10A NCAC 09 .0803 · Violation

Name of Operation: DOWN HOME CHILD CARE Facility ID: 74000140 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 8/14/2025 Number Present: 9 Completed Date: 8/14/2025 Age: From 1 To 7 Total Minutes: 141 Time In: 09:14 AM Time Out: 11:35 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates with a five-star license, issued 10/23/24 earning 7 points in the education component, 6 points in the program standards component (meeting enhanced space and enhanced ratios) and 1 quality point for staff benefits package and infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted on 3/10/25. The family childcare home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percent as of 8/11/25. The NC Secretary of State website was reviewed on 8/11/25 and this facility is not currently owned or operated by a corporation. Please contact me prior to any changes regarding ownership of this facility. In space #1 and #2, the children were engaged in an art activity and discussing the five senses. I observed the children in both space transition to indoor free play and to outdoor free play. Toys and materials are stored on low lying shelves. Child sized tables and chairs are also available for the children. I observed proper handwashing. The outdoor space includes a climber, tricycles, basketball goal, balls, shade, and portable materials. Lunch was being prepared and consisted of chicken salad, whole grain bread, corn, pineapple, and milk. The following violation was documented: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A written authorization was not on file for a tube of triamcinolone acetonide .1% cream stored inside in a locked cabinet in space #1. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The original pharmacy packaging was not available for triamcinolone acetonide .1% cream. The tube clearly stated “RX only”. .0803(2)(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 8/28/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Michelle O’Kelley, Child Care Consultant PO Box 56 Jamesville, NC 27846 Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Medication: No drug or medication may be administered to any child without specific written instructions from the child's parent/guardian, a physician, or other authorized health professional. A written authorization was not on file for a tube of triamcinolone acetonide .1% cream stored inside in a locked cabinet in space #1. The original pharmacy packaging was not available for triamcinolone acetonide .1% cream. The tube clearly stated “RX only”. When asked staff could not provide the administration form. You stated you would speak to the parent and get the necessary forms and original container with pharmacy information attached. Additional Comments: 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/ NCID: Did you know that if you do not login on any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deepsleep). The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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.

NC GS 110-90 · Violation

Name of Operation: DOWN HOME CHILD CARE Facility ID: 74000140 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 8/14/2025 Number Present: 9 Completed Date: 8/14/2025 Age: From 1 To 7 Total Minutes: 141 Time In: 09:14 AM Time Out: 11:35 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates with a five-star license, issued 10/23/24 earning 7 points in the education component, 6 points in the program standards component (meeting enhanced space and enhanced ratios) and 1 quality point for staff benefits package and infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted on 3/10/25. The family childcare home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percent as of 8/11/25. The NC Secretary of State website was reviewed on 8/11/25 and this facility is not currently owned or operated by a corporation. Please contact me prior to any changes regarding ownership of this facility. In space #1 and #2, the children were engaged in an art activity and discussing the five senses. I observed the children in both space transition to indoor free play and to outdoor free play. Toys and materials are stored on low lying shelves. Child sized tables and chairs are also available for the children. I observed proper handwashing. The outdoor space includes a climber, tricycles, basketball goal, balls, shade, and portable materials. Lunch was being prepared and consisted of chicken salad, whole grain bread, corn, pineapple, and milk. The following violation was documented: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A written authorization was not on file for a tube of triamcinolone acetonide .1% cream stored inside in a locked cabinet in space #1. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The original pharmacy packaging was not available for triamcinolone acetonide .1% cream. The tube clearly stated “RX only”. .0803(2)(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 8/28/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Michelle O’Kelley, Child Care Consultant PO Box 56 Jamesville, NC 27846 Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Medication: No drug or medication may be administered to any child without specific written instructions from the child's parent/guardian, a physician, or other authorized health professional. A written authorization was not on file for a tube of triamcinolone acetonide .1% cream stored inside in a locked cabinet in space #1. The original pharmacy packaging was not available for triamcinolone acetonide .1% cream. The tube clearly stated “RX only”. When asked staff could not provide the administration form. You stated you would speak to the parent and get the necessary forms and original container with pharmacy information attached. Additional Comments: 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/ NCID: Did you know that if you do not login on any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deepsleep). The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: DOWN HOME CHILD CARE Facility ID: 74000140 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 6 Completed Date: 3/10/2025 Age: From 1 To 5 Total Minutes: 189 Time In: 08:51 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Your program currently operates with a five-star license, issued 6/9/23 earning 7 points in the education component, 7 points in the program standards component (meeting enhanced space and reduced ratio) and 1 quality point for the administrator having at least 10 years of documented child care administration work experience. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four year-old children are enrolled. The last annual compliance visit was conducted 4/17/24. The sanitation inspection was completed on 7/17/24 with a “Superior” classification. The last fire inspection was conducted 4/25/24. Your center located in a residences’ compliance history was reviewed. The program’s compliance history was ninety-eight percent as of 3/7/25. The NC Secretary of State website was reviewed on 3/7/25 and facility is not owned by a corporation. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children engaged in indoor free play, personal care routines, and outdoor free play. This week’s theme was centered around gardening. In space #1, Children painted pictures. In space #2, Children observed different seeds and discussed what each kind of seed was. The outdoor learning area included a stationary climbing structure, ride on toys, balls, and tricycles. Lunch was observed and consisted of hot dogs, baked beans, corn, wheat crackers, peaches, and milk. The following violations were documented. Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. ABCMS provider portal training has not been completed. G.S. 110-90.2 & .2703(r) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 3/24/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Michelle O’Kelley, Child Care Consultant PO Box 56 Jamesville, NC 27846 Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: ABCMS Provider Portal Training: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. You stated that you will complete the training and send me your certificate with the compliance letter. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Additional Comments: We discussed Clean Classrooms for Carolina Kids and you have completed lead in water and lead-based paint, and asbestos testing enrollment has started. Hold harmless has been extended until the new QRIS is implemented (SB 425). This means that you do not need to schedule a rated license assessment unless you voluntarily request one. The new QRIS has been approved by the Child Care Commission. The Division is working on implementation and trainings for the new system. We discussed the QRIS Modernization. You can find out more information at DCDEE website under What’s new, QRIS Modernization. https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization North Carolina Rated License Assessment Project - NCRLAP’s mission is to promote the quality of child care by consistently and reliably assessing environments for the North Carolina Star Rated License. They collaborate with professionals in the early childhood education field to foster the development and learning of young children. Their website, ncrlap.org, offers resources, trainings, videos, worksheets, and help to get ready for the new ITERS-3, ECERS-3, and FCCRS-3 assessment tools that will be used in the new QRIS system. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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.

NC GS 110-90 · Violation

Name of Operation: DOWN HOME CHILD CARE Facility ID: 74000140 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 6 Completed Date: 3/10/2025 Age: From 1 To 5 Total Minutes: 189 Time In: 08:51 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Your program currently operates with a five-star license, issued 6/9/23 earning 7 points in the education component, 7 points in the program standards component (meeting enhanced space and reduced ratio) and 1 quality point for the administrator having at least 10 years of documented child care administration work experience. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four year-old children are enrolled. The last annual compliance visit was conducted 4/17/24. The sanitation inspection was completed on 7/17/24 with a “Superior” classification. The last fire inspection was conducted 4/25/24. Your center located in a residences’ compliance history was reviewed. The program’s compliance history was ninety-eight percent as of 3/7/25. The NC Secretary of State website was reviewed on 3/7/25 and facility is not owned by a corporation. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children engaged in indoor free play, personal care routines, and outdoor free play. This week’s theme was centered around gardening. In space #1, Children painted pictures. In space #2, Children observed different seeds and discussed what each kind of seed was. The outdoor learning area included a stationary climbing structure, ride on toys, balls, and tricycles. Lunch was observed and consisted of hot dogs, baked beans, corn, wheat crackers, peaches, and milk. The following violations were documented. Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. ABCMS provider portal training has not been completed. G.S. 110-90.2 & .2703(r) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 3/24/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Michelle O’Kelley, Child Care Consultant PO Box 56 Jamesville, NC 27846 Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: ABCMS Provider Portal Training: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. You stated that you will complete the training and send me your certificate with the compliance letter. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Additional Comments: We discussed Clean Classrooms for Carolina Kids and you have completed lead in water and lead-based paint, and asbestos testing enrollment has started. Hold harmless has been extended until the new QRIS is implemented (SB 425). This means that you do not need to schedule a rated license assessment unless you voluntarily request one. The new QRIS has been approved by the Child Care Commission. The Division is working on implementation and trainings for the new system. We discussed the QRIS Modernization. You can find out more information at DCDEE website under What’s new, QRIS Modernization. https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization North Carolina Rated License Assessment Project - NCRLAP’s mission is to promote the quality of child care by consistently and reliably assessing environments for the North Carolina Star Rated License. They collaborate with professionals in the early childhood education field to foster the development and learning of young children. Their website, ncrlap.org, offers resources, trainings, videos, worksheets, and help to get ready for the new ITERS-3, ECERS-3, and FCCRS-3 assessment tools that will be used in the new QRIS system. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: DOWN HOME CHILD CARE Facility ID: 74000140 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 4/17/2024 Number Present: 11 Completed Date: 4/17/2024 Age: From 2 To 4 Total Minutes: 170 Time In: 08:30 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Your program currently operates with a five-star license, issued 6/9/23 earning 7 points in the education component, 7 points in the program standards component (meeting enhanced space and reduced ratio) and 1 quality point for the administrator having at least 10 years of documented child care administration work experience. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The sanitation inspection was completed on 3/27/24 with a “Superior” classification. The last fire inspection was conducted 5/24/23. Your center located in a residences’ compliance history was reviewed. The program’s compliance history was ninety - seventy percent as of 4/16/24. The NC Secretary of State website was reviewed on 4/16/24 and facility is not owned by a corporation. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children engaged in indoor free play, personal care routines, and outdoor free play. This week’s theme was centered around camping. A tent has been added to the space and story time included a book entitled Monster and Mouse Go Camping. After story time, the children helped the teacher pack for camping by naming items they wanted to take camping. Conversations between the teachers and the children were inclusive of building a camp fire, making smores, etc. Lunch included chicken, pasta, green peas, pears and milk. The following violations were documented. 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. Arrival times were documented for five (5) out of the seven (7) children present when I entered the facility. 10A NCAC 09 .0302(d)(4) 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. One (1) open electrical outlet was observed on the wall near the computer in the childcare space. 10A NCAC 09 .0604(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Five (5) Ziplock bags were observed on the art shelf in Space 2. At the time two (2) two-year-old children were being cared for in the space. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Documentation of a monthly playground inspection for March 2024 was unavailable for review. .0605(q) * The violation(s) documented must be corrected immediately. On or before 5/1/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Lakisha Skinner, Child Care Consultant PO BOX 431 Grimesland, NC 27837 Lakisha.Skinner@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Insert Technical Assistance with Documented Violation (s): Attendance Records - Promoting the health and safety of individual children requires keeping records regarding supervision of each child in care. You must know which children are receiving care at any given time and for how long they were in your care each day. During today’s visit, attendance records for all children in care were not complete. S. Jenkins, Lead Teacher, in Space 1 stated she forgot to document the arrival times for two out of the seven children present when I arrived. Your attendance records must always accurately reflect the number of children in care. You added the arrival times for the two children and continued to document arrival times as other children arrived. Electrical Outlets- Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. An open electrical outlet was observed on the wall near the computer in Space 2. You indicated someone unplugged something and forgot to replace the safety cover. You replaced the cover during the visit. Adding a reminder on the wall over each socket can serve as a reminder to add the safety cover when not in use or have the wall plate on the socket replaced with a tamper resistant electrical outlet. Plastic Bags – Plastic bags have been recognized for many years as a suffocation hazard. The U.S. Consumer Product Safety Commission (CPSC) has received average annual reports of twenty-five deaths per year to children due to suffocation from plastic bags. In child care facilities, plastic bags must be made inaccessible to children less than three years of age. In Space 2, two children ages two-years- old were being cared for before going into their designated space. Plastic zip lock bags used to store craft sticks, drinking straws, markers, pipe cleaners, and pom poms were observed on the art shelf. When I informed you, you nodded your head and made the items inaccessible. If the teachers are going to use the plastic zip lock bags, then these bags must be stored out of reach of the children less than three years of age, which is defined as five feet or higher from the finished floor. Monthly Outdoor Inspections - Young children spend many of their waking hours in child care centers. Outdoor play for children encourages movement and physical activity stimulates children’s learning. Children learn by exploration, so outdoor spaces must be designed in such a way that children can test their abilities in a challenging yet safe environment. To ensure outdoor spaces are safe for exploration, daily checks must occur with documentation occurring at least one per month using the Playground Inspection Checklist. Monthly documentation was not available for March 2024. You indicated it occurred and you thought you had documented it but must not have in haste. Completing an end of month audit of paperwork will help you to check for errors in instances like this. Reminders: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. Lead Based Paint & Asbestos - The Child Care Commission adopted childcare rule changes in January 2024. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation will allow facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. For information on how to enroll and complete testing please visit https://www.cleanwaterforuskids.org/en/carolina/. I emailed you a copy of the overview for Lead Based Paint and Asbestos Testing during today’s visit. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Lakisha Skinner, Child Care Consultant, 252-820-5976, Lakisha.Skinner@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: DOWN HOME CHILD CARE Facility ID: 74000140 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 4/17/2024 Number Present: 11 Completed Date: 4/17/2024 Age: From 2 To 4 Total Minutes: 170 Time In: 08:30 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Your program currently operates with a five-star license, issued 6/9/23 earning 7 points in the education component, 7 points in the program standards component (meeting enhanced space and reduced ratio) and 1 quality point for the administrator having at least 10 years of documented child care administration work experience. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The sanitation inspection was completed on 3/27/24 with a “Superior” classification. The last fire inspection was conducted 5/24/23. Your center located in a residences’ compliance history was reviewed. The program’s compliance history was ninety - seventy percent as of 4/16/24. The NC Secretary of State website was reviewed on 4/16/24 and facility is not owned by a corporation. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children engaged in indoor free play, personal care routines, and outdoor free play. This week’s theme was centered around camping. A tent has been added to the space and story time included a book entitled Monster and Mouse Go Camping. After story time, the children helped the teacher pack for camping by naming items they wanted to take camping. Conversations between the teachers and the children were inclusive of building a camp fire, making smores, etc. Lunch included chicken, pasta, green peas, pears and milk. The following violations were documented. 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. Arrival times were documented for five (5) out of the seven (7) children present when I entered the facility. 10A NCAC 09 .0302(d)(4) 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. One (1) open electrical outlet was observed on the wall near the computer in the childcare space. 10A NCAC 09 .0604(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Five (5) Ziplock bags were observed on the art shelf in Space 2. At the time two (2) two-year-old children were being cared for in the space. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Documentation of a monthly playground inspection for March 2024 was unavailable for review. .0605(q) * The violation(s) documented must be corrected immediately. On or before 5/1/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Lakisha Skinner, Child Care Consultant PO BOX 431 Grimesland, NC 27837 Lakisha.Skinner@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Insert Technical Assistance with Documented Violation (s): Attendance Records - Promoting the health and safety of individual children requires keeping records regarding supervision of each child in care. You must know which children are receiving care at any given time and for how long they were in your care each day. During today’s visit, attendance records for all children in care were not complete. S. Jenkins, Lead Teacher, in Space 1 stated she forgot to document the arrival times for two out of the seven children present when I arrived. Your attendance records must always accurately reflect the number of children in care. You added the arrival times for the two children and continued to document arrival times as other children arrived. Electrical Outlets- Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. An open electrical outlet was observed on the wall near the computer in Space 2. You indicated someone unplugged something and forgot to replace the safety cover. You replaced the cover during the visit. Adding a reminder on the wall over each socket can serve as a reminder to add the safety cover when not in use or have the wall plate on the socket replaced with a tamper resistant electrical outlet. Plastic Bags – Plastic bags have been recognized for many years as a suffocation hazard. The U.S. Consumer Product Safety Commission (CPSC) has received average annual reports of twenty-five deaths per year to children due to suffocation from plastic bags. In child care facilities, plastic bags must be made inaccessible to children less than three years of age. In Space 2, two children ages two-years- old were being cared for before going into their designated space. Plastic zip lock bags used to store craft sticks, drinking straws, markers, pipe cleaners, and pom poms were observed on the art shelf. When I informed you, you nodded your head and made the items inaccessible. If the teachers are going to use the plastic zip lock bags, then these bags must be stored out of reach of the children less than three years of age, which is defined as five feet or higher from the finished floor. Monthly Outdoor Inspections - Young children spend many of their waking hours in child care centers. Outdoor play for children encourages movement and physical activity stimulates children’s learning. Children learn by exploration, so outdoor spaces must be designed in such a way that children can test their abilities in a challenging yet safe environment. To ensure outdoor spaces are safe for exploration, daily checks must occur with documentation occurring at least one per month using the Playground Inspection Checklist. Monthly documentation was not available for March 2024. You indicated it occurred and you thought you had documented it but must not have in haste. Completing an end of month audit of paperwork will help you to check for errors in instances like this. Reminders: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. Lead Based Paint & Asbestos - The Child Care Commission adopted childcare rule changes in January 2024. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation will allow facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. For information on how to enroll and complete testing please visit https://www.cleanwaterforuskids.org/en/carolina/. I emailed you a copy of the overview for Lead Based Paint and Asbestos Testing during today’s visit. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Lakisha Skinner, Child Care Consultant, 252-820-5976, Lakisha.Skinner@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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