NC GS 110-90 · Violation

Name of Operation: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 12/18/2025 Number Present: 4 Completed Date: 12/18/2025 Age: From 2 To 4 Total Minutes: 220 Time In: 09:30 AM Time Out: 01:10 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 Lisa Greer, 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. Greer 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. Greer is the sole proprietor of this program. Permit type –Three-star license issued 5/31/2019. Special Services/Restrictions – First shift, second 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 1/16/25. The last fire drill was practiced today during my visit, 11/17/25. The last lock down drill was practiced on 11/17/25. The last playground inspection was documented on 11/17/25. The Emergency Medical Care plan was posted and current. The curriculum used Fun Shine. Lead water test was completed on 8/16/25 without hazards. Lead paint and asbestos testing was completed on 6/30/25 without hazards. Upon my arrival, I greeted Ms. Greer and the children. Children were engaged in free play throughout the environment. Children made bell shaker sticks as a holiday craft (with the help of the teacher). The children made their own obstacle course in the play area which included crawling, climbing and jumping. Children danced and sang to music that was playing. It was raining today so they plan to go outside this afternoon since it is supposed to stop raining around 2pm. Children washed hands for lunch, ate lunch and transitioned to their mats for rest time. Lunch today consisted of chicken nuggets (with ketchup), bread (with butter), green beans, pears 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 a aerosol can of spray cooking oil in a cabinet above the kitchen sink. .1719 (a)(7) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan was dated 2/27/23. .1714(e ) Technical assistance was provided as follows: Item #706 There was a aerosol can of spray cooking oil in a cabinet above the kitchen sink. When we discussed this, you thought it was just required to be 5 feet up. However, since it is an aerosol, it has to be locked. *Ms. Greer locked the aerosol spray during today’s visit. Item #1876 The Emergency Preparedness and Response Plan was dated 2/27/23. We have discussed this in the past and I know you haven’t been able to retrieve your plan in the database. *You can to contact the Division of Child Development and Early Education (DCDEE) at 919-814-6365 (in state) to request assistance from the Training and Program Development Consultant. 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 January 1, 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 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. Ms. Greer stated that she is 99% sure that she will just drop to 1 star. I showed her the QRIS link and she stated that she would look at it and talk to Roberta at the Children’s Council and let me know if she changes her mind. • We discussed getting the rip in the chair repaired. • We discussed that since you are closed the last 2 weeks in December that you will need to have your fire drill and playground inspection this afternoon or tomorrow. • We discussed updating your Grab-N-Go bag. The emergency water and snacks are expired. 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 .1102 · Violation

Name of Operation: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 12/18/2025 Number Present: 4 Completed Date: 12/18/2025 Age: From 2 To 4 Total Minutes: 220 Time In: 09:30 AM Time Out: 01:10 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 Lisa Greer, 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. Greer 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. Greer is the sole proprietor of this program. Permit type –Three-star license issued 5/31/2019. Special Services/Restrictions – First shift, second 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 1/16/25. The last fire drill was practiced today during my visit, 11/17/25. The last lock down drill was practiced on 11/17/25. The last playground inspection was documented on 11/17/25. The Emergency Medical Care plan was posted and current. The curriculum used Fun Shine. Lead water test was completed on 8/16/25 without hazards. Lead paint and asbestos testing was completed on 6/30/25 without hazards. Upon my arrival, I greeted Ms. Greer and the children. Children were engaged in free play throughout the environment. Children made bell shaker sticks as a holiday craft (with the help of the teacher). The children made their own obstacle course in the play area which included crawling, climbing and jumping. Children danced and sang to music that was playing. It was raining today so they plan to go outside this afternoon since it is supposed to stop raining around 2pm. Children washed hands for lunch, ate lunch and transitioned to their mats for rest time. Lunch today consisted of chicken nuggets (with ketchup), bread (with butter), green beans, pears 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 a aerosol can of spray cooking oil in a cabinet above the kitchen sink. .1719 (a)(7) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan was dated 2/27/23. .1714(e ) Technical assistance was provided as follows: Item #706 There was a aerosol can of spray cooking oil in a cabinet above the kitchen sink. When we discussed this, you thought it was just required to be 5 feet up. However, since it is an aerosol, it has to be locked. *Ms. Greer locked the aerosol spray during today’s visit. Item #1876 The Emergency Preparedness and Response Plan was dated 2/27/23. We have discussed this in the past and I know you haven’t been able to retrieve your plan in the database. *You can to contact the Division of Child Development and Early Education (DCDEE) at 919-814-6365 (in state) to request assistance from the Training and Program Development Consultant. 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 January 1, 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 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. Ms. Greer stated that she is 99% sure that she will just drop to 1 star. I showed her the QRIS link and she stated that she would look at it and talk to Roberta at the Children’s Council and let me know if she changes her mind. • We discussed getting the rip in the chair repaired. • We discussed that since you are closed the last 2 weeks in December that you will need to have your fire drill and playground inspection this afternoon or tomorrow. • We discussed updating your Grab-N-Go bag. The emergency water and snacks are expired. 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 .1703 · Violation

Name of Operation: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 12/18/2025 Number Present: 4 Completed Date: 12/18/2025 Age: From 2 To 4 Total Minutes: 220 Time In: 09:30 AM Time Out: 01:10 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 Lisa Greer, 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. Greer 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. Greer is the sole proprietor of this program. Permit type –Three-star license issued 5/31/2019. Special Services/Restrictions – First shift, second 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 1/16/25. The last fire drill was practiced today during my visit, 11/17/25. The last lock down drill was practiced on 11/17/25. The last playground inspection was documented on 11/17/25. The Emergency Medical Care plan was posted and current. The curriculum used Fun Shine. Lead water test was completed on 8/16/25 without hazards. Lead paint and asbestos testing was completed on 6/30/25 without hazards. Upon my arrival, I greeted Ms. Greer and the children. Children were engaged in free play throughout the environment. Children made bell shaker sticks as a holiday craft (with the help of the teacher). The children made their own obstacle course in the play area which included crawling, climbing and jumping. Children danced and sang to music that was playing. It was raining today so they plan to go outside this afternoon since it is supposed to stop raining around 2pm. Children washed hands for lunch, ate lunch and transitioned to their mats for rest time. Lunch today consisted of chicken nuggets (with ketchup), bread (with butter), green beans, pears 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 a aerosol can of spray cooking oil in a cabinet above the kitchen sink. .1719 (a)(7) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan was dated 2/27/23. .1714(e ) Technical assistance was provided as follows: Item #706 There was a aerosol can of spray cooking oil in a cabinet above the kitchen sink. When we discussed this, you thought it was just required to be 5 feet up. However, since it is an aerosol, it has to be locked. *Ms. Greer locked the aerosol spray during today’s visit. Item #1876 The Emergency Preparedness and Response Plan was dated 2/27/23. We have discussed this in the past and I know you haven’t been able to retrieve your plan in the database. *You can to contact the Division of Child Development and Early Education (DCDEE) at 919-814-6365 (in state) to request assistance from the Training and Program Development Consultant. 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 January 1, 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 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. Ms. Greer stated that she is 99% sure that she will just drop to 1 star. I showed her the QRIS link and she stated that she would look at it and talk to Roberta at the Children’s Council and let me know if she changes her mind. • We discussed getting the rip in the chair repaired. • We discussed that since you are closed the last 2 weeks in December that you will need to have your fire drill and playground inspection this afternoon or tomorrow. • We discussed updating your Grab-N-Go bag. The emergency water and snacks are expired. 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: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 12/18/2025 Number Present: 4 Completed Date: 12/18/2025 Age: From 2 To 4 Total Minutes: 220 Time In: 09:30 AM Time Out: 01:10 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 Lisa Greer, 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. Greer 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. Greer is the sole proprietor of this program. Permit type –Three-star license issued 5/31/2019. Special Services/Restrictions – First shift, second 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 1/16/25. The last fire drill was practiced today during my visit, 11/17/25. The last lock down drill was practiced on 11/17/25. The last playground inspection was documented on 11/17/25. The Emergency Medical Care plan was posted and current. The curriculum used Fun Shine. Lead water test was completed on 8/16/25 without hazards. Lead paint and asbestos testing was completed on 6/30/25 without hazards. Upon my arrival, I greeted Ms. Greer and the children. Children were engaged in free play throughout the environment. Children made bell shaker sticks as a holiday craft (with the help of the teacher). The children made their own obstacle course in the play area which included crawling, climbing and jumping. Children danced and sang to music that was playing. It was raining today so they plan to go outside this afternoon since it is supposed to stop raining around 2pm. Children washed hands for lunch, ate lunch and transitioned to their mats for rest time. Lunch today consisted of chicken nuggets (with ketchup), bread (with butter), green beans, pears 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 a aerosol can of spray cooking oil in a cabinet above the kitchen sink. .1719 (a)(7) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan was dated 2/27/23. .1714(e ) Technical assistance was provided as follows: Item #706 There was a aerosol can of spray cooking oil in a cabinet above the kitchen sink. When we discussed this, you thought it was just required to be 5 feet up. However, since it is an aerosol, it has to be locked. *Ms. Greer locked the aerosol spray during today’s visit. Item #1876 The Emergency Preparedness and Response Plan was dated 2/27/23. We have discussed this in the past and I know you haven’t been able to retrieve your plan in the database. *You can to contact the Division of Child Development and Early Education (DCDEE) at 919-814-6365 (in state) to request assistance from the Training and Program Development Consultant. 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 January 1, 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 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. Ms. Greer stated that she is 99% sure that she will just drop to 1 star. I showed her the QRIS link and she stated that she would look at it and talk to Roberta at the Children’s Council and let me know if she changes her mind. • We discussed getting the rip in the chair repaired. • We discussed that since you are closed the last 2 weeks in December that you will need to have your fire drill and playground inspection this afternoon or tomorrow. • We discussed updating your Grab-N-Go bag. The emergency water and snacks are expired. 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: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/16/2025 Number Present: 5 Completed Date: 1/16/2025 Age: From 1 To 4 Total Minutes: 165 Time In: 10:15 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 Lisa Greer, owner/operator, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Lisa Greer, 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-five (85%) percentage as of 01/16/25. Permit type – Three Star License, effective 5/31/19. Permit Restrictions- First and second shifts, maximum of 5 preschool children at any time, children in care on ground level only, serves no more than 2 infants under age one, The last annual compliance visit was conducted on 1/29/24. The last fire drill was practiced on 12/17/24. The last shelter-in-place drill was practiced on 12/17/24. The last playground inspection was documented on 12/17/24. 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 sitting on the floor listening to the caregiver read books to them. After story time, the children participated in a sink or float activity. Children played inside with a variety of materials while Ms. Greer prepared lunch. Lunch today was spaghetti with ground beef, green beans, pears and milk. After lunch children used the potty, washed hands, played with materials until time to prepare for rest time. Children rested on their mats with books and listened to a recorded story and then music to help them fall asleep. 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 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. Lysol and Febreze aerosol air fresheners were left out on a shelf. .1719 (a)(7) 716 Electrical outlets not in use were not covered. An outlet in the kitchen right where children wash hands was uncovered. 10A NCAC .1719(a)(27) Technical assistance was provided as follows: • Storage of Hazardous Products: All children must be cared for in safe environments and protected from the risk of potentially dangerous products. All disinfectants and cleaning products and any product labeled "keep out of reach of children" with any other warnings must be kept in locked storage. Corrosive agents include 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. The Lysol and Febreze air fresheners were moved to a locking cabinet in the kitchen area. Review the storage of hazardous items list with staff. Copies of this list can be found on the Division’s website. Consider printing the poster and posting it in the classrooms as a visual reminder for staff. This was corrected during the visit. • Electrical Outlets: Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. An uncovered outlet in the kitchen right where children wash hands was accessible to the children in care. Consider having extra outlet covers in each space, so that outlets can easily be recovered when needed. This was corrected during the visit. 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. • We discussed that the well water test is due 2/2/25. • You will need 2.5 training hours before 8/1/25. • Your first aid and CPR will expire on 2/11/25. Those are offered on a schedule, so make sure you get in before it expires. • Children’s applications need to be updated annually to make sure you have current phone numbers, contacts and pick up permissions. • Remember to file incident reports in the children’s files. • Record fire drills and emergency drills on the same form instead of on the back of another page to be more streamlined. • We discussed the flavoring that was added to the children’s water. Even though it doesn’t contain sugar, children are to be served water, milk and no more than 6 ounces of juice per day. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1703 · Violation

Name of Operation: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/16/2025 Number Present: 5 Completed Date: 1/16/2025 Age: From 1 To 4 Total Minutes: 165 Time In: 10:15 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 Lisa Greer, owner/operator, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Lisa Greer, 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-five (85%) percentage as of 01/16/25. Permit type – Three Star License, effective 5/31/19. Permit Restrictions- First and second shifts, maximum of 5 preschool children at any time, children in care on ground level only, serves no more than 2 infants under age one, The last annual compliance visit was conducted on 1/29/24. The last fire drill was practiced on 12/17/24. The last shelter-in-place drill was practiced on 12/17/24. The last playground inspection was documented on 12/17/24. 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 sitting on the floor listening to the caregiver read books to them. After story time, the children participated in a sink or float activity. Children played inside with a variety of materials while Ms. Greer prepared lunch. Lunch today was spaghetti with ground beef, green beans, pears and milk. After lunch children used the potty, washed hands, played with materials until time to prepare for rest time. Children rested on their mats with books and listened to a recorded story and then music to help them fall asleep. 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 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. Lysol and Febreze aerosol air fresheners were left out on a shelf. .1719 (a)(7) 716 Electrical outlets not in use were not covered. An outlet in the kitchen right where children wash hands was uncovered. 10A NCAC .1719(a)(27) Technical assistance was provided as follows: • Storage of Hazardous Products: All children must be cared for in safe environments and protected from the risk of potentially dangerous products. All disinfectants and cleaning products and any product labeled "keep out of reach of children" with any other warnings must be kept in locked storage. Corrosive agents include 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. The Lysol and Febreze air fresheners were moved to a locking cabinet in the kitchen area. Review the storage of hazardous items list with staff. Copies of this list can be found on the Division’s website. Consider printing the poster and posting it in the classrooms as a visual reminder for staff. This was corrected during the visit. • Electrical Outlets: Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. An uncovered outlet in the kitchen right where children wash hands was accessible to the children in care. Consider having extra outlet covers in each space, so that outlets can easily be recovered when needed. This was corrected during the visit. 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. • We discussed that the well water test is due 2/2/25. • You will need 2.5 training hours before 8/1/25. • Your first aid and CPR will expire on 2/11/25. Those are offered on a schedule, so make sure you get in before it expires. • Children’s applications need to be updated annually to make sure you have current phone numbers, contacts and pick up permissions. • Remember to file incident reports in the children’s files. • Record fire drills and emergency drills on the same form instead of on the back of another page to be more streamlined. • We discussed the flavoring that was added to the children’s water. Even though it doesn’t contain sugar, children are to be served water, milk and no more than 6 ounces of juice per day. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/16/2025 Number Present: 5 Completed Date: 1/16/2025 Age: From 1 To 4 Total Minutes: 165 Time In: 10:15 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 Lisa Greer, owner/operator, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Lisa Greer, 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-five (85%) percentage as of 01/16/25. Permit type – Three Star License, effective 5/31/19. Permit Restrictions- First and second shifts, maximum of 5 preschool children at any time, children in care on ground level only, serves no more than 2 infants under age one, The last annual compliance visit was conducted on 1/29/24. The last fire drill was practiced on 12/17/24. The last shelter-in-place drill was practiced on 12/17/24. The last playground inspection was documented on 12/17/24. 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 sitting on the floor listening to the caregiver read books to them. After story time, the children participated in a sink or float activity. Children played inside with a variety of materials while Ms. Greer prepared lunch. Lunch today was spaghetti with ground beef, green beans, pears and milk. After lunch children used the potty, washed hands, played with materials until time to prepare for rest time. Children rested on their mats with books and listened to a recorded story and then music to help them fall asleep. 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 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. Lysol and Febreze aerosol air fresheners were left out on a shelf. .1719 (a)(7) 716 Electrical outlets not in use were not covered. An outlet in the kitchen right where children wash hands was uncovered. 10A NCAC .1719(a)(27) Technical assistance was provided as follows: • Storage of Hazardous Products: All children must be cared for in safe environments and protected from the risk of potentially dangerous products. All disinfectants and cleaning products and any product labeled "keep out of reach of children" with any other warnings must be kept in locked storage. Corrosive agents include 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. The Lysol and Febreze air fresheners were moved to a locking cabinet in the kitchen area. Review the storage of hazardous items list with staff. Copies of this list can be found on the Division’s website. Consider printing the poster and posting it in the classrooms as a visual reminder for staff. This was corrected during the visit. • Electrical Outlets: Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. An uncovered outlet in the kitchen right where children wash hands was accessible to the children in care. Consider having extra outlet covers in each space, so that outlets can easily be recovered when needed. This was corrected during the visit. 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. • We discussed that the well water test is due 2/2/25. • You will need 2.5 training hours before 8/1/25. • Your first aid and CPR will expire on 2/11/25. Those are offered on a schedule, so make sure you get in before it expires. • Children’s applications need to be updated annually to make sure you have current phone numbers, contacts and pick up permissions. • Remember to file incident reports in the children’s files. • Record fire drills and emergency drills on the same form instead of on the back of another page to be more streamlined. • We discussed the flavoring that was added to the children’s water. Even though it doesn’t contain sugar, children are to be served water, milk and no more than 6 ounces of juice per day. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/16/2025 Number Present: 5 Completed Date: 1/16/2025 Age: From 1 To 4 Total Minutes: 165 Time In: 10:15 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 Lisa Greer, owner/operator, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Lisa Greer, 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-five (85%) percentage as of 01/16/25. Permit type – Three Star License, effective 5/31/19. Permit Restrictions- First and second shifts, maximum of 5 preschool children at any time, children in care on ground level only, serves no more than 2 infants under age one, The last annual compliance visit was conducted on 1/29/24. The last fire drill was practiced on 12/17/24. The last shelter-in-place drill was practiced on 12/17/24. The last playground inspection was documented on 12/17/24. 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 sitting on the floor listening to the caregiver read books to them. After story time, the children participated in a sink or float activity. Children played inside with a variety of materials while Ms. Greer prepared lunch. Lunch today was spaghetti with ground beef, green beans, pears and milk. After lunch children used the potty, washed hands, played with materials until time to prepare for rest time. Children rested on their mats with books and listened to a recorded story and then music to help them fall asleep. 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 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. Lysol and Febreze aerosol air fresheners were left out on a shelf. .1719 (a)(7) 716 Electrical outlets not in use were not covered. An outlet in the kitchen right where children wash hands was uncovered. 10A NCAC .1719(a)(27) Technical assistance was provided as follows: • Storage of Hazardous Products: All children must be cared for in safe environments and protected from the risk of potentially dangerous products. All disinfectants and cleaning products and any product labeled "keep out of reach of children" with any other warnings must be kept in locked storage. Corrosive agents include 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. The Lysol and Febreze air fresheners were moved to a locking cabinet in the kitchen area. Review the storage of hazardous items list with staff. Copies of this list can be found on the Division’s website. Consider printing the poster and posting it in the classrooms as a visual reminder for staff. This was corrected during the visit. • Electrical Outlets: Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. An uncovered outlet in the kitchen right where children wash hands was accessible to the children in care. Consider having extra outlet covers in each space, so that outlets can easily be recovered when needed. This was corrected during the visit. 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. • We discussed that the well water test is due 2/2/25. • You will need 2.5 training hours before 8/1/25. • Your first aid and CPR will expire on 2/11/25. Those are offered on a schedule, so make sure you get in before it expires. • Children’s applications need to be updated annually to make sure you have current phone numbers, contacts and pick up permissions. • Remember to file incident reports in the children’s files. • Record fire drills and emergency drills on the same form instead of on the back of another page to be more streamlined. • We discussed the flavoring that was added to the children’s water. Even though it doesn’t contain sugar, children are to be served water, milk and no more than 6 ounces of juice per day. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 7/30/2024 Number Present: 9 Completed Date: 7/30/2024 Age: From 1 To 10 Total Minutes: 240 Time In: 10:15 AM Time Out: 02:15 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 Lisa Greer, 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. Greer and explained the reason for my visit. The children were all inside playing with a variety of materials due to it raining outside today. Children were playing with jenga, checkers as well as coloring and drawing. This facility does provide all meals and snacks. Lunch today was homemade cheese pizza, green beans, mandarin oranges and milk. This facility is sole proprietorship. There are no new staff , so no staff files were monitored today. There are ten children (10) children enrolled and nine (9) present today. One (1) children’s file was monitored during today’s routine unannounced visit. This child was an emergency drop in today only, which put the facility out of ratio. The last annual compliance visit was 1/22/24. 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- Three Star License, effective 5/31/19. Permit Restrictions- First and second shift, maximum of 5 preschool children at any time, children in care on ground level only, serves no more than 2 infants under age one. The last fire drill was practiced on 5/20/24. Since has been two (2) months since the last fire drill, we conducted one today during my visit. An emergency drill was conducted on 3/22/24. The Emergency Medical Care Plan is posted and current. The incident log hasn’t had anything logged on it since 2022. The following violations were documented during today’s visit: Violation Number Comment Rule 101 Number of children exceeded number allowed. There were six (6) preschool aged children and three (3) school aged children for a total of nine (9) children present today. GS 110-91(7)(b) & 110-86(3)(b) 102 Number of preschool children exceeded five children, including the provider's own preschool children. There were six (6) preschool aged children and three (3) school aged children for a total of nine (9) children present today. GS 110-91(7)(b) 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. Dawn dish detergent was stored at the kitchen sink below five (5) feet and not locked. A bag of Damp Rid was located in the room that children walk through to go to the bathroom and where a school age child was drawing at a desk. A plug-in air freshener was accessible to children. This is a repeat violation. .1719 (a)(7) 716 Electrical outlets not in use were not covered. There were a total of three (3) outlets uncovered when I arrived. Two (2) in the kitchen area and one in the hall that was later used for the hanging fan. 10A NCAC .1719(a)(27) 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. No children had been signed in on this day. The facility was closed yesterday. This is a repeat violation. .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. Monthly playground inspections have not been maintained and are two (2) months past due. .1721 (e)(7) 1853 The operator did not conduct a monthly fire drill. The last fire drill occurred on 5/20/24, instead of monthly. This is two (2) months past due. .1719(a)(15) & .1721( e)(2) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. An emergency drill was due in June and is past due. .1719(a )(16) & .1721(e )(7) 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 center room with the paper towels and packages of diapers. This was accessible to children under two (2) years of age. This is a repeat violation. .1719(a)(18) 2047 Incident logs were not completed and maintained as required. Incident reports/logs have not been maintained. 10A NCAC 09 .1721(e)(4) Technical assistance: Items #.101 & #.102 § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (7) Staff-Child Ratio and Capacity for Child Care Facilities. – In determining the staff-child ratio in child care facilities, all children younger than 13 years old shall be counted. b. Family Child Care Home Capacity. – Of the children present at any one time in a family child care home, no more than five children shall be preschool-aged, including the operator's own preschool-age children. Note: There were six (6) preschool aged children and three (3) school aged children for a total of nine (9) children present today. Items #.706, #.1922 & #.716 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: Dawn dish detergent was stored at the kitchen sink below five (5) feet and not locked. A bag of Damp Rid was located in the room that children walk through to go to the bathroom and where a school age child was drawing at a desk. A plug-in air freshener was accessible to children. This is a repeat violation. (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 center room with the paper towels and packages of diapers. This was accessible to children under two (2) years of age. This is a repeat violation. (27) cover all electrical outlets not in use and remove cracked, or frayed cords in occupied outlets; Note: There were a total of three (3) outlets uncovered when I arrived. Two (2) in the kitchen area and one in the hall that was later used for the hanging fan. Items #.1853, #. 2047, #.1854, #.921 & #923 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e) The family child care home operator shall complete and maintain other records that include: (2) documentation that monthly fire drills are practiced. The documentation shall include the date each drill is held, the time of day, the length of time taken to evacuate the home, and the operator's signature; Note: The last fire drill occurred on 5/20/24, instead of monthly. This is two (2) months past due. (4) an incident log that is filled out any time an incident report is completed. This log shall be cumulative and maintained in a separate file and shall be available for review by the Division. This log shall be completed on a form supplied by the Division. A copy of the form can be found on the Division's website. Note: Incident reports/logs have not been maintained. (5) documentation that a monthly check for hazards on the outdoor play area is completed. This form shall be supplied by the Division and shall be maintained in the family child care home for review by the Division. The form shall include the following information: (A) Name of facility, time and date the form was completed; (B) Signature of individual completing form; (C) General inspection items; (D) Surfacing; (E) General hazard items; and (F) Deterioration of equipment. For items on the checklist the operator has to check if pass or fail, if fail identify the problem and solution. A copy of the form can be found of the Division's website. Note: Monthly playground inspections have not been maintained and are two (2) months past due. (6) daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart. Note: No children had been signed in on this day. The facility was closed yesterday. This is a repeat violation. (7) documentation of lockdown or shelter-in-place drills giving the date each drill is held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. Note: An emergency drill was due in June and is past due. 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 13, 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 summary of the law has been updated and should be replaced. • We discussed that her ITS-SIDS certification expires on 8/16/24. She already has it on her schedule. • We discussed that the water on the playground items that collect during the rain, should be drained when going outside to play. • We discussed the need for some surfacing around the slide and climber. • 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: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 7/30/2024 Number Present: 9 Completed Date: 7/30/2024 Age: From 1 To 10 Total Minutes: 240 Time In: 10:15 AM Time Out: 02:15 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 Lisa Greer, 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. Greer and explained the reason for my visit. The children were all inside playing with a variety of materials due to it raining outside today. Children were playing with jenga, checkers as well as coloring and drawing. This facility does provide all meals and snacks. Lunch today was homemade cheese pizza, green beans, mandarin oranges and milk. This facility is sole proprietorship. There are no new staff , so no staff files were monitored today. There are ten children (10) children enrolled and nine (9) present today. One (1) children’s file was monitored during today’s routine unannounced visit. This child was an emergency drop in today only, which put the facility out of ratio. The last annual compliance visit was 1/22/24. 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- Three Star License, effective 5/31/19. Permit Restrictions- First and second shift, maximum of 5 preschool children at any time, children in care on ground level only, serves no more than 2 infants under age one. The last fire drill was practiced on 5/20/24. Since has been two (2) months since the last fire drill, we conducted one today during my visit. An emergency drill was conducted on 3/22/24. The Emergency Medical Care Plan is posted and current. The incident log hasn’t had anything logged on it since 2022. The following violations were documented during today’s visit: Violation Number Comment Rule 101 Number of children exceeded number allowed. There were six (6) preschool aged children and three (3) school aged children for a total of nine (9) children present today. GS 110-91(7)(b) & 110-86(3)(b) 102 Number of preschool children exceeded five children, including the provider's own preschool children. There were six (6) preschool aged children and three (3) school aged children for a total of nine (9) children present today. GS 110-91(7)(b) 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. Dawn dish detergent was stored at the kitchen sink below five (5) feet and not locked. A bag of Damp Rid was located in the room that children walk through to go to the bathroom and where a school age child was drawing at a desk. A plug-in air freshener was accessible to children. This is a repeat violation. .1719 (a)(7) 716 Electrical outlets not in use were not covered. There were a total of three (3) outlets uncovered when I arrived. Two (2) in the kitchen area and one in the hall that was later used for the hanging fan. 10A NCAC .1719(a)(27) 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. No children had been signed in on this day. The facility was closed yesterday. This is a repeat violation. .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. Monthly playground inspections have not been maintained and are two (2) months past due. .1721 (e)(7) 1853 The operator did not conduct a monthly fire drill. The last fire drill occurred on 5/20/24, instead of monthly. This is two (2) months past due. .1719(a)(15) & .1721( e)(2) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. An emergency drill was due in June and is past due. .1719(a )(16) & .1721(e )(7) 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 center room with the paper towels and packages of diapers. This was accessible to children under two (2) years of age. This is a repeat violation. .1719(a)(18) 2047 Incident logs were not completed and maintained as required. Incident reports/logs have not been maintained. 10A NCAC 09 .1721(e)(4) Technical assistance: Items #.101 & #.102 § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (7) Staff-Child Ratio and Capacity for Child Care Facilities. – In determining the staff-child ratio in child care facilities, all children younger than 13 years old shall be counted. b. Family Child Care Home Capacity. – Of the children present at any one time in a family child care home, no more than five children shall be preschool-aged, including the operator's own preschool-age children. Note: There were six (6) preschool aged children and three (3) school aged children for a total of nine (9) children present today. Items #.706, #.1922 & #.716 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: Dawn dish detergent was stored at the kitchen sink below five (5) feet and not locked. A bag of Damp Rid was located in the room that children walk through to go to the bathroom and where a school age child was drawing at a desk. A plug-in air freshener was accessible to children. This is a repeat violation. (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 center room with the paper towels and packages of diapers. This was accessible to children under two (2) years of age. This is a repeat violation. (27) cover all electrical outlets not in use and remove cracked, or frayed cords in occupied outlets; Note: There were a total of three (3) outlets uncovered when I arrived. Two (2) in the kitchen area and one in the hall that was later used for the hanging fan. Items #.1853, #. 2047, #.1854, #.921 & #923 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e) The family child care home operator shall complete and maintain other records that include: (2) documentation that monthly fire drills are practiced. The documentation shall include the date each drill is held, the time of day, the length of time taken to evacuate the home, and the operator's signature; Note: The last fire drill occurred on 5/20/24, instead of monthly. This is two (2) months past due. (4) an incident log that is filled out any time an incident report is completed. This log shall be cumulative and maintained in a separate file and shall be available for review by the Division. This log shall be completed on a form supplied by the Division. A copy of the form can be found on the Division's website. Note: Incident reports/logs have not been maintained. (5) documentation that a monthly check for hazards on the outdoor play area is completed. This form shall be supplied by the Division and shall be maintained in the family child care home for review by the Division. The form shall include the following information: (A) Name of facility, time and date the form was completed; (B) Signature of individual completing form; (C) General inspection items; (D) Surfacing; (E) General hazard items; and (F) Deterioration of equipment. For items on the checklist the operator has to check if pass or fail, if fail identify the problem and solution. A copy of the form can be found of the Division's website. Note: Monthly playground inspections have not been maintained and are two (2) months past due. (6) daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart. Note: No children had been signed in on this day. The facility was closed yesterday. This is a repeat violation. (7) documentation of lockdown or shelter-in-place drills giving the date each drill is held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. Note: An emergency drill was due in June and is past due. 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 13, 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 summary of the law has been updated and should be replaced. • We discussed that her ITS-SIDS certification expires on 8/16/24. She already has it on her schedule. • We discussed that the water on the playground items that collect during the rain, should be drained when going outside to play. • We discussed the need for some surfacing around the slide and climber. • 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: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 7/30/2024 Number Present: 9 Completed Date: 7/30/2024 Age: From 1 To 10 Total Minutes: 240 Time In: 10:15 AM Time Out: 02:15 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 Lisa Greer, 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. Greer and explained the reason for my visit. The children were all inside playing with a variety of materials due to it raining outside today. Children were playing with jenga, checkers as well as coloring and drawing. This facility does provide all meals and snacks. Lunch today was homemade cheese pizza, green beans, mandarin oranges and milk. This facility is sole proprietorship. There are no new staff , so no staff files were monitored today. There are ten children (10) children enrolled and nine (9) present today. One (1) children’s file was monitored during today’s routine unannounced visit. This child was an emergency drop in today only, which put the facility out of ratio. The last annual compliance visit was 1/22/24. 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- Three Star License, effective 5/31/19. Permit Restrictions- First and second shift, maximum of 5 preschool children at any time, children in care on ground level only, serves no more than 2 infants under age one. The last fire drill was practiced on 5/20/24. Since has been two (2) months since the last fire drill, we conducted one today during my visit. An emergency drill was conducted on 3/22/24. The Emergency Medical Care Plan is posted and current. The incident log hasn’t had anything logged on it since 2022. The following violations were documented during today’s visit: Violation Number Comment Rule 101 Number of children exceeded number allowed. There were six (6) preschool aged children and three (3) school aged children for a total of nine (9) children present today. GS 110-91(7)(b) & 110-86(3)(b) 102 Number of preschool children exceeded five children, including the provider's own preschool children. There were six (6) preschool aged children and three (3) school aged children for a total of nine (9) children present today. GS 110-91(7)(b) 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. Dawn dish detergent was stored at the kitchen sink below five (5) feet and not locked. A bag of Damp Rid was located in the room that children walk through to go to the bathroom and where a school age child was drawing at a desk. A plug-in air freshener was accessible to children. This is a repeat violation. .1719 (a)(7) 716 Electrical outlets not in use were not covered. There were a total of three (3) outlets uncovered when I arrived. Two (2) in the kitchen area and one in the hall that was later used for the hanging fan. 10A NCAC .1719(a)(27) 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. No children had been signed in on this day. The facility was closed yesterday. This is a repeat violation. .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. Monthly playground inspections have not been maintained and are two (2) months past due. .1721 (e)(7) 1853 The operator did not conduct a monthly fire drill. The last fire drill occurred on 5/20/24, instead of monthly. This is two (2) months past due. .1719(a)(15) & .1721( e)(2) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. An emergency drill was due in June and is past due. .1719(a )(16) & .1721(e )(7) 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 center room with the paper towels and packages of diapers. This was accessible to children under two (2) years of age. This is a repeat violation. .1719(a)(18) 2047 Incident logs were not completed and maintained as required. Incident reports/logs have not been maintained. 10A NCAC 09 .1721(e)(4) Technical assistance: Items #.101 & #.102 § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (7) Staff-Child Ratio and Capacity for Child Care Facilities. – In determining the staff-child ratio in child care facilities, all children younger than 13 years old shall be counted. b. Family Child Care Home Capacity. – Of the children present at any one time in a family child care home, no more than five children shall be preschool-aged, including the operator's own preschool-age children. Note: There were six (6) preschool aged children and three (3) school aged children for a total of nine (9) children present today. Items #.706, #.1922 & #.716 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: Dawn dish detergent was stored at the kitchen sink below five (5) feet and not locked. A bag of Damp Rid was located in the room that children walk through to go to the bathroom and where a school age child was drawing at a desk. A plug-in air freshener was accessible to children. This is a repeat violation. (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 center room with the paper towels and packages of diapers. This was accessible to children under two (2) years of age. This is a repeat violation. (27) cover all electrical outlets not in use and remove cracked, or frayed cords in occupied outlets; Note: There were a total of three (3) outlets uncovered when I arrived. Two (2) in the kitchen area and one in the hall that was later used for the hanging fan. Items #.1853, #. 2047, #.1854, #.921 & #923 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e) The family child care home operator shall complete and maintain other records that include: (2) documentation that monthly fire drills are practiced. The documentation shall include the date each drill is held, the time of day, the length of time taken to evacuate the home, and the operator's signature; Note: The last fire drill occurred on 5/20/24, instead of monthly. This is two (2) months past due. (4) an incident log that is filled out any time an incident report is completed. This log shall be cumulative and maintained in a separate file and shall be available for review by the Division. This log shall be completed on a form supplied by the Division. A copy of the form can be found on the Division's website. Note: Incident reports/logs have not been maintained. (5) documentation that a monthly check for hazards on the outdoor play area is completed. This form shall be supplied by the Division and shall be maintained in the family child care home for review by the Division. The form shall include the following information: (A) Name of facility, time and date the form was completed; (B) Signature of individual completing form; (C) General inspection items; (D) Surfacing; (E) General hazard items; and (F) Deterioration of equipment. For items on the checklist the operator has to check if pass or fail, if fail identify the problem and solution. A copy of the form can be found of the Division's website. Note: Monthly playground inspections have not been maintained and are two (2) months past due. (6) daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart. Note: No children had been signed in on this day. The facility was closed yesterday. This is a repeat violation. (7) documentation of lockdown or shelter-in-place drills giving the date each drill is held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. Note: An emergency drill was due in June and is past due. 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 13, 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 summary of the law has been updated and should be replaced. • We discussed that her ITS-SIDS certification expires on 8/16/24. She already has it on her schedule. • We discussed that the water on the playground items that collect during the rain, should be drained when going outside to play. • We discussed the need for some surfacing around the slide and climber. • 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 .1721 · Violation

Name of Operation: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 7/30/2024 Number Present: 9 Completed Date: 7/30/2024 Age: From 1 To 10 Total Minutes: 240 Time In: 10:15 AM Time Out: 02:15 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 Lisa Greer, 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. Greer and explained the reason for my visit. The children were all inside playing with a variety of materials due to it raining outside today. Children were playing with jenga, checkers as well as coloring and drawing. This facility does provide all meals and snacks. Lunch today was homemade cheese pizza, green beans, mandarin oranges and milk. This facility is sole proprietorship. There are no new staff , so no staff files were monitored today. There are ten children (10) children enrolled and nine (9) present today. One (1) children’s file was monitored during today’s routine unannounced visit. This child was an emergency drop in today only, which put the facility out of ratio. The last annual compliance visit was 1/22/24. 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- Three Star License, effective 5/31/19. Permit Restrictions- First and second shift, maximum of 5 preschool children at any time, children in care on ground level only, serves no more than 2 infants under age one. The last fire drill was practiced on 5/20/24. Since has been two (2) months since the last fire drill, we conducted one today during my visit. An emergency drill was conducted on 3/22/24. The Emergency Medical Care Plan is posted and current. The incident log hasn’t had anything logged on it since 2022. The following violations were documented during today’s visit: Violation Number Comment Rule 101 Number of children exceeded number allowed. There were six (6) preschool aged children and three (3) school aged children for a total of nine (9) children present today. GS 110-91(7)(b) & 110-86(3)(b) 102 Number of preschool children exceeded five children, including the provider's own preschool children. There were six (6) preschool aged children and three (3) school aged children for a total of nine (9) children present today. GS 110-91(7)(b) 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. Dawn dish detergent was stored at the kitchen sink below five (5) feet and not locked. A bag of Damp Rid was located in the room that children walk through to go to the bathroom and where a school age child was drawing at a desk. A plug-in air freshener was accessible to children. This is a repeat violation. .1719 (a)(7) 716 Electrical outlets not in use were not covered. There were a total of three (3) outlets uncovered when I arrived. Two (2) in the kitchen area and one in the hall that was later used for the hanging fan. 10A NCAC .1719(a)(27) 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. No children had been signed in on this day. The facility was closed yesterday. This is a repeat violation. .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. Monthly playground inspections have not been maintained and are two (2) months past due. .1721 (e)(7) 1853 The operator did not conduct a monthly fire drill. The last fire drill occurred on 5/20/24, instead of monthly. This is two (2) months past due. .1719(a)(15) & .1721( e)(2) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. An emergency drill was due in June and is past due. .1719(a )(16) & .1721(e )(7) 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 center room with the paper towels and packages of diapers. This was accessible to children under two (2) years of age. This is a repeat violation. .1719(a)(18) 2047 Incident logs were not completed and maintained as required. Incident reports/logs have not been maintained. 10A NCAC 09 .1721(e)(4) Technical assistance: Items #.101 & #.102 § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (7) Staff-Child Ratio and Capacity for Child Care Facilities. – In determining the staff-child ratio in child care facilities, all children younger than 13 years old shall be counted. b. Family Child Care Home Capacity. – Of the children present at any one time in a family child care home, no more than five children shall be preschool-aged, including the operator's own preschool-age children. Note: There were six (6) preschool aged children and three (3) school aged children for a total of nine (9) children present today. Items #.706, #.1922 & #.716 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: Dawn dish detergent was stored at the kitchen sink below five (5) feet and not locked. A bag of Damp Rid was located in the room that children walk through to go to the bathroom and where a school age child was drawing at a desk. A plug-in air freshener was accessible to children. This is a repeat violation. (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 center room with the paper towels and packages of diapers. This was accessible to children under two (2) years of age. This is a repeat violation. (27) cover all electrical outlets not in use and remove cracked, or frayed cords in occupied outlets; Note: There were a total of three (3) outlets uncovered when I arrived. Two (2) in the kitchen area and one in the hall that was later used for the hanging fan. Items #.1853, #. 2047, #.1854, #.921 & #923 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e) The family child care home operator shall complete and maintain other records that include: (2) documentation that monthly fire drills are practiced. The documentation shall include the date each drill is held, the time of day, the length of time taken to evacuate the home, and the operator's signature; Note: The last fire drill occurred on 5/20/24, instead of monthly. This is two (2) months past due. (4) an incident log that is filled out any time an incident report is completed. This log shall be cumulative and maintained in a separate file and shall be available for review by the Division. This log shall be completed on a form supplied by the Division. A copy of the form can be found on the Division's website. Note: Incident reports/logs have not been maintained. (5) documentation that a monthly check for hazards on the outdoor play area is completed. This form shall be supplied by the Division and shall be maintained in the family child care home for review by the Division. The form shall include the following information: (A) Name of facility, time and date the form was completed; (B) Signature of individual completing form; (C) General inspection items; (D) Surfacing; (E) General hazard items; and (F) Deterioration of equipment. For items on the checklist the operator has to check if pass or fail, if fail identify the problem and solution. A copy of the form can be found of the Division's website. Note: Monthly playground inspections have not been maintained and are two (2) months past due. (6) daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart. Note: No children had been signed in on this day. The facility was closed yesterday. This is a repeat violation. (7) documentation of lockdown or shelter-in-place drills giving the date each drill is held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. Note: An emergency drill was due in June and is past due. 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 13, 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 summary of the law has been updated and should be replaced. • We discussed that her ITS-SIDS certification expires on 8/16/24. She already has it on her schedule. • We discussed that the water on the playground items that collect during the rain, should be drained when going outside to play. • We discussed the need for some surfacing around the slide and climber. • 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: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 7/30/2024 Number Present: 9 Completed Date: 7/30/2024 Age: From 1 To 10 Total Minutes: 240 Time In: 10:15 AM Time Out: 02:15 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 Lisa Greer, 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. Greer and explained the reason for my visit. The children were all inside playing with a variety of materials due to it raining outside today. Children were playing with jenga, checkers as well as coloring and drawing. This facility does provide all meals and snacks. Lunch today was homemade cheese pizza, green beans, mandarin oranges and milk. This facility is sole proprietorship. There are no new staff , so no staff files were monitored today. There are ten children (10) children enrolled and nine (9) present today. One (1) children’s file was monitored during today’s routine unannounced visit. This child was an emergency drop in today only, which put the facility out of ratio. The last annual compliance visit was 1/22/24. 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- Three Star License, effective 5/31/19. Permit Restrictions- First and second shift, maximum of 5 preschool children at any time, children in care on ground level only, serves no more than 2 infants under age one. The last fire drill was practiced on 5/20/24. Since has been two (2) months since the last fire drill, we conducted one today during my visit. An emergency drill was conducted on 3/22/24. The Emergency Medical Care Plan is posted and current. The incident log hasn’t had anything logged on it since 2022. The following violations were documented during today’s visit: Violation Number Comment Rule 101 Number of children exceeded number allowed. There were six (6) preschool aged children and three (3) school aged children for a total of nine (9) children present today. GS 110-91(7)(b) & 110-86(3)(b) 102 Number of preschool children exceeded five children, including the provider's own preschool children. There were six (6) preschool aged children and three (3) school aged children for a total of nine (9) children present today. GS 110-91(7)(b) 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. Dawn dish detergent was stored at the kitchen sink below five (5) feet and not locked. A bag of Damp Rid was located in the room that children walk through to go to the bathroom and where a school age child was drawing at a desk. A plug-in air freshener was accessible to children. This is a repeat violation. .1719 (a)(7) 716 Electrical outlets not in use were not covered. There were a total of three (3) outlets uncovered when I arrived. Two (2) in the kitchen area and one in the hall that was later used for the hanging fan. 10A NCAC .1719(a)(27) 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. No children had been signed in on this day. The facility was closed yesterday. This is a repeat violation. .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. Monthly playground inspections have not been maintained and are two (2) months past due. .1721 (e)(7) 1853 The operator did not conduct a monthly fire drill. The last fire drill occurred on 5/20/24, instead of monthly. This is two (2) months past due. .1719(a)(15) & .1721( e)(2) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. An emergency drill was due in June and is past due. .1719(a )(16) & .1721(e )(7) 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 center room with the paper towels and packages of diapers. This was accessible to children under two (2) years of age. This is a repeat violation. .1719(a)(18) 2047 Incident logs were not completed and maintained as required. Incident reports/logs have not been maintained. 10A NCAC 09 .1721(e)(4) Technical assistance: Items #.101 & #.102 § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (7) Staff-Child Ratio and Capacity for Child Care Facilities. – In determining the staff-child ratio in child care facilities, all children younger than 13 years old shall be counted. b. Family Child Care Home Capacity. – Of the children present at any one time in a family child care home, no more than five children shall be preschool-aged, including the operator's own preschool-age children. Note: There were six (6) preschool aged children and three (3) school aged children for a total of nine (9) children present today. Items #.706, #.1922 & #.716 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: Dawn dish detergent was stored at the kitchen sink below five (5) feet and not locked. A bag of Damp Rid was located in the room that children walk through to go to the bathroom and where a school age child was drawing at a desk. A plug-in air freshener was accessible to children. This is a repeat violation. (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 center room with the paper towels and packages of diapers. This was accessible to children under two (2) years of age. This is a repeat violation. (27) cover all electrical outlets not in use and remove cracked, or frayed cords in occupied outlets; Note: There were a total of three (3) outlets uncovered when I arrived. Two (2) in the kitchen area and one in the hall that was later used for the hanging fan. Items #.1853, #. 2047, #.1854, #.921 & #923 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e) The family child care home operator shall complete and maintain other records that include: (2) documentation that monthly fire drills are practiced. The documentation shall include the date each drill is held, the time of day, the length of time taken to evacuate the home, and the operator's signature; Note: The last fire drill occurred on 5/20/24, instead of monthly. This is two (2) months past due. (4) an incident log that is filled out any time an incident report is completed. This log shall be cumulative and maintained in a separate file and shall be available for review by the Division. This log shall be completed on a form supplied by the Division. A copy of the form can be found on the Division's website. Note: Incident reports/logs have not been maintained. (5) documentation that a monthly check for hazards on the outdoor play area is completed. This form shall be supplied by the Division and shall be maintained in the family child care home for review by the Division. The form shall include the following information: (A) Name of facility, time and date the form was completed; (B) Signature of individual completing form; (C) General inspection items; (D) Surfacing; (E) General hazard items; and (F) Deterioration of equipment. For items on the checklist the operator has to check if pass or fail, if fail identify the problem and solution. A copy of the form can be found of the Division's website. Note: Monthly playground inspections have not been maintained and are two (2) months past due. (6) daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart. Note: No children had been signed in on this day. The facility was closed yesterday. This is a repeat violation. (7) documentation of lockdown or shelter-in-place drills giving the date each drill is held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. Note: An emergency drill was due in June and is past due. 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 13, 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 summary of the law has been updated and should be replaced. • We discussed that her ITS-SIDS certification expires on 8/16/24. She already has it on her schedule. • We discussed that the water on the playground items that collect during the rain, should be drained when going outside to play. • We discussed the need for some surfacing around the slide and climber. • 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: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 7/30/2024 Number Present: 9 Completed Date: 7/30/2024 Age: From 1 To 10 Total Minutes: 240 Time In: 10:15 AM Time Out: 02:15 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 Lisa Greer, 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. Greer and explained the reason for my visit. The children were all inside playing with a variety of materials due to it raining outside today. Children were playing with jenga, checkers as well as coloring and drawing. This facility does provide all meals and snacks. Lunch today was homemade cheese pizza, green beans, mandarin oranges and milk. This facility is sole proprietorship. There are no new staff , so no staff files were monitored today. There are ten children (10) children enrolled and nine (9) present today. One (1) children’s file was monitored during today’s routine unannounced visit. This child was an emergency drop in today only, which put the facility out of ratio. The last annual compliance visit was 1/22/24. 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- Three Star License, effective 5/31/19. Permit Restrictions- First and second shift, maximum of 5 preschool children at any time, children in care on ground level only, serves no more than 2 infants under age one. The last fire drill was practiced on 5/20/24. Since has been two (2) months since the last fire drill, we conducted one today during my visit. An emergency drill was conducted on 3/22/24. The Emergency Medical Care Plan is posted and current. The incident log hasn’t had anything logged on it since 2022. The following violations were documented during today’s visit: Violation Number Comment Rule 101 Number of children exceeded number allowed. There were six (6) preschool aged children and three (3) school aged children for a total of nine (9) children present today. GS 110-91(7)(b) & 110-86(3)(b) 102 Number of preschool children exceeded five children, including the provider's own preschool children. There were six (6) preschool aged children and three (3) school aged children for a total of nine (9) children present today. GS 110-91(7)(b) 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. Dawn dish detergent was stored at the kitchen sink below five (5) feet and not locked. A bag of Damp Rid was located in the room that children walk through to go to the bathroom and where a school age child was drawing at a desk. A plug-in air freshener was accessible to children. This is a repeat violation. .1719 (a)(7) 716 Electrical outlets not in use were not covered. There were a total of three (3) outlets uncovered when I arrived. Two (2) in the kitchen area and one in the hall that was later used for the hanging fan. 10A NCAC .1719(a)(27) 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. No children had been signed in on this day. The facility was closed yesterday. This is a repeat violation. .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. Monthly playground inspections have not been maintained and are two (2) months past due. .1721 (e)(7) 1853 The operator did not conduct a monthly fire drill. The last fire drill occurred on 5/20/24, instead of monthly. This is two (2) months past due. .1719(a)(15) & .1721( e)(2) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. An emergency drill was due in June and is past due. .1719(a )(16) & .1721(e )(7) 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 center room with the paper towels and packages of diapers. This was accessible to children under two (2) years of age. This is a repeat violation. .1719(a)(18) 2047 Incident logs were not completed and maintained as required. Incident reports/logs have not been maintained. 10A NCAC 09 .1721(e)(4) Technical assistance: Items #.101 & #.102 § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (7) Staff-Child Ratio and Capacity for Child Care Facilities. – In determining the staff-child ratio in child care facilities, all children younger than 13 years old shall be counted. b. Family Child Care Home Capacity. – Of the children present at any one time in a family child care home, no more than five children shall be preschool-aged, including the operator's own preschool-age children. Note: There were six (6) preschool aged children and three (3) school aged children for a total of nine (9) children present today. Items #.706, #.1922 & #.716 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: Dawn dish detergent was stored at the kitchen sink below five (5) feet and not locked. A bag of Damp Rid was located in the room that children walk through to go to the bathroom and where a school age child was drawing at a desk. A plug-in air freshener was accessible to children. This is a repeat violation. (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 center room with the paper towels and packages of diapers. This was accessible to children under two (2) years of age. This is a repeat violation. (27) cover all electrical outlets not in use and remove cracked, or frayed cords in occupied outlets; Note: There were a total of three (3) outlets uncovered when I arrived. Two (2) in the kitchen area and one in the hall that was later used for the hanging fan. Items #.1853, #. 2047, #.1854, #.921 & #923 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e) The family child care home operator shall complete and maintain other records that include: (2) documentation that monthly fire drills are practiced. The documentation shall include the date each drill is held, the time of day, the length of time taken to evacuate the home, and the operator's signature; Note: The last fire drill occurred on 5/20/24, instead of monthly. This is two (2) months past due. (4) an incident log that is filled out any time an incident report is completed. This log shall be cumulative and maintained in a separate file and shall be available for review by the Division. This log shall be completed on a form supplied by the Division. A copy of the form can be found on the Division's website. Note: Incident reports/logs have not been maintained. (5) documentation that a monthly check for hazards on the outdoor play area is completed. This form shall be supplied by the Division and shall be maintained in the family child care home for review by the Division. The form shall include the following information: (A) Name of facility, time and date the form was completed; (B) Signature of individual completing form; (C) General inspection items; (D) Surfacing; (E) General hazard items; and (F) Deterioration of equipment. For items on the checklist the operator has to check if pass or fail, if fail identify the problem and solution. A copy of the form can be found of the Division's website. Note: Monthly playground inspections have not been maintained and are two (2) months past due. (6) daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart. Note: No children had been signed in on this day. The facility was closed yesterday. This is a repeat violation. (7) documentation of lockdown or shelter-in-place drills giving the date each drill is held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. Note: An emergency drill was due in June and is past due. 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 13, 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 summary of the law has been updated and should be replaced. • We discussed that her ITS-SIDS certification expires on 8/16/24. She already has it on her schedule. • We discussed that the water on the playground items that collect during the rain, should be drained when going outside to play. • We discussed the need for some surfacing around the slide and climber. • 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

GS 110-91 · Violation

Name of Operation: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 7/30/2024 Number Present: 9 Completed Date: 7/30/2024 Age: From 1 To 10 Total Minutes: 240 Time In: 10:15 AM Time Out: 02:15 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 Lisa Greer, 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. Greer and explained the reason for my visit. The children were all inside playing with a variety of materials due to it raining outside today. Children were playing with jenga, checkers as well as coloring and drawing. This facility does provide all meals and snacks. Lunch today was homemade cheese pizza, green beans, mandarin oranges and milk. This facility is sole proprietorship. There are no new staff , so no staff files were monitored today. There are ten children (10) children enrolled and nine (9) present today. One (1) children’s file was monitored during today’s routine unannounced visit. This child was an emergency drop in today only, which put the facility out of ratio. The last annual compliance visit was 1/22/24. 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- Three Star License, effective 5/31/19. Permit Restrictions- First and second shift, maximum of 5 preschool children at any time, children in care on ground level only, serves no more than 2 infants under age one. The last fire drill was practiced on 5/20/24. Since has been two (2) months since the last fire drill, we conducted one today during my visit. An emergency drill was conducted on 3/22/24. The Emergency Medical Care Plan is posted and current. The incident log hasn’t had anything logged on it since 2022. The following violations were documented during today’s visit: Violation Number Comment Rule 101 Number of children exceeded number allowed. There were six (6) preschool aged children and three (3) school aged children for a total of nine (9) children present today. GS 110-91(7)(b) & 110-86(3)(b) 102 Number of preschool children exceeded five children, including the provider's own preschool children. There were six (6) preschool aged children and three (3) school aged children for a total of nine (9) children present today. GS 110-91(7)(b) 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. Dawn dish detergent was stored at the kitchen sink below five (5) feet and not locked. A bag of Damp Rid was located in the room that children walk through to go to the bathroom and where a school age child was drawing at a desk. A plug-in air freshener was accessible to children. This is a repeat violation. .1719 (a)(7) 716 Electrical outlets not in use were not covered. There were a total of three (3) outlets uncovered when I arrived. Two (2) in the kitchen area and one in the hall that was later used for the hanging fan. 10A NCAC .1719(a)(27) 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. No children had been signed in on this day. The facility was closed yesterday. This is a repeat violation. .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. Monthly playground inspections have not been maintained and are two (2) months past due. .1721 (e)(7) 1853 The operator did not conduct a monthly fire drill. The last fire drill occurred on 5/20/24, instead of monthly. This is two (2) months past due. .1719(a)(15) & .1721( e)(2) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. An emergency drill was due in June and is past due. .1719(a )(16) & .1721(e )(7) 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 center room with the paper towels and packages of diapers. This was accessible to children under two (2) years of age. This is a repeat violation. .1719(a)(18) 2047 Incident logs were not completed and maintained as required. Incident reports/logs have not been maintained. 10A NCAC 09 .1721(e)(4) Technical assistance: Items #.101 & #.102 § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (7) Staff-Child Ratio and Capacity for Child Care Facilities. – In determining the staff-child ratio in child care facilities, all children younger than 13 years old shall be counted. b. Family Child Care Home Capacity. – Of the children present at any one time in a family child care home, no more than five children shall be preschool-aged, including the operator's own preschool-age children. Note: There were six (6) preschool aged children and three (3) school aged children for a total of nine (9) children present today. Items #.706, #.1922 & #.716 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: Dawn dish detergent was stored at the kitchen sink below five (5) feet and not locked. A bag of Damp Rid was located in the room that children walk through to go to the bathroom and where a school age child was drawing at a desk. A plug-in air freshener was accessible to children. This is a repeat violation. (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 center room with the paper towels and packages of diapers. This was accessible to children under two (2) years of age. This is a repeat violation. (27) cover all electrical outlets not in use and remove cracked, or frayed cords in occupied outlets; Note: There were a total of three (3) outlets uncovered when I arrived. Two (2) in the kitchen area and one in the hall that was later used for the hanging fan. Items #.1853, #. 2047, #.1854, #.921 & #923 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e) The family child care home operator shall complete and maintain other records that include: (2) documentation that monthly fire drills are practiced. The documentation shall include the date each drill is held, the time of day, the length of time taken to evacuate the home, and the operator's signature; Note: The last fire drill occurred on 5/20/24, instead of monthly. This is two (2) months past due. (4) an incident log that is filled out any time an incident report is completed. This log shall be cumulative and maintained in a separate file and shall be available for review by the Division. This log shall be completed on a form supplied by the Division. A copy of the form can be found on the Division's website. Note: Incident reports/logs have not been maintained. (5) documentation that a monthly check for hazards on the outdoor play area is completed. This form shall be supplied by the Division and shall be maintained in the family child care home for review by the Division. The form shall include the following information: (A) Name of facility, time and date the form was completed; (B) Signature of individual completing form; (C) General inspection items; (D) Surfacing; (E) General hazard items; and (F) Deterioration of equipment. For items on the checklist the operator has to check if pass or fail, if fail identify the problem and solution. A copy of the form can be found of the Division's website. Note: Monthly playground inspections have not been maintained and are two (2) months past due. (6) daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart. Note: No children had been signed in on this day. The facility was closed yesterday. This is a repeat violation. (7) documentation of lockdown or shelter-in-place drills giving the date each drill is held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. Note: An emergency drill was due in June and is past due. 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 13, 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 summary of the law has been updated and should be replaced. • We discussed that her ITS-SIDS certification expires on 8/16/24. She already has it on her schedule. • We discussed that the water on the playground items that collect during the rain, should be drained when going outside to play. • We discussed the need for some surfacing around the slide and climber. • 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: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/22/2024 Number Present: 6 Completed Date: 1/22/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 11:00 AM Time Out: 02:00 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 Lisa Greer, 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 ninety-one (91%) percentage as of 1/22/23. Permit type – Three Star Facility issued on 5/31/19. Special Services/Restrictions – First and second shifts, maximum of 5 preschool children at a time, children on ground level only and serves no more than two infants under age one. The last annual compliance visit was conducted on 2/8/23. The last fire drill was practiced on 12/13/23. The last lock down drill was practiced on 12/13/23. The last playground inspection was documented on 12/13/23. The Emergency Medical Care plan was posted. Upon arrival I introduced my presence to the owner and greeted the children. I observed this mixed age group of children playing in centers. Some children were painting at the table; while others were building with magna-tiles. An infant was in a bouncy seat. Children continued to play while Ms. Greer cooked lunch for the children. Lunch today consisted of macaroni and cheese, peas, pineapples, bread and milk. Once children were finished with lunch, they used the bathroom, got diapers changed and settled down for rest time. During rest time, one of the school age children arrived. Schools were closed today, but they did have school remotely. He arrived after remote school ended. He is five but he is is a school-age child. 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 729 Appliances with heating elements, such as bottle warmers, crock pots, curling irons, and electrical cords were accessible to children. Electric heater was being used in the floor of the main play space. 10A NCAC .1719(a)(28) 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. None of the children had been signed in. .1721(e)(6) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. Sleep log/chart was not maintained. There was no log the last two days the infant was in care. .1724(a)(8)&(f) 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 were accessible in the kitchen area as well as under the bathroom sink where the lock was broken. .1719(a)(18) 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. Magnetic lock in bathroom was broken so cabinet was easily opened with Clorox wipes, diaper cream and plastic materials inside. Dawn dish detergent was on the back of the kitchen sink. .1719(a)(6) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors Note: An activity plan was not posted. The curriculum was still in the box. 10A NCAC 09 .1718(a)(8)(C)(i-v) 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. The health and safety trainings have not been renewed and it is past five years. .1703(d)(2) Technical assistance was provided as follows: Item #2023 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: The health and safety trainings have not been renewed and it is past five years. Items #1940, 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: (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: Magnetic lock in bathroom was broken so cabinet was easily opened with Clorox wipes, diaper cream and plastic materials inside. Dawn dish detergent was on the back of the kitchen sink. (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 were accessible in the kitchen area as well as under the bathroom sink where the lock was broken. (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: Electric heater was being used in the floor of the main play space. Items #921 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e) The family child care home operator shall complete and maintain other records that include: (6) daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart; Note: None of the children had been signed in. Item #1821 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (a) Each operator licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (8) specifies how the operator shall document compliance with visually checking on sleeping infants aged 12 months or younger; Note: Sleep log/chart was not maintained. There was no log the last two days the infant was in care. Item #1964 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 (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: An activity plan was not posted. The curriculum was still in the box. 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 5, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 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: • Today we discussed the need for the results from the most recent fire inspection. • We discussed the Prevention of Child Abuse and Neglect training and where that is located as well as the rest of the Health and Safety Trainings located on Moodle. • We discussed that we would be having a family child care home meeting sometime in February (virtually). 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: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/22/2024 Number Present: 6 Completed Date: 1/22/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 11:00 AM Time Out: 02:00 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 Lisa Greer, 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 ninety-one (91%) percentage as of 1/22/23. Permit type – Three Star Facility issued on 5/31/19. Special Services/Restrictions – First and second shifts, maximum of 5 preschool children at a time, children on ground level only and serves no more than two infants under age one. The last annual compliance visit was conducted on 2/8/23. The last fire drill was practiced on 12/13/23. The last lock down drill was practiced on 12/13/23. The last playground inspection was documented on 12/13/23. The Emergency Medical Care plan was posted. Upon arrival I introduced my presence to the owner and greeted the children. I observed this mixed age group of children playing in centers. Some children were painting at the table; while others were building with magna-tiles. An infant was in a bouncy seat. Children continued to play while Ms. Greer cooked lunch for the children. Lunch today consisted of macaroni and cheese, peas, pineapples, bread and milk. Once children were finished with lunch, they used the bathroom, got diapers changed and settled down for rest time. During rest time, one of the school age children arrived. Schools were closed today, but they did have school remotely. He arrived after remote school ended. He is five but he is is a school-age child. 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 729 Appliances with heating elements, such as bottle warmers, crock pots, curling irons, and electrical cords were accessible to children. Electric heater was being used in the floor of the main play space. 10A NCAC .1719(a)(28) 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. None of the children had been signed in. .1721(e)(6) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. Sleep log/chart was not maintained. There was no log the last two days the infant was in care. .1724(a)(8)&(f) 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 were accessible in the kitchen area as well as under the bathroom sink where the lock was broken. .1719(a)(18) 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. Magnetic lock in bathroom was broken so cabinet was easily opened with Clorox wipes, diaper cream and plastic materials inside. Dawn dish detergent was on the back of the kitchen sink. .1719(a)(6) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors Note: An activity plan was not posted. The curriculum was still in the box. 10A NCAC 09 .1718(a)(8)(C)(i-v) 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. The health and safety trainings have not been renewed and it is past five years. .1703(d)(2) Technical assistance was provided as follows: Item #2023 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: The health and safety trainings have not been renewed and it is past five years. Items #1940, 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: (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: Magnetic lock in bathroom was broken so cabinet was easily opened with Clorox wipes, diaper cream and plastic materials inside. Dawn dish detergent was on the back of the kitchen sink. (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 were accessible in the kitchen area as well as under the bathroom sink where the lock was broken. (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: Electric heater was being used in the floor of the main play space. Items #921 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e) The family child care home operator shall complete and maintain other records that include: (6) daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart; Note: None of the children had been signed in. Item #1821 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (a) Each operator licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (8) specifies how the operator shall document compliance with visually checking on sleeping infants aged 12 months or younger; Note: Sleep log/chart was not maintained. There was no log the last two days the infant was in care. Item #1964 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 (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: An activity plan was not posted. The curriculum was still in the box. 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 5, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 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: • Today we discussed the need for the results from the most recent fire inspection. • We discussed the Prevention of Child Abuse and Neglect training and where that is located as well as the rest of the Health and Safety Trainings located on Moodle. • We discussed that we would be having a family child care home meeting sometime in February (virtually). 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 .1718 · Violation

Name of Operation: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/22/2024 Number Present: 6 Completed Date: 1/22/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 11:00 AM Time Out: 02:00 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 Lisa Greer, 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 ninety-one (91%) percentage as of 1/22/23. Permit type – Three Star Facility issued on 5/31/19. Special Services/Restrictions – First and second shifts, maximum of 5 preschool children at a time, children on ground level only and serves no more than two infants under age one. The last annual compliance visit was conducted on 2/8/23. The last fire drill was practiced on 12/13/23. The last lock down drill was practiced on 12/13/23. The last playground inspection was documented on 12/13/23. The Emergency Medical Care plan was posted. Upon arrival I introduced my presence to the owner and greeted the children. I observed this mixed age group of children playing in centers. Some children were painting at the table; while others were building with magna-tiles. An infant was in a bouncy seat. Children continued to play while Ms. Greer cooked lunch for the children. Lunch today consisted of macaroni and cheese, peas, pineapples, bread and milk. Once children were finished with lunch, they used the bathroom, got diapers changed and settled down for rest time. During rest time, one of the school age children arrived. Schools were closed today, but they did have school remotely. He arrived after remote school ended. He is five but he is is a school-age child. 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 729 Appliances with heating elements, such as bottle warmers, crock pots, curling irons, and electrical cords were accessible to children. Electric heater was being used in the floor of the main play space. 10A NCAC .1719(a)(28) 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. None of the children had been signed in. .1721(e)(6) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. Sleep log/chart was not maintained. There was no log the last two days the infant was in care. .1724(a)(8)&(f) 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 were accessible in the kitchen area as well as under the bathroom sink where the lock was broken. .1719(a)(18) 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. Magnetic lock in bathroom was broken so cabinet was easily opened with Clorox wipes, diaper cream and plastic materials inside. Dawn dish detergent was on the back of the kitchen sink. .1719(a)(6) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors Note: An activity plan was not posted. The curriculum was still in the box. 10A NCAC 09 .1718(a)(8)(C)(i-v) 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. The health and safety trainings have not been renewed and it is past five years. .1703(d)(2) Technical assistance was provided as follows: Item #2023 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: The health and safety trainings have not been renewed and it is past five years. Items #1940, 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: (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: Magnetic lock in bathroom was broken so cabinet was easily opened with Clorox wipes, diaper cream and plastic materials inside. Dawn dish detergent was on the back of the kitchen sink. (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 were accessible in the kitchen area as well as under the bathroom sink where the lock was broken. (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: Electric heater was being used in the floor of the main play space. Items #921 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e) The family child care home operator shall complete and maintain other records that include: (6) daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart; Note: None of the children had been signed in. Item #1821 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (a) Each operator licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (8) specifies how the operator shall document compliance with visually checking on sleeping infants aged 12 months or younger; Note: Sleep log/chart was not maintained. There was no log the last two days the infant was in care. Item #1964 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 (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: An activity plan was not posted. The curriculum was still in the box. 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 5, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 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: • Today we discussed the need for the results from the most recent fire inspection. • We discussed the Prevention of Child Abuse and Neglect training and where that is located as well as the rest of the Health and Safety Trainings located on Moodle. • We discussed that we would be having a family child care home meeting sometime in February (virtually). 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: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/22/2024 Number Present: 6 Completed Date: 1/22/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 11:00 AM Time Out: 02:00 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 Lisa Greer, 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 ninety-one (91%) percentage as of 1/22/23. Permit type – Three Star Facility issued on 5/31/19. Special Services/Restrictions – First and second shifts, maximum of 5 preschool children at a time, children on ground level only and serves no more than two infants under age one. The last annual compliance visit was conducted on 2/8/23. The last fire drill was practiced on 12/13/23. The last lock down drill was practiced on 12/13/23. The last playground inspection was documented on 12/13/23. The Emergency Medical Care plan was posted. Upon arrival I introduced my presence to the owner and greeted the children. I observed this mixed age group of children playing in centers. Some children were painting at the table; while others were building with magna-tiles. An infant was in a bouncy seat. Children continued to play while Ms. Greer cooked lunch for the children. Lunch today consisted of macaroni and cheese, peas, pineapples, bread and milk. Once children were finished with lunch, they used the bathroom, got diapers changed and settled down for rest time. During rest time, one of the school age children arrived. Schools were closed today, but they did have school remotely. He arrived after remote school ended. He is five but he is is a school-age child. 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 729 Appliances with heating elements, such as bottle warmers, crock pots, curling irons, and electrical cords were accessible to children. Electric heater was being used in the floor of the main play space. 10A NCAC .1719(a)(28) 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. None of the children had been signed in. .1721(e)(6) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. Sleep log/chart was not maintained. There was no log the last two days the infant was in care. .1724(a)(8)&(f) 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 were accessible in the kitchen area as well as under the bathroom sink where the lock was broken. .1719(a)(18) 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. Magnetic lock in bathroom was broken so cabinet was easily opened with Clorox wipes, diaper cream and plastic materials inside. Dawn dish detergent was on the back of the kitchen sink. .1719(a)(6) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors Note: An activity plan was not posted. The curriculum was still in the box. 10A NCAC 09 .1718(a)(8)(C)(i-v) 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. The health and safety trainings have not been renewed and it is past five years. .1703(d)(2) Technical assistance was provided as follows: Item #2023 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: The health and safety trainings have not been renewed and it is past five years. Items #1940, 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: (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: Magnetic lock in bathroom was broken so cabinet was easily opened with Clorox wipes, diaper cream and plastic materials inside. Dawn dish detergent was on the back of the kitchen sink. (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 were accessible in the kitchen area as well as under the bathroom sink where the lock was broken. (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: Electric heater was being used in the floor of the main play space. Items #921 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e) The family child care home operator shall complete and maintain other records that include: (6) daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart; Note: None of the children had been signed in. Item #1821 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (a) Each operator licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (8) specifies how the operator shall document compliance with visually checking on sleeping infants aged 12 months or younger; Note: Sleep log/chart was not maintained. There was no log the last two days the infant was in care. Item #1964 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 (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: An activity plan was not posted. The curriculum was still in the box. 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 5, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 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: • Today we discussed the need for the results from the most recent fire inspection. • We discussed the Prevention of Child Abuse and Neglect training and where that is located as well as the rest of the Health and Safety Trainings located on Moodle. • We discussed that we would be having a family child care home meeting sometime in February (virtually). 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: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/22/2024 Number Present: 6 Completed Date: 1/22/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 11:00 AM Time Out: 02:00 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 Lisa Greer, 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 ninety-one (91%) percentage as of 1/22/23. Permit type – Three Star Facility issued on 5/31/19. Special Services/Restrictions – First and second shifts, maximum of 5 preschool children at a time, children on ground level only and serves no more than two infants under age one. The last annual compliance visit was conducted on 2/8/23. The last fire drill was practiced on 12/13/23. The last lock down drill was practiced on 12/13/23. The last playground inspection was documented on 12/13/23. The Emergency Medical Care plan was posted. Upon arrival I introduced my presence to the owner and greeted the children. I observed this mixed age group of children playing in centers. Some children were painting at the table; while others were building with magna-tiles. An infant was in a bouncy seat. Children continued to play while Ms. Greer cooked lunch for the children. Lunch today consisted of macaroni and cheese, peas, pineapples, bread and milk. Once children were finished with lunch, they used the bathroom, got diapers changed and settled down for rest time. During rest time, one of the school age children arrived. Schools were closed today, but they did have school remotely. He arrived after remote school ended. He is five but he is is a school-age child. 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 729 Appliances with heating elements, such as bottle warmers, crock pots, curling irons, and electrical cords were accessible to children. Electric heater was being used in the floor of the main play space. 10A NCAC .1719(a)(28) 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. None of the children had been signed in. .1721(e)(6) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. Sleep log/chart was not maintained. There was no log the last two days the infant was in care. .1724(a)(8)&(f) 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 were accessible in the kitchen area as well as under the bathroom sink where the lock was broken. .1719(a)(18) 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. Magnetic lock in bathroom was broken so cabinet was easily opened with Clorox wipes, diaper cream and plastic materials inside. Dawn dish detergent was on the back of the kitchen sink. .1719(a)(6) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors Note: An activity plan was not posted. The curriculum was still in the box. 10A NCAC 09 .1718(a)(8)(C)(i-v) 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. The health and safety trainings have not been renewed and it is past five years. .1703(d)(2) Technical assistance was provided as follows: Item #2023 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: The health and safety trainings have not been renewed and it is past five years. Items #1940, 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: (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: Magnetic lock in bathroom was broken so cabinet was easily opened with Clorox wipes, diaper cream and plastic materials inside. Dawn dish detergent was on the back of the kitchen sink. (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 were accessible in the kitchen area as well as under the bathroom sink where the lock was broken. (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: Electric heater was being used in the floor of the main play space. Items #921 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e) The family child care home operator shall complete and maintain other records that include: (6) daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart; Note: None of the children had been signed in. Item #1821 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (a) Each operator licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (8) specifies how the operator shall document compliance with visually checking on sleeping infants aged 12 months or younger; Note: Sleep log/chart was not maintained. There was no log the last two days the infant was in care. Item #1964 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 (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: An activity plan was not posted. The curriculum was still in the box. 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 5, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 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: • Today we discussed the need for the results from the most recent fire inspection. • We discussed the Prevention of Child Abuse and Neglect training and where that is located as well as the rest of the Health and Safety Trainings located on Moodle. • We discussed that we would be having a family child care home meeting sometime in February (virtually). 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: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/22/2024 Number Present: 6 Completed Date: 1/22/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 11:00 AM Time Out: 02:00 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 Lisa Greer, 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 ninety-one (91%) percentage as of 1/22/23. Permit type – Three Star Facility issued on 5/31/19. Special Services/Restrictions – First and second shifts, maximum of 5 preschool children at a time, children on ground level only and serves no more than two infants under age one. The last annual compliance visit was conducted on 2/8/23. The last fire drill was practiced on 12/13/23. The last lock down drill was practiced on 12/13/23. The last playground inspection was documented on 12/13/23. The Emergency Medical Care plan was posted. Upon arrival I introduced my presence to the owner and greeted the children. I observed this mixed age group of children playing in centers. Some children were painting at the table; while others were building with magna-tiles. An infant was in a bouncy seat. Children continued to play while Ms. Greer cooked lunch for the children. Lunch today consisted of macaroni and cheese, peas, pineapples, bread and milk. Once children were finished with lunch, they used the bathroom, got diapers changed and settled down for rest time. During rest time, one of the school age children arrived. Schools were closed today, but they did have school remotely. He arrived after remote school ended. He is five but he is is a school-age child. 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 729 Appliances with heating elements, such as bottle warmers, crock pots, curling irons, and electrical cords were accessible to children. Electric heater was being used in the floor of the main play space. 10A NCAC .1719(a)(28) 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. None of the children had been signed in. .1721(e)(6) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. Sleep log/chart was not maintained. There was no log the last two days the infant was in care. .1724(a)(8)&(f) 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 were accessible in the kitchen area as well as under the bathroom sink where the lock was broken. .1719(a)(18) 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. Magnetic lock in bathroom was broken so cabinet was easily opened with Clorox wipes, diaper cream and plastic materials inside. Dawn dish detergent was on the back of the kitchen sink. .1719(a)(6) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors Note: An activity plan was not posted. The curriculum was still in the box. 10A NCAC 09 .1718(a)(8)(C)(i-v) 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. The health and safety trainings have not been renewed and it is past five years. .1703(d)(2) Technical assistance was provided as follows: Item #2023 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: The health and safety trainings have not been renewed and it is past five years. Items #1940, 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: (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: Magnetic lock in bathroom was broken so cabinet was easily opened with Clorox wipes, diaper cream and plastic materials inside. Dawn dish detergent was on the back of the kitchen sink. (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 were accessible in the kitchen area as well as under the bathroom sink where the lock was broken. (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: Electric heater was being used in the floor of the main play space. Items #921 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e) The family child care home operator shall complete and maintain other records that include: (6) daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart; Note: None of the children had been signed in. Item #1821 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (a) Each operator licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (8) specifies how the operator shall document compliance with visually checking on sleeping infants aged 12 months or younger; Note: Sleep log/chart was not maintained. There was no log the last two days the infant was in care. Item #1964 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 (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: An activity plan was not posted. The curriculum was still in the box. 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 5, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 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: • Today we discussed the need for the results from the most recent fire inspection. • We discussed the Prevention of Child Abuse and Neglect training and where that is located as well as the rest of the Health and Safety Trainings located on Moodle. • We discussed that we would be having a family child care home meeting sometime in February (virtually). 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: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 1/22/2024 Number Present: 6 Completed Date: 1/22/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 11:00 AM Time Out: 02:00 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 Lisa Greer, 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 ninety-one (91%) percentage as of 1/22/23. Permit type – Three Star Facility issued on 5/31/19. Special Services/Restrictions – First and second shifts, maximum of 5 preschool children at a time, children on ground level only and serves no more than two infants under age one. The last annual compliance visit was conducted on 2/8/23. The last fire drill was practiced on 12/13/23. The last lock down drill was practiced on 12/13/23. The last playground inspection was documented on 12/13/23. The Emergency Medical Care plan was posted. Upon arrival I introduced my presence to the owner and greeted the children. I observed this mixed age group of children playing in centers. Some children were painting at the table; while others were building with magna-tiles. An infant was in a bouncy seat. Children continued to play while Ms. Greer cooked lunch for the children. Lunch today consisted of macaroni and cheese, peas, pineapples, bread and milk. Once children were finished with lunch, they used the bathroom, got diapers changed and settled down for rest time. During rest time, one of the school age children arrived. Schools were closed today, but they did have school remotely. He arrived after remote school ended. He is five but he is is a school-age child. 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 729 Appliances with heating elements, such as bottle warmers, crock pots, curling irons, and electrical cords were accessible to children. Electric heater was being used in the floor of the main play space. 10A NCAC .1719(a)(28) 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. None of the children had been signed in. .1721(e)(6) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. Sleep log/chart was not maintained. There was no log the last two days the infant was in care. .1724(a)(8)&(f) 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 were accessible in the kitchen area as well as under the bathroom sink where the lock was broken. .1719(a)(18) 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. Magnetic lock in bathroom was broken so cabinet was easily opened with Clorox wipes, diaper cream and plastic materials inside. Dawn dish detergent was on the back of the kitchen sink. .1719(a)(6) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors Note: An activity plan was not posted. The curriculum was still in the box. 10A NCAC 09 .1718(a)(8)(C)(i-v) 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. The health and safety trainings have not been renewed and it is past five years. .1703(d)(2) Technical assistance was provided as follows: Item #2023 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: The health and safety trainings have not been renewed and it is past five years. Items #1940, 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: (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: Magnetic lock in bathroom was broken so cabinet was easily opened with Clorox wipes, diaper cream and plastic materials inside. Dawn dish detergent was on the back of the kitchen sink. (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 were accessible in the kitchen area as well as under the bathroom sink where the lock was broken. (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: Electric heater was being used in the floor of the main play space. Items #921 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e) The family child care home operator shall complete and maintain other records that include: (6) daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart; Note: None of the children had been signed in. Item #1821 10A NCAC 09 .1724 SAFE SLEEP PRACTICES (a) Each operator licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (8) specifies how the operator shall document compliance with visually checking on sleeping infants aged 12 months or younger; Note: Sleep log/chart was not maintained. There was no log the last two days the infant was in care. Item #1964 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 (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: An activity plan was not posted. The curriculum was still in the box. 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 5, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 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: • Today we discussed the need for the results from the most recent fire inspection. • We discussed the Prevention of Child Abuse and Neglect training and where that is located as well as the rest of the Health and Safety Trainings located on Moodle. • We discussed that we would be having a family child care home meeting sometime in February (virtually). 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: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 9/7/2023 Number Present: 7 Completed Date: 9/7/2023 Age: From 0 To 6 Total Minutes: 135 Time In: 02:30 PM Time Out: 04:45 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 List Greer, owner/operator, during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. Greer. Ms. Greer 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 8, 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. Greer and explained the reason for my visit. Children were observed transitioning from rest time. Three (3) out of five (5) children were still asleep while two (2) children were drawing at the table. One (1) school age child was dropped off by a parent and another one (1) was dropped off by the bus. Children ate snack which consisted of goldfish, strawberries and blueberries. The children played inside due to rain and then went to the playground to play for the remainder of the day. The last fire drill was practiced on April 25, 2023. The emergency drill log was not current. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Playground safety check was last completed on July 10, 2023. There was two (2) violations written during this 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. Clorox wipes and baby powder were up high in the bathroom, but both must be locked. .1719 (a)(7) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. Documentation of current emergency drills were not recorded. .1719(a )(16) & .1721(e )(7) Technical assistance: Item #.1854 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e) The family child care home operator shall complete and maintain other records that include (7) documentation of lockdown or shelter-in-place drills giving the date each drill is held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. Note: Documentation of current emergency drills were not recorded. Item #.706 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 Note: Clorox wipes and baby powder were up high in the bathroom, but both must be locked. 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 September 21, 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 that you now have an infant and you are walking outside to see children get off the bus. You need to make plans on how this will look as colder weather arrives. • We also discussed that the ITS-SIDS policy has the check boxes on it for items that pertain to your specific facility. • We discussed how to document the emergency drills on the same sheet for the same year as the fire drills. It may be a good idea to do the playground inspections on the same date of the fire drills. • We discussed that any air freshener plug-in can’t be uses while children are in care. This can be used after hours as long as it is removed when the facility opens. • Clorox wipes have more than one warning on them, so therefore they must be locked. Baby powder can be inhaled and must also be locked up. 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: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 9/7/2023 Number Present: 7 Completed Date: 9/7/2023 Age: From 0 To 6 Total Minutes: 135 Time In: 02:30 PM Time Out: 04:45 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 List Greer, owner/operator, during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. Greer. Ms. Greer 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 8, 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. Greer and explained the reason for my visit. Children were observed transitioning from rest time. Three (3) out of five (5) children were still asleep while two (2) children were drawing at the table. One (1) school age child was dropped off by a parent and another one (1) was dropped off by the bus. Children ate snack which consisted of goldfish, strawberries and blueberries. The children played inside due to rain and then went to the playground to play for the remainder of the day. The last fire drill was practiced on April 25, 2023. The emergency drill log was not current. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Playground safety check was last completed on July 10, 2023. There was two (2) violations written during this 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. Clorox wipes and baby powder were up high in the bathroom, but both must be locked. .1719 (a)(7) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. Documentation of current emergency drills were not recorded. .1719(a )(16) & .1721(e )(7) Technical assistance: Item #.1854 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e) The family child care home operator shall complete and maintain other records that include (7) documentation of lockdown or shelter-in-place drills giving the date each drill is held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. Note: Documentation of current emergency drills were not recorded. Item #.706 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 Note: Clorox wipes and baby powder were up high in the bathroom, but both must be locked. 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 September 21, 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 that you now have an infant and you are walking outside to see children get off the bus. You need to make plans on how this will look as colder weather arrives. • We also discussed that the ITS-SIDS policy has the check boxes on it for items that pertain to your specific facility. • We discussed how to document the emergency drills on the same sheet for the same year as the fire drills. It may be a good idea to do the playground inspections on the same date of the fire drills. • We discussed that any air freshener plug-in can’t be uses while children are in care. This can be used after hours as long as it is removed when the facility opens. • Clorox wipes have more than one warning on them, so therefore they must be locked. Baby powder can be inhaled and must also be locked up. 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: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 9/7/2023 Number Present: 7 Completed Date: 9/7/2023 Age: From 0 To 6 Total Minutes: 135 Time In: 02:30 PM Time Out: 04:45 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 List Greer, owner/operator, during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. Greer. Ms. Greer 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 8, 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. Greer and explained the reason for my visit. Children were observed transitioning from rest time. Three (3) out of five (5) children were still asleep while two (2) children were drawing at the table. One (1) school age child was dropped off by a parent and another one (1) was dropped off by the bus. Children ate snack which consisted of goldfish, strawberries and blueberries. The children played inside due to rain and then went to the playground to play for the remainder of the day. The last fire drill was practiced on April 25, 2023. The emergency drill log was not current. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Playground safety check was last completed on July 10, 2023. There was two (2) violations written during this 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. Clorox wipes and baby powder were up high in the bathroom, but both must be locked. .1719 (a)(7) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. Documentation of current emergency drills were not recorded. .1719(a )(16) & .1721(e )(7) Technical assistance: Item #.1854 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e) The family child care home operator shall complete and maintain other records that include (7) documentation of lockdown or shelter-in-place drills giving the date each drill is held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. Note: Documentation of current emergency drills were not recorded. Item #.706 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 Note: Clorox wipes and baby powder were up high in the bathroom, but both must be locked. 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 September 21, 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 that you now have an infant and you are walking outside to see children get off the bus. You need to make plans on how this will look as colder weather arrives. • We also discussed that the ITS-SIDS policy has the check boxes on it for items that pertain to your specific facility. • We discussed how to document the emergency drills on the same sheet for the same year as the fire drills. It may be a good idea to do the playground inspections on the same date of the fire drills. • We discussed that any air freshener plug-in can’t be uses while children are in care. This can be used after hours as long as it is removed when the facility opens. • Clorox wipes have more than one warning on them, so therefore they must be locked. Baby powder can be inhaled and must also be locked up. 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 .1721 · Violation

Name of Operation: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 9/7/2023 Number Present: 7 Completed Date: 9/7/2023 Age: From 0 To 6 Total Minutes: 135 Time In: 02:30 PM Time Out: 04:45 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 List Greer, owner/operator, during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. Greer. Ms. Greer 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 8, 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. Greer and explained the reason for my visit. Children were observed transitioning from rest time. Three (3) out of five (5) children were still asleep while two (2) children were drawing at the table. One (1) school age child was dropped off by a parent and another one (1) was dropped off by the bus. Children ate snack which consisted of goldfish, strawberries and blueberries. The children played inside due to rain and then went to the playground to play for the remainder of the day. The last fire drill was practiced on April 25, 2023. The emergency drill log was not current. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Playground safety check was last completed on July 10, 2023. There was two (2) violations written during this 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. Clorox wipes and baby powder were up high in the bathroom, but both must be locked. .1719 (a)(7) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. Documentation of current emergency drills were not recorded. .1719(a )(16) & .1721(e )(7) Technical assistance: Item #.1854 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e) The family child care home operator shall complete and maintain other records that include (7) documentation of lockdown or shelter-in-place drills giving the date each drill is held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. Note: Documentation of current emergency drills were not recorded. Item #.706 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 Note: Clorox wipes and baby powder were up high in the bathroom, but both must be locked. 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 September 21, 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 that you now have an infant and you are walking outside to see children get off the bus. You need to make plans on how this will look as colder weather arrives. • We also discussed that the ITS-SIDS policy has the check boxes on it for items that pertain to your specific facility. • We discussed how to document the emergency drills on the same sheet for the same year as the fire drills. It may be a good idea to do the playground inspections on the same date of the fire drills. • We discussed that any air freshener plug-in can’t be uses while children are in care. This can be used after hours as long as it is removed when the facility opens. • Clorox wipes have more than one warning on them, so therefore they must be locked. Baby powder can be inhaled and must also be locked up. 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: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 9/7/2023 Number Present: 7 Completed Date: 9/7/2023 Age: From 0 To 6 Total Minutes: 135 Time In: 02:30 PM Time Out: 04:45 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 List Greer, owner/operator, during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. Greer. Ms. Greer 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 8, 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. Greer and explained the reason for my visit. Children were observed transitioning from rest time. Three (3) out of five (5) children were still asleep while two (2) children were drawing at the table. One (1) school age child was dropped off by a parent and another one (1) was dropped off by the bus. Children ate snack which consisted of goldfish, strawberries and blueberries. The children played inside due to rain and then went to the playground to play for the remainder of the day. The last fire drill was practiced on April 25, 2023. The emergency drill log was not current. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Playground safety check was last completed on July 10, 2023. There was two (2) violations written during this 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. Clorox wipes and baby powder were up high in the bathroom, but both must be locked. .1719 (a)(7) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. Documentation of current emergency drills were not recorded. .1719(a )(16) & .1721(e )(7) Technical assistance: Item #.1854 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e) The family child care home operator shall complete and maintain other records that include (7) documentation of lockdown or shelter-in-place drills giving the date each drill is held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. Note: Documentation of current emergency drills were not recorded. Item #.706 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 Note: Clorox wipes and baby powder were up high in the bathroom, but both must be locked. 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 September 21, 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 that you now have an infant and you are walking outside to see children get off the bus. You need to make plans on how this will look as colder weather arrives. • We also discussed that the ITS-SIDS policy has the check boxes on it for items that pertain to your specific facility. • We discussed how to document the emergency drills on the same sheet for the same year as the fire drills. It may be a good idea to do the playground inspections on the same date of the fire drills. • We discussed that any air freshener plug-in can’t be uses while children are in care. This can be used after hours as long as it is removed when the facility opens. • Clorox wipes have more than one warning on them, so therefore they must be locked. Baby powder can be inhaled and must also be locked up. 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: SMALL ONES HOME CHILD CARE CENTER Facility ID: 95000044 Consultant: GEORGIA MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 9/7/2023 Number Present: 7 Completed Date: 9/7/2023 Age: From 0 To 6 Total Minutes: 135 Time In: 02:30 PM Time Out: 04:45 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 List Greer, owner/operator, during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. Greer. Ms. Greer 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 8, 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. Greer and explained the reason for my visit. Children were observed transitioning from rest time. Three (3) out of five (5) children were still asleep while two (2) children were drawing at the table. One (1) school age child was dropped off by a parent and another one (1) was dropped off by the bus. Children ate snack which consisted of goldfish, strawberries and blueberries. The children played inside due to rain and then went to the playground to play for the remainder of the day. The last fire drill was practiced on April 25, 2023. The emergency drill log was not current. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Playground safety check was last completed on July 10, 2023. There was two (2) violations written during this 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. Clorox wipes and baby powder were up high in the bathroom, but both must be locked. .1719 (a)(7) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. Documentation of current emergency drills were not recorded. .1719(a )(16) & .1721(e )(7) Technical assistance: Item #.1854 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e) The family child care home operator shall complete and maintain other records that include (7) documentation of lockdown or shelter-in-place drills giving the date each drill is held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. Note: Documentation of current emergency drills were not recorded. Item #.706 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 Note: Clorox wipes and baby powder were up high in the bathroom, but both must be locked. 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 September 21, 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 that you now have an infant and you are walking outside to see children get off the bus. You need to make plans on how this will look as colder weather arrives. • We also discussed that the ITS-SIDS policy has the check boxes on it for items that pertain to your specific facility. • We discussed how to document the emergency drills on the same sheet for the same year as the fire drills. It may be a good idea to do the playground inspections on the same date of the fire drills. • We discussed that any air freshener plug-in can’t be uses while children are in care. This can be used after hours as long as it is removed when the facility opens. • Clorox wipes have more than one warning on them, so therefore they must be locked. Baby powder can be inhaled and must also be locked up. 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