10A NCAC 09 .0701 · Violation

Name of Operation: WACCAMAW SIOUAN DAY CARE Facility ID: 0955035 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 2/20/2026 Number Present: 26 Completed Date: 2/20/2026 Age: From 0 To 4 Total Minutes: 200 Time In: 09:25 AM Time Out: 12:45 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 a unannounced Annual Compliance Visit. Mrs. Linda Patrick, administrator, was present during the visit. This program currently operates with a three-star license, issued June 27, 2023, earning 5 points in the education component, 2 points in the program standards and 1 quality point by meet a programmatic option. License restrictions include daytime care only and meets enhanced ratios. Prior to today's visit, the NC Secretary of State website was reviewed and found that Waccamaw Siouan Indian Tribe, Inc. is current-active. I observed the indoor and outdoor spaces used by the children. I observed infants and toddlers in space 2 participating in free play and daily routines. The children did go outside during the visit. I observed children in space 1a and 1b participating in outside gross motor play. Adequate handwashing was observed upon the children entering from the playground. All the children were being attended to in a nurturing and appropriate manner and in keeping with their developmental level. Today's lunch consisted of sliced beef on whole grain bread, corn, peaches and milk. REQUIRED INSPECTIONS: A sanitation inspection was completed on October 6, 2025 with 22 demerits and an approved rating. A fire inspection was completed on May 21, 2025. The emergency drill log was reviewed during today's visit. Reminder- a fire drill is due by the end of the month. Eleven (11) violations of child care requirements were observed and documented. Each were thoroughly reviewed with Mrs. Patrick. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. In the space used by children ages 3 and 4, there were two large burgundy pillows that the stitching was broke and the foam material was exposed. .0601(c) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. There was no verification of an annual EMC plan review with three staff. 10A NCAC 09 .0802(a) 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 did not have a medical assessment on file. 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 (cook) did not have TB test results on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three staff did not have a health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Four staff did not have emergency information on file. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. An annual review of the Center's EPR plan was not documented for for three staff. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff did not have verification on file of a signed acknowledgment of the policy. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The medical information, TB test results and completed health questionnaire for all files reviewed were not maintained separately from the staff member's individual personnel file. .0701(d) 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 did not have verification on file showing completion of the required training within 90 days of employment. .1102(g) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. The substitute provided did not have a health questionnaire on file on or before the first day of work. 10A NCAC 09 .0701(a) The above violations of child care requirements must be corrected immediately. You are required to submit a signed and dated compliance statement that explains how each violation was corrected. The compliance statement must be submitted to me on or before March 6, 2026. You can email the compliance statement to: Miriam.Byrd@dhhs.nc.gov. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I recommend that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Technical assistance was given in regards to record keeping. During monitoring visit, violations related to staff records are often preventable with consistent organization and tracking systems. Use the standardized checklist provided on the DCDEE website and place it at the front of every staff file to quickly verify completeness. Make sure to monitor expiration dates for items such as updated health questionnaire, emergency information. You may want to update these on a certain date in the year; such as July 1 or January 5. You may want to conduct periodic file reviews, at least twice per year, to make sure files are current. QRIS Pathway- During today's visit, I reviewed with you the QRIS Pathways to the Stars. You attended the Provider meeting on September 22, 2025. You stated the program will be applying for a 4-star license under Pathway #2 Classroom and Instructional Quality by late fall 2026. The QRIS Conversation Template was completed during the visit. You stated you have started using the Early Learning Matters Curriculum. You will need to pick an approved Formative Assessment from the approved list (located on the DCDEE website) and share the assessments with your families once a year. I informed you that when I return for your Routine Unannounced visit in June we would work on the options for the Family and Community Engagement Standards. I encourage you to review the Facility CPQ Plan form as well as the Individual CPQ/PD Plans. We will discuss these in more detail during the routine unannounced visit. Contact me at (910) 709-5985 or via email with any questions or concerns. You may also contact Janet Edwards, Licensing Supervisor at (910) 709-4160 or janet.edwards@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 .0802 · Violation

Name of Operation: WACCAMAW SIOUAN DAY CARE Facility ID: 0955035 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 2/20/2026 Number Present: 26 Completed Date: 2/20/2026 Age: From 0 To 4 Total Minutes: 200 Time In: 09:25 AM Time Out: 12:45 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 a unannounced Annual Compliance Visit. Mrs. Linda Patrick, administrator, was present during the visit. This program currently operates with a three-star license, issued June 27, 2023, earning 5 points in the education component, 2 points in the program standards and 1 quality point by meet a programmatic option. License restrictions include daytime care only and meets enhanced ratios. Prior to today's visit, the NC Secretary of State website was reviewed and found that Waccamaw Siouan Indian Tribe, Inc. is current-active. I observed the indoor and outdoor spaces used by the children. I observed infants and toddlers in space 2 participating in free play and daily routines. The children did go outside during the visit. I observed children in space 1a and 1b participating in outside gross motor play. Adequate handwashing was observed upon the children entering from the playground. All the children were being attended to in a nurturing and appropriate manner and in keeping with their developmental level. Today's lunch consisted of sliced beef on whole grain bread, corn, peaches and milk. REQUIRED INSPECTIONS: A sanitation inspection was completed on October 6, 2025 with 22 demerits and an approved rating. A fire inspection was completed on May 21, 2025. The emergency drill log was reviewed during today's visit. Reminder- a fire drill is due by the end of the month. Eleven (11) violations of child care requirements were observed and documented. Each were thoroughly reviewed with Mrs. Patrick. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. In the space used by children ages 3 and 4, there were two large burgundy pillows that the stitching was broke and the foam material was exposed. .0601(c) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. There was no verification of an annual EMC plan review with three staff. 10A NCAC 09 .0802(a) 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 did not have a medical assessment on file. 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 (cook) did not have TB test results on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three staff did not have a health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Four staff did not have emergency information on file. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. An annual review of the Center's EPR plan was not documented for for three staff. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff did not have verification on file of a signed acknowledgment of the policy. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The medical information, TB test results and completed health questionnaire for all files reviewed were not maintained separately from the staff member's individual personnel file. .0701(d) 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 did not have verification on file showing completion of the required training within 90 days of employment. .1102(g) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. The substitute provided did not have a health questionnaire on file on or before the first day of work. 10A NCAC 09 .0701(a) The above violations of child care requirements must be corrected immediately. You are required to submit a signed and dated compliance statement that explains how each violation was corrected. The compliance statement must be submitted to me on or before March 6, 2026. You can email the compliance statement to: Miriam.Byrd@dhhs.nc.gov. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I recommend that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Technical assistance was given in regards to record keeping. During monitoring visit, violations related to staff records are often preventable with consistent organization and tracking systems. Use the standardized checklist provided on the DCDEE website and place it at the front of every staff file to quickly verify completeness. Make sure to monitor expiration dates for items such as updated health questionnaire, emergency information. You may want to update these on a certain date in the year; such as July 1 or January 5. You may want to conduct periodic file reviews, at least twice per year, to make sure files are current. QRIS Pathway- During today's visit, I reviewed with you the QRIS Pathways to the Stars. You attended the Provider meeting on September 22, 2025. You stated the program will be applying for a 4-star license under Pathway #2 Classroom and Instructional Quality by late fall 2026. The QRIS Conversation Template was completed during the visit. You stated you have started using the Early Learning Matters Curriculum. You will need to pick an approved Formative Assessment from the approved list (located on the DCDEE website) and share the assessments with your families once a year. I informed you that when I return for your Routine Unannounced visit in June we would work on the options for the Family and Community Engagement Standards. I encourage you to review the Facility CPQ Plan form as well as the Individual CPQ/PD Plans. We will discuss these in more detail during the routine unannounced visit. Contact me at (910) 709-5985 or via email with any questions or concerns. You may also contact Janet Edwards, Licensing Supervisor at (910) 709-4160 or janet.edwards@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: WACCAMAW SIOUAN DAY CARE Facility ID: 0955035 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 2/20/2026 Number Present: 26 Completed Date: 2/20/2026 Age: From 0 To 4 Total Minutes: 200 Time In: 09:25 AM Time Out: 12:45 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 a unannounced Annual Compliance Visit. Mrs. Linda Patrick, administrator, was present during the visit. This program currently operates with a three-star license, issued June 27, 2023, earning 5 points in the education component, 2 points in the program standards and 1 quality point by meet a programmatic option. License restrictions include daytime care only and meets enhanced ratios. Prior to today's visit, the NC Secretary of State website was reviewed and found that Waccamaw Siouan Indian Tribe, Inc. is current-active. I observed the indoor and outdoor spaces used by the children. I observed infants and toddlers in space 2 participating in free play and daily routines. The children did go outside during the visit. I observed children in space 1a and 1b participating in outside gross motor play. Adequate handwashing was observed upon the children entering from the playground. All the children were being attended to in a nurturing and appropriate manner and in keeping with their developmental level. Today's lunch consisted of sliced beef on whole grain bread, corn, peaches and milk. REQUIRED INSPECTIONS: A sanitation inspection was completed on October 6, 2025 with 22 demerits and an approved rating. A fire inspection was completed on May 21, 2025. The emergency drill log was reviewed during today's visit. Reminder- a fire drill is due by the end of the month. Eleven (11) violations of child care requirements were observed and documented. Each were thoroughly reviewed with Mrs. Patrick. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. In the space used by children ages 3 and 4, there were two large burgundy pillows that the stitching was broke and the foam material was exposed. .0601(c) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. There was no verification of an annual EMC plan review with three staff. 10A NCAC 09 .0802(a) 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 did not have a medical assessment on file. 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 (cook) did not have TB test results on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three staff did not have a health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Four staff did not have emergency information on file. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. An annual review of the Center's EPR plan was not documented for for three staff. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff did not have verification on file of a signed acknowledgment of the policy. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The medical information, TB test results and completed health questionnaire for all files reviewed were not maintained separately from the staff member's individual personnel file. .0701(d) 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 did not have verification on file showing completion of the required training within 90 days of employment. .1102(g) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. The substitute provided did not have a health questionnaire on file on or before the first day of work. 10A NCAC 09 .0701(a) The above violations of child care requirements must be corrected immediately. You are required to submit a signed and dated compliance statement that explains how each violation was corrected. The compliance statement must be submitted to me on or before March 6, 2026. You can email the compliance statement to: Miriam.Byrd@dhhs.nc.gov. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I recommend that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Technical assistance was given in regards to record keeping. During monitoring visit, violations related to staff records are often preventable with consistent organization and tracking systems. Use the standardized checklist provided on the DCDEE website and place it at the front of every staff file to quickly verify completeness. Make sure to monitor expiration dates for items such as updated health questionnaire, emergency information. You may want to update these on a certain date in the year; such as July 1 or January 5. You may want to conduct periodic file reviews, at least twice per year, to make sure files are current. QRIS Pathway- During today's visit, I reviewed with you the QRIS Pathways to the Stars. You attended the Provider meeting on September 22, 2025. You stated the program will be applying for a 4-star license under Pathway #2 Classroom and Instructional Quality by late fall 2026. The QRIS Conversation Template was completed during the visit. You stated you have started using the Early Learning Matters Curriculum. You will need to pick an approved Formative Assessment from the approved list (located on the DCDEE website) and share the assessments with your families once a year. I informed you that when I return for your Routine Unannounced visit in June we would work on the options for the Family and Community Engagement Standards. I encourage you to review the Facility CPQ Plan form as well as the Individual CPQ/PD Plans. We will discuss these in more detail during the routine unannounced visit. Contact me at (910) 709-5985 or via email with any questions or concerns. You may also contact Janet Edwards, Licensing Supervisor at (910) 709-4160 or janet.edwards@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: WACCAMAW SIOUAN DAY CARE Facility ID: 0955035 Consultant: MIRIAM BYRD Operation Type: Center Case Number: 1225-232L Visit Date: 1/9/2026 Number Present: 25 Completed Date: 1/9/2026 Age: From 0 To 4 Total Minutes: 120 Time In: 10:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There are concerns that there are violations of child care requirements regarding discipline and inadequate supervision. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the outdoor environment were monitored. The license and emergency care plan were posted. Fire drills, medication administration, and storage of hazardous products were also monitored. Additionally, I observed the indoor and outdoor space used by the children. Upon my arrival, I observed three groups of children playing in the outdoor environment. Staff were actively engaged with children during outside play and children were adequately supervised. Findings to the Allegation: Allegations stated a 4-year old child was put in the office on her cot with the lights off, the door closed and was handled aggressively. I interviewed Linda Patrick, the administrator and two caregivers that were present on the date of the alleged incident. Mrs. Patrick stated that at no time was the child left unattended and unsupervised. She stated the child was crying during naptime and disturbing the other children while they were resting, so caregiver A took the child and her mat to the office to see if she would settle down. Caregiver A stated the light to the office was turned off, but light was coming through the windows so it was not dark. Caregiver A stated the door was not shut and that she positioned herself at the door opening where she could still observe the child on her cot. Another staff member (B) was in the hallway at the table working on her computer. She stated the child was never left unsupervised while she was in the office. Caregiver A stated the child started to cry uncontrollably and that is when Mrs. Patrick came from the kitchen and asked who was in the office. When Ms. Patrick went to the child and pulled her blanket off, that is when they noticed the child had soiled her clothes. Staff member A went back into the classroom to get a change of clothes and took the child into the hall bathroom. Staff Member A stated the child’s clothes were heavily soiled, even down to her socks and shoes. She stated at no point were the child’s clothes removed aggressively. She stated the shirt was removed only as a preventive measure to avoid urine coming into contact with the child’s hair. Staff member B stated that where she was sitting in the hallway, she could not see in the bathroom. Mrs. Patrick stated that after the child’s clothes were changed, she took the child into the kitchen with here, where the child sat on a small stool near the exit door and she made her a peanut butter sandwich. Based on information received from interviewed staff and my observations, the finding regarding the allegation of discipline and inadequate supervision was unsubstantiated. One violation of child care requirements was cited during today's visit. Violation Number Comment Rule 1842 Staff members and child care administrators who were counted in meeting the staff/child ratios concurrently performed food preparation or other duties that are not direct child care responsibilities. The Administrator was performing food service duties while a child was present in the kitchen. .0713(a)(8) 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. In your response to the above violation, you are to submit a compliance statement that explains how the violation was corrected. Please submit the compliance statement on or before January 23, 2026. You may email the compliance statement to Miriam.Byrd@dhhs.nc.gov. Technical assistance: Rule 0713(a)(8) requires that children be protected from unsafe or hazardous areas. Mrs. Patrick placed a child in the kitchen while performing food service duties. Allowing a child in the kitchen during food preparation exposed the child to potential safety and sanitation hazards and does not meet this requirement. A follow-up visit will be made within two weeks to monitor for compliance with this requirement. Mrs. Linda Patrick had to leave during my visit. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with Ms. Nakeshia Patrick. If you have any further questions or concerns, please contact me at (910) 709-5985, Miriam.Byrd@dhhs.nc.gov. You may also contact Janet Edwards, Licensing Supervisor, (910) 709-4160, janet.edwards@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.

NC GS 110-90 · Violation

Name of Operation: WACCAMAW SIOUAN DAY CARE Facility ID: 0955035 Consultant: NAKITA BELLAMY Operation Type: Center Case Number: Visit Date: 6/17/2025 Number Present: 28 Completed Date: 6/17/2025 Age: From 0 To 5 Total Minutes: 120 Time In: 11:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements for a routine unannounced visit. Linda Patrick, Administrator, assisted me with the visit. The program operates with a 3-star rated license issued June 27, 2023. Points earned in Education Standards (4 points) are based on the permit issues in 2019. The program continues to maintain 2 points earned in Program Standards by meeting minimum requirements and meeting enhanced ratios, and 1 point in Quality for complying with an educational option. License restrictions include: Daytime care only, meets enhanced ratios. The program’s compliance history was ninety-three percent as of June 16, 2025. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children were observed during teacher lead activities, free play activities, lunch, and personal care routines. Teachers were interacting and met the needs of each of the children. Children were adequately supervised. One new staff file was reviewed. Lunch consisted of hamburger, potatoes, string beans, fruit cup and milk. Violation Number Comment Rule 544 Screen time was offered to children under three years of age. Space #1 1B, Two year old children were watching children music engagement videos on tv. The tv was turned off and transition to free play activities. .0510(f) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. Space 1 (1B), A teacher were observed with a can of Dr. Pepper soda while caring for children. The soda was removed from the classroom. .0901(i) 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. -Technical Assistance: Gross Motor Activities – Two-Year-Olds -Provide safe, open space indoors and outdoors for toddlers to move freely. -Offer age-appropriate materials like soft balls, low climbing structures, ride-on toys without pedals, and push/pull toys to encourage active exploration. -Model and narrate movement (e.g., "You're jumping so high!") to build confidence and body awareness. -Celebrate new motor milestones and offer verbal encouragement without forcing participation. -Observe individual progress and adapt activities for developmental and cultural appropriateness. -Rotate materials regularly to maintain engagement and challenge. 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/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Nakita Bellamy, Child Care Consultant, (910) 651-0362, Nakita.Bellamy@dhhs.nc.gov or Janet Edwards, Licensing Supervisor, (910) 709-4160, Janet.Edwards@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: WACCAMAW SIOUAN DAY CARE Facility ID: 0955035 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 3/6/2025 Number Present: 27 Completed Date: 3/6/2025 Age: From 1 To 4 Total Minutes: 120 Time In: 10:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. The Annual Compliance Monitoring Checklist for Child care Centers was used today to note requirements that were monitored. Today's visit was conducted with Ms. Nakeshia Patrick, Lead Teacher. She stated Ms. Linda Patrick, the Administrator, was away at a conference. The program operates with a 3-star rated license issued June 27, 2023. Points earned in Education Standards (4 points) are based on the permit issues in 2019. The program continues to maintain 2 points earned in Program Standards by meeting minimum requirements and meeting enhanced ratios, and 1 point in Quality for complying with an educational option. License restrictions include: Daytime care only, meets enhanced ratios. The indoor and outdoor areas were monitored. Staff/child ratios, group size, capacity, use of space, and supervision were observed. I observed children playing in various activity centers, teacher lead activities, and preparing for lunch. Adequate handwashing was observed. Developmentally age-appropriate materials were used. Positive and nurturing communication occurred as teachers interacted with children. Today's lunch consisted of Turkey and American cheese, whole grain bread, sliced potatoes, orange slices and milk. A sanitation inspection was completed on November 15, 2024 with 5 demerits and a Superior rating. A fire inspection was completed on May 20, 2024. The Emergency Drill log was reviewed during today’s visit. Prior to today’s visit the staff and training worksheet was obtained. A review of the information was completed. One staff file was reviewed during today’s visit. During today’s visit, four children records were reviewed. The children’s records form was completed during the visit. I observed and documented three items of non-compliance with child care requirements during the visit. Computer-generated report was printed at the conclusion of today's visit. Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last documented playground inspection was on December 9, 2024. There was no documentation to show inspections completed for January or February 2025. .0605(q) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. One child's discipline policy did not have the date of enrollment. No other form in the file had the date of enrollment listed. .1804(b) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. One staff file was reviewed and the medical report, TB test results and completed health questionnaire was not maintained separately from the individual personnel file. .0701(d) Child care programs must be in compliance with applicable child care requirements at all times. The violations must be corrected immediately. You must submit written verification addressing the individual violations and how they were corrected. The compliance letter must be received by March 20, 2025. You may email the compliance letter to: Miriam.Byrd@dhhs.nc.gov. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your compliance history score from 9/2/2023 to 3/1/2025 is 88%. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. You have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommend that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. Health and Safety Trainings: Health and Safety training requirements were monitored. All staff have completed the required Health and Safety Trainings. Remember- the Recognizing and Responding to Suspicions of Child Maltreatment training must be renewed every 5 years. K. Carlson will need to renew this training by December 20, 2025. Based on the information obtained from the Clean Water for Classrooms, you have completed the Lead-in-Water Testing and you have enrolled in the Lead-Based Paint and Asbestos testing. Prior to today's visit, Ms. Linda Patrick, Administrator, contacted me regarding re-measuring space #1a and #1b. She stated they moved the cubbies that were dividing the two spaces so that space #1b could accommodate more children. During today's visit, this space was re-measured and space calculations were completed. A copy of the indoor space calculation page was left during the visit. Space 1a- 239.94 sq. feet, divided by 25 sq. feet per child = 10 children Space 1b- 343.69 sq. feet, divided by 25 sq. feet per child = 14 children Reminders: 1. M. Bonilla needs 15 hours of on-going training completed by 4/30/2025. 2. Make sure that all information on the required children's forms are dated and signed before filing away. One child did not have a date of enrollment listed on any of the forms where it asked for that information. Rated License: The Division of Child Development and Early Education is starting the Rated License Assessment back to get programs current with their Rated License. You are in Cohort 2. Therefore, your Prep year will begin July 1, 2024 and will end June 30, 2025. During this time, you need to make sure all staff have completed the NCECC and their information in WORKS is updated. This means submitting any certificates or an original transcript showing EDU coursework completed is in WORKS. If you are wanting the Environment Rating scales completed to earn more points in Program Standards, please take advantage of all the trainings they have on their website: ncrlap.org. Your Assessment year will begin July 1, 2025, and you must complete the Rated License Assessment by June 30, 2026. Contact me at (910) 709-5985 or via email: Miriam.Byrd@dhhs.nc.gov with any questions or concerns. You may also contact Janet Edwards, Licensing Supervisor, (910) 709-4160, janet.edwards@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.

G.S. 110-91 · Violation

Name of Operation: WACCAMAW SIOUAN DAY CARE Facility ID: 0955035 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 4/30/2024 Number Present: 30 Completed Date: 4/30/2024 Age: From 0 To 5 Total Minutes: 165 Time In: 10:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. The Annual Compliance Monitoring Checklist for Child care Centers was used today to note requirements that were monitored. The program operates with a 3-star rated license issued June 27, 2023. Points earned in Education Standards are based on the permit issued in 2019. The program continues to maintain 2 points in Program standards by meeting minimum requirements and meeting enhanced ratios only and one (1) quality point for complying with an educational option. License restrictions include: Daytime care only; meet enhanced ratios. Today’s visit was conducted with Mrs. Linda Patrick, Director. A staff member was absent and Mrs. Patrick was in a classroom during the visit. The indoor and outdoor areas were monitored. Staff/child ratios, group size, capacity, use of space, and supervision were observed. I observed children playing in various activity centers, teacher lead activities, and outdoor play. Developmentally age-appropriate materials were used. Positive and nurturing communication occurred as teachers interacted with children. Today's lunch consisted of spaghetti, corn, mixed fruit, bread and milk. A sanitation inspection was completed on January 26, 2024 with 25 demerits and an Approved rating. A fire inspection was completed on June 9, 2023. The Emergency Drill log was reviewed during today’s visit. All staff files were reviewed during today's visit. I completed the staff and training worksheet during the visit. Staff files were well organized and easy to review. I reviewed four children's records and the children's records form was completed during the visit. Seven violations of child care requirements were observed and documented. Computer-generated report was printed at the conclusion of today's visit and a copy was left with Mrs. Patrick. Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. There is indoor/outdoor Turf Realistic Artificial grass installed over the protective surfacing underneath and surrounding the climber on the playground. This is not an acceptable surfacing. .0605(j) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks for the one infant enrolled/present were not available for the month of April, as well as the previous month. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff's orientation was not complete. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff's two week orientation was not complete. .1101(a)(b) 1068 On-going training documentation did not include all applicable information: subject matter, topic area in G.S. 110-91(11), name of training provider, date training was provided, number of hours of training, and name of staff. On-going training documentation logs were not complete with all required information for six staff for the 2023-2024 training year. .1106(a) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Although each staff member had the required medical reports on file, they were not maintained separately from the personnel file. .0701(d) 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. Two staff did not have verification on file showing the completion of the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) Child care programs must be in compliance with applicable child care requirements at all times. The violations listed above must be corrected immediately. You must email, or mail written verification addressing the individual violations and how they were corrected. The compliance letter must be received by May 14, 2024. Mail or email to: Miriam Byrd, Child Care Consultant, PO Box 1731, Clinton, NC 28329 Miriam.Byrd@dhhs.nc.gov You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your compliance history score from 10/2/2022 to 4/1/2024 is 88%. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommend that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. Health and Safety Training: One staff (C. Sutherland) did not have verification on file showing completion of the health and safety training requirements within the first year of employment. One staff (K. Carlson) is missing one training topic (Administration of Medication). All other staff have completed the trainings. Reminders: 1. A violation of the On-going Training Record log was cited during today's visit. Make sure staff are keeping the On-Going Training Record Log current with completed certificates attached. 2. The following staff have on-going training that must be completed by May 26, 2024: C. Sutherland- needs 18 hours (completing the Health and Safety trainings will meet this requirement); M. Bonilla- needs 9 hours, E. Owens - needs 3 hours 3. The Lead Water Sampling must be conducted every 3 years. For more information go to: Clean Water for Carolina Kids. NC 10A NCAC 41C .1001-1007 requires lead-based paint and asbestos inspections at all licensed childcare facilities in NC. You can learn more at Clean Classrooms for Carolina Kids. Rated License: The Division of Child Development and Early Education is starting the Rated License Assessment back to get programs current with their Rated License. You are in Cohort 1. Therefore, your Prep year began July 1, 2023 and will end June 30, 2024. During this time, All teaching staff should have completed registration in WORKS and applied for a position to be evaluated for. This may include submitting an official transcript showing completion of AAS in ECE or completion of EDU coursework. It is imperative that new staff enroll in EDU 119 if not completed. If you are wanting the Environment Rating scales completed to earn more points in Program Standards, please take advantage of all the trainings they have on their website: ncrlap.org. Your Assessment year will begin July 1, 2025, and you must complete the Rated License Assessment by June 30, 2026. Contact me at (910) 709-5985 or via email: Miriam.Byrd@dhhs.nc.gov with any questions or concerns. You may also contact Janet Edwards, Licensing Supervisor, (910) 709-4160, janet.edwards@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.

NC GS 110- 90 · Violation

Name of Operation: WACCAMAW SIOUAN DAY CARE Facility ID: 0955035 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 4/30/2024 Number Present: 30 Completed Date: 4/30/2024 Age: From 0 To 5 Total Minutes: 165 Time In: 10:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. The Annual Compliance Monitoring Checklist for Child care Centers was used today to note requirements that were monitored. The program operates with a 3-star rated license issued June 27, 2023. Points earned in Education Standards are based on the permit issued in 2019. The program continues to maintain 2 points in Program standards by meeting minimum requirements and meeting enhanced ratios only and one (1) quality point for complying with an educational option. License restrictions include: Daytime care only; meet enhanced ratios. Today’s visit was conducted with Mrs. Linda Patrick, Director. A staff member was absent and Mrs. Patrick was in a classroom during the visit. The indoor and outdoor areas were monitored. Staff/child ratios, group size, capacity, use of space, and supervision were observed. I observed children playing in various activity centers, teacher lead activities, and outdoor play. Developmentally age-appropriate materials were used. Positive and nurturing communication occurred as teachers interacted with children. Today's lunch consisted of spaghetti, corn, mixed fruit, bread and milk. A sanitation inspection was completed on January 26, 2024 with 25 demerits and an Approved rating. A fire inspection was completed on June 9, 2023. The Emergency Drill log was reviewed during today’s visit. All staff files were reviewed during today's visit. I completed the staff and training worksheet during the visit. Staff files were well organized and easy to review. I reviewed four children's records and the children's records form was completed during the visit. Seven violations of child care requirements were observed and documented. Computer-generated report was printed at the conclusion of today's visit and a copy was left with Mrs. Patrick. Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. There is indoor/outdoor Turf Realistic Artificial grass installed over the protective surfacing underneath and surrounding the climber on the playground. This is not an acceptable surfacing. .0605(j) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks for the one infant enrolled/present were not available for the month of April, as well as the previous month. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff's orientation was not complete. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff's two week orientation was not complete. .1101(a)(b) 1068 On-going training documentation did not include all applicable information: subject matter, topic area in G.S. 110-91(11), name of training provider, date training was provided, number of hours of training, and name of staff. On-going training documentation logs were not complete with all required information for six staff for the 2023-2024 training year. .1106(a) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Although each staff member had the required medical reports on file, they were not maintained separately from the personnel file. .0701(d) 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. Two staff did not have verification on file showing the completion of the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) Child care programs must be in compliance with applicable child care requirements at all times. The violations listed above must be corrected immediately. You must email, or mail written verification addressing the individual violations and how they were corrected. The compliance letter must be received by May 14, 2024. Mail or email to: Miriam Byrd, Child Care Consultant, PO Box 1731, Clinton, NC 28329 Miriam.Byrd@dhhs.nc.gov You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your compliance history score from 10/2/2022 to 4/1/2024 is 88%. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommend that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. Health and Safety Training: One staff (C. Sutherland) did not have verification on file showing completion of the health and safety training requirements within the first year of employment. One staff (K. Carlson) is missing one training topic (Administration of Medication). All other staff have completed the trainings. Reminders: 1. A violation of the On-going Training Record log was cited during today's visit. Make sure staff are keeping the On-Going Training Record Log current with completed certificates attached. 2. The following staff have on-going training that must be completed by May 26, 2024: C. Sutherland- needs 18 hours (completing the Health and Safety trainings will meet this requirement); M. Bonilla- needs 9 hours, E. Owens - needs 3 hours 3. The Lead Water Sampling must be conducted every 3 years. For more information go to: Clean Water for Carolina Kids. NC 10A NCAC 41C .1001-1007 requires lead-based paint and asbestos inspections at all licensed childcare facilities in NC. You can learn more at Clean Classrooms for Carolina Kids. Rated License: The Division of Child Development and Early Education is starting the Rated License Assessment back to get programs current with their Rated License. You are in Cohort 1. Therefore, your Prep year began July 1, 2023 and will end June 30, 2024. During this time, All teaching staff should have completed registration in WORKS and applied for a position to be evaluated for. This may include submitting an official transcript showing completion of AAS in ECE or completion of EDU coursework. It is imperative that new staff enroll in EDU 119 if not completed. If you are wanting the Environment Rating scales completed to earn more points in Program Standards, please take advantage of all the trainings they have on their website: ncrlap.org. Your Assessment year will begin July 1, 2025, and you must complete the Rated License Assessment by June 30, 2026. Contact me at (910) 709-5985 or via email: Miriam.Byrd@dhhs.nc.gov with any questions or concerns. You may also contact Janet Edwards, Licensing Supervisor, (910) 709-4160, janet.edwards@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: WACCAMAW SIOUAN DAY CARE Facility ID: 0955035 Consultant: MIRIAM BYRD Operation Type: Center Case Number: 0124-255L Visit Date: 1/31/2024 Number Present: 29 Completed Date: 1/31/2024 Age: From 0 To 5 Total Minutes: 105 Time In: 12:00 PM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: 1. The center is out of ratio 2. Children are not adequately supervised 3. A toddler is allowed to sleep with a bottle in its mouth 4. The center does not have attendance records as required 5. The center has not had a sanitation inspection since 2022 6. A menu is not posted as required The above allegations were addressed with the center administrator, Linda Patrick and staff. Each were given an opportunity to address the concerns. During today’s visit, staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. The license and emergency care plan were posted. Fire drills, medication administration and storage of hazardous products were also monitored. Findings to the allegations: The center is out of ratio: In space #2 there were eight (8) children, age’s 0-1, present with two caregivers. There are four (4) children that are under a year and four (4) children that are one year old. A total of eight children are enrolled. Children were observed completing lunch and participating in free play. In space #1a, eleven (11) children, age’s 3-5, were present with one caregiver. In space #1b, ten (10) children, age’s 2-3, were present with two caregivers. Based on the information obtained during today’s visit the allegation regarding ratios is substantiated. Children are not adequately supervised: During my walk-through of the classrooms, I observed caregivers providing adequate supervision. I asked each of the caregivers if when they leave the room, are children left unattended at any time. Ms. Patrick and the staff stated that if a teacher leaves the classroom, another teacher is moved to that space or they call Ms. Patrick or the cook to come in the classroom. Ms. Patrick stated the day in question regarding supervision, she stepped in the classroom to relieve a caregiver. Based on the information obtained during today’s visit the allegations regarding supervision is unsubstantiated. A toddler is allowed to sleep with a bottle in its mouth: Although it was not observed during the visit, Mrs. Patrick and the caregivers for infants stated they have allowed to a child to fall asleep with a bottle in the crib. I informed Mrs. Patrick and the staff that children children must be held or be placed in feeding chairs or other appropriate apparatus to be fed. Based on the information obtained during today's visit, the allegations regarding nutrition is found to be substantiated. The center does not have attendance records as required: During today’s visit, I verified completed attendance records for the month of January. Mrs. Patrick and staff stated that daily attendance is completed prior to lunch for that day. Based on the information obtained, the allegation regarding attendance is found to be unsubstantiated. The center has not had a sanitation inspection since 2022: Due to staffing shortage with the Environmental Health Specialist, the sanitation inspection was delinquent. A violation was cited on December 19, 2023. A sanitation inspection was conducted on January 26, 2024. The center received 25 demerits and an Approved classification. Based on the recent sanitation inspection obtained, the allegation regarding a current sanitation inspection is found to be unsubstantiated. A menu is not posted as required: I observed a current menu for the month of January posted in the entrance of the child care center. The Infant Menu as well as the Menu for Preschool children is posted. Food substitutions are recorded when food items change on the menu. Based on the information obtained during today's visit, the allegation regarding menus is found to be unsubstantiated. One of the allegations was found to be substantiated; however, the program has corrected the violation by not allowing children to fall asleep in a crib or cot with a bottle. Staff have been informed that children must be held for bottle feeding or placed in an appropriate apparatus to be fed. Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. During the visit, staff stated they have allowed a child to fall asleep with a bottle in the crib. This has been corrected by staff being informed that children must be held for bottle feeding or placed in an appropriate apparatus to be fed. 10A NCAC 09 .0902(b) 1756 Enhanced staff/child ratios and group sizes were not met. In space #1a, eleven (11) children, age's 3-5, were present with one caregiver. The staff/child ratio for 3 years + when meeting enhanced ratios is 1:10. 10A NCAC 09 .2818 The violation(s) must be corrected immediately. A written, dated and signed statement must be received by February 21, 2024 that describes in detail how the violation was corrected. Mail or email the information to: Miriam Byrd Child Care Consultant PO Box 1731 Clinton, NC 28329 Miriam.Byrd@dhhs.nc.gov If you state in your letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a purposed timeline of the corrections. In some cases, this timeline may be extended. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. A follow-up visit will be conducted to verify compliance with enhanced ratios. Technical assistance regarding appropriate feeding apparatus was shared during today's visit. Avoid giving bottles to infants/toddlers in their cribs. If an infant falls asleep while feeding and an adult is not present to remove the bottle, milk may remain in the mouth during sleep. The sugar naturally found in this milk can cause cavities in new or forming teeth. Never let infants or toddlers carry bottles. They easily can fall and injure themselves. Children who carry bottles may share sips with other children, which increased their risk of sharing infections. Infants who are unable to hold a bottle shall be held by a staff person or other adult for bottle feeding. At no time shall a bottle be propped for an infant. High chairs or other appropriate seating equipment shall be used to seat infants during feeding. Infants who are unable to sit unassisted in a high chair or other seating equipment shall be held. Contact me at (910) 709-5985 or via email: Miriam.Byrd@dhhs.nc.gov with any questions or concerns. You may also contact Janet Edwards, Licensing Supervisor at (910) 709-4160, janet.edwards@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 .2818 · Violation

Name of Operation: WACCAMAW SIOUAN DAY CARE Facility ID: 0955035 Consultant: MIRIAM BYRD Operation Type: Center Case Number: 0124-255L Visit Date: 1/31/2024 Number Present: 29 Completed Date: 1/31/2024 Age: From 0 To 5 Total Minutes: 105 Time In: 12:00 PM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: 1. The center is out of ratio 2. Children are not adequately supervised 3. A toddler is allowed to sleep with a bottle in its mouth 4. The center does not have attendance records as required 5. The center has not had a sanitation inspection since 2022 6. A menu is not posted as required The above allegations were addressed with the center administrator, Linda Patrick and staff. Each were given an opportunity to address the concerns. During today’s visit, staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. The license and emergency care plan were posted. Fire drills, medication administration and storage of hazardous products were also monitored. Findings to the allegations: The center is out of ratio: In space #2 there were eight (8) children, age’s 0-1, present with two caregivers. There are four (4) children that are under a year and four (4) children that are one year old. A total of eight children are enrolled. Children were observed completing lunch and participating in free play. In space #1a, eleven (11) children, age’s 3-5, were present with one caregiver. In space #1b, ten (10) children, age’s 2-3, were present with two caregivers. Based on the information obtained during today’s visit the allegation regarding ratios is substantiated. Children are not adequately supervised: During my walk-through of the classrooms, I observed caregivers providing adequate supervision. I asked each of the caregivers if when they leave the room, are children left unattended at any time. Ms. Patrick and the staff stated that if a teacher leaves the classroom, another teacher is moved to that space or they call Ms. Patrick or the cook to come in the classroom. Ms. Patrick stated the day in question regarding supervision, she stepped in the classroom to relieve a caregiver. Based on the information obtained during today’s visit the allegations regarding supervision is unsubstantiated. A toddler is allowed to sleep with a bottle in its mouth: Although it was not observed during the visit, Mrs. Patrick and the caregivers for infants stated they have allowed to a child to fall asleep with a bottle in the crib. I informed Mrs. Patrick and the staff that children children must be held or be placed in feeding chairs or other appropriate apparatus to be fed. Based on the information obtained during today's visit, the allegations regarding nutrition is found to be substantiated. The center does not have attendance records as required: During today’s visit, I verified completed attendance records for the month of January. Mrs. Patrick and staff stated that daily attendance is completed prior to lunch for that day. Based on the information obtained, the allegation regarding attendance is found to be unsubstantiated. The center has not had a sanitation inspection since 2022: Due to staffing shortage with the Environmental Health Specialist, the sanitation inspection was delinquent. A violation was cited on December 19, 2023. A sanitation inspection was conducted on January 26, 2024. The center received 25 demerits and an Approved classification. Based on the recent sanitation inspection obtained, the allegation regarding a current sanitation inspection is found to be unsubstantiated. A menu is not posted as required: I observed a current menu for the month of January posted in the entrance of the child care center. The Infant Menu as well as the Menu for Preschool children is posted. Food substitutions are recorded when food items change on the menu. Based on the information obtained during today's visit, the allegation regarding menus is found to be unsubstantiated. One of the allegations was found to be substantiated; however, the program has corrected the violation by not allowing children to fall asleep in a crib or cot with a bottle. Staff have been informed that children must be held for bottle feeding or placed in an appropriate apparatus to be fed. Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. During the visit, staff stated they have allowed a child to fall asleep with a bottle in the crib. This has been corrected by staff being informed that children must be held for bottle feeding or placed in an appropriate apparatus to be fed. 10A NCAC 09 .0902(b) 1756 Enhanced staff/child ratios and group sizes were not met. In space #1a, eleven (11) children, age's 3-5, were present with one caregiver. The staff/child ratio for 3 years + when meeting enhanced ratios is 1:10. 10A NCAC 09 .2818 The violation(s) must be corrected immediately. A written, dated and signed statement must be received by February 21, 2024 that describes in detail how the violation was corrected. Mail or email the information to: Miriam Byrd Child Care Consultant PO Box 1731 Clinton, NC 28329 Miriam.Byrd@dhhs.nc.gov If you state in your letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a purposed timeline of the corrections. In some cases, this timeline may be extended. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. A follow-up visit will be conducted to verify compliance with enhanced ratios. Technical assistance regarding appropriate feeding apparatus was shared during today's visit. Avoid giving bottles to infants/toddlers in their cribs. If an infant falls asleep while feeding and an adult is not present to remove the bottle, milk may remain in the mouth during sleep. The sugar naturally found in this milk can cause cavities in new or forming teeth. Never let infants or toddlers carry bottles. They easily can fall and injure themselves. Children who carry bottles may share sips with other children, which increased their risk of sharing infections. Infants who are unable to hold a bottle shall be held by a staff person or other adult for bottle feeding. At no time shall a bottle be propped for an infant. High chairs or other appropriate seating equipment shall be used to seat infants during feeding. Infants who are unable to sit unassisted in a high chair or other seating equipment shall be held. Contact me at (910) 709-5985 or via email: Miriam.Byrd@dhhs.nc.gov with any questions or concerns. You may also contact Janet Edwards, Licensing Supervisor at (910) 709-4160, janet.edwards@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: WACCAMAW SIOUAN DAY CARE Facility ID: 0955035 Consultant: MIRIAM BYRD Operation Type: Center Case Number: 0124-255L Visit Date: 1/31/2024 Number Present: 29 Completed Date: 1/31/2024 Age: From 0 To 5 Total Minutes: 105 Time In: 12:00 PM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: 1. The center is out of ratio 2. Children are not adequately supervised 3. A toddler is allowed to sleep with a bottle in its mouth 4. The center does not have attendance records as required 5. The center has not had a sanitation inspection since 2022 6. A menu is not posted as required The above allegations were addressed with the center administrator, Linda Patrick and staff. Each were given an opportunity to address the concerns. During today’s visit, staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. The license and emergency care plan were posted. Fire drills, medication administration and storage of hazardous products were also monitored. Findings to the allegations: The center is out of ratio: In space #2 there were eight (8) children, age’s 0-1, present with two caregivers. There are four (4) children that are under a year and four (4) children that are one year old. A total of eight children are enrolled. Children were observed completing lunch and participating in free play. In space #1a, eleven (11) children, age’s 3-5, were present with one caregiver. In space #1b, ten (10) children, age’s 2-3, were present with two caregivers. Based on the information obtained during today’s visit the allegation regarding ratios is substantiated. Children are not adequately supervised: During my walk-through of the classrooms, I observed caregivers providing adequate supervision. I asked each of the caregivers if when they leave the room, are children left unattended at any time. Ms. Patrick and the staff stated that if a teacher leaves the classroom, another teacher is moved to that space or they call Ms. Patrick or the cook to come in the classroom. Ms. Patrick stated the day in question regarding supervision, she stepped in the classroom to relieve a caregiver. Based on the information obtained during today’s visit the allegations regarding supervision is unsubstantiated. A toddler is allowed to sleep with a bottle in its mouth: Although it was not observed during the visit, Mrs. Patrick and the caregivers for infants stated they have allowed to a child to fall asleep with a bottle in the crib. I informed Mrs. Patrick and the staff that children children must be held or be placed in feeding chairs or other appropriate apparatus to be fed. Based on the information obtained during today's visit, the allegations regarding nutrition is found to be substantiated. The center does not have attendance records as required: During today’s visit, I verified completed attendance records for the month of January. Mrs. Patrick and staff stated that daily attendance is completed prior to lunch for that day. Based on the information obtained, the allegation regarding attendance is found to be unsubstantiated. The center has not had a sanitation inspection since 2022: Due to staffing shortage with the Environmental Health Specialist, the sanitation inspection was delinquent. A violation was cited on December 19, 2023. A sanitation inspection was conducted on January 26, 2024. The center received 25 demerits and an Approved classification. Based on the recent sanitation inspection obtained, the allegation regarding a current sanitation inspection is found to be unsubstantiated. A menu is not posted as required: I observed a current menu for the month of January posted in the entrance of the child care center. The Infant Menu as well as the Menu for Preschool children is posted. Food substitutions are recorded when food items change on the menu. Based on the information obtained during today's visit, the allegation regarding menus is found to be unsubstantiated. One of the allegations was found to be substantiated; however, the program has corrected the violation by not allowing children to fall asleep in a crib or cot with a bottle. Staff have been informed that children must be held for bottle feeding or placed in an appropriate apparatus to be fed. Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. During the visit, staff stated they have allowed a child to fall asleep with a bottle in the crib. This has been corrected by staff being informed that children must be held for bottle feeding or placed in an appropriate apparatus to be fed. 10A NCAC 09 .0902(b) 1756 Enhanced staff/child ratios and group sizes were not met. In space #1a, eleven (11) children, age's 3-5, were present with one caregiver. The staff/child ratio for 3 years + when meeting enhanced ratios is 1:10. 10A NCAC 09 .2818 The violation(s) must be corrected immediately. A written, dated and signed statement must be received by February 21, 2024 that describes in detail how the violation was corrected. Mail or email the information to: Miriam Byrd Child Care Consultant PO Box 1731 Clinton, NC 28329 Miriam.Byrd@dhhs.nc.gov If you state in your letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a purposed timeline of the corrections. In some cases, this timeline may be extended. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. A follow-up visit will be conducted to verify compliance with enhanced ratios. Technical assistance regarding appropriate feeding apparatus was shared during today's visit. Avoid giving bottles to infants/toddlers in their cribs. If an infant falls asleep while feeding and an adult is not present to remove the bottle, milk may remain in the mouth during sleep. The sugar naturally found in this milk can cause cavities in new or forming teeth. Never let infants or toddlers carry bottles. They easily can fall and injure themselves. Children who carry bottles may share sips with other children, which increased their risk of sharing infections. Infants who are unable to hold a bottle shall be held by a staff person or other adult for bottle feeding. At no time shall a bottle be propped for an infant. High chairs or other appropriate seating equipment shall be used to seat infants during feeding. Infants who are unable to sit unassisted in a high chair or other seating equipment shall be held. Contact me at (910) 709-5985 or via email: Miriam.Byrd@dhhs.nc.gov with any questions or concerns. You may also contact Janet Edwards, Licensing Supervisor at (910) 709-4160, janet.edwards@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: WACCAMAW SIOUAN DAY CARE Facility ID: 0955035 Consultant: MIRIAM BYRD Operation Type: Center Case Number: 1223-144L Visit Date: 12/19/2023 Number Present: 24 Completed Date: 12/19/2023 Age: From 0 To 4 Total Minutes: 105 Time In: 11:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a complaint report alleging violations of childcare requirements concerning that meals do not contain all the required nutritional components and the posted menu does not reflect what is offered. I reviewed the allegations with the cook and the director. The cook stated she started working at the center December 6, 2023. She stated she has not served pop tarts during this time. A current menu was observed. Based on the information reviewed, the menu contains all of the required nutritional components for breakfast, lunch and snack. I observed lunch being prepared and served. Today’s lunch consisted of green beans, peaches, spaghetti with meat sauce, whole wheat bread and milk. Today’s snack will consist of cheese slices, whole wheat crackers and milk. Ms. Linda Patrick, director, stated a parent came to her concerned that her child was not getting all of the required components. Ms. Patrick stated she informed the parent that she offers the child what is prepared for that day, but she can not force a child to eat everything. Children are encouraged to try a little of everything on the plate. The program participates in the State Child and Adult Food Program. Based on the information obtained and observed, the allegation is found to be unsubstantiated. Four violations of child care requirements were observed during today's visit. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The last sanitation inspection was December 13, 2022. 10A NCAC 09 .0304(b) 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 new staff did not have TB test results on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One new staff did not complete a criminal background check prior to employment on December 6, 2023. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. One staff did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) In response to the violations cited, send me a signed and dated compliance letter explaining when the violations were corrected. Your compliance letter must be received by January 2, 2024. You may mail or email the letter to: Miriam Byrd, Child Care Consultant, PO Box 1731, Clinton, NC 28329 Miriam.Byrd@dhhs.nc.gov You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain compliance history score of at least 75% for the past 18 months or during the length of time the facility operated, whichever is less. Failure to do so may result in an issuance of provisional license or other administrative action. During the interview with the cook, Jennifer Young, it was verified that she was hired on December 6, 2023. Upon reviewing her file, she did not complete the Criminal Background check process prior to her employment on December 6, 2023. Also, TB test results are missing. Ms. Young was informed that she must leave the facility and can not return until she has received a criminal background qualification letter. Ms. Young left the facility at 1:00 pm. I informed Ms. Patrick that I can view the criminal background letter once issued. She is to let me know when Ms. Young receives her qualification letter. During today’s visit, a staff member wanted to know if Kellogg’s Nutri-Grain Soft Baked Breakfast Bars were ok to serve as an afternoon snack. Based on the nutrition facts on the box, there is a total of 13 grams of sugar for one bar and 12 grams of added sugar. Per the Child and Adult Meal Program guidelines, breakfast cereals must contain no more than 6 grams of sugar per dry ounce. I advised them not to serve the breakfast bars unless the total grams of sugar is less than 6 grams. You can visit the DCDEE website at www.ncchildcare.nc.gov for updated information and provider forms. Contact me at (910) 709-5985 or via email with any questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: WACCAMAW SIOUAN DAY CARE Facility ID: 0955035 Consultant: MIRIAM BYRD Operation Type: Center Case Number: 1223-144L Visit Date: 12/19/2023 Number Present: 24 Completed Date: 12/19/2023 Age: From 0 To 4 Total Minutes: 105 Time In: 11:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a complaint report alleging violations of childcare requirements concerning that meals do not contain all the required nutritional components and the posted menu does not reflect what is offered. I reviewed the allegations with the cook and the director. The cook stated she started working at the center December 6, 2023. She stated she has not served pop tarts during this time. A current menu was observed. Based on the information reviewed, the menu contains all of the required nutritional components for breakfast, lunch and snack. I observed lunch being prepared and served. Today’s lunch consisted of green beans, peaches, spaghetti with meat sauce, whole wheat bread and milk. Today’s snack will consist of cheese slices, whole wheat crackers and milk. Ms. Linda Patrick, director, stated a parent came to her concerned that her child was not getting all of the required components. Ms. Patrick stated she informed the parent that she offers the child what is prepared for that day, but she can not force a child to eat everything. Children are encouraged to try a little of everything on the plate. The program participates in the State Child and Adult Food Program. Based on the information obtained and observed, the allegation is found to be unsubstantiated. Four violations of child care requirements were observed during today's visit. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The last sanitation inspection was December 13, 2022. 10A NCAC 09 .0304(b) 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 new staff did not have TB test results on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One new staff did not complete a criminal background check prior to employment on December 6, 2023. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. One staff did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) In response to the violations cited, send me a signed and dated compliance letter explaining when the violations were corrected. Your compliance letter must be received by January 2, 2024. You may mail or email the letter to: Miriam Byrd, Child Care Consultant, PO Box 1731, Clinton, NC 28329 Miriam.Byrd@dhhs.nc.gov You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain compliance history score of at least 75% for the past 18 months or during the length of time the facility operated, whichever is less. Failure to do so may result in an issuance of provisional license or other administrative action. During the interview with the cook, Jennifer Young, it was verified that she was hired on December 6, 2023. Upon reviewing her file, she did not complete the Criminal Background check process prior to her employment on December 6, 2023. Also, TB test results are missing. Ms. Young was informed that she must leave the facility and can not return until she has received a criminal background qualification letter. Ms. Young left the facility at 1:00 pm. I informed Ms. Patrick that I can view the criminal background letter once issued. She is to let me know when Ms. Young receives her qualification letter. During today’s visit, a staff member wanted to know if Kellogg’s Nutri-Grain Soft Baked Breakfast Bars were ok to serve as an afternoon snack. Based on the nutrition facts on the box, there is a total of 13 grams of sugar for one bar and 12 grams of added sugar. Per the Child and Adult Meal Program guidelines, breakfast cereals must contain no more than 6 grams of sugar per dry ounce. I advised them not to serve the breakfast bars unless the total grams of sugar is less than 6 grams. You can visit the DCDEE website at www.ncchildcare.nc.gov for updated information and provider forms. Contact me at (910) 709-5985 or via email with any questions or concerns. 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: WACCAMAW SIOUAN DAY CARE Facility ID: 0955035 Consultant: MIRIAM BYRD Operation Type: Center Case Number: 1223-144L Visit Date: 12/19/2023 Number Present: 24 Completed Date: 12/19/2023 Age: From 0 To 4 Total Minutes: 105 Time In: 11:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a complaint report alleging violations of childcare requirements concerning that meals do not contain all the required nutritional components and the posted menu does not reflect what is offered. I reviewed the allegations with the cook and the director. The cook stated she started working at the center December 6, 2023. She stated she has not served pop tarts during this time. A current menu was observed. Based on the information reviewed, the menu contains all of the required nutritional components for breakfast, lunch and snack. I observed lunch being prepared and served. Today’s lunch consisted of green beans, peaches, spaghetti with meat sauce, whole wheat bread and milk. Today’s snack will consist of cheese slices, whole wheat crackers and milk. Ms. Linda Patrick, director, stated a parent came to her concerned that her child was not getting all of the required components. Ms. Patrick stated she informed the parent that she offers the child what is prepared for that day, but she can not force a child to eat everything. Children are encouraged to try a little of everything on the plate. The program participates in the State Child and Adult Food Program. Based on the information obtained and observed, the allegation is found to be unsubstantiated. Four violations of child care requirements were observed during today's visit. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The last sanitation inspection was December 13, 2022. 10A NCAC 09 .0304(b) 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 new staff did not have TB test results on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One new staff did not complete a criminal background check prior to employment on December 6, 2023. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. One staff did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) In response to the violations cited, send me a signed and dated compliance letter explaining when the violations were corrected. Your compliance letter must be received by January 2, 2024. You may mail or email the letter to: Miriam Byrd, Child Care Consultant, PO Box 1731, Clinton, NC 28329 Miriam.Byrd@dhhs.nc.gov You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain compliance history score of at least 75% for the past 18 months or during the length of time the facility operated, whichever is less. Failure to do so may result in an issuance of provisional license or other administrative action. During the interview with the cook, Jennifer Young, it was verified that she was hired on December 6, 2023. Upon reviewing her file, she did not complete the Criminal Background check process prior to her employment on December 6, 2023. Also, TB test results are missing. Ms. Young was informed that she must leave the facility and can not return until she has received a criminal background qualification letter. Ms. Young left the facility at 1:00 pm. I informed Ms. Patrick that I can view the criminal background letter once issued. She is to let me know when Ms. Young receives her qualification letter. During today’s visit, a staff member wanted to know if Kellogg’s Nutri-Grain Soft Baked Breakfast Bars were ok to serve as an afternoon snack. Based on the nutrition facts on the box, there is a total of 13 grams of sugar for one bar and 12 grams of added sugar. Per the Child and Adult Meal Program guidelines, breakfast cereals must contain no more than 6 grams of sugar per dry ounce. I advised them not to serve the breakfast bars unless the total grams of sugar is less than 6 grams. You can visit the DCDEE website at www.ncchildcare.nc.gov for updated information and provider forms. Contact me at (910) 709-5985 or via email with any questions or concerns. 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