10A NCAC 09 .1705 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/5/2026 Number Present: 5 Completed Date: 1/5/2026 Age: From 2 To 5 Total Minutes: 100 Time In: 02:20 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to follow up on violations cited during your annual compliance visit conducted on 12/16/25. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, Owner/Operator, during the visit. A signed copy of today’s visit was left on site today. An electronic copy of the visit summary is available electronically upon request. Upon my arrival I explained to Ms. Horton the reason for my visit today. During the annual compliance visit on 12/16/25, six (6) violations were cited with a correction letter due on 12/30/25. I received a letter of correction from Ms. Horton at 6:45 p.m. on 12/31/25 with five (5) items corrected and an extension request for ongoing training hours. The following day was a holiday, so on 1/2/26, the request was not approved, which requires a follow-up visit. During today's visit, children were observed napping. There are five (5) children in attendance today. The following violations were documented during today’s visit: Violation Number Comment Rule 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. On 12/23/25, none of the children were signed out. Today (Monday 1/5/26), none of the five (5) children were signed in. This is repeat violation. .1721(e)(6) 1301 Operator did not complete the required number of on-going training hours as specified in rule. This provider had not completed her annual training hours that are required. Ms. Horton had two (2) weeks [14 days] to complete 6.5 training hours. Ms. Horton did not meet this deadline. This is a repeat violation. GS 110-91(11); 10A NCAC 09 .1705(b)(5) Technical Assistant Given: Item #921 This facility was closed last week and the week prior was the week of Christmas, so they were only open two (2) days. On 12/23/25, none of the children were signed out. Today (Monday 1/5/26), none of the five (5) children were signed in. This is repeat violation. *We discussed making the parents responsible for this and putting a clipboard near the front door. Item #1301 This provider had not completed her annual training hours that are required. Ms. Horton had two (2) weeks [14 days] to complete 6.5 training hours. Ms. Horton did not meet this deadline. This is a repeat violation. Technical assistance for correction plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit will be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by January 19, 2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/5/2026 Number Present: 5 Completed Date: 1/5/2026 Age: From 2 To 5 Total Minutes: 100 Time In: 02:20 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to follow up on violations cited during your annual compliance visit conducted on 12/16/25. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, Owner/Operator, during the visit. A signed copy of today’s visit was left on site today. An electronic copy of the visit summary is available electronically upon request. Upon my arrival I explained to Ms. Horton the reason for my visit today. During the annual compliance visit on 12/16/25, six (6) violations were cited with a correction letter due on 12/30/25. I received a letter of correction from Ms. Horton at 6:45 p.m. on 12/31/25 with five (5) items corrected and an extension request for ongoing training hours. The following day was a holiday, so on 1/2/26, the request was not approved, which requires a follow-up visit. During today's visit, children were observed napping. There are five (5) children in attendance today. The following violations were documented during today’s visit: Violation Number Comment Rule 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. On 12/23/25, none of the children were signed out. Today (Monday 1/5/26), none of the five (5) children were signed in. This is repeat violation. .1721(e)(6) 1301 Operator did not complete the required number of on-going training hours as specified in rule. This provider had not completed her annual training hours that are required. Ms. Horton had two (2) weeks [14 days] to complete 6.5 training hours. Ms. Horton did not meet this deadline. This is a repeat violation. GS 110-91(11); 10A NCAC 09 .1705(b)(5) Technical Assistant Given: Item #921 This facility was closed last week and the week prior was the week of Christmas, so they were only open two (2) days. On 12/23/25, none of the children were signed out. Today (Monday 1/5/26), none of the five (5) children were signed in. This is repeat violation. *We discussed making the parents responsible for this and putting a clipboard near the front door. Item #1301 This provider had not completed her annual training hours that are required. Ms. Horton had two (2) weeks [14 days] to complete 6.5 training hours. Ms. Horton did not meet this deadline. This is a repeat violation. Technical assistance for correction plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit will be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by January 19, 2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 12/16/2025 Number Present: 4 Completed Date: 12/16/2025 Age: From 2 To 3 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance and technical assistance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during the visit. An electronic signed copy of the visit summary was left on-site and may be electronically emailed to you upon request. Ms. Horton was available to answer questions throughout the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care homes was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percentage as of 12/5/25. Ms. Horton is the sole proprietor of this program. Permit type –Three-star license issued 8/17/2020. Special Services/Restrictions – First shift, second shift, third shift, maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours, children in care on ground level only and no more than two children less than 1 year old. The last annual compliance visit was conducted on 1/15/25. The last fire drill was practiced 12/15/25. Fire drills The last shelter-in-place drill was practiced on 9/3/25. The last playground inspection was documented on 10/2/25. The Emergency Medical Care plan was posted and current. The curriculum used for this facility is Funshine Express Lead water test was completed on 6/20/25 without hazards. Lead paint and asbestos testing was completed on 9/11/25 without hazards. Upon my arrival, I greeted Ms. Horton and the children. Children were playing in centers with a variety of materials. Children cleaned up and all sat at the table to play with playdough and tools to cut and roll. Children cleaned up and washed their hands for lunch. After lunch children used the bathroom and transitioned to their mat for rest time. Lunch today consisted of grilled cheese, green beans, apple wedges and milk. I used the Family Child Care Home Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. There was Lysol aerosol in the unlocked guest bedroom and in the cleaning closet. .1719 (a)(7) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Children were not signed in on 12/15/25 & 12/16/25. Children were not signed out on 12/15/25. .1721(e)(6) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A playground inspection was missing for March 2025 and November 2025. .1721 (e)(7) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Annual training hours for the year were not completed. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1853 The operator did not conduct a monthly fire drill. A fire drill was not logged in October or November 2025. .1719(a)(15) & .1721( e)(2) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. The closet with cleaning supplies inside was not locked. It had a child proof door knob cover, however that is not considered locked. .1719(a)(6) Technical assistance was provided as follows: Item # 921 Children were not signed in on 12/15/25 & 12/16/25. Children were not signed out on 12/15/25. *Consider leaving sign in sheet by the front door for parents to sign their child in/out. If not, it is your responsibility to make sure they are signed in and out each day. Item # 1853 A fire drill was not logged in October or November 2025. *Set a reminder in your phone to have a fire drill and log it. Item # 1940 The closet with cleaning supplies inside was not locked. It had a child proof door knob cover, however that is not considered locked. *We discussed turning the door knobs around for the closet and bedrooms and/or having the key up high on a hook. Item #706 There was Lysol aerosol in the unlocked guest bedroom and in the cleaning closet. * We discussed turning the door knobs around for the closet and bedrooms and/or having the key up high on a hook. Item #923 A playground inspection was missing for March 2025 and November 2025. *Set a reminder in your phone to complete the playground inspections. Perhaps do it on the same day as your fire drill. Item #1301 Annual training hours for the year were not completed. Perhaps you could take a training every month or two to make sure your 8 hours. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by December 30, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the new QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). If you have questions about which pathway you want to pursue, please feel free to reach out to me. • We discussed having the children wear slippers or socks with grippers. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1703 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 12/16/2025 Number Present: 4 Completed Date: 12/16/2025 Age: From 2 To 3 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance and technical assistance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during the visit. An electronic signed copy of the visit summary was left on-site and may be electronically emailed to you upon request. Ms. Horton was available to answer questions throughout the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care homes was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percentage as of 12/5/25. Ms. Horton is the sole proprietor of this program. Permit type –Three-star license issued 8/17/2020. Special Services/Restrictions – First shift, second shift, third shift, maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours, children in care on ground level only and no more than two children less than 1 year old. The last annual compliance visit was conducted on 1/15/25. The last fire drill was practiced 12/15/25. Fire drills The last shelter-in-place drill was practiced on 9/3/25. The last playground inspection was documented on 10/2/25. The Emergency Medical Care plan was posted and current. The curriculum used for this facility is Funshine Express Lead water test was completed on 6/20/25 without hazards. Lead paint and asbestos testing was completed on 9/11/25 without hazards. Upon my arrival, I greeted Ms. Horton and the children. Children were playing in centers with a variety of materials. Children cleaned up and all sat at the table to play with playdough and tools to cut and roll. Children cleaned up and washed their hands for lunch. After lunch children used the bathroom and transitioned to their mat for rest time. Lunch today consisted of grilled cheese, green beans, apple wedges and milk. I used the Family Child Care Home Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. There was Lysol aerosol in the unlocked guest bedroom and in the cleaning closet. .1719 (a)(7) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Children were not signed in on 12/15/25 & 12/16/25. Children were not signed out on 12/15/25. .1721(e)(6) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A playground inspection was missing for March 2025 and November 2025. .1721 (e)(7) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Annual training hours for the year were not completed. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1853 The operator did not conduct a monthly fire drill. A fire drill was not logged in October or November 2025. .1719(a)(15) & .1721( e)(2) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. The closet with cleaning supplies inside was not locked. It had a child proof door knob cover, however that is not considered locked. .1719(a)(6) Technical assistance was provided as follows: Item # 921 Children were not signed in on 12/15/25 & 12/16/25. Children were not signed out on 12/15/25. *Consider leaving sign in sheet by the front door for parents to sign their child in/out. If not, it is your responsibility to make sure they are signed in and out each day. Item # 1853 A fire drill was not logged in October or November 2025. *Set a reminder in your phone to have a fire drill and log it. Item # 1940 The closet with cleaning supplies inside was not locked. It had a child proof door knob cover, however that is not considered locked. *We discussed turning the door knobs around for the closet and bedrooms and/or having the key up high on a hook. Item #706 There was Lysol aerosol in the unlocked guest bedroom and in the cleaning closet. * We discussed turning the door knobs around for the closet and bedrooms and/or having the key up high on a hook. Item #923 A playground inspection was missing for March 2025 and November 2025. *Set a reminder in your phone to complete the playground inspections. Perhaps do it on the same day as your fire drill. Item #1301 Annual training hours for the year were not completed. Perhaps you could take a training every month or two to make sure your 8 hours. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by December 30, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the new QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). If you have questions about which pathway you want to pursue, please feel free to reach out to me. • We discussed having the children wear slippers or socks with grippers. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1705 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 12/16/2025 Number Present: 4 Completed Date: 12/16/2025 Age: From 2 To 3 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance and technical assistance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during the visit. An electronic signed copy of the visit summary was left on-site and may be electronically emailed to you upon request. Ms. Horton was available to answer questions throughout the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care homes was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percentage as of 12/5/25. Ms. Horton is the sole proprietor of this program. Permit type –Three-star license issued 8/17/2020. Special Services/Restrictions – First shift, second shift, third shift, maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours, children in care on ground level only and no more than two children less than 1 year old. The last annual compliance visit was conducted on 1/15/25. The last fire drill was practiced 12/15/25. Fire drills The last shelter-in-place drill was practiced on 9/3/25. The last playground inspection was documented on 10/2/25. The Emergency Medical Care plan was posted and current. The curriculum used for this facility is Funshine Express Lead water test was completed on 6/20/25 without hazards. Lead paint and asbestos testing was completed on 9/11/25 without hazards. Upon my arrival, I greeted Ms. Horton and the children. Children were playing in centers with a variety of materials. Children cleaned up and all sat at the table to play with playdough and tools to cut and roll. Children cleaned up and washed their hands for lunch. After lunch children used the bathroom and transitioned to their mat for rest time. Lunch today consisted of grilled cheese, green beans, apple wedges and milk. I used the Family Child Care Home Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. There was Lysol aerosol in the unlocked guest bedroom and in the cleaning closet. .1719 (a)(7) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Children were not signed in on 12/15/25 & 12/16/25. Children were not signed out on 12/15/25. .1721(e)(6) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A playground inspection was missing for March 2025 and November 2025. .1721 (e)(7) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Annual training hours for the year were not completed. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1853 The operator did not conduct a monthly fire drill. A fire drill was not logged in October or November 2025. .1719(a)(15) & .1721( e)(2) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. The closet with cleaning supplies inside was not locked. It had a child proof door knob cover, however that is not considered locked. .1719(a)(6) Technical assistance was provided as follows: Item # 921 Children were not signed in on 12/15/25 & 12/16/25. Children were not signed out on 12/15/25. *Consider leaving sign in sheet by the front door for parents to sign their child in/out. If not, it is your responsibility to make sure they are signed in and out each day. Item # 1853 A fire drill was not logged in October or November 2025. *Set a reminder in your phone to have a fire drill and log it. Item # 1940 The closet with cleaning supplies inside was not locked. It had a child proof door knob cover, however that is not considered locked. *We discussed turning the door knobs around for the closet and bedrooms and/or having the key up high on a hook. Item #706 There was Lysol aerosol in the unlocked guest bedroom and in the cleaning closet. * We discussed turning the door knobs around for the closet and bedrooms and/or having the key up high on a hook. Item #923 A playground inspection was missing for March 2025 and November 2025. *Set a reminder in your phone to complete the playground inspections. Perhaps do it on the same day as your fire drill. Item #1301 Annual training hours for the year were not completed. Perhaps you could take a training every month or two to make sure your 8 hours. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by December 30, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the new QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). If you have questions about which pathway you want to pursue, please feel free to reach out to me. • We discussed having the children wear slippers or socks with grippers. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3222 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 12/16/2025 Number Present: 4 Completed Date: 12/16/2025 Age: From 2 To 3 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance and technical assistance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during the visit. An electronic signed copy of the visit summary was left on-site and may be electronically emailed to you upon request. Ms. Horton was available to answer questions throughout the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care homes was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percentage as of 12/5/25. Ms. Horton is the sole proprietor of this program. Permit type –Three-star license issued 8/17/2020. Special Services/Restrictions – First shift, second shift, third shift, maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours, children in care on ground level only and no more than two children less than 1 year old. The last annual compliance visit was conducted on 1/15/25. The last fire drill was practiced 12/15/25. Fire drills The last shelter-in-place drill was practiced on 9/3/25. The last playground inspection was documented on 10/2/25. The Emergency Medical Care plan was posted and current. The curriculum used for this facility is Funshine Express Lead water test was completed on 6/20/25 without hazards. Lead paint and asbestos testing was completed on 9/11/25 without hazards. Upon my arrival, I greeted Ms. Horton and the children. Children were playing in centers with a variety of materials. Children cleaned up and all sat at the table to play with playdough and tools to cut and roll. Children cleaned up and washed their hands for lunch. After lunch children used the bathroom and transitioned to their mat for rest time. Lunch today consisted of grilled cheese, green beans, apple wedges and milk. I used the Family Child Care Home Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. There was Lysol aerosol in the unlocked guest bedroom and in the cleaning closet. .1719 (a)(7) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Children were not signed in on 12/15/25 & 12/16/25. Children were not signed out on 12/15/25. .1721(e)(6) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A playground inspection was missing for March 2025 and November 2025. .1721 (e)(7) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Annual training hours for the year were not completed. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1853 The operator did not conduct a monthly fire drill. A fire drill was not logged in October or November 2025. .1719(a)(15) & .1721( e)(2) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. The closet with cleaning supplies inside was not locked. It had a child proof door knob cover, however that is not considered locked. .1719(a)(6) Technical assistance was provided as follows: Item # 921 Children were not signed in on 12/15/25 & 12/16/25. Children were not signed out on 12/15/25. *Consider leaving sign in sheet by the front door for parents to sign their child in/out. If not, it is your responsibility to make sure they are signed in and out each day. Item # 1853 A fire drill was not logged in October or November 2025. *Set a reminder in your phone to have a fire drill and log it. Item # 1940 The closet with cleaning supplies inside was not locked. It had a child proof door knob cover, however that is not considered locked. *We discussed turning the door knobs around for the closet and bedrooms and/or having the key up high on a hook. Item #706 There was Lysol aerosol in the unlocked guest bedroom and in the cleaning closet. * We discussed turning the door knobs around for the closet and bedrooms and/or having the key up high on a hook. Item #923 A playground inspection was missing for March 2025 and November 2025. *Set a reminder in your phone to complete the playground inspections. Perhaps do it on the same day as your fire drill. Item #1301 Annual training hours for the year were not completed. Perhaps you could take a training every month or two to make sure your 8 hours. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by December 30, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the new QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). If you have questions about which pathway you want to pursue, please feel free to reach out to me. • We discussed having the children wear slippers or socks with grippers. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 12/16/2025 Number Present: 4 Completed Date: 12/16/2025 Age: From 2 To 3 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance and technical assistance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during the visit. An electronic signed copy of the visit summary was left on-site and may be electronically emailed to you upon request. Ms. Horton was available to answer questions throughout the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care homes was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percentage as of 12/5/25. Ms. Horton is the sole proprietor of this program. Permit type –Three-star license issued 8/17/2020. Special Services/Restrictions – First shift, second shift, third shift, maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours, children in care on ground level only and no more than two children less than 1 year old. The last annual compliance visit was conducted on 1/15/25. The last fire drill was practiced 12/15/25. Fire drills The last shelter-in-place drill was practiced on 9/3/25. The last playground inspection was documented on 10/2/25. The Emergency Medical Care plan was posted and current. The curriculum used for this facility is Funshine Express Lead water test was completed on 6/20/25 without hazards. Lead paint and asbestos testing was completed on 9/11/25 without hazards. Upon my arrival, I greeted Ms. Horton and the children. Children were playing in centers with a variety of materials. Children cleaned up and all sat at the table to play with playdough and tools to cut and roll. Children cleaned up and washed their hands for lunch. After lunch children used the bathroom and transitioned to their mat for rest time. Lunch today consisted of grilled cheese, green beans, apple wedges and milk. I used the Family Child Care Home Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. There was Lysol aerosol in the unlocked guest bedroom and in the cleaning closet. .1719 (a)(7) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Children were not signed in on 12/15/25 & 12/16/25. Children were not signed out on 12/15/25. .1721(e)(6) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A playground inspection was missing for March 2025 and November 2025. .1721 (e)(7) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Annual training hours for the year were not completed. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1853 The operator did not conduct a monthly fire drill. A fire drill was not logged in October or November 2025. .1719(a)(15) & .1721( e)(2) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. The closet with cleaning supplies inside was not locked. It had a child proof door knob cover, however that is not considered locked. .1719(a)(6) Technical assistance was provided as follows: Item # 921 Children were not signed in on 12/15/25 & 12/16/25. Children were not signed out on 12/15/25. *Consider leaving sign in sheet by the front door for parents to sign their child in/out. If not, it is your responsibility to make sure they are signed in and out each day. Item # 1853 A fire drill was not logged in October or November 2025. *Set a reminder in your phone to have a fire drill and log it. Item # 1940 The closet with cleaning supplies inside was not locked. It had a child proof door knob cover, however that is not considered locked. *We discussed turning the door knobs around for the closet and bedrooms and/or having the key up high on a hook. Item #706 There was Lysol aerosol in the unlocked guest bedroom and in the cleaning closet. * We discussed turning the door knobs around for the closet and bedrooms and/or having the key up high on a hook. Item #923 A playground inspection was missing for March 2025 and November 2025. *Set a reminder in your phone to complete the playground inspections. Perhaps do it on the same day as your fire drill. Item #1301 Annual training hours for the year were not completed. Perhaps you could take a training every month or two to make sure your 8 hours. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by December 30, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the new QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). If you have questions about which pathway you want to pursue, please feel free to reach out to me. • We discussed having the children wear slippers or socks with grippers. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 12/16/2025 Number Present: 4 Completed Date: 12/16/2025 Age: From 2 To 3 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance and technical assistance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during the visit. An electronic signed copy of the visit summary was left on-site and may be electronically emailed to you upon request. Ms. Horton was available to answer questions throughout the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care homes was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percentage as of 12/5/25. Ms. Horton is the sole proprietor of this program. Permit type –Three-star license issued 8/17/2020. Special Services/Restrictions – First shift, second shift, third shift, maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours, children in care on ground level only and no more than two children less than 1 year old. The last annual compliance visit was conducted on 1/15/25. The last fire drill was practiced 12/15/25. Fire drills The last shelter-in-place drill was practiced on 9/3/25. The last playground inspection was documented on 10/2/25. The Emergency Medical Care plan was posted and current. The curriculum used for this facility is Funshine Express Lead water test was completed on 6/20/25 without hazards. Lead paint and asbestos testing was completed on 9/11/25 without hazards. Upon my arrival, I greeted Ms. Horton and the children. Children were playing in centers with a variety of materials. Children cleaned up and all sat at the table to play with playdough and tools to cut and roll. Children cleaned up and washed their hands for lunch. After lunch children used the bathroom and transitioned to their mat for rest time. Lunch today consisted of grilled cheese, green beans, apple wedges and milk. I used the Family Child Care Home Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. There was Lysol aerosol in the unlocked guest bedroom and in the cleaning closet. .1719 (a)(7) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Children were not signed in on 12/15/25 & 12/16/25. Children were not signed out on 12/15/25. .1721(e)(6) 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. A playground inspection was missing for March 2025 and November 2025. .1721 (e)(7) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Annual training hours for the year were not completed. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1853 The operator did not conduct a monthly fire drill. A fire drill was not logged in October or November 2025. .1719(a)(15) & .1721( e)(2) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. The closet with cleaning supplies inside was not locked. It had a child proof door knob cover, however that is not considered locked. .1719(a)(6) Technical assistance was provided as follows: Item # 921 Children were not signed in on 12/15/25 & 12/16/25. Children were not signed out on 12/15/25. *Consider leaving sign in sheet by the front door for parents to sign their child in/out. If not, it is your responsibility to make sure they are signed in and out each day. Item # 1853 A fire drill was not logged in October or November 2025. *Set a reminder in your phone to have a fire drill and log it. Item # 1940 The closet with cleaning supplies inside was not locked. It had a child proof door knob cover, however that is not considered locked. *We discussed turning the door knobs around for the closet and bedrooms and/or having the key up high on a hook. Item #706 There was Lysol aerosol in the unlocked guest bedroom and in the cleaning closet. * We discussed turning the door knobs around for the closet and bedrooms and/or having the key up high on a hook. Item #923 A playground inspection was missing for March 2025 and November 2025. *Set a reminder in your phone to complete the playground inspections. Perhaps do it on the same day as your fire drill. Item #1301 Annual training hours for the year were not completed. Perhaps you could take a training every month or two to make sure your 8 hours. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by December 30, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the new QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). If you have questions about which pathway you want to pursue, please feel free to reach out to me. • We discussed having the children wear slippers or socks with grippers. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/15/2025 Number Present: 4 Completed Date: 1/15/2025 Age: From 1 To 3 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Ingrid Horton, owner/operator was available to answer questions during the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percentage as of 01/15/25. Permit type – Three Star License, effective 8/17/20. Permit Restrictions- First, second shift and third shift, daytime and overnight, maximum of 5 preschool children at any time, children in care on ground level only, serves no more than 2 infants under age one, fireplace/woodstove not used during operating hours. The last annual compliance visit was conducted on 1/29/24. The last fire drill was practiced on 1/2/25. The last shelter-in-place drill was practiced on 12/16/24. The last playground inspection was documented on 1/2/25. The Emergency Medical Care plan was posted and current. Upon arrival, I greeted the operator and explained the purpose of today’s visit. The children were playing with dump trucks and running them down the hall and playing with the kitchen set. Ms. Horton was changing a diaper. I observed the children playing with various material including drawing, building and pretend play. Lunch today consisted of macaroni and cheese, peas, apple sauce and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. The storage closet where cleaning supplies are stored was secured with a plastic slide lock that is not an approved lock. .1719 (a) (1) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The children’s file that I checked did not have a medical assessment included. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors. There was no activity plan posted and not available to view. 10A NCAC 09 .1718(a)(8)(C)(i-v) Technical assistance was provided as follows: • The storage closet where cleaning supplies are stored was secured with a plastic slide lock that is not an approved lock. Approved locks include combination locks, electronic, or magnetic devices, key, or equivalent locking devices. We discussed switching the hall coat closet with the cleaning supplies so that there is a locking door. • Activity plans are detailed plans which outline activities that will encourage children’s growth and development. The activities outlined on the activity plan will typically occur during the “Activity Center” times indicated on the daily schedule. They must be posted for easy reference by caregivers and parents. • Children's records should include an application for enrollment, medical and immunization records, and permission to seek emergency medical care. The children’s file that I checked did not have a medical assessment included. The parent has 30 days from enrollment to get this to the provider. Achieving Compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by January 29, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. • There is snow on the ground and 27 degrees today. The sun was shining, however Ms. Horton said they would be going outside in the afternoon. Check the weather watch chart to determine whether gross motor play will have to be done inside. If weather permits, children should go outside for a minimum of 1 hour per day. Sometimes it is easier to break it up into morning and evening times. • Even though the TV was only playing music, there is a moving description of the song as a screen saver that is considered visual stimulation. We discussed playing music on Alexa or another device instead of having the TV on. • Even though you stated that you haven’t had to record any incidents, you still need to have a log ready to go. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. sIt is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1703 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/15/2025 Number Present: 4 Completed Date: 1/15/2025 Age: From 1 To 3 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Ingrid Horton, owner/operator was available to answer questions during the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percentage as of 01/15/25. Permit type – Three Star License, effective 8/17/20. Permit Restrictions- First, second shift and third shift, daytime and overnight, maximum of 5 preschool children at any time, children in care on ground level only, serves no more than 2 infants under age one, fireplace/woodstove not used during operating hours. The last annual compliance visit was conducted on 1/29/24. The last fire drill was practiced on 1/2/25. The last shelter-in-place drill was practiced on 12/16/24. The last playground inspection was documented on 1/2/25. The Emergency Medical Care plan was posted and current. Upon arrival, I greeted the operator and explained the purpose of today’s visit. The children were playing with dump trucks and running them down the hall and playing with the kitchen set. Ms. Horton was changing a diaper. I observed the children playing with various material including drawing, building and pretend play. Lunch today consisted of macaroni and cheese, peas, apple sauce and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. The storage closet where cleaning supplies are stored was secured with a plastic slide lock that is not an approved lock. .1719 (a) (1) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The children’s file that I checked did not have a medical assessment included. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors. There was no activity plan posted and not available to view. 10A NCAC 09 .1718(a)(8)(C)(i-v) Technical assistance was provided as follows: • The storage closet where cleaning supplies are stored was secured with a plastic slide lock that is not an approved lock. Approved locks include combination locks, electronic, or magnetic devices, key, or equivalent locking devices. We discussed switching the hall coat closet with the cleaning supplies so that there is a locking door. • Activity plans are detailed plans which outline activities that will encourage children’s growth and development. The activities outlined on the activity plan will typically occur during the “Activity Center” times indicated on the daily schedule. They must be posted for easy reference by caregivers and parents. • Children's records should include an application for enrollment, medical and immunization records, and permission to seek emergency medical care. The children’s file that I checked did not have a medical assessment included. The parent has 30 days from enrollment to get this to the provider. Achieving Compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by January 29, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. • There is snow on the ground and 27 degrees today. The sun was shining, however Ms. Horton said they would be going outside in the afternoon. Check the weather watch chart to determine whether gross motor play will have to be done inside. If weather permits, children should go outside for a minimum of 1 hour per day. Sometimes it is easier to break it up into morning and evening times. • Even though the TV was only playing music, there is a moving description of the song as a screen saver that is considered visual stimulation. We discussed playing music on Alexa or another device instead of having the TV on. • Even though you stated that you haven’t had to record any incidents, you still need to have a log ready to go. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. sIt is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1718 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/15/2025 Number Present: 4 Completed Date: 1/15/2025 Age: From 1 To 3 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Ingrid Horton, owner/operator was available to answer questions during the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percentage as of 01/15/25. Permit type – Three Star License, effective 8/17/20. Permit Restrictions- First, second shift and third shift, daytime and overnight, maximum of 5 preschool children at any time, children in care on ground level only, serves no more than 2 infants under age one, fireplace/woodstove not used during operating hours. The last annual compliance visit was conducted on 1/29/24. The last fire drill was practiced on 1/2/25. The last shelter-in-place drill was practiced on 12/16/24. The last playground inspection was documented on 1/2/25. The Emergency Medical Care plan was posted and current. Upon arrival, I greeted the operator and explained the purpose of today’s visit. The children were playing with dump trucks and running them down the hall and playing with the kitchen set. Ms. Horton was changing a diaper. I observed the children playing with various material including drawing, building and pretend play. Lunch today consisted of macaroni and cheese, peas, apple sauce and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. The storage closet where cleaning supplies are stored was secured with a plastic slide lock that is not an approved lock. .1719 (a) (1) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The children’s file that I checked did not have a medical assessment included. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors. There was no activity plan posted and not available to view. 10A NCAC 09 .1718(a)(8)(C)(i-v) Technical assistance was provided as follows: • The storage closet where cleaning supplies are stored was secured with a plastic slide lock that is not an approved lock. Approved locks include combination locks, electronic, or magnetic devices, key, or equivalent locking devices. We discussed switching the hall coat closet with the cleaning supplies so that there is a locking door. • Activity plans are detailed plans which outline activities that will encourage children’s growth and development. The activities outlined on the activity plan will typically occur during the “Activity Center” times indicated on the daily schedule. They must be posted for easy reference by caregivers and parents. • Children's records should include an application for enrollment, medical and immunization records, and permission to seek emergency medical care. The children’s file that I checked did not have a medical assessment included. The parent has 30 days from enrollment to get this to the provider. Achieving Compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by January 29, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. • There is snow on the ground and 27 degrees today. The sun was shining, however Ms. Horton said they would be going outside in the afternoon. Check the weather watch chart to determine whether gross motor play will have to be done inside. If weather permits, children should go outside for a minimum of 1 hour per day. Sometimes it is easier to break it up into morning and evening times. • Even though the TV was only playing music, there is a moving description of the song as a screen saver that is considered visual stimulation. We discussed playing music on Alexa or another device instead of having the TV on. • Even though you stated that you haven’t had to record any incidents, you still need to have a log ready to go. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. sIt is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/15/2025 Number Present: 4 Completed Date: 1/15/2025 Age: From 1 To 3 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Ingrid Horton, owner/operator was available to answer questions during the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percentage as of 01/15/25. Permit type – Three Star License, effective 8/17/20. Permit Restrictions- First, second shift and third shift, daytime and overnight, maximum of 5 preschool children at any time, children in care on ground level only, serves no more than 2 infants under age one, fireplace/woodstove not used during operating hours. The last annual compliance visit was conducted on 1/29/24. The last fire drill was practiced on 1/2/25. The last shelter-in-place drill was practiced on 12/16/24. The last playground inspection was documented on 1/2/25. The Emergency Medical Care plan was posted and current. Upon arrival, I greeted the operator and explained the purpose of today’s visit. The children were playing with dump trucks and running them down the hall and playing with the kitchen set. Ms. Horton was changing a diaper. I observed the children playing with various material including drawing, building and pretend play. Lunch today consisted of macaroni and cheese, peas, apple sauce and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. The storage closet where cleaning supplies are stored was secured with a plastic slide lock that is not an approved lock. .1719 (a) (1) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The children’s file that I checked did not have a medical assessment included. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors. There was no activity plan posted and not available to view. 10A NCAC 09 .1718(a)(8)(C)(i-v) Technical assistance was provided as follows: • The storage closet where cleaning supplies are stored was secured with a plastic slide lock that is not an approved lock. Approved locks include combination locks, electronic, or magnetic devices, key, or equivalent locking devices. We discussed switching the hall coat closet with the cleaning supplies so that there is a locking door. • Activity plans are detailed plans which outline activities that will encourage children’s growth and development. The activities outlined on the activity plan will typically occur during the “Activity Center” times indicated on the daily schedule. They must be posted for easy reference by caregivers and parents. • Children's records should include an application for enrollment, medical and immunization records, and permission to seek emergency medical care. The children’s file that I checked did not have a medical assessment included. The parent has 30 days from enrollment to get this to the provider. Achieving Compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by January 29, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. • There is snow on the ground and 27 degrees today. The sun was shining, however Ms. Horton said they would be going outside in the afternoon. Check the weather watch chart to determine whether gross motor play will have to be done inside. If weather permits, children should go outside for a minimum of 1 hour per day. Sometimes it is easier to break it up into morning and evening times. • Even though the TV was only playing music, there is a moving description of the song as a screen saver that is considered visual stimulation. We discussed playing music on Alexa or another device instead of having the TV on. • Even though you stated that you haven’t had to record any incidents, you still need to have a log ready to go. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. sIt is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.1721 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/15/2025 Number Present: 4 Completed Date: 1/15/2025 Age: From 1 To 3 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Ingrid Horton, owner/operator was available to answer questions during the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percentage as of 01/15/25. Permit type – Three Star License, effective 8/17/20. Permit Restrictions- First, second shift and third shift, daytime and overnight, maximum of 5 preschool children at any time, children in care on ground level only, serves no more than 2 infants under age one, fireplace/woodstove not used during operating hours. The last annual compliance visit was conducted on 1/29/24. The last fire drill was practiced on 1/2/25. The last shelter-in-place drill was practiced on 12/16/24. The last playground inspection was documented on 1/2/25. The Emergency Medical Care plan was posted and current. Upon arrival, I greeted the operator and explained the purpose of today’s visit. The children were playing with dump trucks and running them down the hall and playing with the kitchen set. Ms. Horton was changing a diaper. I observed the children playing with various material including drawing, building and pretend play. Lunch today consisted of macaroni and cheese, peas, apple sauce and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. The storage closet where cleaning supplies are stored was secured with a plastic slide lock that is not an approved lock. .1719 (a) (1) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The children’s file that I checked did not have a medical assessment included. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors. There was no activity plan posted and not available to view. 10A NCAC 09 .1718(a)(8)(C)(i-v) Technical assistance was provided as follows: • The storage closet where cleaning supplies are stored was secured with a plastic slide lock that is not an approved lock. Approved locks include combination locks, electronic, or magnetic devices, key, or equivalent locking devices. We discussed switching the hall coat closet with the cleaning supplies so that there is a locking door. • Activity plans are detailed plans which outline activities that will encourage children’s growth and development. The activities outlined on the activity plan will typically occur during the “Activity Center” times indicated on the daily schedule. They must be posted for easy reference by caregivers and parents. • Children's records should include an application for enrollment, medical and immunization records, and permission to seek emergency medical care. The children’s file that I checked did not have a medical assessment included. The parent has 30 days from enrollment to get this to the provider. Achieving Compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by January 29, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. • There is snow on the ground and 27 degrees today. The sun was shining, however Ms. Horton said they would be going outside in the afternoon. Check the weather watch chart to determine whether gross motor play will have to be done inside. If weather permits, children should go outside for a minimum of 1 hour per day. Sometimes it is easier to break it up into morning and evening times. • Even though the TV was only playing music, there is a moving description of the song as a screen saver that is considered visual stimulation. We discussed playing music on Alexa or another device instead of having the TV on. • Even though you stated that you haven’t had to record any incidents, you still need to have a log ready to go. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. sIt is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/15/2025 Number Present: 4 Completed Date: 1/15/2025 Age: From 1 To 3 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Ingrid Horton, owner/operator was available to answer questions during the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percentage as of 01/15/25. Permit type – Three Star License, effective 8/17/20. Permit Restrictions- First, second shift and third shift, daytime and overnight, maximum of 5 preschool children at any time, children in care on ground level only, serves no more than 2 infants under age one, fireplace/woodstove not used during operating hours. The last annual compliance visit was conducted on 1/29/24. The last fire drill was practiced on 1/2/25. The last shelter-in-place drill was practiced on 12/16/24. The last playground inspection was documented on 1/2/25. The Emergency Medical Care plan was posted and current. Upon arrival, I greeted the operator and explained the purpose of today’s visit. The children were playing with dump trucks and running them down the hall and playing with the kitchen set. Ms. Horton was changing a diaper. I observed the children playing with various material including drawing, building and pretend play. Lunch today consisted of macaroni and cheese, peas, apple sauce and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. The storage closet where cleaning supplies are stored was secured with a plastic slide lock that is not an approved lock. .1719 (a) (1) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The children’s file that I checked did not have a medical assessment included. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors. There was no activity plan posted and not available to view. 10A NCAC 09 .1718(a)(8)(C)(i-v) Technical assistance was provided as follows: • The storage closet where cleaning supplies are stored was secured with a plastic slide lock that is not an approved lock. Approved locks include combination locks, electronic, or magnetic devices, key, or equivalent locking devices. We discussed switching the hall coat closet with the cleaning supplies so that there is a locking door. • Activity plans are detailed plans which outline activities that will encourage children’s growth and development. The activities outlined on the activity plan will typically occur during the “Activity Center” times indicated on the daily schedule. They must be posted for easy reference by caregivers and parents. • Children's records should include an application for enrollment, medical and immunization records, and permission to seek emergency medical care. The children’s file that I checked did not have a medical assessment included. The parent has 30 days from enrollment to get this to the provider. Achieving Compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by January 29, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. • There is snow on the ground and 27 degrees today. The sun was shining, however Ms. Horton said they would be going outside in the afternoon. Check the weather watch chart to determine whether gross motor play will have to be done inside. If weather permits, children should go outside for a minimum of 1 hour per day. Sometimes it is easier to break it up into morning and evening times. • Even though the TV was only playing music, there is a moving description of the song as a screen saver that is considered visual stimulation. We discussed playing music on Alexa or another device instead of having the TV on. • Even though you stated that you haven’t had to record any incidents, you still need to have a log ready to go. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. sIt is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/15/2025 Number Present: 4 Completed Date: 1/15/2025 Age: From 1 To 3 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Ingrid Horton, owner/operator was available to answer questions during the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percentage as of 01/15/25. Permit type – Three Star License, effective 8/17/20. Permit Restrictions- First, second shift and third shift, daytime and overnight, maximum of 5 preschool children at any time, children in care on ground level only, serves no more than 2 infants under age one, fireplace/woodstove not used during operating hours. The last annual compliance visit was conducted on 1/29/24. The last fire drill was practiced on 1/2/25. The last shelter-in-place drill was practiced on 12/16/24. The last playground inspection was documented on 1/2/25. The Emergency Medical Care plan was posted and current. Upon arrival, I greeted the operator and explained the purpose of today’s visit. The children were playing with dump trucks and running them down the hall and playing with the kitchen set. Ms. Horton was changing a diaper. I observed the children playing with various material including drawing, building and pretend play. Lunch today consisted of macaroni and cheese, peas, apple sauce and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. The storage closet where cleaning supplies are stored was secured with a plastic slide lock that is not an approved lock. .1719 (a) (1) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The children’s file that I checked did not have a medical assessment included. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors. There was no activity plan posted and not available to view. 10A NCAC 09 .1718(a)(8)(C)(i-v) Technical assistance was provided as follows: • The storage closet where cleaning supplies are stored was secured with a plastic slide lock that is not an approved lock. Approved locks include combination locks, electronic, or magnetic devices, key, or equivalent locking devices. We discussed switching the hall coat closet with the cleaning supplies so that there is a locking door. • Activity plans are detailed plans which outline activities that will encourage children’s growth and development. The activities outlined on the activity plan will typically occur during the “Activity Center” times indicated on the daily schedule. They must be posted for easy reference by caregivers and parents. • Children's records should include an application for enrollment, medical and immunization records, and permission to seek emergency medical care. The children’s file that I checked did not have a medical assessment included. The parent has 30 days from enrollment to get this to the provider. Achieving Compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by January 29, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. • There is snow on the ground and 27 degrees today. The sun was shining, however Ms. Horton said they would be going outside in the afternoon. Check the weather watch chart to determine whether gross motor play will have to be done inside. If weather permits, children should go outside for a minimum of 1 hour per day. Sometimes it is easier to break it up into morning and evening times. • Even though the TV was only playing music, there is a moving description of the song as a screen saver that is considered visual stimulation. We discussed playing music on Alexa or another device instead of having the TV on. • Even though you stated that you haven’t had to record any incidents, you still need to have a log ready to go. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. sIt is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 8/14/2024 Number Present: 2 Completed Date: 8/14/2024 Age: From 1 To 2 Total Minutes: 135 Time In: 09:45 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to this Family Child Care Home program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Horton and explained the reason for my visit. The children were all inside playing with a variety of materials. Ms. Horton assisted me during today’s visit with needed documents, then took the children outside to play. Children engaged in riding trikes and playing in the sandbox. This facility does provide all meals and snacks. Breakfast was completed prior to my arrival. Today the children ate blueberry muffins, banana and milk. This facility is sole proprietorship. There are no new staff , so no staff files were monitored today. There are two children (2) enrolled and two (2) present today. Ms. Horton stated that since school is starting in a few day’s she is going through her waiting list and interviewing families to fill the open spaces in her family child care home. The last annual compliance visit was 1/29/24. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Four Star License, effective 8/17/20. Permit Restrictions- First, second shift and third shift, daytime and overnight, maximum of 5 preschool children at any time, children in care on ground level only, serves no more than 2 infants under age one, fireplace/woodstove not used during operating hours. The last fire drill was practiced on 8/5/24. An emergency drill was conducted on 6/6/24. The Emergency Medical Care Plan is posted and current. The incident log was available, but not accidents have been logged. The following violations were documented during today’s visit: Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. One TV was playing music but had a moving screen, another TV had a screensaver on. Both children in care were under age three (3). .1718(c) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Plastic materials was in the low drawers in the kitchen. This was accessible to children under two (2) years of age. .1719(a)(18) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. Lotion and room spray was on a table next to the couch. Zevo bug repellant was in a low drawer 10A NCAC 09 .1719(a)(7) Technical assistance: Items #.1922 & #.2048 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor; Note: Lotion and room spray was on a table next to the couch. Zevo bug repellant was in a low drawer. (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; Note: Plastic materials was in the low drawers in the kitchen. This was accessible to children under two (2) years of age. Item #.543 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. Note: One TV was playing music but had a moving screen, another TV had a screensaver on. Both children in care were under age three (3). Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by August 28, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • We discussed the toxic items that need to be locked and/or placed above five (5) feet or removed. • We discussed the need for the mulch to be dug out from next to the fence to make the fence taller. • If you haven’t already started, it is time to start renewing the health and safety trainings since they are due every five (5) years. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1703 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 8/14/2024 Number Present: 2 Completed Date: 8/14/2024 Age: From 1 To 2 Total Minutes: 135 Time In: 09:45 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to this Family Child Care Home program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Horton and explained the reason for my visit. The children were all inside playing with a variety of materials. Ms. Horton assisted me during today’s visit with needed documents, then took the children outside to play. Children engaged in riding trikes and playing in the sandbox. This facility does provide all meals and snacks. Breakfast was completed prior to my arrival. Today the children ate blueberry muffins, banana and milk. This facility is sole proprietorship. There are no new staff , so no staff files were monitored today. There are two children (2) enrolled and two (2) present today. Ms. Horton stated that since school is starting in a few day’s she is going through her waiting list and interviewing families to fill the open spaces in her family child care home. The last annual compliance visit was 1/29/24. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Four Star License, effective 8/17/20. Permit Restrictions- First, second shift and third shift, daytime and overnight, maximum of 5 preschool children at any time, children in care on ground level only, serves no more than 2 infants under age one, fireplace/woodstove not used during operating hours. The last fire drill was practiced on 8/5/24. An emergency drill was conducted on 6/6/24. The Emergency Medical Care Plan is posted and current. The incident log was available, but not accidents have been logged. The following violations were documented during today’s visit: Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. One TV was playing music but had a moving screen, another TV had a screensaver on. Both children in care were under age three (3). .1718(c) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Plastic materials was in the low drawers in the kitchen. This was accessible to children under two (2) years of age. .1719(a)(18) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. Lotion and room spray was on a table next to the couch. Zevo bug repellant was in a low drawer 10A NCAC 09 .1719(a)(7) Technical assistance: Items #.1922 & #.2048 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor; Note: Lotion and room spray was on a table next to the couch. Zevo bug repellant was in a low drawer. (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; Note: Plastic materials was in the low drawers in the kitchen. This was accessible to children under two (2) years of age. Item #.543 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. Note: One TV was playing music but had a moving screen, another TV had a screensaver on. Both children in care were under age three (3). Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by August 28, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • We discussed the toxic items that need to be locked and/or placed above five (5) feet or removed. • We discussed the need for the mulch to be dug out from next to the fence to make the fence taller. • If you haven’t already started, it is time to start renewing the health and safety trainings since they are due every five (5) years. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1718 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 8/14/2024 Number Present: 2 Completed Date: 8/14/2024 Age: From 1 To 2 Total Minutes: 135 Time In: 09:45 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to this Family Child Care Home program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Horton and explained the reason for my visit. The children were all inside playing with a variety of materials. Ms. Horton assisted me during today’s visit with needed documents, then took the children outside to play. Children engaged in riding trikes and playing in the sandbox. This facility does provide all meals and snacks. Breakfast was completed prior to my arrival. Today the children ate blueberry muffins, banana and milk. This facility is sole proprietorship. There are no new staff , so no staff files were monitored today. There are two children (2) enrolled and two (2) present today. Ms. Horton stated that since school is starting in a few day’s she is going through her waiting list and interviewing families to fill the open spaces in her family child care home. The last annual compliance visit was 1/29/24. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Four Star License, effective 8/17/20. Permit Restrictions- First, second shift and third shift, daytime and overnight, maximum of 5 preschool children at any time, children in care on ground level only, serves no more than 2 infants under age one, fireplace/woodstove not used during operating hours. The last fire drill was practiced on 8/5/24. An emergency drill was conducted on 6/6/24. The Emergency Medical Care Plan is posted and current. The incident log was available, but not accidents have been logged. The following violations were documented during today’s visit: Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. One TV was playing music but had a moving screen, another TV had a screensaver on. Both children in care were under age three (3). .1718(c) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Plastic materials was in the low drawers in the kitchen. This was accessible to children under two (2) years of age. .1719(a)(18) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. Lotion and room spray was on a table next to the couch. Zevo bug repellant was in a low drawer 10A NCAC 09 .1719(a)(7) Technical assistance: Items #.1922 & #.2048 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor; Note: Lotion and room spray was on a table next to the couch. Zevo bug repellant was in a low drawer. (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; Note: Plastic materials was in the low drawers in the kitchen. This was accessible to children under two (2) years of age. Item #.543 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. Note: One TV was playing music but had a moving screen, another TV had a screensaver on. Both children in care were under age three (3). Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by August 28, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • We discussed the toxic items that need to be locked and/or placed above five (5) feet or removed. • We discussed the need for the mulch to be dug out from next to the fence to make the fence taller. • If you haven’t already started, it is time to start renewing the health and safety trainings since they are due every five (5) years. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1719 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 8/14/2024 Number Present: 2 Completed Date: 8/14/2024 Age: From 1 To 2 Total Minutes: 135 Time In: 09:45 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to this Family Child Care Home program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Horton and explained the reason for my visit. The children were all inside playing with a variety of materials. Ms. Horton assisted me during today’s visit with needed documents, then took the children outside to play. Children engaged in riding trikes and playing in the sandbox. This facility does provide all meals and snacks. Breakfast was completed prior to my arrival. Today the children ate blueberry muffins, banana and milk. This facility is sole proprietorship. There are no new staff , so no staff files were monitored today. There are two children (2) enrolled and two (2) present today. Ms. Horton stated that since school is starting in a few day’s she is going through her waiting list and interviewing families to fill the open spaces in her family child care home. The last annual compliance visit was 1/29/24. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Four Star License, effective 8/17/20. Permit Restrictions- First, second shift and third shift, daytime and overnight, maximum of 5 preschool children at any time, children in care on ground level only, serves no more than 2 infants under age one, fireplace/woodstove not used during operating hours. The last fire drill was practiced on 8/5/24. An emergency drill was conducted on 6/6/24. The Emergency Medical Care Plan is posted and current. The incident log was available, but not accidents have been logged. The following violations were documented during today’s visit: Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. One TV was playing music but had a moving screen, another TV had a screensaver on. Both children in care were under age three (3). .1718(c) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Plastic materials was in the low drawers in the kitchen. This was accessible to children under two (2) years of age. .1719(a)(18) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. Lotion and room spray was on a table next to the couch. Zevo bug repellant was in a low drawer 10A NCAC 09 .1719(a)(7) Technical assistance: Items #.1922 & #.2048 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor; Note: Lotion and room spray was on a table next to the couch. Zevo bug repellant was in a low drawer. (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; Note: Plastic materials was in the low drawers in the kitchen. This was accessible to children under two (2) years of age. Item #.543 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. Note: One TV was playing music but had a moving screen, another TV had a screensaver on. Both children in care were under age three (3). Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by August 28, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • We discussed the toxic items that need to be locked and/or placed above five (5) feet or removed. • We discussed the need for the mulch to be dug out from next to the fence to make the fence taller. • If you haven’t already started, it is time to start renewing the health and safety trainings since they are due every five (5) years. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 8/14/2024 Number Present: 2 Completed Date: 8/14/2024 Age: From 1 To 2 Total Minutes: 135 Time In: 09:45 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to this Family Child Care Home program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Horton and explained the reason for my visit. The children were all inside playing with a variety of materials. Ms. Horton assisted me during today’s visit with needed documents, then took the children outside to play. Children engaged in riding trikes and playing in the sandbox. This facility does provide all meals and snacks. Breakfast was completed prior to my arrival. Today the children ate blueberry muffins, banana and milk. This facility is sole proprietorship. There are no new staff , so no staff files were monitored today. There are two children (2) enrolled and two (2) present today. Ms. Horton stated that since school is starting in a few day’s she is going through her waiting list and interviewing families to fill the open spaces in her family child care home. The last annual compliance visit was 1/29/24. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Four Star License, effective 8/17/20. Permit Restrictions- First, second shift and third shift, daytime and overnight, maximum of 5 preschool children at any time, children in care on ground level only, serves no more than 2 infants under age one, fireplace/woodstove not used during operating hours. The last fire drill was practiced on 8/5/24. An emergency drill was conducted on 6/6/24. The Emergency Medical Care Plan is posted and current. The incident log was available, but not accidents have been logged. The following violations were documented during today’s visit: Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. One TV was playing music but had a moving screen, another TV had a screensaver on. Both children in care were under age three (3). .1718(c) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Plastic materials was in the low drawers in the kitchen. This was accessible to children under two (2) years of age. .1719(a)(18) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. Lotion and room spray was on a table next to the couch. Zevo bug repellant was in a low drawer 10A NCAC 09 .1719(a)(7) Technical assistance: Items #.1922 & #.2048 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor; Note: Lotion and room spray was on a table next to the couch. Zevo bug repellant was in a low drawer. (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; Note: Plastic materials was in the low drawers in the kitchen. This was accessible to children under two (2) years of age. Item #.543 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. Note: One TV was playing music but had a moving screen, another TV had a screensaver on. Both children in care were under age three (3). Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by August 28, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • We discussed the toxic items that need to be locked and/or placed above five (5) feet or removed. • We discussed the need for the mulch to be dug out from next to the fence to make the fence taller. • If you haven’t already started, it is time to start renewing the health and safety trainings since they are due every five (5) years. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 8/14/2024 Number Present: 2 Completed Date: 8/14/2024 Age: From 1 To 2 Total Minutes: 135 Time In: 09:45 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to this Family Child Care Home program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Horton and explained the reason for my visit. The children were all inside playing with a variety of materials. Ms. Horton assisted me during today’s visit with needed documents, then took the children outside to play. Children engaged in riding trikes and playing in the sandbox. This facility does provide all meals and snacks. Breakfast was completed prior to my arrival. Today the children ate blueberry muffins, banana and milk. This facility is sole proprietorship. There are no new staff , so no staff files were monitored today. There are two children (2) enrolled and two (2) present today. Ms. Horton stated that since school is starting in a few day’s she is going through her waiting list and interviewing families to fill the open spaces in her family child care home. The last annual compliance visit was 1/29/24. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Four Star License, effective 8/17/20. Permit Restrictions- First, second shift and third shift, daytime and overnight, maximum of 5 preschool children at any time, children in care on ground level only, serves no more than 2 infants under age one, fireplace/woodstove not used during operating hours. The last fire drill was practiced on 8/5/24. An emergency drill was conducted on 6/6/24. The Emergency Medical Care Plan is posted and current. The incident log was available, but not accidents have been logged. The following violations were documented during today’s visit: Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. One TV was playing music but had a moving screen, another TV had a screensaver on. Both children in care were under age three (3). .1718(c) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Plastic materials was in the low drawers in the kitchen. This was accessible to children under two (2) years of age. .1719(a)(18) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. Lotion and room spray was on a table next to the couch. Zevo bug repellant was in a low drawer 10A NCAC 09 .1719(a)(7) Technical assistance: Items #.1922 & #.2048 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor; Note: Lotion and room spray was on a table next to the couch. Zevo bug repellant was in a low drawer. (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; Note: Plastic materials was in the low drawers in the kitchen. This was accessible to children under two (2) years of age. Item #.543 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. Note: One TV was playing music but had a moving screen, another TV had a screensaver on. Both children in care were under age three (3). Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by August 28, 2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • We discussed the toxic items that need to be locked and/or placed above five (5) feet or removed. • We discussed the need for the mulch to be dug out from next to the fence to make the fence taller. • If you haven’t already started, it is time to start renewing the health and safety trainings since they are due every five (5) years. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/29/2024 Number Present: 5 Completed Date: 1/29/2024 Age: From 0 To 7 Total Minutes: 225 Time In: 11:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during the visit. An electronic signed copy of the visit summary was emailed to you. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care homes was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The facility’s s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percentage as of 1/29/23. Permit type – Three Star Facility issued on 8/17/20. Special Services/Restrictions – First and second shifts and third shifts, maximum of 5 preschool children at a time, fireplace/woodstove not used during operating hours, children on ground level only and serves no more than two infants under age one. The last annual compliance visit was conducted on 2/21/23. The last fire drill was practiced 1/2/24. The last shelter in place drill was practiced on 1/2/24. The last playground inspection was documented on 1/7/24. The Emergency Medical Care plan was current and posted. Emergency Preparedness and Response Plan was updated on 9/18/23. Upon arrival I introduced my presence to the owner and greeted the children. I observed this mixed age group of children playing in centers with various materials. Ms. Horton informed me that one child had just left due to getting sick. Today was a remote learning day (no in-person school), so one drop-in school age child was present during today’s visit. Ms. Horton assisted me with questions that I had. While children were playing, Ms. Horton prepared lunch which consisted of chicken nuggets, french fries, apples slices and milk. After lunch, children settled down for rest time. I used the Family Child Care Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. EH did not have a medical exam on file within 30 days. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Provider has not received the number of training hours required annually. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1804 Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. The safe sleep policy was not posted. .1724(b) 1810 Operator did not retain the safe sleep acknowledgement in the child's records as long as the child was enrolled. EH did not have a safe sleep policy signed in the file. 10A NCAC 09 .1724(c) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Items stored in plastic bags were behind the diapers as well as in kitchen drawers. .1719(a)(18) 2015 Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not available for review. EH did not have a signed policy on file. .1726(d)(1-4) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. Recognizing and Responding to child Maltreatment has not be renewed within 5 years. .1703(d)(2) Technical assistance was provided as follows: Item #910 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (1) a copy of the child's health assessment as required by G.S. 110-91(1); Note: EH did not have a medical exam on file within 30 days. Items #1804 & 1810 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (b) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. Note: The safe sleep policy was not posted. (c) A copy of the operator's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the home. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the home; (3) the date the operator's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. Note: EH did not have a safe sleep policy signed in the file. Item # 2015 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) The operator shall review the policy with staff prior to the individual providing care to children. The acknowledgement of this review shall contain the following: (1) the individual's name; (2) the date the operator's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The operator shall retain the acknowledgement in the staff member's file. Note: EH did not have a signed policy on file. Item # 2023 & 1301 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (d) After the first year of employment, the family child care home operator, and staff who work with children shall complete on-going training activities as follows: (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; Note: Recognizing and Responding to child Maltreatment has not be renewed within 5 years. Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential 8 clock hours Note: Provider has not received the number of training hours required annually. Item #1922 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; Note: Items stored in plastic bags were behind the diapers as well as in kitchen drawers. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 12, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the Prevention of Child Abuse and Neglect training and where that is located. • We discussed items that are required to be posed. Ms. Horton has been remodeling her home and some of the postings have gotten moved around. • We discussed the weather watch chart and how important it is to go outside everyday weather permitting. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1703 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/29/2024 Number Present: 5 Completed Date: 1/29/2024 Age: From 0 To 7 Total Minutes: 225 Time In: 11:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during the visit. An electronic signed copy of the visit summary was emailed to you. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care homes was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The facility’s s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percentage as of 1/29/23. Permit type – Three Star Facility issued on 8/17/20. Special Services/Restrictions – First and second shifts and third shifts, maximum of 5 preschool children at a time, fireplace/woodstove not used during operating hours, children on ground level only and serves no more than two infants under age one. The last annual compliance visit was conducted on 2/21/23. The last fire drill was practiced 1/2/24. The last shelter in place drill was practiced on 1/2/24. The last playground inspection was documented on 1/7/24. The Emergency Medical Care plan was current and posted. Emergency Preparedness and Response Plan was updated on 9/18/23. Upon arrival I introduced my presence to the owner and greeted the children. I observed this mixed age group of children playing in centers with various materials. Ms. Horton informed me that one child had just left due to getting sick. Today was a remote learning day (no in-person school), so one drop-in school age child was present during today’s visit. Ms. Horton assisted me with questions that I had. While children were playing, Ms. Horton prepared lunch which consisted of chicken nuggets, french fries, apples slices and milk. After lunch, children settled down for rest time. I used the Family Child Care Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. EH did not have a medical exam on file within 30 days. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Provider has not received the number of training hours required annually. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1804 Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. The safe sleep policy was not posted. .1724(b) 1810 Operator did not retain the safe sleep acknowledgement in the child's records as long as the child was enrolled. EH did not have a safe sleep policy signed in the file. 10A NCAC 09 .1724(c) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Items stored in plastic bags were behind the diapers as well as in kitchen drawers. .1719(a)(18) 2015 Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not available for review. EH did not have a signed policy on file. .1726(d)(1-4) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. Recognizing and Responding to child Maltreatment has not be renewed within 5 years. .1703(d)(2) Technical assistance was provided as follows: Item #910 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (1) a copy of the child's health assessment as required by G.S. 110-91(1); Note: EH did not have a medical exam on file within 30 days. Items #1804 & 1810 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (b) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. Note: The safe sleep policy was not posted. (c) A copy of the operator's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the home. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the home; (3) the date the operator's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. Note: EH did not have a safe sleep policy signed in the file. Item # 2015 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) The operator shall review the policy with staff prior to the individual providing care to children. The acknowledgement of this review shall contain the following: (1) the individual's name; (2) the date the operator's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The operator shall retain the acknowledgement in the staff member's file. Note: EH did not have a signed policy on file. Item # 2023 & 1301 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (d) After the first year of employment, the family child care home operator, and staff who work with children shall complete on-going training activities as follows: (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; Note: Recognizing and Responding to child Maltreatment has not be renewed within 5 years. Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential 8 clock hours Note: Provider has not received the number of training hours required annually. Item #1922 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; Note: Items stored in plastic bags were behind the diapers as well as in kitchen drawers. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 12, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the Prevention of Child Abuse and Neglect training and where that is located. • We discussed items that are required to be posed. Ms. Horton has been remodeling her home and some of the postings have gotten moved around. • We discussed the weather watch chart and how important it is to go outside everyday weather permitting. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1705 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/29/2024 Number Present: 5 Completed Date: 1/29/2024 Age: From 0 To 7 Total Minutes: 225 Time In: 11:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during the visit. An electronic signed copy of the visit summary was emailed to you. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care homes was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The facility’s s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percentage as of 1/29/23. Permit type – Three Star Facility issued on 8/17/20. Special Services/Restrictions – First and second shifts and third shifts, maximum of 5 preschool children at a time, fireplace/woodstove not used during operating hours, children on ground level only and serves no more than two infants under age one. The last annual compliance visit was conducted on 2/21/23. The last fire drill was practiced 1/2/24. The last shelter in place drill was practiced on 1/2/24. The last playground inspection was documented on 1/7/24. The Emergency Medical Care plan was current and posted. Emergency Preparedness and Response Plan was updated on 9/18/23. Upon arrival I introduced my presence to the owner and greeted the children. I observed this mixed age group of children playing in centers with various materials. Ms. Horton informed me that one child had just left due to getting sick. Today was a remote learning day (no in-person school), so one drop-in school age child was present during today’s visit. Ms. Horton assisted me with questions that I had. While children were playing, Ms. Horton prepared lunch which consisted of chicken nuggets, french fries, apples slices and milk. After lunch, children settled down for rest time. I used the Family Child Care Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. EH did not have a medical exam on file within 30 days. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Provider has not received the number of training hours required annually. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1804 Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. The safe sleep policy was not posted. .1724(b) 1810 Operator did not retain the safe sleep acknowledgement in the child's records as long as the child was enrolled. EH did not have a safe sleep policy signed in the file. 10A NCAC 09 .1724(c) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Items stored in plastic bags were behind the diapers as well as in kitchen drawers. .1719(a)(18) 2015 Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not available for review. EH did not have a signed policy on file. .1726(d)(1-4) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. Recognizing and Responding to child Maltreatment has not be renewed within 5 years. .1703(d)(2) Technical assistance was provided as follows: Item #910 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (1) a copy of the child's health assessment as required by G.S. 110-91(1); Note: EH did not have a medical exam on file within 30 days. Items #1804 & 1810 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (b) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. Note: The safe sleep policy was not posted. (c) A copy of the operator's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the home. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the home; (3) the date the operator's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. Note: EH did not have a safe sleep policy signed in the file. Item # 2015 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) The operator shall review the policy with staff prior to the individual providing care to children. The acknowledgement of this review shall contain the following: (1) the individual's name; (2) the date the operator's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The operator shall retain the acknowledgement in the staff member's file. Note: EH did not have a signed policy on file. Item # 2023 & 1301 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (d) After the first year of employment, the family child care home operator, and staff who work with children shall complete on-going training activities as follows: (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; Note: Recognizing and Responding to child Maltreatment has not be renewed within 5 years. Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential 8 clock hours Note: Provider has not received the number of training hours required annually. Item #1922 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; Note: Items stored in plastic bags were behind the diapers as well as in kitchen drawers. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 12, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the Prevention of Child Abuse and Neglect training and where that is located. • We discussed items that are required to be posed. Ms. Horton has been remodeling her home and some of the postings have gotten moved around. • We discussed the weather watch chart and how important it is to go outside everyday weather permitting. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1719 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/29/2024 Number Present: 5 Completed Date: 1/29/2024 Age: From 0 To 7 Total Minutes: 225 Time In: 11:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during the visit. An electronic signed copy of the visit summary was emailed to you. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care homes was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The facility’s s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percentage as of 1/29/23. Permit type – Three Star Facility issued on 8/17/20. Special Services/Restrictions – First and second shifts and third shifts, maximum of 5 preschool children at a time, fireplace/woodstove not used during operating hours, children on ground level only and serves no more than two infants under age one. The last annual compliance visit was conducted on 2/21/23. The last fire drill was practiced 1/2/24. The last shelter in place drill was practiced on 1/2/24. The last playground inspection was documented on 1/7/24. The Emergency Medical Care plan was current and posted. Emergency Preparedness and Response Plan was updated on 9/18/23. Upon arrival I introduced my presence to the owner and greeted the children. I observed this mixed age group of children playing in centers with various materials. Ms. Horton informed me that one child had just left due to getting sick. Today was a remote learning day (no in-person school), so one drop-in school age child was present during today’s visit. Ms. Horton assisted me with questions that I had. While children were playing, Ms. Horton prepared lunch which consisted of chicken nuggets, french fries, apples slices and milk. After lunch, children settled down for rest time. I used the Family Child Care Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. EH did not have a medical exam on file within 30 days. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Provider has not received the number of training hours required annually. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1804 Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. The safe sleep policy was not posted. .1724(b) 1810 Operator did not retain the safe sleep acknowledgement in the child's records as long as the child was enrolled. EH did not have a safe sleep policy signed in the file. 10A NCAC 09 .1724(c) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Items stored in plastic bags were behind the diapers as well as in kitchen drawers. .1719(a)(18) 2015 Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not available for review. EH did not have a signed policy on file. .1726(d)(1-4) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. Recognizing and Responding to child Maltreatment has not be renewed within 5 years. .1703(d)(2) Technical assistance was provided as follows: Item #910 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (1) a copy of the child's health assessment as required by G.S. 110-91(1); Note: EH did not have a medical exam on file within 30 days. Items #1804 & 1810 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (b) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. Note: The safe sleep policy was not posted. (c) A copy of the operator's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the home. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the home; (3) the date the operator's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. Note: EH did not have a safe sleep policy signed in the file. Item # 2015 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) The operator shall review the policy with staff prior to the individual providing care to children. The acknowledgement of this review shall contain the following: (1) the individual's name; (2) the date the operator's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The operator shall retain the acknowledgement in the staff member's file. Note: EH did not have a signed policy on file. Item # 2023 & 1301 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (d) After the first year of employment, the family child care home operator, and staff who work with children shall complete on-going training activities as follows: (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; Note: Recognizing and Responding to child Maltreatment has not be renewed within 5 years. Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential 8 clock hours Note: Provider has not received the number of training hours required annually. Item #1922 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; Note: Items stored in plastic bags were behind the diapers as well as in kitchen drawers. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 12, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the Prevention of Child Abuse and Neglect training and where that is located. • We discussed items that are required to be posed. Ms. Horton has been remodeling her home and some of the postings have gotten moved around. • We discussed the weather watch chart and how important it is to go outside everyday weather permitting. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1721 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/29/2024 Number Present: 5 Completed Date: 1/29/2024 Age: From 0 To 7 Total Minutes: 225 Time In: 11:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during the visit. An electronic signed copy of the visit summary was emailed to you. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care homes was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The facility’s s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percentage as of 1/29/23. Permit type – Three Star Facility issued on 8/17/20. Special Services/Restrictions – First and second shifts and third shifts, maximum of 5 preschool children at a time, fireplace/woodstove not used during operating hours, children on ground level only and serves no more than two infants under age one. The last annual compliance visit was conducted on 2/21/23. The last fire drill was practiced 1/2/24. The last shelter in place drill was practiced on 1/2/24. The last playground inspection was documented on 1/7/24. The Emergency Medical Care plan was current and posted. Emergency Preparedness and Response Plan was updated on 9/18/23. Upon arrival I introduced my presence to the owner and greeted the children. I observed this mixed age group of children playing in centers with various materials. Ms. Horton informed me that one child had just left due to getting sick. Today was a remote learning day (no in-person school), so one drop-in school age child was present during today’s visit. Ms. Horton assisted me with questions that I had. While children were playing, Ms. Horton prepared lunch which consisted of chicken nuggets, french fries, apples slices and milk. After lunch, children settled down for rest time. I used the Family Child Care Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. EH did not have a medical exam on file within 30 days. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Provider has not received the number of training hours required annually. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1804 Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. The safe sleep policy was not posted. .1724(b) 1810 Operator did not retain the safe sleep acknowledgement in the child's records as long as the child was enrolled. EH did not have a safe sleep policy signed in the file. 10A NCAC 09 .1724(c) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Items stored in plastic bags were behind the diapers as well as in kitchen drawers. .1719(a)(18) 2015 Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not available for review. EH did not have a signed policy on file. .1726(d)(1-4) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. Recognizing and Responding to child Maltreatment has not be renewed within 5 years. .1703(d)(2) Technical assistance was provided as follows: Item #910 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (1) a copy of the child's health assessment as required by G.S. 110-91(1); Note: EH did not have a medical exam on file within 30 days. Items #1804 & 1810 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (b) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. Note: The safe sleep policy was not posted. (c) A copy of the operator's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the home. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the home; (3) the date the operator's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. Note: EH did not have a safe sleep policy signed in the file. Item # 2015 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) The operator shall review the policy with staff prior to the individual providing care to children. The acknowledgement of this review shall contain the following: (1) the individual's name; (2) the date the operator's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The operator shall retain the acknowledgement in the staff member's file. Note: EH did not have a signed policy on file. Item # 2023 & 1301 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (d) After the first year of employment, the family child care home operator, and staff who work with children shall complete on-going training activities as follows: (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; Note: Recognizing and Responding to child Maltreatment has not be renewed within 5 years. Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential 8 clock hours Note: Provider has not received the number of training hours required annually. Item #1922 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; Note: Items stored in plastic bags were behind the diapers as well as in kitchen drawers. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 12, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the Prevention of Child Abuse and Neglect training and where that is located. • We discussed items that are required to be posed. Ms. Horton has been remodeling her home and some of the postings have gotten moved around. • We discussed the weather watch chart and how important it is to go outside everyday weather permitting. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1724 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/29/2024 Number Present: 5 Completed Date: 1/29/2024 Age: From 0 To 7 Total Minutes: 225 Time In: 11:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during the visit. An electronic signed copy of the visit summary was emailed to you. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care homes was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The facility’s s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percentage as of 1/29/23. Permit type – Three Star Facility issued on 8/17/20. Special Services/Restrictions – First and second shifts and third shifts, maximum of 5 preschool children at a time, fireplace/woodstove not used during operating hours, children on ground level only and serves no more than two infants under age one. The last annual compliance visit was conducted on 2/21/23. The last fire drill was practiced 1/2/24. The last shelter in place drill was practiced on 1/2/24. The last playground inspection was documented on 1/7/24. The Emergency Medical Care plan was current and posted. Emergency Preparedness and Response Plan was updated on 9/18/23. Upon arrival I introduced my presence to the owner and greeted the children. I observed this mixed age group of children playing in centers with various materials. Ms. Horton informed me that one child had just left due to getting sick. Today was a remote learning day (no in-person school), so one drop-in school age child was present during today’s visit. Ms. Horton assisted me with questions that I had. While children were playing, Ms. Horton prepared lunch which consisted of chicken nuggets, french fries, apples slices and milk. After lunch, children settled down for rest time. I used the Family Child Care Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. EH did not have a medical exam on file within 30 days. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Provider has not received the number of training hours required annually. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1804 Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. The safe sleep policy was not posted. .1724(b) 1810 Operator did not retain the safe sleep acknowledgement in the child's records as long as the child was enrolled. EH did not have a safe sleep policy signed in the file. 10A NCAC 09 .1724(c) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Items stored in plastic bags were behind the diapers as well as in kitchen drawers. .1719(a)(18) 2015 Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not available for review. EH did not have a signed policy on file. .1726(d)(1-4) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. Recognizing and Responding to child Maltreatment has not be renewed within 5 years. .1703(d)(2) Technical assistance was provided as follows: Item #910 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (1) a copy of the child's health assessment as required by G.S. 110-91(1); Note: EH did not have a medical exam on file within 30 days. Items #1804 & 1810 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (b) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. Note: The safe sleep policy was not posted. (c) A copy of the operator's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the home. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the home; (3) the date the operator's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. Note: EH did not have a safe sleep policy signed in the file. Item # 2015 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) The operator shall review the policy with staff prior to the individual providing care to children. The acknowledgement of this review shall contain the following: (1) the individual's name; (2) the date the operator's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The operator shall retain the acknowledgement in the staff member's file. Note: EH did not have a signed policy on file. Item # 2023 & 1301 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (d) After the first year of employment, the family child care home operator, and staff who work with children shall complete on-going training activities as follows: (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; Note: Recognizing and Responding to child Maltreatment has not be renewed within 5 years. Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential 8 clock hours Note: Provider has not received the number of training hours required annually. Item #1922 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; Note: Items stored in plastic bags were behind the diapers as well as in kitchen drawers. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 12, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the Prevention of Child Abuse and Neglect training and where that is located. • We discussed items that are required to be posed. Ms. Horton has been remodeling her home and some of the postings have gotten moved around. • We discussed the weather watch chart and how important it is to go outside everyday weather permitting. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1726 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/29/2024 Number Present: 5 Completed Date: 1/29/2024 Age: From 0 To 7 Total Minutes: 225 Time In: 11:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during the visit. An electronic signed copy of the visit summary was emailed to you. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care homes was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The facility’s s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percentage as of 1/29/23. Permit type – Three Star Facility issued on 8/17/20. Special Services/Restrictions – First and second shifts and third shifts, maximum of 5 preschool children at a time, fireplace/woodstove not used during operating hours, children on ground level only and serves no more than two infants under age one. The last annual compliance visit was conducted on 2/21/23. The last fire drill was practiced 1/2/24. The last shelter in place drill was practiced on 1/2/24. The last playground inspection was documented on 1/7/24. The Emergency Medical Care plan was current and posted. Emergency Preparedness and Response Plan was updated on 9/18/23. Upon arrival I introduced my presence to the owner and greeted the children. I observed this mixed age group of children playing in centers with various materials. Ms. Horton informed me that one child had just left due to getting sick. Today was a remote learning day (no in-person school), so one drop-in school age child was present during today’s visit. Ms. Horton assisted me with questions that I had. While children were playing, Ms. Horton prepared lunch which consisted of chicken nuggets, french fries, apples slices and milk. After lunch, children settled down for rest time. I used the Family Child Care Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. EH did not have a medical exam on file within 30 days. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Provider has not received the number of training hours required annually. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1804 Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. The safe sleep policy was not posted. .1724(b) 1810 Operator did not retain the safe sleep acknowledgement in the child's records as long as the child was enrolled. EH did not have a safe sleep policy signed in the file. 10A NCAC 09 .1724(c) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Items stored in plastic bags were behind the diapers as well as in kitchen drawers. .1719(a)(18) 2015 Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not available for review. EH did not have a signed policy on file. .1726(d)(1-4) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. Recognizing and Responding to child Maltreatment has not be renewed within 5 years. .1703(d)(2) Technical assistance was provided as follows: Item #910 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (1) a copy of the child's health assessment as required by G.S. 110-91(1); Note: EH did not have a medical exam on file within 30 days. Items #1804 & 1810 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (b) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. Note: The safe sleep policy was not posted. (c) A copy of the operator's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the home. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the home; (3) the date the operator's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. Note: EH did not have a safe sleep policy signed in the file. Item # 2015 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) The operator shall review the policy with staff prior to the individual providing care to children. The acknowledgement of this review shall contain the following: (1) the individual's name; (2) the date the operator's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The operator shall retain the acknowledgement in the staff member's file. Note: EH did not have a signed policy on file. Item # 2023 & 1301 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (d) After the first year of employment, the family child care home operator, and staff who work with children shall complete on-going training activities as follows: (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; Note: Recognizing and Responding to child Maltreatment has not be renewed within 5 years. Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential 8 clock hours Note: Provider has not received the number of training hours required annually. Item #1922 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; Note: Items stored in plastic bags were behind the diapers as well as in kitchen drawers. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 12, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the Prevention of Child Abuse and Neglect training and where that is located. • We discussed items that are required to be posed. Ms. Horton has been remodeling her home and some of the postings have gotten moved around. • We discussed the weather watch chart and how important it is to go outside everyday weather permitting. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.1721 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/29/2024 Number Present: 5 Completed Date: 1/29/2024 Age: From 0 To 7 Total Minutes: 225 Time In: 11:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during the visit. An electronic signed copy of the visit summary was emailed to you. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care homes was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The facility’s s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percentage as of 1/29/23. Permit type – Three Star Facility issued on 8/17/20. Special Services/Restrictions – First and second shifts and third shifts, maximum of 5 preschool children at a time, fireplace/woodstove not used during operating hours, children on ground level only and serves no more than two infants under age one. The last annual compliance visit was conducted on 2/21/23. The last fire drill was practiced 1/2/24. The last shelter in place drill was practiced on 1/2/24. The last playground inspection was documented on 1/7/24. The Emergency Medical Care plan was current and posted. Emergency Preparedness and Response Plan was updated on 9/18/23. Upon arrival I introduced my presence to the owner and greeted the children. I observed this mixed age group of children playing in centers with various materials. Ms. Horton informed me that one child had just left due to getting sick. Today was a remote learning day (no in-person school), so one drop-in school age child was present during today’s visit. Ms. Horton assisted me with questions that I had. While children were playing, Ms. Horton prepared lunch which consisted of chicken nuggets, french fries, apples slices and milk. After lunch, children settled down for rest time. I used the Family Child Care Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. EH did not have a medical exam on file within 30 days. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Provider has not received the number of training hours required annually. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1804 Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. The safe sleep policy was not posted. .1724(b) 1810 Operator did not retain the safe sleep acknowledgement in the child's records as long as the child was enrolled. EH did not have a safe sleep policy signed in the file. 10A NCAC 09 .1724(c) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Items stored in plastic bags were behind the diapers as well as in kitchen drawers. .1719(a)(18) 2015 Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not available for review. EH did not have a signed policy on file. .1726(d)(1-4) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. Recognizing and Responding to child Maltreatment has not be renewed within 5 years. .1703(d)(2) Technical assistance was provided as follows: Item #910 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (1) a copy of the child's health assessment as required by G.S. 110-91(1); Note: EH did not have a medical exam on file within 30 days. Items #1804 & 1810 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (b) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. Note: The safe sleep policy was not posted. (c) A copy of the operator's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the home. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the home; (3) the date the operator's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. Note: EH did not have a safe sleep policy signed in the file. Item # 2015 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) The operator shall review the policy with staff prior to the individual providing care to children. The acknowledgement of this review shall contain the following: (1) the individual's name; (2) the date the operator's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The operator shall retain the acknowledgement in the staff member's file. Note: EH did not have a signed policy on file. Item # 2023 & 1301 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (d) After the first year of employment, the family child care home operator, and staff who work with children shall complete on-going training activities as follows: (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; Note: Recognizing and Responding to child Maltreatment has not be renewed within 5 years. Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential 8 clock hours Note: Provider has not received the number of training hours required annually. Item #1922 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; Note: Items stored in plastic bags were behind the diapers as well as in kitchen drawers. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 12, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the Prevention of Child Abuse and Neglect training and where that is located. • We discussed items that are required to be posed. Ms. Horton has been remodeling her home and some of the postings have gotten moved around. • We discussed the weather watch chart and how important it is to go outside everyday weather permitting. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/29/2024 Number Present: 5 Completed Date: 1/29/2024 Age: From 0 To 7 Total Minutes: 225 Time In: 11:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during the visit. An electronic signed copy of the visit summary was emailed to you. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care homes was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The facility’s s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percentage as of 1/29/23. Permit type – Three Star Facility issued on 8/17/20. Special Services/Restrictions – First and second shifts and third shifts, maximum of 5 preschool children at a time, fireplace/woodstove not used during operating hours, children on ground level only and serves no more than two infants under age one. The last annual compliance visit was conducted on 2/21/23. The last fire drill was practiced 1/2/24. The last shelter in place drill was practiced on 1/2/24. The last playground inspection was documented on 1/7/24. The Emergency Medical Care plan was current and posted. Emergency Preparedness and Response Plan was updated on 9/18/23. Upon arrival I introduced my presence to the owner and greeted the children. I observed this mixed age group of children playing in centers with various materials. Ms. Horton informed me that one child had just left due to getting sick. Today was a remote learning day (no in-person school), so one drop-in school age child was present during today’s visit. Ms. Horton assisted me with questions that I had. While children were playing, Ms. Horton prepared lunch which consisted of chicken nuggets, french fries, apples slices and milk. After lunch, children settled down for rest time. I used the Family Child Care Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. EH did not have a medical exam on file within 30 days. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Provider has not received the number of training hours required annually. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1804 Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. The safe sleep policy was not posted. .1724(b) 1810 Operator did not retain the safe sleep acknowledgement in the child's records as long as the child was enrolled. EH did not have a safe sleep policy signed in the file. 10A NCAC 09 .1724(c) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Items stored in plastic bags were behind the diapers as well as in kitchen drawers. .1719(a)(18) 2015 Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not available for review. EH did not have a signed policy on file. .1726(d)(1-4) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. Recognizing and Responding to child Maltreatment has not be renewed within 5 years. .1703(d)(2) Technical assistance was provided as follows: Item #910 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (1) a copy of the child's health assessment as required by G.S. 110-91(1); Note: EH did not have a medical exam on file within 30 days. Items #1804 & 1810 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (b) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. Note: The safe sleep policy was not posted. (c) A copy of the operator's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the home. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the home; (3) the date the operator's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. Note: EH did not have a safe sleep policy signed in the file. Item # 2015 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) The operator shall review the policy with staff prior to the individual providing care to children. The acknowledgement of this review shall contain the following: (1) the individual's name; (2) the date the operator's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The operator shall retain the acknowledgement in the staff member's file. Note: EH did not have a signed policy on file. Item # 2023 & 1301 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (d) After the first year of employment, the family child care home operator, and staff who work with children shall complete on-going training activities as follows: (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; Note: Recognizing and Responding to child Maltreatment has not be renewed within 5 years. Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential 8 clock hours Note: Provider has not received the number of training hours required annually. Item #1922 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; Note: Items stored in plastic bags were behind the diapers as well as in kitchen drawers. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 12, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the Prevention of Child Abuse and Neglect training and where that is located. • We discussed items that are required to be posed. Ms. Horton has been remodeling her home and some of the postings have gotten moved around. • We discussed the weather watch chart and how important it is to go outside everyday weather permitting. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/29/2024 Number Present: 5 Completed Date: 1/29/2024 Age: From 0 To 7 Total Minutes: 225 Time In: 11:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during the visit. An electronic signed copy of the visit summary was emailed to you. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care homes was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The facility’s s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percentage as of 1/29/23. Permit type – Three Star Facility issued on 8/17/20. Special Services/Restrictions – First and second shifts and third shifts, maximum of 5 preschool children at a time, fireplace/woodstove not used during operating hours, children on ground level only and serves no more than two infants under age one. The last annual compliance visit was conducted on 2/21/23. The last fire drill was practiced 1/2/24. The last shelter in place drill was practiced on 1/2/24. The last playground inspection was documented on 1/7/24. The Emergency Medical Care plan was current and posted. Emergency Preparedness and Response Plan was updated on 9/18/23. Upon arrival I introduced my presence to the owner and greeted the children. I observed this mixed age group of children playing in centers with various materials. Ms. Horton informed me that one child had just left due to getting sick. Today was a remote learning day (no in-person school), so one drop-in school age child was present during today’s visit. Ms. Horton assisted me with questions that I had. While children were playing, Ms. Horton prepared lunch which consisted of chicken nuggets, french fries, apples slices and milk. After lunch, children settled down for rest time. I used the Family Child Care Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. EH did not have a medical exam on file within 30 days. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Provider has not received the number of training hours required annually. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1804 Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. The safe sleep policy was not posted. .1724(b) 1810 Operator did not retain the safe sleep acknowledgement in the child's records as long as the child was enrolled. EH did not have a safe sleep policy signed in the file. 10A NCAC 09 .1724(c) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Items stored in plastic bags were behind the diapers as well as in kitchen drawers. .1719(a)(18) 2015 Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not available for review. EH did not have a signed policy on file. .1726(d)(1-4) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. Recognizing and Responding to child Maltreatment has not be renewed within 5 years. .1703(d)(2) Technical assistance was provided as follows: Item #910 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (1) a copy of the child's health assessment as required by G.S. 110-91(1); Note: EH did not have a medical exam on file within 30 days. Items #1804 & 1810 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (b) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. Note: The safe sleep policy was not posted. (c) A copy of the operator's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the home. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the home; (3) the date the operator's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. Note: EH did not have a safe sleep policy signed in the file. Item # 2015 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) The operator shall review the policy with staff prior to the individual providing care to children. The acknowledgement of this review shall contain the following: (1) the individual's name; (2) the date the operator's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The operator shall retain the acknowledgement in the staff member's file. Note: EH did not have a signed policy on file. Item # 2023 & 1301 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (d) After the first year of employment, the family child care home operator, and staff who work with children shall complete on-going training activities as follows: (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; Note: Recognizing and Responding to child Maltreatment has not be renewed within 5 years. Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential 8 clock hours Note: Provider has not received the number of training hours required annually. Item #1922 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; Note: Items stored in plastic bags were behind the diapers as well as in kitchen drawers. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 12, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the Prevention of Child Abuse and Neglect training and where that is located. • We discussed items that are required to be posed. Ms. Horton has been remodeling her home and some of the postings have gotten moved around. • We discussed the weather watch chart and how important it is to go outside everyday weather permitting. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/29/2024 Number Present: 5 Completed Date: 1/29/2024 Age: From 0 To 7 Total Minutes: 225 Time In: 11:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during the visit. An electronic signed copy of the visit summary was emailed to you. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care homes was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The facility’s s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percentage as of 1/29/23. Permit type – Three Star Facility issued on 8/17/20. Special Services/Restrictions – First and second shifts and third shifts, maximum of 5 preschool children at a time, fireplace/woodstove not used during operating hours, children on ground level only and serves no more than two infants under age one. The last annual compliance visit was conducted on 2/21/23. The last fire drill was practiced 1/2/24. The last shelter in place drill was practiced on 1/2/24. The last playground inspection was documented on 1/7/24. The Emergency Medical Care plan was current and posted. Emergency Preparedness and Response Plan was updated on 9/18/23. Upon arrival I introduced my presence to the owner and greeted the children. I observed this mixed age group of children playing in centers with various materials. Ms. Horton informed me that one child had just left due to getting sick. Today was a remote learning day (no in-person school), so one drop-in school age child was present during today’s visit. Ms. Horton assisted me with questions that I had. While children were playing, Ms. Horton prepared lunch which consisted of chicken nuggets, french fries, apples slices and milk. After lunch, children settled down for rest time. I used the Family Child Care Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. EH did not have a medical exam on file within 30 days. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Provider has not received the number of training hours required annually. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1804 Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. The safe sleep policy was not posted. .1724(b) 1810 Operator did not retain the safe sleep acknowledgement in the child's records as long as the child was enrolled. EH did not have a safe sleep policy signed in the file. 10A NCAC 09 .1724(c) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Items stored in plastic bags were behind the diapers as well as in kitchen drawers. .1719(a)(18) 2015 Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not available for review. EH did not have a signed policy on file. .1726(d)(1-4) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. Recognizing and Responding to child Maltreatment has not be renewed within 5 years. .1703(d)(2) Technical assistance was provided as follows: Item #910 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (1) a copy of the child's health assessment as required by G.S. 110-91(1); Note: EH did not have a medical exam on file within 30 days. Items #1804 & 1810 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (b) The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. Note: The safe sleep policy was not posted. (c) A copy of the operator's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the home. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the home; (3) the date the operator's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. Note: EH did not have a safe sleep policy signed in the file. Item # 2015 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) The operator shall review the policy with staff prior to the individual providing care to children. The acknowledgement of this review shall contain the following: (1) the individual's name; (2) the date the operator's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The operator shall retain the acknowledgement in the staff member's file. Note: EH did not have a signed policy on file. Item # 2023 & 1301 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (d) After the first year of employment, the family child care home operator, and staff who work with children shall complete on-going training activities as follows: (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; Note: Recognizing and Responding to child Maltreatment has not be renewed within 5 years. Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential 8 clock hours Note: Provider has not received the number of training hours required annually. Item #1922 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; Note: Items stored in plastic bags were behind the diapers as well as in kitchen drawers. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 12, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the Prevention of Child Abuse and Neglect training and where that is located. • We discussed items that are required to be posed. Ms. Horton has been remodeling her home and some of the postings have gotten moved around. • We discussed the weather watch chart and how important it is to go outside everyday weather permitting. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 9/19/2023 Number Present: 5 Completed Date: 9/19/2023 Age: From 1 To 3 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. Horton. Ms. Horton was available to assist with questions and paperwork needed for today’s visit. The program’s annual compliance visit was conducted on visit on February 21, 2023. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Upon my arrival I greeted Ms. Horton, I explained the reason for my visit. Children were observed during indoor free play. One (1) child had come in late and was having a morning snack. Children listened to music and played with items such as puzzles, trucks, and dramatic play materials. All teacher child interactions were positive and nurturing. Ms. Horton has added a changing table in the hallway so that she can see and hear the children while changing diapers. Four (4) children are in diapers and one (1) child is potty trained. Lunch today consisted of hot dogs (cut up for the younger children), baked beans, pickles, apple wedges and milk. The last fire drill was practiced on 9/14/23. The emergency drill (lock down) was completed on 9/14/23. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Playground safety check was last completed on 9/14/23. The following violations were documented during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. Items such as teeth whitener, razor blade refills, cascade and Mr. Clean, Clean Freak was unlocked and below five (5) feet. .1719 (a)(7) 729 Appliances with heating elements, such as bottle warmers, crock pots, curling irons, and electrical cords were accessible to children. Wax warmer that was plugged in but not turned on was accessible to the children. 10A NCAC .1719(a)(28) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Plastic bags used for diapering as well as plastic wipes and diaper packages that state keep out of reach of children were stored below five (5) feet. .1719(a)(18) 1962 Activity plans did not include activities intended to stimulate the developmental domains, in accordance with NC Foundations for Early Learning and Development. Ms. Horton stated that she uses “Fun Shine” curriculum and it has been ordered but has not arrived, so therefore there is not activity plan posted. 10A NCAC 09 .1718(a)(8)(A)(i-iv) Technical assistance: Item #.706, #1922 and #729 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (6) keep hazardous cleaning supplies and other items that might be poisonous, e.g., toxic plants, out of reach or in locked storage when children are in care; A list of toxic plants may be found on the Division's website. Note: Items such as teeth whitener, razor blade refills, cascade and Mr. Clean, Clean Freak was unlocked and below five (5) feet. (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; Note: Plastic bags used for diapering as well as plastic wipes and diaper packages that state keep out of reach of children were stored below five (5) feet. (28) ensure that, for appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord, is accessible to children; Note: wax warmer that was plugged in but not turned on was accessible to the children. Items #1962 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: (8) A written activity plan that shall: (A) Include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website. (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development. Note: Ms. Horton stated that she uses “Fun Shine” curriculum and it has been ordered but has not arrived. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by October 3, 2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: • Today we discussed a different place to store the cots so that they are more secure. • We discussed that her daily schedule needs to be updated to reflect the current schdule. If you have any questions or concerns regarding the Stabilization or Expansion Grants, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1703 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 9/19/2023 Number Present: 5 Completed Date: 9/19/2023 Age: From 1 To 3 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. Horton. Ms. Horton was available to assist with questions and paperwork needed for today’s visit. The program’s annual compliance visit was conducted on visit on February 21, 2023. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Upon my arrival I greeted Ms. Horton, I explained the reason for my visit. Children were observed during indoor free play. One (1) child had come in late and was having a morning snack. Children listened to music and played with items such as puzzles, trucks, and dramatic play materials. All teacher child interactions were positive and nurturing. Ms. Horton has added a changing table in the hallway so that she can see and hear the children while changing diapers. Four (4) children are in diapers and one (1) child is potty trained. Lunch today consisted of hot dogs (cut up for the younger children), baked beans, pickles, apple wedges and milk. The last fire drill was practiced on 9/14/23. The emergency drill (lock down) was completed on 9/14/23. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Playground safety check was last completed on 9/14/23. The following violations were documented during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. Items such as teeth whitener, razor blade refills, cascade and Mr. Clean, Clean Freak was unlocked and below five (5) feet. .1719 (a)(7) 729 Appliances with heating elements, such as bottle warmers, crock pots, curling irons, and electrical cords were accessible to children. Wax warmer that was plugged in but not turned on was accessible to the children. 10A NCAC .1719(a)(28) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Plastic bags used for diapering as well as plastic wipes and diaper packages that state keep out of reach of children were stored below five (5) feet. .1719(a)(18) 1962 Activity plans did not include activities intended to stimulate the developmental domains, in accordance with NC Foundations for Early Learning and Development. Ms. Horton stated that she uses “Fun Shine” curriculum and it has been ordered but has not arrived, so therefore there is not activity plan posted. 10A NCAC 09 .1718(a)(8)(A)(i-iv) Technical assistance: Item #.706, #1922 and #729 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (6) keep hazardous cleaning supplies and other items that might be poisonous, e.g., toxic plants, out of reach or in locked storage when children are in care; A list of toxic plants may be found on the Division's website. Note: Items such as teeth whitener, razor blade refills, cascade and Mr. Clean, Clean Freak was unlocked and below five (5) feet. (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; Note: Plastic bags used for diapering as well as plastic wipes and diaper packages that state keep out of reach of children were stored below five (5) feet. (28) ensure that, for appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord, is accessible to children; Note: wax warmer that was plugged in but not turned on was accessible to the children. Items #1962 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: (8) A written activity plan that shall: (A) Include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website. (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development. Note: Ms. Horton stated that she uses “Fun Shine” curriculum and it has been ordered but has not arrived. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by October 3, 2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: • Today we discussed a different place to store the cots so that they are more secure. • We discussed that her daily schedule needs to be updated to reflect the current schdule. If you have any questions or concerns regarding the Stabilization or Expansion Grants, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1718 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 9/19/2023 Number Present: 5 Completed Date: 9/19/2023 Age: From 1 To 3 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. Horton. Ms. Horton was available to assist with questions and paperwork needed for today’s visit. The program’s annual compliance visit was conducted on visit on February 21, 2023. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Upon my arrival I greeted Ms. Horton, I explained the reason for my visit. Children were observed during indoor free play. One (1) child had come in late and was having a morning snack. Children listened to music and played with items such as puzzles, trucks, and dramatic play materials. All teacher child interactions were positive and nurturing. Ms. Horton has added a changing table in the hallway so that she can see and hear the children while changing diapers. Four (4) children are in diapers and one (1) child is potty trained. Lunch today consisted of hot dogs (cut up for the younger children), baked beans, pickles, apple wedges and milk. The last fire drill was practiced on 9/14/23. The emergency drill (lock down) was completed on 9/14/23. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Playground safety check was last completed on 9/14/23. The following violations were documented during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. Items such as teeth whitener, razor blade refills, cascade and Mr. Clean, Clean Freak was unlocked and below five (5) feet. .1719 (a)(7) 729 Appliances with heating elements, such as bottle warmers, crock pots, curling irons, and electrical cords were accessible to children. Wax warmer that was plugged in but not turned on was accessible to the children. 10A NCAC .1719(a)(28) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Plastic bags used for diapering as well as plastic wipes and diaper packages that state keep out of reach of children were stored below five (5) feet. .1719(a)(18) 1962 Activity plans did not include activities intended to stimulate the developmental domains, in accordance with NC Foundations for Early Learning and Development. Ms. Horton stated that she uses “Fun Shine” curriculum and it has been ordered but has not arrived, so therefore there is not activity plan posted. 10A NCAC 09 .1718(a)(8)(A)(i-iv) Technical assistance: Item #.706, #1922 and #729 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (6) keep hazardous cleaning supplies and other items that might be poisonous, e.g., toxic plants, out of reach or in locked storage when children are in care; A list of toxic plants may be found on the Division's website. Note: Items such as teeth whitener, razor blade refills, cascade and Mr. Clean, Clean Freak was unlocked and below five (5) feet. (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; Note: Plastic bags used for diapering as well as plastic wipes and diaper packages that state keep out of reach of children were stored below five (5) feet. (28) ensure that, for appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord, is accessible to children; Note: wax warmer that was plugged in but not turned on was accessible to the children. Items #1962 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: (8) A written activity plan that shall: (A) Include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website. (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development. Note: Ms. Horton stated that she uses “Fun Shine” curriculum and it has been ordered but has not arrived. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by October 3, 2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: • Today we discussed a different place to store the cots so that they are more secure. • We discussed that her daily schedule needs to be updated to reflect the current schdule. If you have any questions or concerns regarding the Stabilization or Expansion Grants, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1719 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 9/19/2023 Number Present: 5 Completed Date: 9/19/2023 Age: From 1 To 3 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. Horton. Ms. Horton was available to assist with questions and paperwork needed for today’s visit. The program’s annual compliance visit was conducted on visit on February 21, 2023. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Upon my arrival I greeted Ms. Horton, I explained the reason for my visit. Children were observed during indoor free play. One (1) child had come in late and was having a morning snack. Children listened to music and played with items such as puzzles, trucks, and dramatic play materials. All teacher child interactions were positive and nurturing. Ms. Horton has added a changing table in the hallway so that she can see and hear the children while changing diapers. Four (4) children are in diapers and one (1) child is potty trained. Lunch today consisted of hot dogs (cut up for the younger children), baked beans, pickles, apple wedges and milk. The last fire drill was practiced on 9/14/23. The emergency drill (lock down) was completed on 9/14/23. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Playground safety check was last completed on 9/14/23. The following violations were documented during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. Items such as teeth whitener, razor blade refills, cascade and Mr. Clean, Clean Freak was unlocked and below five (5) feet. .1719 (a)(7) 729 Appliances with heating elements, such as bottle warmers, crock pots, curling irons, and electrical cords were accessible to children. Wax warmer that was plugged in but not turned on was accessible to the children. 10A NCAC .1719(a)(28) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Plastic bags used for diapering as well as plastic wipes and diaper packages that state keep out of reach of children were stored below five (5) feet. .1719(a)(18) 1962 Activity plans did not include activities intended to stimulate the developmental domains, in accordance with NC Foundations for Early Learning and Development. Ms. Horton stated that she uses “Fun Shine” curriculum and it has been ordered but has not arrived, so therefore there is not activity plan posted. 10A NCAC 09 .1718(a)(8)(A)(i-iv) Technical assistance: Item #.706, #1922 and #729 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (6) keep hazardous cleaning supplies and other items that might be poisonous, e.g., toxic plants, out of reach or in locked storage when children are in care; A list of toxic plants may be found on the Division's website. Note: Items such as teeth whitener, razor blade refills, cascade and Mr. Clean, Clean Freak was unlocked and below five (5) feet. (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; Note: Plastic bags used for diapering as well as plastic wipes and diaper packages that state keep out of reach of children were stored below five (5) feet. (28) ensure that, for appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord, is accessible to children; Note: wax warmer that was plugged in but not turned on was accessible to the children. Items #1962 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: (8) A written activity plan that shall: (A) Include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website. (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development. Note: Ms. Horton stated that she uses “Fun Shine” curriculum and it has been ordered but has not arrived. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by October 3, 2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: • Today we discussed a different place to store the cots so that they are more secure. • We discussed that her daily schedule needs to be updated to reflect the current schdule. If you have any questions or concerns regarding the Stabilization or Expansion Grants, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 9/19/2023 Number Present: 5 Completed Date: 9/19/2023 Age: From 1 To 3 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. Horton. Ms. Horton was available to assist with questions and paperwork needed for today’s visit. The program’s annual compliance visit was conducted on visit on February 21, 2023. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Upon my arrival I greeted Ms. Horton, I explained the reason for my visit. Children were observed during indoor free play. One (1) child had come in late and was having a morning snack. Children listened to music and played with items such as puzzles, trucks, and dramatic play materials. All teacher child interactions were positive and nurturing. Ms. Horton has added a changing table in the hallway so that she can see and hear the children while changing diapers. Four (4) children are in diapers and one (1) child is potty trained. Lunch today consisted of hot dogs (cut up for the younger children), baked beans, pickles, apple wedges and milk. The last fire drill was practiced on 9/14/23. The emergency drill (lock down) was completed on 9/14/23. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Playground safety check was last completed on 9/14/23. The following violations were documented during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. Items such as teeth whitener, razor blade refills, cascade and Mr. Clean, Clean Freak was unlocked and below five (5) feet. .1719 (a)(7) 729 Appliances with heating elements, such as bottle warmers, crock pots, curling irons, and electrical cords were accessible to children. Wax warmer that was plugged in but not turned on was accessible to the children. 10A NCAC .1719(a)(28) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Plastic bags used for diapering as well as plastic wipes and diaper packages that state keep out of reach of children were stored below five (5) feet. .1719(a)(18) 1962 Activity plans did not include activities intended to stimulate the developmental domains, in accordance with NC Foundations for Early Learning and Development. Ms. Horton stated that she uses “Fun Shine” curriculum and it has been ordered but has not arrived, so therefore there is not activity plan posted. 10A NCAC 09 .1718(a)(8)(A)(i-iv) Technical assistance: Item #.706, #1922 and #729 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (6) keep hazardous cleaning supplies and other items that might be poisonous, e.g., toxic plants, out of reach or in locked storage when children are in care; A list of toxic plants may be found on the Division's website. Note: Items such as teeth whitener, razor blade refills, cascade and Mr. Clean, Clean Freak was unlocked and below five (5) feet. (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; Note: Plastic bags used for diapering as well as plastic wipes and diaper packages that state keep out of reach of children were stored below five (5) feet. (28) ensure that, for appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord, is accessible to children; Note: wax warmer that was plugged in but not turned on was accessible to the children. Items #1962 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: (8) A written activity plan that shall: (A) Include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website. (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development. Note: Ms. Horton stated that she uses “Fun Shine” curriculum and it has been ordered but has not arrived. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by October 3, 2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: • Today we discussed a different place to store the cots so that they are more secure. • We discussed that her daily schedule needs to be updated to reflect the current schdule. If you have any questions or concerns regarding the Stabilization or Expansion Grants, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: MS. INGRID'S HOUSE Facility ID: 95000053 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 9/19/2023 Number Present: 5 Completed Date: 9/19/2023 Age: From 1 To 3 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Ingrid Horton, owner/operator, during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. Horton. Ms. Horton was available to assist with questions and paperwork needed for today’s visit. The program’s annual compliance visit was conducted on visit on February 21, 2023. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Upon my arrival I greeted Ms. Horton, I explained the reason for my visit. Children were observed during indoor free play. One (1) child had come in late and was having a morning snack. Children listened to music and played with items such as puzzles, trucks, and dramatic play materials. All teacher child interactions were positive and nurturing. Ms. Horton has added a changing table in the hallway so that she can see and hear the children while changing diapers. Four (4) children are in diapers and one (1) child is potty trained. Lunch today consisted of hot dogs (cut up for the younger children), baked beans, pickles, apple wedges and milk. The last fire drill was practiced on 9/14/23. The emergency drill (lock down) was completed on 9/14/23. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Playground safety check was last completed on 9/14/23. The following violations were documented during today’s visit: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. Items such as teeth whitener, razor blade refills, cascade and Mr. Clean, Clean Freak was unlocked and below five (5) feet. .1719 (a)(7) 729 Appliances with heating elements, such as bottle warmers, crock pots, curling irons, and electrical cords were accessible to children. Wax warmer that was plugged in but not turned on was accessible to the children. 10A NCAC .1719(a)(28) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Plastic bags used for diapering as well as plastic wipes and diaper packages that state keep out of reach of children were stored below five (5) feet. .1719(a)(18) 1962 Activity plans did not include activities intended to stimulate the developmental domains, in accordance with NC Foundations for Early Learning and Development. Ms. Horton stated that she uses “Fun Shine” curriculum and it has been ordered but has not arrived, so therefore there is not activity plan posted. 10A NCAC 09 .1718(a)(8)(A)(i-iv) Technical assistance: Item #.706, #1922 and #729 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (6) keep hazardous cleaning supplies and other items that might be poisonous, e.g., toxic plants, out of reach or in locked storage when children are in care; A list of toxic plants may be found on the Division's website. Note: Items such as teeth whitener, razor blade refills, cascade and Mr. Clean, Clean Freak was unlocked and below five (5) feet. (18) not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities; Note: Plastic bags used for diapering as well as plastic wipes and diaper packages that state keep out of reach of children were stored below five (5) feet. (28) ensure that, for appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord, is accessible to children; Note: wax warmer that was plugged in but not turned on was accessible to the children. Items #1962 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: (8) A written activity plan that shall: (A) Include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website. (i) emotional and social development; (ii) health and physical development; (iii) approaches to play and learning; (iv) language development and communication; and (iv) cognitive development. Note: Ms. Horton stated that she uses “Fun Shine” curriculum and it has been ordered but has not arrived. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by October 3, 2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: • Today we discussed a different place to store the cots so that they are more secure. • We discussed that her daily schedule needs to be updated to reflect the current schdule. If you have any questions or concerns regarding the Stabilization or Expansion Grants, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times