files were monitored. Six (6) children’s files were reviewed. One (1) new staff file and one (1) existing staff file were reviewed. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violations were observed: Violation Number Comment Rule 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 the girl’s bathroom, adjacent to Space #3, was two (2) electrical outlets that were not covered with a safety plug. 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. On April 9, 2024, May 10, 2024, and December 21, 2023, the incident reports were not documented on the incident report log. .0802(g)(1-6) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child enrolled on February 27, 2024, did not have documentation on file available for review of the receipt and discussion of the facilities Operational Policies at enrollment. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. One child enrolled on February 27, 2024, did not have documentation on file available for review of discussion and reviewing with parents the Parent Participant Plan at enrollment. 10A NCAC 09 .0515(a) 1314 Emergency information did not name child's health care professional. One child enrolled on October 2, 2023, on the child’s application the name of the child’s health care professional was blank and unavailable for review. .0802(c)(2) 1329 Application for enrollment did not include all required information. One child enrolled on October 2, 2023, and September 8, 2023, did not have documentation on file and available for review all the required information in the health care needs section in the children’s application. The health care needs section was left blank and unavailable for review. .0801(a)(1-7) 1756 Enhanced staff/child ratios and group sizes were not met. In Space #1, at 11:10am, the staff/child ratios were observed as one staff member caring for twelve (12) ages three (3) to five (5) years old. In Space #3, at 11:35am, the staff/child ratios were observed as one staff member caring for twenty-six (26) school-age children. At 12:30pm, Space #1 and Space #3 were in compliance with staff/child ratios. 10A NCAC 09 .2818 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on October 2, 2023, had documentation on file for review of Recognizing and Responding to Suspicions of Child Maltreatment training on file dated July 1, 2024. The Recognizing and Responding to Suspicions of Child Maltreatment training needed to be completed by January 2, 2024. One staff member employed on January 17, 2022, had documentation on file for review of Recognizing and Responding to Suspicions of Child Maltreatment training on file dated August 23, 2022. The Recognizing and Responding to Suspicions of Child Maltreatment training needed to be completed by April 17, 2022. .1102(g) Staff/Child Ratios We discussed the child care requirement for meeting enhanced ratios and the number of children allowed in each child care space based on the posted classroom staff to child ratio form. These ratios must be always maintained. Each classroom shall have a daily attendance record, including the ages of children enrolled in the classroom and must be completed by the end of the day to meet requirements. Review daily sign-in/sign-out records often to ensure you have a staffing plan to maintain compliance with staff/child ratio. Staff need to report immediately when they have reached staff/child ratio capacity. This is a repeated violation. Outlet Safety Covers I reminded you to conduct daily safety check to ensure all outlet covers either have safety covers and/or something is plugged into the outlet to make it in accessible to children. This was corrected during the visit. Children’s Records As a reminder when reviewing children’s applications annually and/or upon enrollment, all information on the application must be filled in. There should not be any missing information on the children’s application. I also suggested using the DCDEE children's file checklist to help organize children’s files and to ensure that all required information is documented. I provided you with the link below for the children’s file checklist. https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist_Children_Center.pdf?ver=v1ow3tGY4c0timz8K3ogSg%3d%3d Consultation: -Lead Testing: I reviewed with you the new child care rule for lead testing that went into effect on January 1, 2024. I also discussed with you that I had checked the Clean Water for Kids website and that your program has completed the lead water, lead-based paint, and asbestos testing. -Resuming Star Rated License Reassessment Information: You asked questions regarding resuming Star Rated License Reassessment. Hold harmless has been extended until the new QRIS system is implemented. Your program has the option to choose to voluntarily complete the star rated license reassessment if you so desire. For more information, please visit the DCDEE website under the providers tab. You will then scroll to Licensing tab, scroll to the Star Rated License tab, and then click on to the Resuming Star Rated License tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License Repeated violations: I discussed with you concern due to violations cited today, your past compliance history and repeated violations. An administrative action may be recommended. An unannounced follow up visit will be conducted. Reminders & Resources: -Under rule 15A NCAC 18A .2816, child care centers are required to complete lead water testing every three (3) years. Your next lead water test is due by May 5, 2027. -You must complete on-going health and safety trainings every five years. -Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to maintain at least a 75% compliance history for each 18-month period. Any violation(s) documented may impact the compliance history. Repeated violations or violations left unresolved may lead to an administrative action. -For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. -For natural learning environment resources, consider using The Green Desk that is provided by the Natural Learning Initiative. The Green Desk contains numerous resources meant to improve outdoor learning environments and promote health, natural child development, physical activity, and nature-based learning. To access this page, Go to www.naturalearning.org, hover on the link for ‘resources’, click on the link for ‘The Green Desk’. Compliance History: The program’s compliance history was 77 percent (77%) prior to today's visit. 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. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by August 13, 2024. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at farran.m.rhyne@dhhs.nc.gov Farran M. Rhyne PO Box 92 Maiden, NC 28650 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0300. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@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 .0515 · Violation

Name of Operation: SUSIE'S DAY CARE Facility ID: 3655203 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 7/30/2024 Number Present: 49 Completed Date: 7/30/2024 Age: From 2 To 11 Total Minutes: 194 Time In: 11:05 AM Time Out: 01:00 PM Time In: 02:56 PM Time Out: 04:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety requirements. Your last annual compliance visit was conducted on August 10, 2023. Upon arrival you, Dawn Swanson, Administrator, assisted me with the visit. Tiffani Sims, Child Care Consultant, accompanied me on the visit. The North Carolina Secretary of State website was viewed on July 12, 2024, and Susie’s Day Care, Inc. was listed as current and active. If you decide to sell your business, then you must notify me, Farran Rhyne, at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. You had no updates to report. Your program operates with a three (3) star rated license issued on October 29, 2020, earning four (4) points in staff education, two (2) points in program standards, and one (1) quality point. The program’s license restrictions include the following: daytime care, 2nd shift, and meets enhanced ratios. You stated you do not have any children currently enrolled on 2nd shift. A walk-through was completed and all licensed indoor and outdoor spaces were monitored. A checklist was used to note the requirements I monitored. Staff and children were observed during outdoor gross motor play & indoor free play. Inspections/Drills: The last fire inspection was completed on January 25, 2024. The last sanitation inspection was completed on January 23, 2024. A “superior” classification was issued with four (4) demerits noted on the grade card. The last monthly fire drill was completed on July 21, 2024, at 3:15pm. The last emergency drill was a shelter in place drill completed on May 28, 2024, at 2:15pm. The last playground inspection was completed on July 1, 2024. The Emergency Preparedness Plan on file was completed on June 23, 2024. Lead Testing: The last lead water test was completed on May 5, 2024. Files Reviewed: Children’s files, staff files, and program files were monitored. Six (6) children’s files were reviewed. One (1) new staff file and one (1) existing staff file were reviewed. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violations were observed: Violation Number Comment Rule 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 the girl’s bathroom, adjacent to Space #3, was two (2) electrical outlets that were not covered with a safety plug. 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. On April 9, 2024, May 10, 2024, and December 21, 2023, the incident reports were not documented on the incident report log. .0802(g)(1-6) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child enrolled on February 27, 2024, did not have documentation on file available for review of the receipt and discussion of the facilities Operational Policies at enrollment. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. One child enrolled on February 27, 2024, did not have documentation on file available for review of discussion and reviewing with parents the Parent Participant Plan at enrollment. 10A NCAC 09 .0515(a) 1314 Emergency information did not name child's health care professional. One child enrolled on October 2, 2023, on the child’s application the name of the child’s health care professional was blank and unavailable for review. .0802(c)(2) 1329 Application for enrollment did not include all required information. One child enrolled on October 2, 2023, and September 8, 2023, did not have documentation on file and available for review all the required information in the health care needs section in the children’s application. The health care needs section was left blank and unavailable for review. .0801(a)(1-7) 1756 Enhanced staff/child ratios and group sizes were not met. In Space #1, at 11:10am, the staff/child ratios were observed as one staff member caring for twelve (12) ages three (3) to five (5) years old. In Space #3, at 11:35am, the staff/child ratios were observed as one staff member caring for twenty-six (26) school-age children. At 12:30pm, Space #1 and Space #3 were in compliance with staff/child ratios. 10A NCAC 09 .2818 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on October 2, 2023, had documentation on file for review of Recognizing and Responding to Suspicions of Child Maltreatment training on file dated July 1, 2024. The Recognizing and Responding to Suspicions of Child Maltreatment training needed to be completed by January 2, 2024. One staff member employed on January 17, 2022, had documentation on file for review of Recognizing and Responding to Suspicions of Child Maltreatment training on file dated August 23, 2022. The Recognizing and Responding to Suspicions of Child Maltreatment training needed to be completed by April 17, 2022. .1102(g) Staff/Child Ratios We discussed the child care requirement for meeting enhanced ratios and the number of children allowed in each child care space based on the posted classroom staff to child ratio form. These ratios must be always maintained. Each classroom shall have a daily attendance record, including the ages of children enrolled in the classroom and must be completed by the end of the day to meet requirements. Review daily sign-in/sign-out records often to ensure you have a staffing plan to maintain compliance with staff/child ratio. Staff need to report immediately when they have reached staff/child ratio capacity. This is a repeated violation. Outlet Safety Covers I reminded you to conduct daily safety check to ensure all outlet covers either have safety covers and/or something is plugged into the outlet to make it in accessible to children. This was corrected during the visit. Children’s Records As a reminder when reviewing children’s applications annually and/or upon enrollment, all information on the application must be filled in. There should not be any missing information on the children’s application. I also suggested using the DCDEE children's file checklist to help organize children’s files and to ensure that all required information is documented. I provided you with the link below for the children’s file checklist. https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist_Children_Center.pdf?ver=v1ow3tGY4c0timz8K3ogSg%3d%3d Consultation: -Lead Testing: I reviewed with you the new child care rule for lead testing that went into effect on January 1, 2024. I also discussed with you that I had checked the Clean Water for Kids website and that your program has completed the lead water, lead-based paint, and asbestos testing. -Resuming Star Rated License Reassessment Information: You asked questions regarding resuming Star Rated License Reassessment. Hold harmless has been extended until the new QRIS system is implemented. Your program has the option to choose to voluntarily complete the star rated license reassessment if you so desire. For more information, please visit the DCDEE website under the providers tab. You will then scroll to Licensing tab, scroll to the Star Rated License tab, and then click on to the Resuming Star Rated License tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License Repeated violations: I discussed with you concern due to violations cited today, your past compliance history and repeated violations. An administrative action may be recommended. An unannounced follow up visit will be conducted. Reminders & Resources: -Under rule 15A NCAC 18A .2816, child care centers are required to complete lead water testing every three (3) years. Your next lead water test is due by May 5, 2027. -You must complete on-going health and safety trainings every five years. -Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to maintain at least a 75% compliance history for each 18-month period. Any violation(s) documented may impact the compliance history. Repeated violations or violations left unresolved may lead to an administrative action. -For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. -For natural learning environment resources, consider using The Green Desk that is provided by the Natural Learning Initiative. The Green Desk contains numerous resources meant to improve outdoor learning environments and promote health, natural child development, physical activity, and nature-based learning. To access this page, Go to www.naturalearning.org, hover on the link for ‘resources’, click on the link for ‘The Green Desk’. Compliance History: The program’s compliance history was 77 percent (77%) prior to today's visit. 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. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by August 13, 2024. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at farran.m.rhyne@dhhs.nc.gov Farran M. Rhyne PO Box 92 Maiden, NC 28650 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0300. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@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 .2818 · Violation

Name of Operation: SUSIE'S DAY CARE Facility ID: 3655203 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 7/30/2024 Number Present: 49 Completed Date: 7/30/2024 Age: From 2 To 11 Total Minutes: 194 Time In: 11:05 AM Time Out: 01:00 PM Time In: 02:56 PM Time Out: 04:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety requirements. Your last annual compliance visit was conducted on August 10, 2023. Upon arrival you, Dawn Swanson, Administrator, assisted me with the visit. Tiffani Sims, Child Care Consultant, accompanied me on the visit. The North Carolina Secretary of State website was viewed on July 12, 2024, and Susie’s Day Care, Inc. was listed as current and active. If you decide to sell your business, then you must notify me, Farran Rhyne, at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. You had no updates to report. Your program operates with a three (3) star rated license issued on October 29, 2020, earning four (4) points in staff education, two (2) points in program standards, and one (1) quality point. The program’s license restrictions include the following: daytime care, 2nd shift, and meets enhanced ratios. You stated you do not have any children currently enrolled on 2nd shift. A walk-through was completed and all licensed indoor and outdoor spaces were monitored. A checklist was used to note the requirements I monitored. Staff and children were observed during outdoor gross motor play & indoor free play. Inspections/Drills: The last fire inspection was completed on January 25, 2024. The last sanitation inspection was completed on January 23, 2024. A “superior” classification was issued with four (4) demerits noted on the grade card. The last monthly fire drill was completed on July 21, 2024, at 3:15pm. The last emergency drill was a shelter in place drill completed on May 28, 2024, at 2:15pm. The last playground inspection was completed on July 1, 2024. The Emergency Preparedness Plan on file was completed on June 23, 2024. Lead Testing: The last lead water test was completed on May 5, 2024. Files Reviewed: Children’s files, staff files, and program files were monitored. Six (6) children’s files were reviewed. One (1) new staff file and one (1) existing staff file were reviewed. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violations were observed: Violation Number Comment Rule 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 the girl’s bathroom, adjacent to Space #3, was two (2) electrical outlets that were not covered with a safety plug. 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. On April 9, 2024, May 10, 2024, and December 21, 2023, the incident reports were not documented on the incident report log. .0802(g)(1-6) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child enrolled on February 27, 2024, did not have documentation on file available for review of the receipt and discussion of the facilities Operational Policies at enrollment. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. One child enrolled on February 27, 2024, did not have documentation on file available for review of discussion and reviewing with parents the Parent Participant Plan at enrollment. 10A NCAC 09 .0515(a) 1314 Emergency information did not name child's health care professional. One child enrolled on October 2, 2023, on the child’s application the name of the child’s health care professional was blank and unavailable for review. .0802(c)(2) 1329 Application for enrollment did not include all required information. One child enrolled on October 2, 2023, and September 8, 2023, did not have documentation on file and available for review all the required information in the health care needs section in the children’s application. The health care needs section was left blank and unavailable for review. .0801(a)(1-7) 1756 Enhanced staff/child ratios and group sizes were not met. In Space #1, at 11:10am, the staff/child ratios were observed as one staff member caring for twelve (12) ages three (3) to five (5) years old. In Space #3, at 11:35am, the staff/child ratios were observed as one staff member caring for twenty-six (26) school-age children. At 12:30pm, Space #1 and Space #3 were in compliance with staff/child ratios. 10A NCAC 09 .2818 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on October 2, 2023, had documentation on file for review of Recognizing and Responding to Suspicions of Child Maltreatment training on file dated July 1, 2024. The Recognizing and Responding to Suspicions of Child Maltreatment training needed to be completed by January 2, 2024. One staff member employed on January 17, 2022, had documentation on file for review of Recognizing and Responding to Suspicions of Child Maltreatment training on file dated August 23, 2022. The Recognizing and Responding to Suspicions of Child Maltreatment training needed to be completed by April 17, 2022. .1102(g) Staff/Child Ratios We discussed the child care requirement for meeting enhanced ratios and the number of children allowed in each child care space based on the posted classroom staff to child ratio form. These ratios must be always maintained. Each classroom shall have a daily attendance record, including the ages of children enrolled in the classroom and must be completed by the end of the day to meet requirements. Review daily sign-in/sign-out records often to ensure you have a staffing plan to maintain compliance with staff/child ratio. Staff need to report immediately when they have reached staff/child ratio capacity. This is a repeated violation. Outlet Safety Covers I reminded you to conduct daily safety check to ensure all outlet covers either have safety covers and/or something is plugged into the outlet to make it in accessible to children. This was corrected during the visit. Children’s Records As a reminder when reviewing children’s applications annually and/or upon enrollment, all information on the application must be filled in. There should not be any missing information on the children’s application. I also suggested using the DCDEE children's file checklist to help organize children’s files and to ensure that all required information is documented. I provided you with the link below for the children’s file checklist. https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist_Children_Center.pdf?ver=v1ow3tGY4c0timz8K3ogSg%3d%3d Consultation: -Lead Testing: I reviewed with you the new child care rule for lead testing that went into effect on January 1, 2024. I also discussed with you that I had checked the Clean Water for Kids website and that your program has completed the lead water, lead-based paint, and asbestos testing. -Resuming Star Rated License Reassessment Information: You asked questions regarding resuming Star Rated License Reassessment. Hold harmless has been extended until the new QRIS system is implemented. Your program has the option to choose to voluntarily complete the star rated license reassessment if you so desire. For more information, please visit the DCDEE website under the providers tab. You will then scroll to Licensing tab, scroll to the Star Rated License tab, and then click on to the Resuming Star Rated License tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License Repeated violations: I discussed with you concern due to violations cited today, your past compliance history and repeated violations. An administrative action may be recommended. An unannounced follow up visit will be conducted. Reminders & Resources: -Under rule 15A NCAC 18A .2816, child care centers are required to complete lead water testing every three (3) years. Your next lead water test is due by May 5, 2027. -You must complete on-going health and safety trainings every five years. -Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to maintain at least a 75% compliance history for each 18-month period. Any violation(s) documented may impact the compliance history. Repeated violations or violations left unresolved may lead to an administrative action. -For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. -For natural learning environment resources, consider using The Green Desk that is provided by the Natural Learning Initiative. The Green Desk contains numerous resources meant to improve outdoor learning environments and promote health, natural child development, physical activity, and nature-based learning. To access this page, Go to www.naturalearning.org, hover on the link for ‘resources’, click on the link for ‘The Green Desk’. Compliance History: The program’s compliance history was 77 percent (77%) prior to today's visit. 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. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by August 13, 2024. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at farran.m.rhyne@dhhs.nc.gov Farran M. Rhyne PO Box 92 Maiden, NC 28650 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0300. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@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: SUSIE'S DAY CARE Facility ID: 3655203 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 7/30/2024 Number Present: 49 Completed Date: 7/30/2024 Age: From 2 To 11 Total Minutes: 194 Time In: 11:05 AM Time Out: 01:00 PM Time In: 02:56 PM Time Out: 04:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety requirements. Your last annual compliance visit was conducted on August 10, 2023. Upon arrival you, Dawn Swanson, Administrator, assisted me with the visit. Tiffani Sims, Child Care Consultant, accompanied me on the visit. The North Carolina Secretary of State website was viewed on July 12, 2024, and Susie’s Day Care, Inc. was listed as current and active. If you decide to sell your business, then you must notify me, Farran Rhyne, at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. You had no updates to report. Your program operates with a three (3) star rated license issued on October 29, 2020, earning four (4) points in staff education, two (2) points in program standards, and one (1) quality point. The program’s license restrictions include the following: daytime care, 2nd shift, and meets enhanced ratios. You stated you do not have any children currently enrolled on 2nd shift. A walk-through was completed and all licensed indoor and outdoor spaces were monitored. A checklist was used to note the requirements I monitored. Staff and children were observed during outdoor gross motor play & indoor free play. Inspections/Drills: The last fire inspection was completed on January 25, 2024. The last sanitation inspection was completed on January 23, 2024. A “superior” classification was issued with four (4) demerits noted on the grade card. The last monthly fire drill was completed on July 21, 2024, at 3:15pm. The last emergency drill was a shelter in place drill completed on May 28, 2024, at 2:15pm. The last playground inspection was completed on July 1, 2024. The Emergency Preparedness Plan on file was completed on June 23, 2024. Lead Testing: The last lead water test was completed on May 5, 2024. Files Reviewed: Children’s files, staff files, and program files were monitored. Six (6) children’s files were reviewed. One (1) new staff file and one (1) existing staff file were reviewed. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violations were observed: Violation Number Comment Rule 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 the girl’s bathroom, adjacent to Space #3, was two (2) electrical outlets that were not covered with a safety plug. 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. On April 9, 2024, May 10, 2024, and December 21, 2023, the incident reports were not documented on the incident report log. .0802(g)(1-6) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child enrolled on February 27, 2024, did not have documentation on file available for review of the receipt and discussion of the facilities Operational Policies at enrollment. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. One child enrolled on February 27, 2024, did not have documentation on file available for review of discussion and reviewing with parents the Parent Participant Plan at enrollment. 10A NCAC 09 .0515(a) 1314 Emergency information did not name child's health care professional. One child enrolled on October 2, 2023, on the child’s application the name of the child’s health care professional was blank and unavailable for review. .0802(c)(2) 1329 Application for enrollment did not include all required information. One child enrolled on October 2, 2023, and September 8, 2023, did not have documentation on file and available for review all the required information in the health care needs section in the children’s application. The health care needs section was left blank and unavailable for review. .0801(a)(1-7) 1756 Enhanced staff/child ratios and group sizes were not met. In Space #1, at 11:10am, the staff/child ratios were observed as one staff member caring for twelve (12) ages three (3) to five (5) years old. In Space #3, at 11:35am, the staff/child ratios were observed as one staff member caring for twenty-six (26) school-age children. At 12:30pm, Space #1 and Space #3 were in compliance with staff/child ratios. 10A NCAC 09 .2818 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on October 2, 2023, had documentation on file for review of Recognizing and Responding to Suspicions of Child Maltreatment training on file dated July 1, 2024. The Recognizing and Responding to Suspicions of Child Maltreatment training needed to be completed by January 2, 2024. One staff member employed on January 17, 2022, had documentation on file for review of Recognizing and Responding to Suspicions of Child Maltreatment training on file dated August 23, 2022. The Recognizing and Responding to Suspicions of Child Maltreatment training needed to be completed by April 17, 2022. .1102(g) Staff/Child Ratios We discussed the child care requirement for meeting enhanced ratios and the number of children allowed in each child care space based on the posted classroom staff to child ratio form. These ratios must be always maintained. Each classroom shall have a daily attendance record, including the ages of children enrolled in the classroom and must be completed by the end of the day to meet requirements. Review daily sign-in/sign-out records often to ensure you have a staffing plan to maintain compliance with staff/child ratio. Staff need to report immediately when they have reached staff/child ratio capacity. This is a repeated violation. Outlet Safety Covers I reminded you to conduct daily safety check to ensure all outlet covers either have safety covers and/or something is plugged into the outlet to make it in accessible to children. This was corrected during the visit. Children’s Records As a reminder when reviewing children’s applications annually and/or upon enrollment, all information on the application must be filled in. There should not be any missing information on the children’s application. I also suggested using the DCDEE children's file checklist to help organize children’s files and to ensure that all required information is documented. I provided you with the link below for the children’s file checklist. https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist_Children_Center.pdf?ver=v1ow3tGY4c0timz8K3ogSg%3d%3d Consultation: -Lead Testing: I reviewed with you the new child care rule for lead testing that went into effect on January 1, 2024. I also discussed with you that I had checked the Clean Water for Kids website and that your program has completed the lead water, lead-based paint, and asbestos testing. -Resuming Star Rated License Reassessment Information: You asked questions regarding resuming Star Rated License Reassessment. Hold harmless has been extended until the new QRIS system is implemented. Your program has the option to choose to voluntarily complete the star rated license reassessment if you so desire. For more information, please visit the DCDEE website under the providers tab. You will then scroll to Licensing tab, scroll to the Star Rated License tab, and then click on to the Resuming Star Rated License tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License Repeated violations: I discussed with you concern due to violations cited today, your past compliance history and repeated violations. An administrative action may be recommended. An unannounced follow up visit will be conducted. Reminders & Resources: -Under rule 15A NCAC 18A .2816, child care centers are required to complete lead water testing every three (3) years. Your next lead water test is due by May 5, 2027. -You must complete on-going health and safety trainings every five years. -Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to maintain at least a 75% compliance history for each 18-month period. Any violation(s) documented may impact the compliance history. Repeated violations or violations left unresolved may lead to an administrative action. -For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. -For natural learning environment resources, consider using The Green Desk that is provided by the Natural Learning Initiative. The Green Desk contains numerous resources meant to improve outdoor learning environments and promote health, natural child development, physical activity, and nature-based learning. To access this page, Go to www.naturalearning.org, hover on the link for ‘resources’, click on the link for ‘The Green Desk’. Compliance History: The program’s compliance history was 77 percent (77%) prior to today's visit. 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. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by August 13, 2024. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at farran.m.rhyne@dhhs.nc.gov Farran M. Rhyne PO Box 92 Maiden, NC 28650 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0300. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@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: SUSIE'S DAY CARE Facility ID: 3655203 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 7/30/2024 Number Present: 49 Completed Date: 7/30/2024 Age: From 2 To 11 Total Minutes: 194 Time In: 11:05 AM Time Out: 01:00 PM Time In: 02:56 PM Time Out: 04:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety requirements. Your last annual compliance visit was conducted on August 10, 2023. Upon arrival you, Dawn Swanson, Administrator, assisted me with the visit. Tiffani Sims, Child Care Consultant, accompanied me on the visit. The North Carolina Secretary of State website was viewed on July 12, 2024, and Susie’s Day Care, Inc. was listed as current and active. If you decide to sell your business, then you must notify me, Farran Rhyne, at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. You had no updates to report. Your program operates with a three (3) star rated license issued on October 29, 2020, earning four (4) points in staff education, two (2) points in program standards, and one (1) quality point. The program’s license restrictions include the following: daytime care, 2nd shift, and meets enhanced ratios. You stated you do not have any children currently enrolled on 2nd shift. A walk-through was completed and all licensed indoor and outdoor spaces were monitored. A checklist was used to note the requirements I monitored. Staff and children were observed during outdoor gross motor play & indoor free play. Inspections/Drills: The last fire inspection was completed on January 25, 2024. The last sanitation inspection was completed on January 23, 2024. A “superior” classification was issued with four (4) demerits noted on the grade card. The last monthly fire drill was completed on July 21, 2024, at 3:15pm. The last emergency drill was a shelter in place drill completed on May 28, 2024, at 2:15pm. The last playground inspection was completed on July 1, 2024. The Emergency Preparedness Plan on file was completed on June 23, 2024. Lead Testing: The last lead water test was completed on May 5, 2024. Files Reviewed: Children’s files, staff files, and program files were monitored. Six (6) children’s files were reviewed. One (1) new staff file and one (1) existing staff file were reviewed. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violations were observed: Violation Number Comment Rule 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 the girl’s bathroom, adjacent to Space #3, was two (2) electrical outlets that were not covered with a safety plug. 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. On April 9, 2024, May 10, 2024, and December 21, 2023, the incident reports were not documented on the incident report log. .0802(g)(1-6) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child enrolled on February 27, 2024, did not have documentation on file available for review of the receipt and discussion of the facilities Operational Policies at enrollment. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. One child enrolled on February 27, 2024, did not have documentation on file available for review of discussion and reviewing with parents the Parent Participant Plan at enrollment. 10A NCAC 09 .0515(a) 1314 Emergency information did not name child's health care professional. One child enrolled on October 2, 2023, on the child’s application the name of the child’s health care professional was blank and unavailable for review. .0802(c)(2) 1329 Application for enrollment did not include all required information. One child enrolled on October 2, 2023, and September 8, 2023, did not have documentation on file and available for review all the required information in the health care needs section in the children’s application. The health care needs section was left blank and unavailable for review. .0801(a)(1-7) 1756 Enhanced staff/child ratios and group sizes were not met. In Space #1, at 11:10am, the staff/child ratios were observed as one staff member caring for twelve (12) ages three (3) to five (5) years old. In Space #3, at 11:35am, the staff/child ratios were observed as one staff member caring for twenty-six (26) school-age children. At 12:30pm, Space #1 and Space #3 were in compliance with staff/child ratios. 10A NCAC 09 .2818 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on October 2, 2023, had documentation on file for review of Recognizing and Responding to Suspicions of Child Maltreatment training on file dated July 1, 2024. The Recognizing and Responding to Suspicions of Child Maltreatment training needed to be completed by January 2, 2024. One staff member employed on January 17, 2022, had documentation on file for review of Recognizing and Responding to Suspicions of Child Maltreatment training on file dated August 23, 2022. The Recognizing and Responding to Suspicions of Child Maltreatment training needed to be completed by April 17, 2022. .1102(g) Staff/Child Ratios We discussed the child care requirement for meeting enhanced ratios and the number of children allowed in each child care space based on the posted classroom staff to child ratio form. These ratios must be always maintained. Each classroom shall have a daily attendance record, including the ages of children enrolled in the classroom and must be completed by the end of the day to meet requirements. Review daily sign-in/sign-out records often to ensure you have a staffing plan to maintain compliance with staff/child ratio. Staff need to report immediately when they have reached staff/child ratio capacity. This is a repeated violation. Outlet Safety Covers I reminded you to conduct daily safety check to ensure all outlet covers either have safety covers and/or something is plugged into the outlet to make it in accessible to children. This was corrected during the visit. Children’s Records As a reminder when reviewing children’s applications annually and/or upon enrollment, all information on the application must be filled in. There should not be any missing information on the children’s application. I also suggested using the DCDEE children's file checklist to help organize children’s files and to ensure that all required information is documented. I provided you with the link below for the children’s file checklist. https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist_Children_Center.pdf?ver=v1ow3tGY4c0timz8K3ogSg%3d%3d Consultation: -Lead Testing: I reviewed with you the new child care rule for lead testing that went into effect on January 1, 2024. I also discussed with you that I had checked the Clean Water for Kids website and that your program has completed the lead water, lead-based paint, and asbestos testing. -Resuming Star Rated License Reassessment Information: You asked questions regarding resuming Star Rated License Reassessment. Hold harmless has been extended until the new QRIS system is implemented. Your program has the option to choose to voluntarily complete the star rated license reassessment if you so desire. For more information, please visit the DCDEE website under the providers tab. You will then scroll to Licensing tab, scroll to the Star Rated License tab, and then click on to the Resuming Star Rated License tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License Repeated violations: I discussed with you concern due to violations cited today, your past compliance history and repeated violations. An administrative action may be recommended. An unannounced follow up visit will be conducted. Reminders & Resources: -Under rule 15A NCAC 18A .2816, child care centers are required to complete lead water testing every three (3) years. Your next lead water test is due by May 5, 2027. -You must complete on-going health and safety trainings every five years. -Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to maintain at least a 75% compliance history for each 18-month period. Any violation(s) documented may impact the compliance history. Repeated violations or violations left unresolved may lead to an administrative action. -For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. -For natural learning environment resources, consider using The Green Desk that is provided by the Natural Learning Initiative. The Green Desk contains numerous resources meant to improve outdoor learning environments and promote health, natural child development, physical activity, and nature-based learning. To access this page, Go to www.naturalearning.org, hover on the link for ‘resources’, click on the link for ‘The Green Desk’. Compliance History: The program’s compliance history was 77 percent (77%) prior to today's visit. 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. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by August 13, 2024. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at farran.m.rhyne@dhhs.nc.gov Farran M. Rhyne PO Box 92 Maiden, NC 28650 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0300. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: SUSIE'S DAY CARE Facility ID: 3655203 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 8/10/2023 Number Present: 43 Completed Date: 8/10/2023 Age: From 2 To 12 Total Minutes: 285 Time In: 09:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements including health and safety requirements. You, Dawn Swanson, Administrator, assisted me with the visit today. The last annual compliance visit was completed on September 6, 2022. The NC Secretary of State website was viewed on August 7, 2023, and Susie’s Day Care Inc was list as current and active. The facility currently operates with a three-star rated license issued on October 29, 2020, earning four points in staff education and two points in the program standards, and one quality point. The program's license restrictions include the following: daytime care, second shift, and meets enhanced ratios. Inspections/Emergency Drills: Fire Inspection: The last fire inspection was completed on February 17, 2022. Sanitation Inspection: The last sanitation inspection was completed on August 1, 2023. A “superior” classification was issued with four (4) demerits noted on the grade card. Emergency Drills/Playground Inspections: The last shelter in place drill was completed on April 19, 2023, at 10:15pm and recorded. The last playground inspection was completed on August 7, 2023. The last fire drill was completed on April 17, 2023, at 1:05pm and recorded. A complete walkthrough of licensed indoor and outdoor spaces was conducted. A checklist was used to note the requirements I monitored today. Staff and children were observed during indoor free play, lunch, and naptime. Files Reviewed: Children’s files, program files, and staff files were monitored today. Five (5) children's files were reviewed during today’s visit. One (1) staff file was reviewed, and one new staff file was reviewed today. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violations were observed during the walk through today. I discussed these violations with you in detail at the end of the visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, on July 17, 2023, nine children’s departure times were not documented; on July 18, 2023, twelve children departure times were not documented; on July 21, 2023, eight children’s departure times were not documented; July 25, 2023, eight children’s departure times were not documented; on July 26, 2023, eight children’s departure times were not documented; on July 27, 2023, six children’s departure times were not documented; on July 28, 2023, six children’s departure times were not documented; on July 31, 2023, seven children's departure times were not documented; on August 1, 2023, nine children's departure times were not documented; on August 2, 2023, nine children's departure times were not documented; on August 3, 2023, seven children's departure times were not documented; on August 4, 2023, five children's departure times were not documented; on August 7, 2023, eight children's departure times were not documented; on August 8, 2023, ten children's departure times were not documented; on August 9, 2023, eight children's departure times were not documented. In Space #2, on July 17, 2023, eight children’s departure times were not documented; on July 18, 2023, ten children departure times were not documented; on July 21, 2023, nine children’s departure times were not documented; July 25, 2023, eight children’s departure times were not documented; on July 26, 2023, six children’s departure times were not documented; on July 27, 2023, eight children’s departure times were not documented; on July 28, 2023, seven children’s departure times were not documented; on July 31, 2023, nine children's departure times were not documented; on August 1, 2023, seven children's departure times were not documented; on August 2, 2023, nine children's departure times were not documented; on August 3, 2023, eight children's departure times were not documented; on August 4, 2023, five children's departure times were not documented; on August 7, 2023, eight children's departure times were not documented; on August 8, 2023, nine children's departure times were not documented; on August 9, 2023, eight children's departure times were not documented. In Space #3, on July 17, 2023, twenty-three children’s departure times were not documented; on July 18, 2023, twenty-six children departure times were not documented; on July 21, 2023, twenty children’s departure times were not documented; July 25, 2023, twenty-one children’s departure times were not documented; on July 26, 2023, twenty-three children’s departure times were not documented; on July 27, 2023, twenty-one children’s departure times were not documented; on July 28, 2023, twenty-two children’s departure times were not documented; on July 31, 2023, twenty-five children's departure times were not documented; on August 1, 2023, twenty children's departure times were not documented; on August 2, 2023, twenty-four children's departure times were not documented; on August 3, 2023, twenty-two children's departure times were not documented; on August 4, 2023, eighteen children's departure times were not documented; on August 7, 2023, twenty-one children's departure times were not documented; on August 8, 2023, twenty-four children's departure times were not documented; on August 9, 2023, twenty-five children's departure times were not documented. 10A NCAC 09 .0302(d)(4) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill recorded was dated April 17, 2023, at 1:05pm. Documentation of recorded fire drills were not on file for review for the months of May through July 2023. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hazardous items with written warning were located in the unlocked kitchen. Three aerosol spray cans of Pam Canola Oil Non-Stick Cooking Spray and one can of Laura Lynn’s Baking Cooking Spray with written warnings were located on an open-storage metal baker’s rack next to the stove. One bottle of Mr. Clean Antibacterial Summer Citrus with written warnings was located on a metal prep table next to the kitchen sink. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member employed on January 17, 2022, had a health assessment on file dated February 15, 2022. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member employed on January 17, 2022, had a TB test on file for review dated February 18, 2022. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed on January 20, 2023, did not have the current documentation on file for review of the required First Aid training. The required First Aid training needed to be completed by April 20, 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed on January 20, 2023, did not have the current documentation on file for review of the required CPR training. The required CPR training needed to be completed by April 20, 2023. .1102(d) 1756 Enhanced staff/child ratios and group sizes were not met. In Space #3, at 9:50am the staff/child ratios were observed as one staff member caring for twenty-six school-age children. In Space #1, at 10:00am the staff/child ratios were observed as one staff member caring for eleven children ages three to five years old. In Space #1, At 10:11am, the one three-year-old child in the classroom was moved to Space #2. 10A NCAC 09 .2818 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter in place drill was completed and recorded on April 19, 2023, at 10:15am. An emergency drill was not documented for the months May – July 2023. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on January 20, 2023, had documentation on file for review of completing Recognizing and Responding to Suspicions of Child Maltreatment training was dated May 9, 2023. The Recognizing and Responding to Suspicions of Child Maltreatment training needed to be completed by April 20, 2023. .1102(g) The following Technical Assistance regarding the violations observed during today’s visit was provided: -Staff/Child Ratios: We discussed the child care requirement for meeting enhanced ratios and the number of children allowed in each child care space based on the classroom staff to child ratio poster that is posted in each classroom. These ratios must be always maintained. I suggested you implement a plan to ensure staff/child ratios are maintained at all times. -Arrival/Departure Times We discussed daily sign-in and sign-out times must be recorded when children arrive and depart the child care facility to ensure accurate records are kept. I reminded you, Dawn Swanson, Administrator, to document who is signing children in and out daily on the record. I suggested creating a system and review with staff of the procedures of recording sign-in and sign-out times and other required information daily to ensure accurate records are kept. -Fire Drills/Emergency Drills We discussed fire drills and emergency drills must be completed monthly and kept on file for review. We discussed adding inspection dates to a calendar as a reminder to conduct monthly inspections. -Hazardous Materials We discussed hazardous items with written warnings, such as cooking spray and cleaning supplies, must be kept in locked storage. -Recognizing and Responding to Suspicions of Child Maltreatment Training: I suggest you create a schedule on when staff needs to complete the required trainings upon employment. I also suggested you reference the staff checklist available on the DCDEE Provider Documents page and highlight when training needed to be completed. -On-going Training Hours for Staff: We discussed reviewing with staff members the required number of on-going training hours they need to complete annually from their hire day and create a plan to ensure this task is completed. I suggested reviewing the on-going training records for each staff member to track their progress of completing their annual trainings by the require due dates. -Staff Medical Report and TB Test Screenings: We discussed staff medical reports and tb test screenings for new staff must completed prior to employment and the documentation cannot be older than twelve months. Documentation of Training (CPR/First Aid): We discussed reviewing all staff files to ensure the required training documentation is on file and available for review by the required due dates. I suggested creating a calendar of when staff need to complete trainings and/or highlight on the staff file checklist when specific training must be completed. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was one hundred percent (100%). Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by August 24, 2023. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at tiffani.sims@dhhs.nc.gov Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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: -Resuming Star Rated License Reassessment Information I shared with you, Dawn Swanson, your child care program, Susie’s Day Care, is in cohort #2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2023. Your child care program’s reassessment year will begin on July 1, 2026, through June 20, 2027. For more information, please visit the DCDEE website under the providers tab. You will then scroll to Licensing tab, scroll to the Star Rated License tab, and then click on to the Resuming Star Rated License tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -Children’s Applications: We discussed all blanks on a child’s application must be complete. -EPR Plan Updates: I reminded you that the EPR Plan needs to be updated annually. If no changes are required to the EPR plan, re-publish the EPR plan, and print the first page of the plan that documents your plan has been updated and place the updated page with your EPR plan for review. -Documentation of Reviewing EPR Plan/Emergency Care Plan with Staff: We discussed documenting when the EPR Plan and the Emergency Care Plan is reviewing with staff annually. I suggest you create an agenda of topics discussed and have sign and date they have reviewed the information. -Staff Health Questionnaire I reviewed with you, Dawn Swanson, Administrator, the requirement that staff must complete a health questionnaire annually. I suggested that you review all staff’ files to ensure that all documents are completed before the required dates. -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. -Health and Safety Trainings We discussed staff completing the required Health/Safety trainings by the required due dates. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. -Criminal Background Check Legislative Changes: The 2022-2023 Appropriations Bill (HB 103) signed by Governor Cooper on July 11, 2022, made two important changes to North Carolina General Statute 110-90-2 regarding child care Criminal Background Checks. 1. The period for background check qualification renewals was revised from three years to five years. 2. The provisional qualification period was reduced to forty-five days. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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 .0701 · Violation

Name of Operation: SUSIE'S DAY CARE Facility ID: 3655203 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 8/10/2023 Number Present: 43 Completed Date: 8/10/2023 Age: From 2 To 12 Total Minutes: 285 Time In: 09:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements including health and safety requirements. You, Dawn Swanson, Administrator, assisted me with the visit today. The last annual compliance visit was completed on September 6, 2022. The NC Secretary of State website was viewed on August 7, 2023, and Susie’s Day Care Inc was list as current and active. The facility currently operates with a three-star rated license issued on October 29, 2020, earning four points in staff education and two points in the program standards, and one quality point. The program's license restrictions include the following: daytime care, second shift, and meets enhanced ratios. Inspections/Emergency Drills: Fire Inspection: The last fire inspection was completed on February 17, 2022. Sanitation Inspection: The last sanitation inspection was completed on August 1, 2023. A “superior” classification was issued with four (4) demerits noted on the grade card. Emergency Drills/Playground Inspections: The last shelter in place drill was completed on April 19, 2023, at 10:15pm and recorded. The last playground inspection was completed on August 7, 2023. The last fire drill was completed on April 17, 2023, at 1:05pm and recorded. A complete walkthrough of licensed indoor and outdoor spaces was conducted. A checklist was used to note the requirements I monitored today. Staff and children were observed during indoor free play, lunch, and naptime. Files Reviewed: Children’s files, program files, and staff files were monitored today. Five (5) children's files were reviewed during today’s visit. One (1) staff file was reviewed, and one new staff file was reviewed today. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violations were observed during the walk through today. I discussed these violations with you in detail at the end of the visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, on July 17, 2023, nine children’s departure times were not documented; on July 18, 2023, twelve children departure times were not documented; on July 21, 2023, eight children’s departure times were not documented; July 25, 2023, eight children’s departure times were not documented; on July 26, 2023, eight children’s departure times were not documented; on July 27, 2023, six children’s departure times were not documented; on July 28, 2023, six children’s departure times were not documented; on July 31, 2023, seven children's departure times were not documented; on August 1, 2023, nine children's departure times were not documented; on August 2, 2023, nine children's departure times were not documented; on August 3, 2023, seven children's departure times were not documented; on August 4, 2023, five children's departure times were not documented; on August 7, 2023, eight children's departure times were not documented; on August 8, 2023, ten children's departure times were not documented; on August 9, 2023, eight children's departure times were not documented. In Space #2, on July 17, 2023, eight children’s departure times were not documented; on July 18, 2023, ten children departure times were not documented; on July 21, 2023, nine children’s departure times were not documented; July 25, 2023, eight children’s departure times were not documented; on July 26, 2023, six children’s departure times were not documented; on July 27, 2023, eight children’s departure times were not documented; on July 28, 2023, seven children’s departure times were not documented; on July 31, 2023, nine children's departure times were not documented; on August 1, 2023, seven children's departure times were not documented; on August 2, 2023, nine children's departure times were not documented; on August 3, 2023, eight children's departure times were not documented; on August 4, 2023, five children's departure times were not documented; on August 7, 2023, eight children's departure times were not documented; on August 8, 2023, nine children's departure times were not documented; on August 9, 2023, eight children's departure times were not documented. In Space #3, on July 17, 2023, twenty-three children’s departure times were not documented; on July 18, 2023, twenty-six children departure times were not documented; on July 21, 2023, twenty children’s departure times were not documented; July 25, 2023, twenty-one children’s departure times were not documented; on July 26, 2023, twenty-three children’s departure times were not documented; on July 27, 2023, twenty-one children’s departure times were not documented; on July 28, 2023, twenty-two children’s departure times were not documented; on July 31, 2023, twenty-five children's departure times were not documented; on August 1, 2023, twenty children's departure times were not documented; on August 2, 2023, twenty-four children's departure times were not documented; on August 3, 2023, twenty-two children's departure times were not documented; on August 4, 2023, eighteen children's departure times were not documented; on August 7, 2023, twenty-one children's departure times were not documented; on August 8, 2023, twenty-four children's departure times were not documented; on August 9, 2023, twenty-five children's departure times were not documented. 10A NCAC 09 .0302(d)(4) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill recorded was dated April 17, 2023, at 1:05pm. Documentation of recorded fire drills were not on file for review for the months of May through July 2023. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hazardous items with written warning were located in the unlocked kitchen. Three aerosol spray cans of Pam Canola Oil Non-Stick Cooking Spray and one can of Laura Lynn’s Baking Cooking Spray with written warnings were located on an open-storage metal baker’s rack next to the stove. One bottle of Mr. Clean Antibacterial Summer Citrus with written warnings was located on a metal prep table next to the kitchen sink. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member employed on January 17, 2022, had a health assessment on file dated February 15, 2022. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member employed on January 17, 2022, had a TB test on file for review dated February 18, 2022. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed on January 20, 2023, did not have the current documentation on file for review of the required First Aid training. The required First Aid training needed to be completed by April 20, 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed on January 20, 2023, did not have the current documentation on file for review of the required CPR training. The required CPR training needed to be completed by April 20, 2023. .1102(d) 1756 Enhanced staff/child ratios and group sizes were not met. In Space #3, at 9:50am the staff/child ratios were observed as one staff member caring for twenty-six school-age children. In Space #1, at 10:00am the staff/child ratios were observed as one staff member caring for eleven children ages three to five years old. In Space #1, At 10:11am, the one three-year-old child in the classroom was moved to Space #2. 10A NCAC 09 .2818 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter in place drill was completed and recorded on April 19, 2023, at 10:15am. An emergency drill was not documented for the months May – July 2023. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on January 20, 2023, had documentation on file for review of completing Recognizing and Responding to Suspicions of Child Maltreatment training was dated May 9, 2023. The Recognizing and Responding to Suspicions of Child Maltreatment training needed to be completed by April 20, 2023. .1102(g) The following Technical Assistance regarding the violations observed during today’s visit was provided: -Staff/Child Ratios: We discussed the child care requirement for meeting enhanced ratios and the number of children allowed in each child care space based on the classroom staff to child ratio poster that is posted in each classroom. These ratios must be always maintained. I suggested you implement a plan to ensure staff/child ratios are maintained at all times. -Arrival/Departure Times We discussed daily sign-in and sign-out times must be recorded when children arrive and depart the child care facility to ensure accurate records are kept. I reminded you, Dawn Swanson, Administrator, to document who is signing children in and out daily on the record. I suggested creating a system and review with staff of the procedures of recording sign-in and sign-out times and other required information daily to ensure accurate records are kept. -Fire Drills/Emergency Drills We discussed fire drills and emergency drills must be completed monthly and kept on file for review. We discussed adding inspection dates to a calendar as a reminder to conduct monthly inspections. -Hazardous Materials We discussed hazardous items with written warnings, such as cooking spray and cleaning supplies, must be kept in locked storage. -Recognizing and Responding to Suspicions of Child Maltreatment Training: I suggest you create a schedule on when staff needs to complete the required trainings upon employment. I also suggested you reference the staff checklist available on the DCDEE Provider Documents page and highlight when training needed to be completed. -On-going Training Hours for Staff: We discussed reviewing with staff members the required number of on-going training hours they need to complete annually from their hire day and create a plan to ensure this task is completed. I suggested reviewing the on-going training records for each staff member to track their progress of completing their annual trainings by the require due dates. -Staff Medical Report and TB Test Screenings: We discussed staff medical reports and tb test screenings for new staff must completed prior to employment and the documentation cannot be older than twelve months. Documentation of Training (CPR/First Aid): We discussed reviewing all staff files to ensure the required training documentation is on file and available for review by the required due dates. I suggested creating a calendar of when staff need to complete trainings and/or highlight on the staff file checklist when specific training must be completed. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was one hundred percent (100%). Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by August 24, 2023. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at tiffani.sims@dhhs.nc.gov Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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: -Resuming Star Rated License Reassessment Information I shared with you, Dawn Swanson, your child care program, Susie’s Day Care, is in cohort #2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2023. Your child care program’s reassessment year will begin on July 1, 2026, through June 20, 2027. For more information, please visit the DCDEE website under the providers tab. You will then scroll to Licensing tab, scroll to the Star Rated License tab, and then click on to the Resuming Star Rated License tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -Children’s Applications: We discussed all blanks on a child’s application must be complete. -EPR Plan Updates: I reminded you that the EPR Plan needs to be updated annually. If no changes are required to the EPR plan, re-publish the EPR plan, and print the first page of the plan that documents your plan has been updated and place the updated page with your EPR plan for review. -Documentation of Reviewing EPR Plan/Emergency Care Plan with Staff: We discussed documenting when the EPR Plan and the Emergency Care Plan is reviewing with staff annually. I suggest you create an agenda of topics discussed and have sign and date they have reviewed the information. -Staff Health Questionnaire I reviewed with you, Dawn Swanson, Administrator, the requirement that staff must complete a health questionnaire annually. I suggested that you review all staff’ files to ensure that all documents are completed before the required dates. -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. -Health and Safety Trainings We discussed staff completing the required Health/Safety trainings by the required due dates. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. -Criminal Background Check Legislative Changes: The 2022-2023 Appropriations Bill (HB 103) signed by Governor Cooper on July 11, 2022, made two important changes to North Carolina General Statute 110-90-2 regarding child care Criminal Background Checks. 1. The period for background check qualification renewals was revised from three years to five years. 2. The provisional qualification period was reduced to forty-five days. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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 .2818 · Violation

Name of Operation: SUSIE'S DAY CARE Facility ID: 3655203 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 8/10/2023 Number Present: 43 Completed Date: 8/10/2023 Age: From 2 To 12 Total Minutes: 285 Time In: 09:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements including health and safety requirements. You, Dawn Swanson, Administrator, assisted me with the visit today. The last annual compliance visit was completed on September 6, 2022. The NC Secretary of State website was viewed on August 7, 2023, and Susie’s Day Care Inc was list as current and active. The facility currently operates with a three-star rated license issued on October 29, 2020, earning four points in staff education and two points in the program standards, and one quality point. The program's license restrictions include the following: daytime care, second shift, and meets enhanced ratios. Inspections/Emergency Drills: Fire Inspection: The last fire inspection was completed on February 17, 2022. Sanitation Inspection: The last sanitation inspection was completed on August 1, 2023. A “superior” classification was issued with four (4) demerits noted on the grade card. Emergency Drills/Playground Inspections: The last shelter in place drill was completed on April 19, 2023, at 10:15pm and recorded. The last playground inspection was completed on August 7, 2023. The last fire drill was completed on April 17, 2023, at 1:05pm and recorded. A complete walkthrough of licensed indoor and outdoor spaces was conducted. A checklist was used to note the requirements I monitored today. Staff and children were observed during indoor free play, lunch, and naptime. Files Reviewed: Children’s files, program files, and staff files were monitored today. Five (5) children's files were reviewed during today’s visit. One (1) staff file was reviewed, and one new staff file was reviewed today. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violations were observed during the walk through today. I discussed these violations with you in detail at the end of the visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, on July 17, 2023, nine children’s departure times were not documented; on July 18, 2023, twelve children departure times were not documented; on July 21, 2023, eight children’s departure times were not documented; July 25, 2023, eight children’s departure times were not documented; on July 26, 2023, eight children’s departure times were not documented; on July 27, 2023, six children’s departure times were not documented; on July 28, 2023, six children’s departure times were not documented; on July 31, 2023, seven children's departure times were not documented; on August 1, 2023, nine children's departure times were not documented; on August 2, 2023, nine children's departure times were not documented; on August 3, 2023, seven children's departure times were not documented; on August 4, 2023, five children's departure times were not documented; on August 7, 2023, eight children's departure times were not documented; on August 8, 2023, ten children's departure times were not documented; on August 9, 2023, eight children's departure times were not documented. In Space #2, on July 17, 2023, eight children’s departure times were not documented; on July 18, 2023, ten children departure times were not documented; on July 21, 2023, nine children’s departure times were not documented; July 25, 2023, eight children’s departure times were not documented; on July 26, 2023, six children’s departure times were not documented; on July 27, 2023, eight children’s departure times were not documented; on July 28, 2023, seven children’s departure times were not documented; on July 31, 2023, nine children's departure times were not documented; on August 1, 2023, seven children's departure times were not documented; on August 2, 2023, nine children's departure times were not documented; on August 3, 2023, eight children's departure times were not documented; on August 4, 2023, five children's departure times were not documented; on August 7, 2023, eight children's departure times were not documented; on August 8, 2023, nine children's departure times were not documented; on August 9, 2023, eight children's departure times were not documented. In Space #3, on July 17, 2023, twenty-three children’s departure times were not documented; on July 18, 2023, twenty-six children departure times were not documented; on July 21, 2023, twenty children’s departure times were not documented; July 25, 2023, twenty-one children’s departure times were not documented; on July 26, 2023, twenty-three children’s departure times were not documented; on July 27, 2023, twenty-one children’s departure times were not documented; on July 28, 2023, twenty-two children’s departure times were not documented; on July 31, 2023, twenty-five children's departure times were not documented; on August 1, 2023, twenty children's departure times were not documented; on August 2, 2023, twenty-four children's departure times were not documented; on August 3, 2023, twenty-two children's departure times were not documented; on August 4, 2023, eighteen children's departure times were not documented; on August 7, 2023, twenty-one children's departure times were not documented; on August 8, 2023, twenty-four children's departure times were not documented; on August 9, 2023, twenty-five children's departure times were not documented. 10A NCAC 09 .0302(d)(4) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill recorded was dated April 17, 2023, at 1:05pm. Documentation of recorded fire drills were not on file for review for the months of May through July 2023. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hazardous items with written warning were located in the unlocked kitchen. Three aerosol spray cans of Pam Canola Oil Non-Stick Cooking Spray and one can of Laura Lynn’s Baking Cooking Spray with written warnings were located on an open-storage metal baker’s rack next to the stove. One bottle of Mr. Clean Antibacterial Summer Citrus with written warnings was located on a metal prep table next to the kitchen sink. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member employed on January 17, 2022, had a health assessment on file dated February 15, 2022. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member employed on January 17, 2022, had a TB test on file for review dated February 18, 2022. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed on January 20, 2023, did not have the current documentation on file for review of the required First Aid training. The required First Aid training needed to be completed by April 20, 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed on January 20, 2023, did not have the current documentation on file for review of the required CPR training. The required CPR training needed to be completed by April 20, 2023. .1102(d) 1756 Enhanced staff/child ratios and group sizes were not met. In Space #3, at 9:50am the staff/child ratios were observed as one staff member caring for twenty-six school-age children. In Space #1, at 10:00am the staff/child ratios were observed as one staff member caring for eleven children ages three to five years old. In Space #1, At 10:11am, the one three-year-old child in the classroom was moved to Space #2. 10A NCAC 09 .2818 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter in place drill was completed and recorded on April 19, 2023, at 10:15am. An emergency drill was not documented for the months May – July 2023. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on January 20, 2023, had documentation on file for review of completing Recognizing and Responding to Suspicions of Child Maltreatment training was dated May 9, 2023. The Recognizing and Responding to Suspicions of Child Maltreatment training needed to be completed by April 20, 2023. .1102(g) The following Technical Assistance regarding the violations observed during today’s visit was provided: -Staff/Child Ratios: We discussed the child care requirement for meeting enhanced ratios and the number of children allowed in each child care space based on the classroom staff to child ratio poster that is posted in each classroom. These ratios must be always maintained. I suggested you implement a plan to ensure staff/child ratios are maintained at all times. -Arrival/Departure Times We discussed daily sign-in and sign-out times must be recorded when children arrive and depart the child care facility to ensure accurate records are kept. I reminded you, Dawn Swanson, Administrator, to document who is signing children in and out daily on the record. I suggested creating a system and review with staff of the procedures of recording sign-in and sign-out times and other required information daily to ensure accurate records are kept. -Fire Drills/Emergency Drills We discussed fire drills and emergency drills must be completed monthly and kept on file for review. We discussed adding inspection dates to a calendar as a reminder to conduct monthly inspections. -Hazardous Materials We discussed hazardous items with written warnings, such as cooking spray and cleaning supplies, must be kept in locked storage. -Recognizing and Responding to Suspicions of Child Maltreatment Training: I suggest you create a schedule on when staff needs to complete the required trainings upon employment. I also suggested you reference the staff checklist available on the DCDEE Provider Documents page and highlight when training needed to be completed. -On-going Training Hours for Staff: We discussed reviewing with staff members the required number of on-going training hours they need to complete annually from their hire day and create a plan to ensure this task is completed. I suggested reviewing the on-going training records for each staff member to track their progress of completing their annual trainings by the require due dates. -Staff Medical Report and TB Test Screenings: We discussed staff medical reports and tb test screenings for new staff must completed prior to employment and the documentation cannot be older than twelve months. Documentation of Training (CPR/First Aid): We discussed reviewing all staff files to ensure the required training documentation is on file and available for review by the required due dates. I suggested creating a calendar of when staff need to complete trainings and/or highlight on the staff file checklist when specific training must be completed. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was one hundred percent (100%). Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by August 24, 2023. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at tiffani.sims@dhhs.nc.gov Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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: -Resuming Star Rated License Reassessment Information I shared with you, Dawn Swanson, your child care program, Susie’s Day Care, is in cohort #2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2023. Your child care program’s reassessment year will begin on July 1, 2026, through June 20, 2027. For more information, please visit the DCDEE website under the providers tab. You will then scroll to Licensing tab, scroll to the Star Rated License tab, and then click on to the Resuming Star Rated License tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -Children’s Applications: We discussed all blanks on a child’s application must be complete. -EPR Plan Updates: I reminded you that the EPR Plan needs to be updated annually. If no changes are required to the EPR plan, re-publish the EPR plan, and print the first page of the plan that documents your plan has been updated and place the updated page with your EPR plan for review. -Documentation of Reviewing EPR Plan/Emergency Care Plan with Staff: We discussed documenting when the EPR Plan and the Emergency Care Plan is reviewing with staff annually. I suggest you create an agenda of topics discussed and have sign and date they have reviewed the information. -Staff Health Questionnaire I reviewed with you, Dawn Swanson, Administrator, the requirement that staff must complete a health questionnaire annually. I suggested that you review all staff’ files to ensure that all documents are completed before the required dates. -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. -Health and Safety Trainings We discussed staff completing the required Health/Safety trainings by the required due dates. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. -Criminal Background Check Legislative Changes: The 2022-2023 Appropriations Bill (HB 103) signed by Governor Cooper on July 11, 2022, made two important changes to North Carolina General Statute 110-90-2 regarding child care Criminal Background Checks. 1. The period for background check qualification renewals was revised from three years to five years. 2. The provisional qualification period was reduced to forty-five days. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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