10A NCAC 09 .0304 · Violation

Name of Operation: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 9/16/2025 Number Present: 13 Completed Date: 9/16/2025 Age: From 2 To 5 Total Minutes: 185 Time In: 09:35 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center 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, printed, and signed by me, Dawn McCrary, Child Care Consultant, and you, Lisa Crite, Owner/Director, during the visit. A signed copy of the visit summary was left on site for your records. Permit type-Five Star Child Care License; issued 7/19/2022. Special Services/Restrictions- Daytime care only; Meets enhanced space; Meets enhanced ratios. Provides NC Pre K. Upon arrival, I made my presence known to Lisa Crite, Owner/Director. Ms. Crite was available to assist during the visit. The following areas were monitored: Supervision Ratios CPR First Aid Criminal Record Checks Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space ITS SIDS requirements General Safety Discipline Program Records License Posted/ Permit Restrictions. During today’s visit, the children in the classroom of four-year-olds were observed having breakfast at the tables and having conversations with the teacher. The children in the classroom of two and three-year-olds were having free choice play in the classroom with peg boards, dramatic play items and stuffed animals. The playgrounds offer adequate space for running and vigorous play with riding toys, climbers, opportunities to balance, slide, have dramatic play and portable materials to enhance play. All interactions were positive. Supervision was adequate. There are two (2) newly hired staff and three (3) existing staff. All staff have valid criminal background letters. Four (4) staff have valid CPR and FA training. One (1) newly hired staff has until 11/25/25 to complete CPR and FA training. The newly hired staff files were monitored for child care requirements. This program does not provide transportation. 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 following violation was documented during today’s visit. Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place drill was practiced 4/11/25. A lockdown drill was practiced 8/11/25. .0604(u);.0302(d)(8) 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 09/30/2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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. Technical assistance provided as follows: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS A shelter-in-place or lockdown drill must be practiced every three months. A shelter-in-place drill was practiced 4/11/25. A lockdown drill was practiced 8/11/25. Ms. Crite stated the drill that was due in July of 2025 was missing due to her being in the classroom during that time. Consultation provided as follows Please share, with your staff, the following information to help keep children safe during nap time: Lighting at nap time should allow staff to see the children’s face, skin color, and breathing. Music should be at a low volume and calm so that staff can hear the children breathing and any change in their breathing. Sleep Checks being conducted every 15 minutes till the children are 13 months old. Blankets for older children shall not cover their faces. Supervision is important for the child’s safety, prevention of any injuries, and quality child care. With proper supervision, program staff can quickly remove children from any potential harm. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 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. 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. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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 .0604 · Violation

Name of Operation: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 9/16/2025 Number Present: 13 Completed Date: 9/16/2025 Age: From 2 To 5 Total Minutes: 185 Time In: 09:35 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center 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, printed, and signed by me, Dawn McCrary, Child Care Consultant, and you, Lisa Crite, Owner/Director, during the visit. A signed copy of the visit summary was left on site for your records. Permit type-Five Star Child Care License; issued 7/19/2022. Special Services/Restrictions- Daytime care only; Meets enhanced space; Meets enhanced ratios. Provides NC Pre K. Upon arrival, I made my presence known to Lisa Crite, Owner/Director. Ms. Crite was available to assist during the visit. The following areas were monitored: Supervision Ratios CPR First Aid Criminal Record Checks Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space ITS SIDS requirements General Safety Discipline Program Records License Posted/ Permit Restrictions. During today’s visit, the children in the classroom of four-year-olds were observed having breakfast at the tables and having conversations with the teacher. The children in the classroom of two and three-year-olds were having free choice play in the classroom with peg boards, dramatic play items and stuffed animals. The playgrounds offer adequate space for running and vigorous play with riding toys, climbers, opportunities to balance, slide, have dramatic play and portable materials to enhance play. All interactions were positive. Supervision was adequate. There are two (2) newly hired staff and three (3) existing staff. All staff have valid criminal background letters. Four (4) staff have valid CPR and FA training. One (1) newly hired staff has until 11/25/25 to complete CPR and FA training. The newly hired staff files were monitored for child care requirements. This program does not provide transportation. 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 following violation was documented during today’s visit. Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place drill was practiced 4/11/25. A lockdown drill was practiced 8/11/25. .0604(u);.0302(d)(8) 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 09/30/2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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. Technical assistance provided as follows: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS A shelter-in-place or lockdown drill must be practiced every three months. A shelter-in-place drill was practiced 4/11/25. A lockdown drill was practiced 8/11/25. Ms. Crite stated the drill that was due in July of 2025 was missing due to her being in the classroom during that time. Consultation provided as follows Please share, with your staff, the following information to help keep children safe during nap time: Lighting at nap time should allow staff to see the children’s face, skin color, and breathing. Music should be at a low volume and calm so that staff can hear the children breathing and any change in their breathing. Sleep Checks being conducted every 15 minutes till the children are 13 months old. Blankets for older children shall not cover their faces. Supervision is important for the child’s safety, prevention of any injuries, and quality child care. With proper supervision, program staff can quickly remove children from any potential harm. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 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. 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. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 9/16/2025 Number Present: 13 Completed Date: 9/16/2025 Age: From 2 To 5 Total Minutes: 185 Time In: 09:35 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center 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, printed, and signed by me, Dawn McCrary, Child Care Consultant, and you, Lisa Crite, Owner/Director, during the visit. A signed copy of the visit summary was left on site for your records. Permit type-Five Star Child Care License; issued 7/19/2022. Special Services/Restrictions- Daytime care only; Meets enhanced space; Meets enhanced ratios. Provides NC Pre K. Upon arrival, I made my presence known to Lisa Crite, Owner/Director. Ms. Crite was available to assist during the visit. The following areas were monitored: Supervision Ratios CPR First Aid Criminal Record Checks Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space ITS SIDS requirements General Safety Discipline Program Records License Posted/ Permit Restrictions. During today’s visit, the children in the classroom of four-year-olds were observed having breakfast at the tables and having conversations with the teacher. The children in the classroom of two and three-year-olds were having free choice play in the classroom with peg boards, dramatic play items and stuffed animals. The playgrounds offer adequate space for running and vigorous play with riding toys, climbers, opportunities to balance, slide, have dramatic play and portable materials to enhance play. All interactions were positive. Supervision was adequate. There are two (2) newly hired staff and three (3) existing staff. All staff have valid criminal background letters. Four (4) staff have valid CPR and FA training. One (1) newly hired staff has until 11/25/25 to complete CPR and FA training. The newly hired staff files were monitored for child care requirements. This program does not provide transportation. 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 following violation was documented during today’s visit. Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place drill was practiced 4/11/25. A lockdown drill was practiced 8/11/25. .0604(u);.0302(d)(8) 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 09/30/2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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. Technical assistance provided as follows: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS A shelter-in-place or lockdown drill must be practiced every three months. A shelter-in-place drill was practiced 4/11/25. A lockdown drill was practiced 8/11/25. Ms. Crite stated the drill that was due in July of 2025 was missing due to her being in the classroom during that time. Consultation provided as follows Please share, with your staff, the following information to help keep children safe during nap time: Lighting at nap time should allow staff to see the children’s face, skin color, and breathing. Music should be at a low volume and calm so that staff can hear the children breathing and any change in their breathing. Sleep Checks being conducted every 15 minutes till the children are 13 months old. Blankets for older children shall not cover their faces. Supervision is important for the child’s safety, prevention of any injuries, and quality child care. With proper supervision, program staff can quickly remove children from any potential harm. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 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. 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. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 9/16/2025 Number Present: 13 Completed Date: 9/16/2025 Age: From 2 To 5 Total Minutes: 185 Time In: 09:35 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center 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, printed, and signed by me, Dawn McCrary, Child Care Consultant, and you, Lisa Crite, Owner/Director, during the visit. A signed copy of the visit summary was left on site for your records. Permit type-Five Star Child Care License; issued 7/19/2022. Special Services/Restrictions- Daytime care only; Meets enhanced space; Meets enhanced ratios. Provides NC Pre K. Upon arrival, I made my presence known to Lisa Crite, Owner/Director. Ms. Crite was available to assist during the visit. The following areas were monitored: Supervision Ratios CPR First Aid Criminal Record Checks Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space ITS SIDS requirements General Safety Discipline Program Records License Posted/ Permit Restrictions. During today’s visit, the children in the classroom of four-year-olds were observed having breakfast at the tables and having conversations with the teacher. The children in the classroom of two and three-year-olds were having free choice play in the classroom with peg boards, dramatic play items and stuffed animals. The playgrounds offer adequate space for running and vigorous play with riding toys, climbers, opportunities to balance, slide, have dramatic play and portable materials to enhance play. All interactions were positive. Supervision was adequate. There are two (2) newly hired staff and three (3) existing staff. All staff have valid criminal background letters. Four (4) staff have valid CPR and FA training. One (1) newly hired staff has until 11/25/25 to complete CPR and FA training. The newly hired staff files were monitored for child care requirements. This program does not provide transportation. 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 following violation was documented during today’s visit. Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place drill was practiced 4/11/25. A lockdown drill was practiced 8/11/25. .0604(u);.0302(d)(8) 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 09/30/2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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. Technical assistance provided as follows: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS A shelter-in-place or lockdown drill must be practiced every three months. A shelter-in-place drill was practiced 4/11/25. A lockdown drill was practiced 8/11/25. Ms. Crite stated the drill that was due in July of 2025 was missing due to her being in the classroom during that time. Consultation provided as follows Please share, with your staff, the following information to help keep children safe during nap time: Lighting at nap time should allow staff to see the children’s face, skin color, and breathing. Music should be at a low volume and calm so that staff can hear the children breathing and any change in their breathing. Sleep Checks being conducted every 15 minutes till the children are 13 months old. Blankets for older children shall not cover their faces. Supervision is important for the child’s safety, prevention of any injuries, and quality child care. With proper supervision, program staff can quickly remove children from any potential harm. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 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. 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. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 9/16/2025 Number Present: 13 Completed Date: 9/16/2025 Age: From 2 To 5 Total Minutes: 185 Time In: 09:35 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center 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, printed, and signed by me, Dawn McCrary, Child Care Consultant, and you, Lisa Crite, Owner/Director, during the visit. A signed copy of the visit summary was left on site for your records. Permit type-Five Star Child Care License; issued 7/19/2022. Special Services/Restrictions- Daytime care only; Meets enhanced space; Meets enhanced ratios. Provides NC Pre K. Upon arrival, I made my presence known to Lisa Crite, Owner/Director. Ms. Crite was available to assist during the visit. The following areas were monitored: Supervision Ratios CPR First Aid Criminal Record Checks Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space ITS SIDS requirements General Safety Discipline Program Records License Posted/ Permit Restrictions. During today’s visit, the children in the classroom of four-year-olds were observed having breakfast at the tables and having conversations with the teacher. The children in the classroom of two and three-year-olds were having free choice play in the classroom with peg boards, dramatic play items and stuffed animals. The playgrounds offer adequate space for running and vigorous play with riding toys, climbers, opportunities to balance, slide, have dramatic play and portable materials to enhance play. All interactions were positive. Supervision was adequate. There are two (2) newly hired staff and three (3) existing staff. All staff have valid criminal background letters. Four (4) staff have valid CPR and FA training. One (1) newly hired staff has until 11/25/25 to complete CPR and FA training. The newly hired staff files were monitored for child care requirements. This program does not provide transportation. 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 following violation was documented during today’s visit. Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place drill was practiced 4/11/25. A lockdown drill was practiced 8/11/25. .0604(u);.0302(d)(8) 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 09/30/2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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. Technical assistance provided as follows: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS A shelter-in-place or lockdown drill must be practiced every three months. A shelter-in-place drill was practiced 4/11/25. A lockdown drill was practiced 8/11/25. Ms. Crite stated the drill that was due in July of 2025 was missing due to her being in the classroom during that time. Consultation provided as follows Please share, with your staff, the following information to help keep children safe during nap time: Lighting at nap time should allow staff to see the children’s face, skin color, and breathing. Music should be at a low volume and calm so that staff can hear the children breathing and any change in their breathing. Sleep Checks being conducted every 15 minutes till the children are 13 months old. Blankets for older children shall not cover their faces. Supervision is important for the child’s safety, prevention of any injuries, and quality child care. With proper supervision, program staff can quickly remove children from any potential harm. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 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. 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. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 9/16/2025 Number Present: 13 Completed Date: 9/16/2025 Age: From 2 To 5 Total Minutes: 185 Time In: 09:35 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center 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, printed, and signed by me, Dawn McCrary, Child Care Consultant, and you, Lisa Crite, Owner/Director, during the visit. A signed copy of the visit summary was left on site for your records. Permit type-Five Star Child Care License; issued 7/19/2022. Special Services/Restrictions- Daytime care only; Meets enhanced space; Meets enhanced ratios. Provides NC Pre K. Upon arrival, I made my presence known to Lisa Crite, Owner/Director. Ms. Crite was available to assist during the visit. The following areas were monitored: Supervision Ratios CPR First Aid Criminal Record Checks Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space ITS SIDS requirements General Safety Discipline Program Records License Posted/ Permit Restrictions. During today’s visit, the children in the classroom of four-year-olds were observed having breakfast at the tables and having conversations with the teacher. The children in the classroom of two and three-year-olds were having free choice play in the classroom with peg boards, dramatic play items and stuffed animals. The playgrounds offer adequate space for running and vigorous play with riding toys, climbers, opportunities to balance, slide, have dramatic play and portable materials to enhance play. All interactions were positive. Supervision was adequate. There are two (2) newly hired staff and three (3) existing staff. All staff have valid criminal background letters. Four (4) staff have valid CPR and FA training. One (1) newly hired staff has until 11/25/25 to complete CPR and FA training. The newly hired staff files were monitored for child care requirements. This program does not provide transportation. 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 following violation was documented during today’s visit. Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place drill was practiced 4/11/25. A lockdown drill was practiced 8/11/25. .0604(u);.0302(d)(8) 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 09/30/2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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. Technical assistance provided as follows: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS A shelter-in-place or lockdown drill must be practiced every three months. A shelter-in-place drill was practiced 4/11/25. A lockdown drill was practiced 8/11/25. Ms. Crite stated the drill that was due in July of 2025 was missing due to her being in the classroom during that time. Consultation provided as follows Please share, with your staff, the following information to help keep children safe during nap time: Lighting at nap time should allow staff to see the children’s face, skin color, and breathing. Music should be at a low volume and calm so that staff can hear the children breathing and any change in their breathing. Sleep Checks being conducted every 15 minutes till the children are 13 months old. Blankets for older children shall not cover their faces. Supervision is important for the child’s safety, prevention of any injuries, and quality child care. With proper supervision, program staff can quickly remove children from any potential harm. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 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. 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. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 9/16/2025 Number Present: 13 Completed Date: 9/16/2025 Age: From 2 To 5 Total Minutes: 185 Time In: 09:35 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center 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, printed, and signed by me, Dawn McCrary, Child Care Consultant, and you, Lisa Crite, Owner/Director, during the visit. A signed copy of the visit summary was left on site for your records. Permit type-Five Star Child Care License; issued 7/19/2022. Special Services/Restrictions- Daytime care only; Meets enhanced space; Meets enhanced ratios. Provides NC Pre K. Upon arrival, I made my presence known to Lisa Crite, Owner/Director. Ms. Crite was available to assist during the visit. The following areas were monitored: Supervision Ratios CPR First Aid Criminal Record Checks Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space ITS SIDS requirements General Safety Discipline Program Records License Posted/ Permit Restrictions. During today’s visit, the children in the classroom of four-year-olds were observed having breakfast at the tables and having conversations with the teacher. The children in the classroom of two and three-year-olds were having free choice play in the classroom with peg boards, dramatic play items and stuffed animals. The playgrounds offer adequate space for running and vigorous play with riding toys, climbers, opportunities to balance, slide, have dramatic play and portable materials to enhance play. All interactions were positive. Supervision was adequate. There are two (2) newly hired staff and three (3) existing staff. All staff have valid criminal background letters. Four (4) staff have valid CPR and FA training. One (1) newly hired staff has until 11/25/25 to complete CPR and FA training. The newly hired staff files were monitored for child care requirements. This program does not provide transportation. 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 following violation was documented during today’s visit. Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place drill was practiced 4/11/25. A lockdown drill was practiced 8/11/25. .0604(u);.0302(d)(8) 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 09/30/2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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. Technical assistance provided as follows: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS A shelter-in-place or lockdown drill must be practiced every three months. A shelter-in-place drill was practiced 4/11/25. A lockdown drill was practiced 8/11/25. Ms. Crite stated the drill that was due in July of 2025 was missing due to her being in the classroom during that time. Consultation provided as follows Please share, with your staff, the following information to help keep children safe during nap time: Lighting at nap time should allow staff to see the children’s face, skin color, and breathing. Music should be at a low volume and calm so that staff can hear the children breathing and any change in their breathing. Sleep Checks being conducted every 15 minutes till the children are 13 months old. Blankets for older children shall not cover their faces. Supervision is important for the child’s safety, prevention of any injuries, and quality child care. With proper supervision, program staff can quickly remove children from any potential harm. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 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. 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. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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 .0304 · Violation

Name of Operation: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 3 Completed Date: 2/24/2025 Age: From 3 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Due to technical difficulties, a handwritten visit summary was completed, reviewed and signed by Lisa Crite, Director and Dawn McCrary, Child Care Consultant. A computerized generated report of today’s visit was emailed to the facility the same day, once the technical difficulties were resolved. Today, Lisa Crite, Director and Marion Crite, Assistant Director, were available to assist. The indoor and outdoor areas were monitored today, including 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 ninety-five (95) percentage as of 2/23/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, L & M Cleaning Service, INC, is current/active as of 2/24/25. Permit type – Five Star Child Care License Special Services/Restrictions – Daytime care only; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 3/7/24. The last fire drill was practiced on 1/10/25. The last lockdown and shelter in place drill was practiced on 1/10/25. The last playground inspection was documented on 1/3/25. The last fire inspection was approved on 2/13/24. The last sanitation inspection was conducted on 7/5/24 with twelve (12) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was updated 1/3/25. The approved curriculum for four-year-old children is Mother Goose. Upon arrival I introduced my presence to Marion Crite, Assistant Director. I observed the group of three to five-year old children having free choice play in the classroom. Lisa Crite, Director, was the caregiver. The children were playing with plastic dinosaurs and the sand table. The children washed hands and transitioned to lunch. Lunch consisted of ham on whole wheat bread, apples, carrots, and milk. to enhance play. The outdoor play areas offer adequate space for running and vigorous play with opportunities to climb, balance, ride toys, have ball play, participate in dramatic play and sensory play. All interactions were positive and nurturing. Supervision was adequate. There are zero (0) newly hired staff. There are four (4) existing staff. One (1) existing staff file was monitored for child care requirements. There are fifteen (15) children enrolled. Two (2) child files were monitored for child care requirements. The staff and training worksheet was available and monitored during today’s visit. The program does not provide transportation. 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 following violations were documented during today’s visit Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff, D.P. has not reviewed the facility's Emergency Medical Care plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .0802(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff, per the staff and training worksheet, did not complete and submit the necessary documents to renew their criminal background qualification letter prior to the expiration of the criminal background qualification letter. G.S. 110-90.2(b) & .2703(n)&(o) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Administrator, L.C., has ITS SIDS training that expired 4/26/24. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff, A.C. and D.P. do not have current annual development plans and annual staff evaluations on file. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. One staff, per the staff and training worksheet, does not have a valid criminal background qualification letter on file. The qualification letter on file expired 9/11/24. G.S. 110-90.2(b) & (d) & .2703(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff, D.P. has not reviewed the facility's Emergency Preparedness and Response plan annually. The last review on file for D.P. was 1/4/24. .0607(f) Technical assistance provided as follows: 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Staff, A.C. and D.P. do not have current annual development plans and annual staff evaluations on file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS Administrator, L.C., has ITS SIDS training that expired 4/26/24. Around 3,500 infants die suddenly and unexpectedly from sleep-related deaths in the United States every year. By following safe sleep practices, parents and caregivers can reduce the risk of these sleep-related deaths. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE Staff, D.P. has not reviewed the facility's Emergency Medical Care plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS Staff, D.P. has not reviewed the facility's Emergency Preparedness and Response plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS. A. Cison. does not have a valid criminal background qualification letter on file. The qualification letter on file for A. Cison expired 9/11/24. Staff, A.Cison has until March 11, 2025 to have a valid qualification letter on file. If the qualification letter is not received by March 11, 2025, A. Cison may not be on site until the qualification letter is received and on file. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS Staff, A.Cison. did not complete and submit the necessary documents to renew their criminal background qualification letter prior to the expiration of the criminal background letter. Background screenings are needed to provide a safe program environment, support children’s health and safety and are important for preventing child maltreatment in early care and education programs. Background screenings can help by identifying applicants with unsafe backgrounds and risk factors, such as a history of violent behaviors or drug use.1Interviews allow programs to get to know potential staff, identify their strengths, competencies, and any risk factors. Background screening for current staff allows programs to watch for potential threats to child health and safety and address them accordingly. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE Due to Tropical Storm Helene and the State of Emergency, additional time is allowed for the facility to receive a fire inspection. Ms. Crite has requested the fire inspection prior to today's visit. The facility's last fire inspection was 2/13/24. Achieving compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/10/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: Note: the due date for the letter of compliance for violations #1232; #1065; #862; and #1825, March 10, 2025, is different than the date of compliance for violation # 1757 and #1044, March 11, 2025. Plan to complete a staff development plan for L.C. by 3/15/25. Plan to complete a staff development plan for M.C. by 3/17/25. M.C. must complete 4 additional on-going training hours by 3/4/25. L.C. must complete 2.5 additional on-going training hours by 3/4/25. A.C. must complete 10 on-going training hours by 3/25/25. D.P. must complete and additional 4 on-going training hours by 5/26/25. If infants are enrolled, ensure infant caregivers have ITS-SIDS training. A.C. has ITS-SIDS training that expired 2/1/25. A current HQ and EI form is due by 4/4/25 for D.P. 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. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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 .0514 · Violation

Name of Operation: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 3 Completed Date: 2/24/2025 Age: From 3 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Due to technical difficulties, a handwritten visit summary was completed, reviewed and signed by Lisa Crite, Director and Dawn McCrary, Child Care Consultant. A computerized generated report of today’s visit was emailed to the facility the same day, once the technical difficulties were resolved. Today, Lisa Crite, Director and Marion Crite, Assistant Director, were available to assist. The indoor and outdoor areas were monitored today, including 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 ninety-five (95) percentage as of 2/23/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, L & M Cleaning Service, INC, is current/active as of 2/24/25. Permit type – Five Star Child Care License Special Services/Restrictions – Daytime care only; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 3/7/24. The last fire drill was practiced on 1/10/25. The last lockdown and shelter in place drill was practiced on 1/10/25. The last playground inspection was documented on 1/3/25. The last fire inspection was approved on 2/13/24. The last sanitation inspection was conducted on 7/5/24 with twelve (12) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was updated 1/3/25. The approved curriculum for four-year-old children is Mother Goose. Upon arrival I introduced my presence to Marion Crite, Assistant Director. I observed the group of three to five-year old children having free choice play in the classroom. Lisa Crite, Director, was the caregiver. The children were playing with plastic dinosaurs and the sand table. The children washed hands and transitioned to lunch. Lunch consisted of ham on whole wheat bread, apples, carrots, and milk. to enhance play. The outdoor play areas offer adequate space for running and vigorous play with opportunities to climb, balance, ride toys, have ball play, participate in dramatic play and sensory play. All interactions were positive and nurturing. Supervision was adequate. There are zero (0) newly hired staff. There are four (4) existing staff. One (1) existing staff file was monitored for child care requirements. There are fifteen (15) children enrolled. Two (2) child files were monitored for child care requirements. The staff and training worksheet was available and monitored during today’s visit. The program does not provide transportation. 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 following violations were documented during today’s visit Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff, D.P. has not reviewed the facility's Emergency Medical Care plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .0802(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff, per the staff and training worksheet, did not complete and submit the necessary documents to renew their criminal background qualification letter prior to the expiration of the criminal background qualification letter. G.S. 110-90.2(b) & .2703(n)&(o) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Administrator, L.C., has ITS SIDS training that expired 4/26/24. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff, A.C. and D.P. do not have current annual development plans and annual staff evaluations on file. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. One staff, per the staff and training worksheet, does not have a valid criminal background qualification letter on file. The qualification letter on file expired 9/11/24. G.S. 110-90.2(b) & (d) & .2703(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff, D.P. has not reviewed the facility's Emergency Preparedness and Response plan annually. The last review on file for D.P. was 1/4/24. .0607(f) Technical assistance provided as follows: 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Staff, A.C. and D.P. do not have current annual development plans and annual staff evaluations on file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS Administrator, L.C., has ITS SIDS training that expired 4/26/24. Around 3,500 infants die suddenly and unexpectedly from sleep-related deaths in the United States every year. By following safe sleep practices, parents and caregivers can reduce the risk of these sleep-related deaths. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE Staff, D.P. has not reviewed the facility's Emergency Medical Care plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS Staff, D.P. has not reviewed the facility's Emergency Preparedness and Response plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS. A. Cison. does not have a valid criminal background qualification letter on file. The qualification letter on file for A. Cison expired 9/11/24. Staff, A.Cison has until March 11, 2025 to have a valid qualification letter on file. If the qualification letter is not received by March 11, 2025, A. Cison may not be on site until the qualification letter is received and on file. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS Staff, A.Cison. did not complete and submit the necessary documents to renew their criminal background qualification letter prior to the expiration of the criminal background letter. Background screenings are needed to provide a safe program environment, support children’s health and safety and are important for preventing child maltreatment in early care and education programs. Background screenings can help by identifying applicants with unsafe backgrounds and risk factors, such as a history of violent behaviors or drug use.1Interviews allow programs to get to know potential staff, identify their strengths, competencies, and any risk factors. Background screening for current staff allows programs to watch for potential threats to child health and safety and address them accordingly. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE Due to Tropical Storm Helene and the State of Emergency, additional time is allowed for the facility to receive a fire inspection. Ms. Crite has requested the fire inspection prior to today's visit. The facility's last fire inspection was 2/13/24. Achieving compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/10/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: Note: the due date for the letter of compliance for violations #1232; #1065; #862; and #1825, March 10, 2025, is different than the date of compliance for violation # 1757 and #1044, March 11, 2025. Plan to complete a staff development plan for L.C. by 3/15/25. Plan to complete a staff development plan for M.C. by 3/17/25. M.C. must complete 4 additional on-going training hours by 3/4/25. L.C. must complete 2.5 additional on-going training hours by 3/4/25. A.C. must complete 10 on-going training hours by 3/25/25. D.P. must complete and additional 4 on-going training hours by 5/26/25. If infants are enrolled, ensure infant caregivers have ITS-SIDS training. A.C. has ITS-SIDS training that expired 2/1/25. A current HQ and EI form is due by 4/4/25 for D.P. 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. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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 .0607 · Violation

Name of Operation: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 3 Completed Date: 2/24/2025 Age: From 3 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Due to technical difficulties, a handwritten visit summary was completed, reviewed and signed by Lisa Crite, Director and Dawn McCrary, Child Care Consultant. A computerized generated report of today’s visit was emailed to the facility the same day, once the technical difficulties were resolved. Today, Lisa Crite, Director and Marion Crite, Assistant Director, were available to assist. The indoor and outdoor areas were monitored today, including 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 ninety-five (95) percentage as of 2/23/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, L & M Cleaning Service, INC, is current/active as of 2/24/25. Permit type – Five Star Child Care License Special Services/Restrictions – Daytime care only; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 3/7/24. The last fire drill was practiced on 1/10/25. The last lockdown and shelter in place drill was practiced on 1/10/25. The last playground inspection was documented on 1/3/25. The last fire inspection was approved on 2/13/24. The last sanitation inspection was conducted on 7/5/24 with twelve (12) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was updated 1/3/25. The approved curriculum for four-year-old children is Mother Goose. Upon arrival I introduced my presence to Marion Crite, Assistant Director. I observed the group of three to five-year old children having free choice play in the classroom. Lisa Crite, Director, was the caregiver. The children were playing with plastic dinosaurs and the sand table. The children washed hands and transitioned to lunch. Lunch consisted of ham on whole wheat bread, apples, carrots, and milk. to enhance play. The outdoor play areas offer adequate space for running and vigorous play with opportunities to climb, balance, ride toys, have ball play, participate in dramatic play and sensory play. All interactions were positive and nurturing. Supervision was adequate. There are zero (0) newly hired staff. There are four (4) existing staff. One (1) existing staff file was monitored for child care requirements. There are fifteen (15) children enrolled. Two (2) child files were monitored for child care requirements. The staff and training worksheet was available and monitored during today’s visit. The program does not provide transportation. 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 following violations were documented during today’s visit Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff, D.P. has not reviewed the facility's Emergency Medical Care plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .0802(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff, per the staff and training worksheet, did not complete and submit the necessary documents to renew their criminal background qualification letter prior to the expiration of the criminal background qualification letter. G.S. 110-90.2(b) & .2703(n)&(o) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Administrator, L.C., has ITS SIDS training that expired 4/26/24. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff, A.C. and D.P. do not have current annual development plans and annual staff evaluations on file. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. One staff, per the staff and training worksheet, does not have a valid criminal background qualification letter on file. The qualification letter on file expired 9/11/24. G.S. 110-90.2(b) & (d) & .2703(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff, D.P. has not reviewed the facility's Emergency Preparedness and Response plan annually. The last review on file for D.P. was 1/4/24. .0607(f) Technical assistance provided as follows: 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Staff, A.C. and D.P. do not have current annual development plans and annual staff evaluations on file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS Administrator, L.C., has ITS SIDS training that expired 4/26/24. Around 3,500 infants die suddenly and unexpectedly from sleep-related deaths in the United States every year. By following safe sleep practices, parents and caregivers can reduce the risk of these sleep-related deaths. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE Staff, D.P. has not reviewed the facility's Emergency Medical Care plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS Staff, D.P. has not reviewed the facility's Emergency Preparedness and Response plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS. A. Cison. does not have a valid criminal background qualification letter on file. The qualification letter on file for A. Cison expired 9/11/24. Staff, A.Cison has until March 11, 2025 to have a valid qualification letter on file. If the qualification letter is not received by March 11, 2025, A. Cison may not be on site until the qualification letter is received and on file. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS Staff, A.Cison. did not complete and submit the necessary documents to renew their criminal background qualification letter prior to the expiration of the criminal background letter. Background screenings are needed to provide a safe program environment, support children’s health and safety and are important for preventing child maltreatment in early care and education programs. Background screenings can help by identifying applicants with unsafe backgrounds and risk factors, such as a history of violent behaviors or drug use.1Interviews allow programs to get to know potential staff, identify their strengths, competencies, and any risk factors. Background screening for current staff allows programs to watch for potential threats to child health and safety and address them accordingly. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE Due to Tropical Storm Helene and the State of Emergency, additional time is allowed for the facility to receive a fire inspection. Ms. Crite has requested the fire inspection prior to today's visit. The facility's last fire inspection was 2/13/24. Achieving compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/10/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: Note: the due date for the letter of compliance for violations #1232; #1065; #862; and #1825, March 10, 2025, is different than the date of compliance for violation # 1757 and #1044, March 11, 2025. Plan to complete a staff development plan for L.C. by 3/15/25. Plan to complete a staff development plan for M.C. by 3/17/25. M.C. must complete 4 additional on-going training hours by 3/4/25. L.C. must complete 2.5 additional on-going training hours by 3/4/25. A.C. must complete 10 on-going training hours by 3/25/25. D.P. must complete and additional 4 on-going training hours by 5/26/25. If infants are enrolled, ensure infant caregivers have ITS-SIDS training. A.C. has ITS-SIDS training that expired 2/1/25. A current HQ and EI form is due by 4/4/25 for D.P. 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. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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 .0802 · Violation

Name of Operation: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 3 Completed Date: 2/24/2025 Age: From 3 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Due to technical difficulties, a handwritten visit summary was completed, reviewed and signed by Lisa Crite, Director and Dawn McCrary, Child Care Consultant. A computerized generated report of today’s visit was emailed to the facility the same day, once the technical difficulties were resolved. Today, Lisa Crite, Director and Marion Crite, Assistant Director, were available to assist. The indoor and outdoor areas were monitored today, including 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 ninety-five (95) percentage as of 2/23/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, L & M Cleaning Service, INC, is current/active as of 2/24/25. Permit type – Five Star Child Care License Special Services/Restrictions – Daytime care only; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 3/7/24. The last fire drill was practiced on 1/10/25. The last lockdown and shelter in place drill was practiced on 1/10/25. The last playground inspection was documented on 1/3/25. The last fire inspection was approved on 2/13/24. The last sanitation inspection was conducted on 7/5/24 with twelve (12) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was updated 1/3/25. The approved curriculum for four-year-old children is Mother Goose. Upon arrival I introduced my presence to Marion Crite, Assistant Director. I observed the group of three to five-year old children having free choice play in the classroom. Lisa Crite, Director, was the caregiver. The children were playing with plastic dinosaurs and the sand table. The children washed hands and transitioned to lunch. Lunch consisted of ham on whole wheat bread, apples, carrots, and milk. to enhance play. The outdoor play areas offer adequate space for running and vigorous play with opportunities to climb, balance, ride toys, have ball play, participate in dramatic play and sensory play. All interactions were positive and nurturing. Supervision was adequate. There are zero (0) newly hired staff. There are four (4) existing staff. One (1) existing staff file was monitored for child care requirements. There are fifteen (15) children enrolled. Two (2) child files were monitored for child care requirements. The staff and training worksheet was available and monitored during today’s visit. The program does not provide transportation. 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 following violations were documented during today’s visit Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff, D.P. has not reviewed the facility's Emergency Medical Care plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .0802(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff, per the staff and training worksheet, did not complete and submit the necessary documents to renew their criminal background qualification letter prior to the expiration of the criminal background qualification letter. G.S. 110-90.2(b) & .2703(n)&(o) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Administrator, L.C., has ITS SIDS training that expired 4/26/24. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff, A.C. and D.P. do not have current annual development plans and annual staff evaluations on file. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. One staff, per the staff and training worksheet, does not have a valid criminal background qualification letter on file. The qualification letter on file expired 9/11/24. G.S. 110-90.2(b) & (d) & .2703(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff, D.P. has not reviewed the facility's Emergency Preparedness and Response plan annually. The last review on file for D.P. was 1/4/24. .0607(f) Technical assistance provided as follows: 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Staff, A.C. and D.P. do not have current annual development plans and annual staff evaluations on file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS Administrator, L.C., has ITS SIDS training that expired 4/26/24. Around 3,500 infants die suddenly and unexpectedly from sleep-related deaths in the United States every year. By following safe sleep practices, parents and caregivers can reduce the risk of these sleep-related deaths. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE Staff, D.P. has not reviewed the facility's Emergency Medical Care plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS Staff, D.P. has not reviewed the facility's Emergency Preparedness and Response plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS. A. Cison. does not have a valid criminal background qualification letter on file. The qualification letter on file for A. Cison expired 9/11/24. Staff, A.Cison has until March 11, 2025 to have a valid qualification letter on file. If the qualification letter is not received by March 11, 2025, A. Cison may not be on site until the qualification letter is received and on file. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS Staff, A.Cison. did not complete and submit the necessary documents to renew their criminal background qualification letter prior to the expiration of the criminal background letter. Background screenings are needed to provide a safe program environment, support children’s health and safety and are important for preventing child maltreatment in early care and education programs. Background screenings can help by identifying applicants with unsafe backgrounds and risk factors, such as a history of violent behaviors or drug use.1Interviews allow programs to get to know potential staff, identify their strengths, competencies, and any risk factors. Background screening for current staff allows programs to watch for potential threats to child health and safety and address them accordingly. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE Due to Tropical Storm Helene and the State of Emergency, additional time is allowed for the facility to receive a fire inspection. Ms. Crite has requested the fire inspection prior to today's visit. The facility's last fire inspection was 2/13/24. Achieving compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/10/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: Note: the due date for the letter of compliance for violations #1232; #1065; #862; and #1825, March 10, 2025, is different than the date of compliance for violation # 1757 and #1044, March 11, 2025. Plan to complete a staff development plan for L.C. by 3/15/25. Plan to complete a staff development plan for M.C. by 3/17/25. M.C. must complete 4 additional on-going training hours by 3/4/25. L.C. must complete 2.5 additional on-going training hours by 3/4/25. A.C. must complete 10 on-going training hours by 3/25/25. D.P. must complete and additional 4 on-going training hours by 5/26/25. If infants are enrolled, ensure infant caregivers have ITS-SIDS training. A.C. has ITS-SIDS training that expired 2/1/25. A current HQ and EI form is due by 4/4/25 for D.P. 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. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 3 Completed Date: 2/24/2025 Age: From 3 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Due to technical difficulties, a handwritten visit summary was completed, reviewed and signed by Lisa Crite, Director and Dawn McCrary, Child Care Consultant. A computerized generated report of today’s visit was emailed to the facility the same day, once the technical difficulties were resolved. Today, Lisa Crite, Director and Marion Crite, Assistant Director, were available to assist. The indoor and outdoor areas were monitored today, including 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 ninety-five (95) percentage as of 2/23/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, L & M Cleaning Service, INC, is current/active as of 2/24/25. Permit type – Five Star Child Care License Special Services/Restrictions – Daytime care only; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 3/7/24. The last fire drill was practiced on 1/10/25. The last lockdown and shelter in place drill was practiced on 1/10/25. The last playground inspection was documented on 1/3/25. The last fire inspection was approved on 2/13/24. The last sanitation inspection was conducted on 7/5/24 with twelve (12) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was updated 1/3/25. The approved curriculum for four-year-old children is Mother Goose. Upon arrival I introduced my presence to Marion Crite, Assistant Director. I observed the group of three to five-year old children having free choice play in the classroom. Lisa Crite, Director, was the caregiver. The children were playing with plastic dinosaurs and the sand table. The children washed hands and transitioned to lunch. Lunch consisted of ham on whole wheat bread, apples, carrots, and milk. to enhance play. The outdoor play areas offer adequate space for running and vigorous play with opportunities to climb, balance, ride toys, have ball play, participate in dramatic play and sensory play. All interactions were positive and nurturing. Supervision was adequate. There are zero (0) newly hired staff. There are four (4) existing staff. One (1) existing staff file was monitored for child care requirements. There are fifteen (15) children enrolled. Two (2) child files were monitored for child care requirements. The staff and training worksheet was available and monitored during today’s visit. The program does not provide transportation. 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 following violations were documented during today’s visit Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff, D.P. has not reviewed the facility's Emergency Medical Care plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .0802(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff, per the staff and training worksheet, did not complete and submit the necessary documents to renew their criminal background qualification letter prior to the expiration of the criminal background qualification letter. G.S. 110-90.2(b) & .2703(n)&(o) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Administrator, L.C., has ITS SIDS training that expired 4/26/24. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff, A.C. and D.P. do not have current annual development plans and annual staff evaluations on file. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. One staff, per the staff and training worksheet, does not have a valid criminal background qualification letter on file. The qualification letter on file expired 9/11/24. G.S. 110-90.2(b) & (d) & .2703(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff, D.P. has not reviewed the facility's Emergency Preparedness and Response plan annually. The last review on file for D.P. was 1/4/24. .0607(f) Technical assistance provided as follows: 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Staff, A.C. and D.P. do not have current annual development plans and annual staff evaluations on file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS Administrator, L.C., has ITS SIDS training that expired 4/26/24. Around 3,500 infants die suddenly and unexpectedly from sleep-related deaths in the United States every year. By following safe sleep practices, parents and caregivers can reduce the risk of these sleep-related deaths. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE Staff, D.P. has not reviewed the facility's Emergency Medical Care plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS Staff, D.P. has not reviewed the facility's Emergency Preparedness and Response plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS. A. Cison. does not have a valid criminal background qualification letter on file. The qualification letter on file for A. Cison expired 9/11/24. Staff, A.Cison has until March 11, 2025 to have a valid qualification letter on file. If the qualification letter is not received by March 11, 2025, A. Cison may not be on site until the qualification letter is received and on file. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS Staff, A.Cison. did not complete and submit the necessary documents to renew their criminal background qualification letter prior to the expiration of the criminal background letter. Background screenings are needed to provide a safe program environment, support children’s health and safety and are important for preventing child maltreatment in early care and education programs. Background screenings can help by identifying applicants with unsafe backgrounds and risk factors, such as a history of violent behaviors or drug use.1Interviews allow programs to get to know potential staff, identify their strengths, competencies, and any risk factors. Background screening for current staff allows programs to watch for potential threats to child health and safety and address them accordingly. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE Due to Tropical Storm Helene and the State of Emergency, additional time is allowed for the facility to receive a fire inspection. Ms. Crite has requested the fire inspection prior to today's visit. The facility's last fire inspection was 2/13/24. Achieving compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/10/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: Note: the due date for the letter of compliance for violations #1232; #1065; #862; and #1825, March 10, 2025, is different than the date of compliance for violation # 1757 and #1044, March 11, 2025. Plan to complete a staff development plan for L.C. by 3/15/25. Plan to complete a staff development plan for M.C. by 3/17/25. M.C. must complete 4 additional on-going training hours by 3/4/25. L.C. must complete 2.5 additional on-going training hours by 3/4/25. A.C. must complete 10 on-going training hours by 3/25/25. D.P. must complete and additional 4 on-going training hours by 5/26/25. If infants are enrolled, ensure infant caregivers have ITS-SIDS training. A.C. has ITS-SIDS training that expired 2/1/25. A current HQ and EI form is due by 4/4/25 for D.P. 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. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 3 Completed Date: 2/24/2025 Age: From 3 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Due to technical difficulties, a handwritten visit summary was completed, reviewed and signed by Lisa Crite, Director and Dawn McCrary, Child Care Consultant. A computerized generated report of today’s visit was emailed to the facility the same day, once the technical difficulties were resolved. Today, Lisa Crite, Director and Marion Crite, Assistant Director, were available to assist. The indoor and outdoor areas were monitored today, including 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 ninety-five (95) percentage as of 2/23/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, L & M Cleaning Service, INC, is current/active as of 2/24/25. Permit type – Five Star Child Care License Special Services/Restrictions – Daytime care only; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 3/7/24. The last fire drill was practiced on 1/10/25. The last lockdown and shelter in place drill was practiced on 1/10/25. The last playground inspection was documented on 1/3/25. The last fire inspection was approved on 2/13/24. The last sanitation inspection was conducted on 7/5/24 with twelve (12) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was updated 1/3/25. The approved curriculum for four-year-old children is Mother Goose. Upon arrival I introduced my presence to Marion Crite, Assistant Director. I observed the group of three to five-year old children having free choice play in the classroom. Lisa Crite, Director, was the caregiver. The children were playing with plastic dinosaurs and the sand table. The children washed hands and transitioned to lunch. Lunch consisted of ham on whole wheat bread, apples, carrots, and milk. to enhance play. The outdoor play areas offer adequate space for running and vigorous play with opportunities to climb, balance, ride toys, have ball play, participate in dramatic play and sensory play. All interactions were positive and nurturing. Supervision was adequate. There are zero (0) newly hired staff. There are four (4) existing staff. One (1) existing staff file was monitored for child care requirements. There are fifteen (15) children enrolled. Two (2) child files were monitored for child care requirements. The staff and training worksheet was available and monitored during today’s visit. The program does not provide transportation. 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 following violations were documented during today’s visit Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff, D.P. has not reviewed the facility's Emergency Medical Care plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .0802(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff, per the staff and training worksheet, did not complete and submit the necessary documents to renew their criminal background qualification letter prior to the expiration of the criminal background qualification letter. G.S. 110-90.2(b) & .2703(n)&(o) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Administrator, L.C., has ITS SIDS training that expired 4/26/24. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff, A.C. and D.P. do not have current annual development plans and annual staff evaluations on file. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. One staff, per the staff and training worksheet, does not have a valid criminal background qualification letter on file. The qualification letter on file expired 9/11/24. G.S. 110-90.2(b) & (d) & .2703(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff, D.P. has not reviewed the facility's Emergency Preparedness and Response plan annually. The last review on file for D.P. was 1/4/24. .0607(f) Technical assistance provided as follows: 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Staff, A.C. and D.P. do not have current annual development plans and annual staff evaluations on file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS Administrator, L.C., has ITS SIDS training that expired 4/26/24. Around 3,500 infants die suddenly and unexpectedly from sleep-related deaths in the United States every year. By following safe sleep practices, parents and caregivers can reduce the risk of these sleep-related deaths. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE Staff, D.P. has not reviewed the facility's Emergency Medical Care plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS Staff, D.P. has not reviewed the facility's Emergency Preparedness and Response plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS. A. Cison. does not have a valid criminal background qualification letter on file. The qualification letter on file for A. Cison expired 9/11/24. Staff, A.Cison has until March 11, 2025 to have a valid qualification letter on file. If the qualification letter is not received by March 11, 2025, A. Cison may not be on site until the qualification letter is received and on file. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS Staff, A.Cison. did not complete and submit the necessary documents to renew their criminal background qualification letter prior to the expiration of the criminal background letter. Background screenings are needed to provide a safe program environment, support children’s health and safety and are important for preventing child maltreatment in early care and education programs. Background screenings can help by identifying applicants with unsafe backgrounds and risk factors, such as a history of violent behaviors or drug use.1Interviews allow programs to get to know potential staff, identify their strengths, competencies, and any risk factors. Background screening for current staff allows programs to watch for potential threats to child health and safety and address them accordingly. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE Due to Tropical Storm Helene and the State of Emergency, additional time is allowed for the facility to receive a fire inspection. Ms. Crite has requested the fire inspection prior to today's visit. The facility's last fire inspection was 2/13/24. Achieving compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/10/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: Note: the due date for the letter of compliance for violations #1232; #1065; #862; and #1825, March 10, 2025, is different than the date of compliance for violation # 1757 and #1044, March 11, 2025. Plan to complete a staff development plan for L.C. by 3/15/25. Plan to complete a staff development plan for M.C. by 3/17/25. M.C. must complete 4 additional on-going training hours by 3/4/25. L.C. must complete 2.5 additional on-going training hours by 3/4/25. A.C. must complete 10 on-going training hours by 3/25/25. D.P. must complete and additional 4 on-going training hours by 5/26/25. If infants are enrolled, ensure infant caregivers have ITS-SIDS training. A.C. has ITS-SIDS training that expired 2/1/25. A current HQ and EI form is due by 4/4/25 for D.P. 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. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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 .2703 · Violation

Name of Operation: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 3 Completed Date: 2/24/2025 Age: From 3 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Due to technical difficulties, a handwritten visit summary was completed, reviewed and signed by Lisa Crite, Director and Dawn McCrary, Child Care Consultant. A computerized generated report of today’s visit was emailed to the facility the same day, once the technical difficulties were resolved. Today, Lisa Crite, Director and Marion Crite, Assistant Director, were available to assist. The indoor and outdoor areas were monitored today, including 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 ninety-five (95) percentage as of 2/23/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, L & M Cleaning Service, INC, is current/active as of 2/24/25. Permit type – Five Star Child Care License Special Services/Restrictions – Daytime care only; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 3/7/24. The last fire drill was practiced on 1/10/25. The last lockdown and shelter in place drill was practiced on 1/10/25. The last playground inspection was documented on 1/3/25. The last fire inspection was approved on 2/13/24. The last sanitation inspection was conducted on 7/5/24 with twelve (12) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was updated 1/3/25. The approved curriculum for four-year-old children is Mother Goose. Upon arrival I introduced my presence to Marion Crite, Assistant Director. I observed the group of three to five-year old children having free choice play in the classroom. Lisa Crite, Director, was the caregiver. The children were playing with plastic dinosaurs and the sand table. The children washed hands and transitioned to lunch. Lunch consisted of ham on whole wheat bread, apples, carrots, and milk. to enhance play. The outdoor play areas offer adequate space for running and vigorous play with opportunities to climb, balance, ride toys, have ball play, participate in dramatic play and sensory play. All interactions were positive and nurturing. Supervision was adequate. There are zero (0) newly hired staff. There are four (4) existing staff. One (1) existing staff file was monitored for child care requirements. There are fifteen (15) children enrolled. Two (2) child files were monitored for child care requirements. The staff and training worksheet was available and monitored during today’s visit. The program does not provide transportation. 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 following violations were documented during today’s visit Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff, D.P. has not reviewed the facility's Emergency Medical Care plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .0802(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff, per the staff and training worksheet, did not complete and submit the necessary documents to renew their criminal background qualification letter prior to the expiration of the criminal background qualification letter. G.S. 110-90.2(b) & .2703(n)&(o) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Administrator, L.C., has ITS SIDS training that expired 4/26/24. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff, A.C. and D.P. do not have current annual development plans and annual staff evaluations on file. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. One staff, per the staff and training worksheet, does not have a valid criminal background qualification letter on file. The qualification letter on file expired 9/11/24. G.S. 110-90.2(b) & (d) & .2703(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff, D.P. has not reviewed the facility's Emergency Preparedness and Response plan annually. The last review on file for D.P. was 1/4/24. .0607(f) Technical assistance provided as follows: 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Staff, A.C. and D.P. do not have current annual development plans and annual staff evaluations on file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS Administrator, L.C., has ITS SIDS training that expired 4/26/24. Around 3,500 infants die suddenly and unexpectedly from sleep-related deaths in the United States every year. By following safe sleep practices, parents and caregivers can reduce the risk of these sleep-related deaths. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE Staff, D.P. has not reviewed the facility's Emergency Medical Care plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS Staff, D.P. has not reviewed the facility's Emergency Preparedness and Response plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS. A. Cison. does not have a valid criminal background qualification letter on file. The qualification letter on file for A. Cison expired 9/11/24. Staff, A.Cison has until March 11, 2025 to have a valid qualification letter on file. If the qualification letter is not received by March 11, 2025, A. Cison may not be on site until the qualification letter is received and on file. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS Staff, A.Cison. did not complete and submit the necessary documents to renew their criminal background qualification letter prior to the expiration of the criminal background letter. Background screenings are needed to provide a safe program environment, support children’s health and safety and are important for preventing child maltreatment in early care and education programs. Background screenings can help by identifying applicants with unsafe backgrounds and risk factors, such as a history of violent behaviors or drug use.1Interviews allow programs to get to know potential staff, identify their strengths, competencies, and any risk factors. Background screening for current staff allows programs to watch for potential threats to child health and safety and address them accordingly. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE Due to Tropical Storm Helene and the State of Emergency, additional time is allowed for the facility to receive a fire inspection. Ms. Crite has requested the fire inspection prior to today's visit. The facility's last fire inspection was 2/13/24. Achieving compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/10/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: Note: the due date for the letter of compliance for violations #1232; #1065; #862; and #1825, March 10, 2025, is different than the date of compliance for violation # 1757 and #1044, March 11, 2025. Plan to complete a staff development plan for L.C. by 3/15/25. Plan to complete a staff development plan for M.C. by 3/17/25. M.C. must complete 4 additional on-going training hours by 3/4/25. L.C. must complete 2.5 additional on-going training hours by 3/4/25. A.C. must complete 10 on-going training hours by 3/25/25. D.P. must complete and additional 4 on-going training hours by 5/26/25. If infants are enrolled, ensure infant caregivers have ITS-SIDS training. A.C. has ITS-SIDS training that expired 2/1/25. A current HQ and EI form is due by 4/4/25 for D.P. 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. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 3 Completed Date: 2/24/2025 Age: From 3 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Due to technical difficulties, a handwritten visit summary was completed, reviewed and signed by Lisa Crite, Director and Dawn McCrary, Child Care Consultant. A computerized generated report of today’s visit was emailed to the facility the same day, once the technical difficulties were resolved. Today, Lisa Crite, Director and Marion Crite, Assistant Director, were available to assist. The indoor and outdoor areas were monitored today, including 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 ninety-five (95) percentage as of 2/23/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, L & M Cleaning Service, INC, is current/active as of 2/24/25. Permit type – Five Star Child Care License Special Services/Restrictions – Daytime care only; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 3/7/24. The last fire drill was practiced on 1/10/25. The last lockdown and shelter in place drill was practiced on 1/10/25. The last playground inspection was documented on 1/3/25. The last fire inspection was approved on 2/13/24. The last sanitation inspection was conducted on 7/5/24 with twelve (12) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was updated 1/3/25. The approved curriculum for four-year-old children is Mother Goose. Upon arrival I introduced my presence to Marion Crite, Assistant Director. I observed the group of three to five-year old children having free choice play in the classroom. Lisa Crite, Director, was the caregiver. The children were playing with plastic dinosaurs and the sand table. The children washed hands and transitioned to lunch. Lunch consisted of ham on whole wheat bread, apples, carrots, and milk. to enhance play. The outdoor play areas offer adequate space for running and vigorous play with opportunities to climb, balance, ride toys, have ball play, participate in dramatic play and sensory play. All interactions were positive and nurturing. Supervision was adequate. There are zero (0) newly hired staff. There are four (4) existing staff. One (1) existing staff file was monitored for child care requirements. There are fifteen (15) children enrolled. Two (2) child files were monitored for child care requirements. The staff and training worksheet was available and monitored during today’s visit. The program does not provide transportation. 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 following violations were documented during today’s visit Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff, D.P. has not reviewed the facility's Emergency Medical Care plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .0802(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff, per the staff and training worksheet, did not complete and submit the necessary documents to renew their criminal background qualification letter prior to the expiration of the criminal background qualification letter. G.S. 110-90.2(b) & .2703(n)&(o) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Administrator, L.C., has ITS SIDS training that expired 4/26/24. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff, A.C. and D.P. do not have current annual development plans and annual staff evaluations on file. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. One staff, per the staff and training worksheet, does not have a valid criminal background qualification letter on file. The qualification letter on file expired 9/11/24. G.S. 110-90.2(b) & (d) & .2703(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff, D.P. has not reviewed the facility's Emergency Preparedness and Response plan annually. The last review on file for D.P. was 1/4/24. .0607(f) Technical assistance provided as follows: 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Staff, A.C. and D.P. do not have current annual development plans and annual staff evaluations on file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS Administrator, L.C., has ITS SIDS training that expired 4/26/24. Around 3,500 infants die suddenly and unexpectedly from sleep-related deaths in the United States every year. By following safe sleep practices, parents and caregivers can reduce the risk of these sleep-related deaths. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE Staff, D.P. has not reviewed the facility's Emergency Medical Care plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS Staff, D.P. has not reviewed the facility's Emergency Preparedness and Response plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS. A. Cison. does not have a valid criminal background qualification letter on file. The qualification letter on file for A. Cison expired 9/11/24. Staff, A.Cison has until March 11, 2025 to have a valid qualification letter on file. If the qualification letter is not received by March 11, 2025, A. Cison may not be on site until the qualification letter is received and on file. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS Staff, A.Cison. did not complete and submit the necessary documents to renew their criminal background qualification letter prior to the expiration of the criminal background letter. Background screenings are needed to provide a safe program environment, support children’s health and safety and are important for preventing child maltreatment in early care and education programs. Background screenings can help by identifying applicants with unsafe backgrounds and risk factors, such as a history of violent behaviors or drug use.1Interviews allow programs to get to know potential staff, identify their strengths, competencies, and any risk factors. Background screening for current staff allows programs to watch for potential threats to child health and safety and address them accordingly. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE Due to Tropical Storm Helene and the State of Emergency, additional time is allowed for the facility to receive a fire inspection. Ms. Crite has requested the fire inspection prior to today's visit. The facility's last fire inspection was 2/13/24. Achieving compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/10/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: Note: the due date for the letter of compliance for violations #1232; #1065; #862; and #1825, March 10, 2025, is different than the date of compliance for violation # 1757 and #1044, March 11, 2025. Plan to complete a staff development plan for L.C. by 3/15/25. Plan to complete a staff development plan for M.C. by 3/17/25. M.C. must complete 4 additional on-going training hours by 3/4/25. L.C. must complete 2.5 additional on-going training hours by 3/4/25. A.C. must complete 10 on-going training hours by 3/25/25. D.P. must complete and additional 4 on-going training hours by 5/26/25. If infants are enrolled, ensure infant caregivers have ITS-SIDS training. A.C. has ITS-SIDS training that expired 2/1/25. A current HQ and EI form is due by 4/4/25 for D.P. 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. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 3 Completed Date: 2/24/2025 Age: From 3 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Due to technical difficulties, a handwritten visit summary was completed, reviewed and signed by Lisa Crite, Director and Dawn McCrary, Child Care Consultant. A computerized generated report of today’s visit was emailed to the facility the same day, once the technical difficulties were resolved. Today, Lisa Crite, Director and Marion Crite, Assistant Director, were available to assist. The indoor and outdoor areas were monitored today, including 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 ninety-five (95) percentage as of 2/23/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, L & M Cleaning Service, INC, is current/active as of 2/24/25. Permit type – Five Star Child Care License Special Services/Restrictions – Daytime care only; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 3/7/24. The last fire drill was practiced on 1/10/25. The last lockdown and shelter in place drill was practiced on 1/10/25. The last playground inspection was documented on 1/3/25. The last fire inspection was approved on 2/13/24. The last sanitation inspection was conducted on 7/5/24 with twelve (12) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was updated 1/3/25. The approved curriculum for four-year-old children is Mother Goose. Upon arrival I introduced my presence to Marion Crite, Assistant Director. I observed the group of three to five-year old children having free choice play in the classroom. Lisa Crite, Director, was the caregiver. The children were playing with plastic dinosaurs and the sand table. The children washed hands and transitioned to lunch. Lunch consisted of ham on whole wheat bread, apples, carrots, and milk. to enhance play. The outdoor play areas offer adequate space for running and vigorous play with opportunities to climb, balance, ride toys, have ball play, participate in dramatic play and sensory play. All interactions were positive and nurturing. Supervision was adequate. There are zero (0) newly hired staff. There are four (4) existing staff. One (1) existing staff file was monitored for child care requirements. There are fifteen (15) children enrolled. Two (2) child files were monitored for child care requirements. The staff and training worksheet was available and monitored during today’s visit. The program does not provide transportation. 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 following violations were documented during today’s visit Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff, D.P. has not reviewed the facility's Emergency Medical Care plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .0802(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff, per the staff and training worksheet, did not complete and submit the necessary documents to renew their criminal background qualification letter prior to the expiration of the criminal background qualification letter. G.S. 110-90.2(b) & .2703(n)&(o) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Administrator, L.C., has ITS SIDS training that expired 4/26/24. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff, A.C. and D.P. do not have current annual development plans and annual staff evaluations on file. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. One staff, per the staff and training worksheet, does not have a valid criminal background qualification letter on file. The qualification letter on file expired 9/11/24. G.S. 110-90.2(b) & (d) & .2703(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff, D.P. has not reviewed the facility's Emergency Preparedness and Response plan annually. The last review on file for D.P. was 1/4/24. .0607(f) Technical assistance provided as follows: 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Staff, A.C. and D.P. do not have current annual development plans and annual staff evaluations on file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS Administrator, L.C., has ITS SIDS training that expired 4/26/24. Around 3,500 infants die suddenly and unexpectedly from sleep-related deaths in the United States every year. By following safe sleep practices, parents and caregivers can reduce the risk of these sleep-related deaths. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE Staff, D.P. has not reviewed the facility's Emergency Medical Care plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS Staff, D.P. has not reviewed the facility's Emergency Preparedness and Response plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS. A. Cison. does not have a valid criminal background qualification letter on file. The qualification letter on file for A. Cison expired 9/11/24. Staff, A.Cison has until March 11, 2025 to have a valid qualification letter on file. If the qualification letter is not received by March 11, 2025, A. Cison may not be on site until the qualification letter is received and on file. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS Staff, A.Cison. did not complete and submit the necessary documents to renew their criminal background qualification letter prior to the expiration of the criminal background letter. Background screenings are needed to provide a safe program environment, support children’s health and safety and are important for preventing child maltreatment in early care and education programs. Background screenings can help by identifying applicants with unsafe backgrounds and risk factors, such as a history of violent behaviors or drug use.1Interviews allow programs to get to know potential staff, identify their strengths, competencies, and any risk factors. Background screening for current staff allows programs to watch for potential threats to child health and safety and address them accordingly. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE Due to Tropical Storm Helene and the State of Emergency, additional time is allowed for the facility to receive a fire inspection. Ms. Crite has requested the fire inspection prior to today's visit. The facility's last fire inspection was 2/13/24. Achieving compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/10/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: Note: the due date for the letter of compliance for violations #1232; #1065; #862; and #1825, March 10, 2025, is different than the date of compliance for violation # 1757 and #1044, March 11, 2025. Plan to complete a staff development plan for L.C. by 3/15/25. Plan to complete a staff development plan for M.C. by 3/17/25. M.C. must complete 4 additional on-going training hours by 3/4/25. L.C. must complete 2.5 additional on-going training hours by 3/4/25. A.C. must complete 10 on-going training hours by 3/25/25. D.P. must complete and additional 4 on-going training hours by 5/26/25. If infants are enrolled, ensure infant caregivers have ITS-SIDS training. A.C. has ITS-SIDS training that expired 2/1/25. A current HQ and EI form is due by 4/4/25 for D.P. 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. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 3 Completed Date: 2/24/2025 Age: From 3 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Due to technical difficulties, a handwritten visit summary was completed, reviewed and signed by Lisa Crite, Director and Dawn McCrary, Child Care Consultant. A computerized generated report of today’s visit was emailed to the facility the same day, once the technical difficulties were resolved. Today, Lisa Crite, Director and Marion Crite, Assistant Director, were available to assist. The indoor and outdoor areas were monitored today, including 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 ninety-five (95) percentage as of 2/23/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, L & M Cleaning Service, INC, is current/active as of 2/24/25. Permit type – Five Star Child Care License Special Services/Restrictions – Daytime care only; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 3/7/24. The last fire drill was practiced on 1/10/25. The last lockdown and shelter in place drill was practiced on 1/10/25. The last playground inspection was documented on 1/3/25. The last fire inspection was approved on 2/13/24. The last sanitation inspection was conducted on 7/5/24 with twelve (12) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was updated 1/3/25. The approved curriculum for four-year-old children is Mother Goose. Upon arrival I introduced my presence to Marion Crite, Assistant Director. I observed the group of three to five-year old children having free choice play in the classroom. Lisa Crite, Director, was the caregiver. The children were playing with plastic dinosaurs and the sand table. The children washed hands and transitioned to lunch. Lunch consisted of ham on whole wheat bread, apples, carrots, and milk. to enhance play. The outdoor play areas offer adequate space for running and vigorous play with opportunities to climb, balance, ride toys, have ball play, participate in dramatic play and sensory play. All interactions were positive and nurturing. Supervision was adequate. There are zero (0) newly hired staff. There are four (4) existing staff. One (1) existing staff file was monitored for child care requirements. There are fifteen (15) children enrolled. Two (2) child files were monitored for child care requirements. The staff and training worksheet was available and monitored during today’s visit. The program does not provide transportation. 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 following violations were documented during today’s visit Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff, D.P. has not reviewed the facility's Emergency Medical Care plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .0802(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff, per the staff and training worksheet, did not complete and submit the necessary documents to renew their criminal background qualification letter prior to the expiration of the criminal background qualification letter. G.S. 110-90.2(b) & .2703(n)&(o) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Administrator, L.C., has ITS SIDS training that expired 4/26/24. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff, A.C. and D.P. do not have current annual development plans and annual staff evaluations on file. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. One staff, per the staff and training worksheet, does not have a valid criminal background qualification letter on file. The qualification letter on file expired 9/11/24. G.S. 110-90.2(b) & (d) & .2703(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff, D.P. has not reviewed the facility's Emergency Preparedness and Response plan annually. The last review on file for D.P. was 1/4/24. .0607(f) Technical assistance provided as follows: 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Staff, A.C. and D.P. do not have current annual development plans and annual staff evaluations on file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS Administrator, L.C., has ITS SIDS training that expired 4/26/24. Around 3,500 infants die suddenly and unexpectedly from sleep-related deaths in the United States every year. By following safe sleep practices, parents and caregivers can reduce the risk of these sleep-related deaths. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE Staff, D.P. has not reviewed the facility's Emergency Medical Care plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS Staff, D.P. has not reviewed the facility's Emergency Preparedness and Response plan annually. The last review on file for D.P. was 1/4/24. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS. A. Cison. does not have a valid criminal background qualification letter on file. The qualification letter on file for A. Cison expired 9/11/24. Staff, A.Cison has until March 11, 2025 to have a valid qualification letter on file. If the qualification letter is not received by March 11, 2025, A. Cison may not be on site until the qualification letter is received and on file. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS Staff, A.Cison. did not complete and submit the necessary documents to renew their criminal background qualification letter prior to the expiration of the criminal background letter. Background screenings are needed to provide a safe program environment, support children’s health and safety and are important for preventing child maltreatment in early care and education programs. Background screenings can help by identifying applicants with unsafe backgrounds and risk factors, such as a history of violent behaviors or drug use.1Interviews allow programs to get to know potential staff, identify their strengths, competencies, and any risk factors. Background screening for current staff allows programs to watch for potential threats to child health and safety and address them accordingly. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE Due to Tropical Storm Helene and the State of Emergency, additional time is allowed for the facility to receive a fire inspection. Ms. Crite has requested the fire inspection prior to today's visit. The facility's last fire inspection was 2/13/24. Achieving compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/10/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: Note: the due date for the letter of compliance for violations #1232; #1065; #862; and #1825, March 10, 2025, is different than the date of compliance for violation # 1757 and #1044, March 11, 2025. Plan to complete a staff development plan for L.C. by 3/15/25. Plan to complete a staff development plan for M.C. by 3/17/25. M.C. must complete 4 additional on-going training hours by 3/4/25. L.C. must complete 2.5 additional on-going training hours by 3/4/25. A.C. must complete 10 on-going training hours by 3/25/25. D.P. must complete and additional 4 on-going training hours by 5/26/25. If infants are enrolled, ensure infant caregivers have ITS-SIDS training. A.C. has ITS-SIDS training that expired 2/1/25. A current HQ and EI form is due by 4/4/25 for D.P. 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. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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 .0304 · Violation

Name of Operation: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 10 Completed Date: 3/7/2024 Age: From 1 To 4 Total Minutes: 250 Time In: 09:50 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by Marion Crite, Assistant Director, during the visit. A signed copy of the visit summary was left on site with you. Today, Lisa Crite, Director, was available to assist during the visit. The indoor and outdoor areas were monitored today, including 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 was left on site for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95) percentage as of 3/6/24. Permit type – Five Star Child Care License, issued 7/19/22, earning six points in staff education, six points in program standards, and one quality point. Special Services/Restrictions – Daytime care only; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 3/21/23. The last fire drill was practiced on 2/6/24. The last shelter in place drill was practiced on 3/6/24. The last playground inspection was documented on 3/5/24. The last fire inspection was approved on 2/13/24. The last sanitation inspection was conducted on 3/31/23 with fourteen (14) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is updated. The approved curriculum for four-year-old children is Creative Curriculum and Mother Goose Time. Upon arrival, I made my presence known to Lisa Crite, Director. Two classrooms were closed today due to the lack of teaching staff. The children were observed having free choice play in the classrooms and transitioning to outdoors. While outdoors, the children used sidewalk chalk, played in the sand box and interacted with the teaching staff. The lunch served today was bologna, whole wheat bread, carrots, applesauce and milk. The lunch served matched what was on the posted menu. All staff interactions were positive, and supervision was adequate. The program does not provide transportation. The staff and training worksheet was received during today’s visit and monitored for child care requirements. There is one (1) newly hired staff and five (5) existing staff. The newly hired staff’s files, and one (1) existing staff file, were monitored for child care requirements. There are thirty-eight (38) children enrolled. Four (4) child files were monitored for child care requirements. The following violations were documented during today’s visit. Violation Number Comment Rule 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hired 7/21/23, received six clock hours of orientation training by 8/8/23. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff, C.D.; A.C., M.C.; L.C do not have an annual staff evaluation and staff development plan on file. Staff D.P. does not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hired 7/21/23, received six clock hours of orientation training by 8/8/23. Plan to designate time on a calendar for new hire orientation. 1232-Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Staff, C.D.; A.C., M.C.; L.C do not have an annual staff evaluation and staff development plan on file. Staff D.P. does not have an annual staff evaluation on file. Owners, L.C. and M.C. may have an annual self evaluation on file in lieu of an annual staff evaluation. Plan to complete staff evaluations and development plans annually. 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 3/21/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: A sanitation inspection is due no later than 3/31/24. Staff, D.P.'s annual health questionnaire and emergency information must be completed by 4/4/24. Staff A.C. must complete two hours of on-going training by 3/25/24. Staff, C.D. must complete five hours of on-going training by 11/7/24. Staff, E.D. must complete health and safety training by 7/21/24. Staff, E.D. must have a staff evaluation and professional development plan on file by 7/21/24. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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. 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. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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 .0514 · Violation

Name of Operation: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 10 Completed Date: 3/7/2024 Age: From 1 To 4 Total Minutes: 250 Time In: 09:50 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by Marion Crite, Assistant Director, during the visit. A signed copy of the visit summary was left on site with you. Today, Lisa Crite, Director, was available to assist during the visit. The indoor and outdoor areas were monitored today, including 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 was left on site for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95) percentage as of 3/6/24. Permit type – Five Star Child Care License, issued 7/19/22, earning six points in staff education, six points in program standards, and one quality point. Special Services/Restrictions – Daytime care only; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 3/21/23. The last fire drill was practiced on 2/6/24. The last shelter in place drill was practiced on 3/6/24. The last playground inspection was documented on 3/5/24. The last fire inspection was approved on 2/13/24. The last sanitation inspection was conducted on 3/31/23 with fourteen (14) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is updated. The approved curriculum for four-year-old children is Creative Curriculum and Mother Goose Time. Upon arrival, I made my presence known to Lisa Crite, Director. Two classrooms were closed today due to the lack of teaching staff. The children were observed having free choice play in the classrooms and transitioning to outdoors. While outdoors, the children used sidewalk chalk, played in the sand box and interacted with the teaching staff. The lunch served today was bologna, whole wheat bread, carrots, applesauce and milk. The lunch served matched what was on the posted menu. All staff interactions were positive, and supervision was adequate. The program does not provide transportation. The staff and training worksheet was received during today’s visit and monitored for child care requirements. There is one (1) newly hired staff and five (5) existing staff. The newly hired staff’s files, and one (1) existing staff file, were monitored for child care requirements. There are thirty-eight (38) children enrolled. Four (4) child files were monitored for child care requirements. The following violations were documented during today’s visit. Violation Number Comment Rule 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hired 7/21/23, received six clock hours of orientation training by 8/8/23. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff, C.D.; A.C., M.C.; L.C do not have an annual staff evaluation and staff development plan on file. Staff D.P. does not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hired 7/21/23, received six clock hours of orientation training by 8/8/23. Plan to designate time on a calendar for new hire orientation. 1232-Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Staff, C.D.; A.C., M.C.; L.C do not have an annual staff evaluation and staff development plan on file. Staff D.P. does not have an annual staff evaluation on file. Owners, L.C. and M.C. may have an annual self evaluation on file in lieu of an annual staff evaluation. Plan to complete staff evaluations and development plans annually. 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 3/21/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: A sanitation inspection is due no later than 3/31/24. Staff, D.P.'s annual health questionnaire and emergency information must be completed by 4/4/24. Staff A.C. must complete two hours of on-going training by 3/25/24. Staff, C.D. must complete five hours of on-going training by 11/7/24. Staff, E.D. must complete health and safety training by 7/21/24. Staff, E.D. must have a staff evaluation and professional development plan on file by 7/21/24. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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. 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. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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 .1101 · Violation

Name of Operation: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 10 Completed Date: 3/7/2024 Age: From 1 To 4 Total Minutes: 250 Time In: 09:50 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by Marion Crite, Assistant Director, during the visit. A signed copy of the visit summary was left on site with you. Today, Lisa Crite, Director, was available to assist during the visit. The indoor and outdoor areas were monitored today, including 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 was left on site for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95) percentage as of 3/6/24. Permit type – Five Star Child Care License, issued 7/19/22, earning six points in staff education, six points in program standards, and one quality point. Special Services/Restrictions – Daytime care only; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 3/21/23. The last fire drill was practiced on 2/6/24. The last shelter in place drill was practiced on 3/6/24. The last playground inspection was documented on 3/5/24. The last fire inspection was approved on 2/13/24. The last sanitation inspection was conducted on 3/31/23 with fourteen (14) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is updated. The approved curriculum for four-year-old children is Creative Curriculum and Mother Goose Time. Upon arrival, I made my presence known to Lisa Crite, Director. Two classrooms were closed today due to the lack of teaching staff. The children were observed having free choice play in the classrooms and transitioning to outdoors. While outdoors, the children used sidewalk chalk, played in the sand box and interacted with the teaching staff. The lunch served today was bologna, whole wheat bread, carrots, applesauce and milk. The lunch served matched what was on the posted menu. All staff interactions were positive, and supervision was adequate. The program does not provide transportation. The staff and training worksheet was received during today’s visit and monitored for child care requirements. There is one (1) newly hired staff and five (5) existing staff. The newly hired staff’s files, and one (1) existing staff file, were monitored for child care requirements. There are thirty-eight (38) children enrolled. Four (4) child files were monitored for child care requirements. The following violations were documented during today’s visit. Violation Number Comment Rule 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hired 7/21/23, received six clock hours of orientation training by 8/8/23. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff, C.D.; A.C., M.C.; L.C do not have an annual staff evaluation and staff development plan on file. Staff D.P. does not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hired 7/21/23, received six clock hours of orientation training by 8/8/23. Plan to designate time on a calendar for new hire orientation. 1232-Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Staff, C.D.; A.C., M.C.; L.C do not have an annual staff evaluation and staff development plan on file. Staff D.P. does not have an annual staff evaluation on file. Owners, L.C. and M.C. may have an annual self evaluation on file in lieu of an annual staff evaluation. Plan to complete staff evaluations and development plans annually. 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 3/21/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: A sanitation inspection is due no later than 3/31/24. Staff, D.P.'s annual health questionnaire and emergency information must be completed by 4/4/24. Staff A.C. must complete two hours of on-going training by 3/25/24. Staff, C.D. must complete five hours of on-going training by 11/7/24. Staff, E.D. must complete health and safety training by 7/21/24. Staff, E.D. must have a staff evaluation and professional development plan on file by 7/21/24. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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. 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. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 10 Completed Date: 3/7/2024 Age: From 1 To 4 Total Minutes: 250 Time In: 09:50 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by Marion Crite, Assistant Director, during the visit. A signed copy of the visit summary was left on site with you. Today, Lisa Crite, Director, was available to assist during the visit. The indoor and outdoor areas were monitored today, including 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 was left on site for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95) percentage as of 3/6/24. Permit type – Five Star Child Care License, issued 7/19/22, earning six points in staff education, six points in program standards, and one quality point. Special Services/Restrictions – Daytime care only; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 3/21/23. The last fire drill was practiced on 2/6/24. The last shelter in place drill was practiced on 3/6/24. The last playground inspection was documented on 3/5/24. The last fire inspection was approved on 2/13/24. The last sanitation inspection was conducted on 3/31/23 with fourteen (14) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is updated. The approved curriculum for four-year-old children is Creative Curriculum and Mother Goose Time. Upon arrival, I made my presence known to Lisa Crite, Director. Two classrooms were closed today due to the lack of teaching staff. The children were observed having free choice play in the classrooms and transitioning to outdoors. While outdoors, the children used sidewalk chalk, played in the sand box and interacted with the teaching staff. The lunch served today was bologna, whole wheat bread, carrots, applesauce and milk. The lunch served matched what was on the posted menu. All staff interactions were positive, and supervision was adequate. The program does not provide transportation. The staff and training worksheet was received during today’s visit and monitored for child care requirements. There is one (1) newly hired staff and five (5) existing staff. The newly hired staff’s files, and one (1) existing staff file, were monitored for child care requirements. There are thirty-eight (38) children enrolled. Four (4) child files were monitored for child care requirements. The following violations were documented during today’s visit. Violation Number Comment Rule 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hired 7/21/23, received six clock hours of orientation training by 8/8/23. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff, C.D.; A.C., M.C.; L.C do not have an annual staff evaluation and staff development plan on file. Staff D.P. does not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hired 7/21/23, received six clock hours of orientation training by 8/8/23. Plan to designate time on a calendar for new hire orientation. 1232-Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Staff, C.D.; A.C., M.C.; L.C do not have an annual staff evaluation and staff development plan on file. Staff D.P. does not have an annual staff evaluation on file. Owners, L.C. and M.C. may have an annual self evaluation on file in lieu of an annual staff evaluation. Plan to complete staff evaluations and development plans annually. 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 3/21/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: A sanitation inspection is due no later than 3/31/24. Staff, D.P.'s annual health questionnaire and emergency information must be completed by 4/4/24. Staff A.C. must complete two hours of on-going training by 3/25/24. Staff, C.D. must complete five hours of on-going training by 11/7/24. Staff, E.D. must complete health and safety training by 7/21/24. Staff, E.D. must have a staff evaluation and professional development plan on file by 7/21/24. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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. 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. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 10 Completed Date: 3/7/2024 Age: From 1 To 4 Total Minutes: 250 Time In: 09:50 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by Marion Crite, Assistant Director, during the visit. A signed copy of the visit summary was left on site with you. Today, Lisa Crite, Director, was available to assist during the visit. The indoor and outdoor areas were monitored today, including 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 was left on site for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95) percentage as of 3/6/24. Permit type – Five Star Child Care License, issued 7/19/22, earning six points in staff education, six points in program standards, and one quality point. Special Services/Restrictions – Daytime care only; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 3/21/23. The last fire drill was practiced on 2/6/24. The last shelter in place drill was practiced on 3/6/24. The last playground inspection was documented on 3/5/24. The last fire inspection was approved on 2/13/24. The last sanitation inspection was conducted on 3/31/23 with fourteen (14) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is updated. The approved curriculum for four-year-old children is Creative Curriculum and Mother Goose Time. Upon arrival, I made my presence known to Lisa Crite, Director. Two classrooms were closed today due to the lack of teaching staff. The children were observed having free choice play in the classrooms and transitioning to outdoors. While outdoors, the children used sidewalk chalk, played in the sand box and interacted with the teaching staff. The lunch served today was bologna, whole wheat bread, carrots, applesauce and milk. The lunch served matched what was on the posted menu. All staff interactions were positive, and supervision was adequate. The program does not provide transportation. The staff and training worksheet was received during today’s visit and monitored for child care requirements. There is one (1) newly hired staff and five (5) existing staff. The newly hired staff’s files, and one (1) existing staff file, were monitored for child care requirements. There are thirty-eight (38) children enrolled. Four (4) child files were monitored for child care requirements. The following violations were documented during today’s visit. Violation Number Comment Rule 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hired 7/21/23, received six clock hours of orientation training by 8/8/23. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff, C.D.; A.C., M.C.; L.C do not have an annual staff evaluation and staff development plan on file. Staff D.P. does not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hired 7/21/23, received six clock hours of orientation training by 8/8/23. Plan to designate time on a calendar for new hire orientation. 1232-Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Staff, C.D.; A.C., M.C.; L.C do not have an annual staff evaluation and staff development plan on file. Staff D.P. does not have an annual staff evaluation on file. Owners, L.C. and M.C. may have an annual self evaluation on file in lieu of an annual staff evaluation. Plan to complete staff evaluations and development plans annually. 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 3/21/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: A sanitation inspection is due no later than 3/31/24. Staff, D.P.'s annual health questionnaire and emergency information must be completed by 4/4/24. Staff A.C. must complete two hours of on-going training by 3/25/24. Staff, C.D. must complete five hours of on-going training by 11/7/24. Staff, E.D. must complete health and safety training by 7/21/24. Staff, E.D. must have a staff evaluation and professional development plan on file by 7/21/24. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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. 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. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 10 Completed Date: 3/7/2024 Age: From 1 To 4 Total Minutes: 250 Time In: 09:50 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by Marion Crite, Assistant Director, during the visit. A signed copy of the visit summary was left on site with you. Today, Lisa Crite, Director, was available to assist during the visit. The indoor and outdoor areas were monitored today, including 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 was left on site for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95) percentage as of 3/6/24. Permit type – Five Star Child Care License, issued 7/19/22, earning six points in staff education, six points in program standards, and one quality point. Special Services/Restrictions – Daytime care only; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 3/21/23. The last fire drill was practiced on 2/6/24. The last shelter in place drill was practiced on 3/6/24. The last playground inspection was documented on 3/5/24. The last fire inspection was approved on 2/13/24. The last sanitation inspection was conducted on 3/31/23 with fourteen (14) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is updated. The approved curriculum for four-year-old children is Creative Curriculum and Mother Goose Time. Upon arrival, I made my presence known to Lisa Crite, Director. Two classrooms were closed today due to the lack of teaching staff. The children were observed having free choice play in the classrooms and transitioning to outdoors. While outdoors, the children used sidewalk chalk, played in the sand box and interacted with the teaching staff. The lunch served today was bologna, whole wheat bread, carrots, applesauce and milk. The lunch served matched what was on the posted menu. All staff interactions were positive, and supervision was adequate. The program does not provide transportation. The staff and training worksheet was received during today’s visit and monitored for child care requirements. There is one (1) newly hired staff and five (5) existing staff. The newly hired staff’s files, and one (1) existing staff file, were monitored for child care requirements. There are thirty-eight (38) children enrolled. Four (4) child files were monitored for child care requirements. The following violations were documented during today’s visit. Violation Number Comment Rule 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hired 7/21/23, received six clock hours of orientation training by 8/8/23. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff, C.D.; A.C., M.C.; L.C do not have an annual staff evaluation and staff development plan on file. Staff D.P. does not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hired 7/21/23, received six clock hours of orientation training by 8/8/23. Plan to designate time on a calendar for new hire orientation. 1232-Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Staff, C.D.; A.C., M.C.; L.C do not have an annual staff evaluation and staff development plan on file. Staff D.P. does not have an annual staff evaluation on file. Owners, L.C. and M.C. may have an annual self evaluation on file in lieu of an annual staff evaluation. Plan to complete staff evaluations and development plans annually. 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 3/21/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: A sanitation inspection is due no later than 3/31/24. Staff, D.P.'s annual health questionnaire and emergency information must be completed by 4/4/24. Staff A.C. must complete two hours of on-going training by 3/25/24. Staff, C.D. must complete five hours of on-going training by 11/7/24. Staff, E.D. must complete health and safety training by 7/21/24. Staff, E.D. must have a staff evaluation and professional development plan on file by 7/21/24. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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. 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. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 10 Completed Date: 3/7/2024 Age: From 1 To 4 Total Minutes: 250 Time In: 09:50 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by Marion Crite, Assistant Director, during the visit. A signed copy of the visit summary was left on site with you. Today, Lisa Crite, Director, was available to assist during the visit. The indoor and outdoor areas were monitored today, including 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 was left on site for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95) percentage as of 3/6/24. Permit type – Five Star Child Care License, issued 7/19/22, earning six points in staff education, six points in program standards, and one quality point. Special Services/Restrictions – Daytime care only; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 3/21/23. The last fire drill was practiced on 2/6/24. The last shelter in place drill was practiced on 3/6/24. The last playground inspection was documented on 3/5/24. The last fire inspection was approved on 2/13/24. The last sanitation inspection was conducted on 3/31/23 with fourteen (14) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is updated. The approved curriculum for four-year-old children is Creative Curriculum and Mother Goose Time. Upon arrival, I made my presence known to Lisa Crite, Director. Two classrooms were closed today due to the lack of teaching staff. The children were observed having free choice play in the classrooms and transitioning to outdoors. While outdoors, the children used sidewalk chalk, played in the sand box and interacted with the teaching staff. The lunch served today was bologna, whole wheat bread, carrots, applesauce and milk. The lunch served matched what was on the posted menu. All staff interactions were positive, and supervision was adequate. The program does not provide transportation. The staff and training worksheet was received during today’s visit and monitored for child care requirements. There is one (1) newly hired staff and five (5) existing staff. The newly hired staff’s files, and one (1) existing staff file, were monitored for child care requirements. There are thirty-eight (38) children enrolled. Four (4) child files were monitored for child care requirements. The following violations were documented during today’s visit. Violation Number Comment Rule 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hired 7/21/23, received six clock hours of orientation training by 8/8/23. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff, C.D.; A.C., M.C.; L.C do not have an annual staff evaluation and staff development plan on file. Staff D.P. does not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hired 7/21/23, received six clock hours of orientation training by 8/8/23. Plan to designate time on a calendar for new hire orientation. 1232-Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Staff, C.D.; A.C., M.C.; L.C do not have an annual staff evaluation and staff development plan on file. Staff D.P. does not have an annual staff evaluation on file. Owners, L.C. and M.C. may have an annual self evaluation on file in lieu of an annual staff evaluation. Plan to complete staff evaluations and development plans annually. 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 3/21/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: A sanitation inspection is due no later than 3/31/24. Staff, D.P.'s annual health questionnaire and emergency information must be completed by 4/4/24. Staff A.C. must complete two hours of on-going training by 3/25/24. Staff, C.D. must complete five hours of on-going training by 11/7/24. Staff, E.D. must complete health and safety training by 7/21/24. Staff, E.D. must have a staff evaluation and professional development plan on file by 7/21/24. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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. 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. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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 .0304 · Violation

Name of Operation: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 11/14/2023 Number Present: 19 Completed Date: 11/14/2023 Age: From 1 To 4 Total Minutes: 130 Time In: 10:20 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this unannounced follow-up 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 Dawn McCrary, Child Care Consultant, and Marion Crite, Program Coordinator/Group Leader, during the visit. Upon arrival, I made my presence known to Marion Crite, Program Coordinator/Group Leader. Mr. Crite was available to assist during the visit. The following areas were monitored: Supervision Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training, if applicable 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. The children were observed participating in free choice play on the playgrounds. The outdoor playgrounds offer adequate space for running, vigorous play, climbing, riding, balancing, dramatic play and art. The teaching staff were observed interacting with the children to enhance their play. The teaching staff were strategically positioned to provide adequate supervision. All interactions were positive and nurturing. There are zero (0) newly hired staff. The ABCMS system was checked for all staff members. All staff members have valid criminal background letters. 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 following violations were documented during today’s visit. Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff, A.C. does not have current first aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff, A.C., does not have current CPR training. .1102(d) Technical assistance provided #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. #1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff, A.C., does not have current CPR and FA training. A training had been scheduled for the staff member previously. The staff member was unable to attend the training. Mr. Crite stated they are in the process of scheduling a training for the staff member to reach compliance. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 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 11/28/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: FDA Advises Parents and Caregivers Not to Buy or Feed WanaBana Apple Cinnamon Fruit Puree Pouches to Toddlers and young Children Because of Elevated Lead Levels. Product • WanaBana apple cinnamon fruit puree pouches, all lot codes and expiration dates. • WanaBana apple cinnamon fruit puree pouches are sold nationally and are available through multiple retailers including Sam’s Club, Amazon and Dollar Tree. • WanaBana has agreed to voluntarily recall all WanaBana apple cinnamon fruit puree pouches regardless of expiration. Purpose The FDA is advising parents and caregivers not to buy or feed WanaBana apple cinnamon fruit puree pouches to children because the product may contain elevated levels of lead. Parents and caregivers of toddlers and young children who may have consumed WanaBana apple cinnamon fruit puree pouches should contact their child’s healthcare provider about getting a blood test. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. Dawn McCrary provided you with a hard copy handout with the information for the challenging behaviors helpline. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 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. 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. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 11/14/2023 Number Present: 19 Completed Date: 11/14/2023 Age: From 1 To 4 Total Minutes: 130 Time In: 10:20 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this unannounced follow-up 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 Dawn McCrary, Child Care Consultant, and Marion Crite, Program Coordinator/Group Leader, during the visit. Upon arrival, I made my presence known to Marion Crite, Program Coordinator/Group Leader. Mr. Crite was available to assist during the visit. The following areas were monitored: Supervision Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training, if applicable 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. The children were observed participating in free choice play on the playgrounds. The outdoor playgrounds offer adequate space for running, vigorous play, climbing, riding, balancing, dramatic play and art. The teaching staff were observed interacting with the children to enhance their play. The teaching staff were strategically positioned to provide adequate supervision. All interactions were positive and nurturing. There are zero (0) newly hired staff. The ABCMS system was checked for all staff members. All staff members have valid criminal background letters. 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 following violations were documented during today’s visit. Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff, A.C. does not have current first aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff, A.C., does not have current CPR training. .1102(d) Technical assistance provided #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. #1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff, A.C., does not have current CPR and FA training. A training had been scheduled for the staff member previously. The staff member was unable to attend the training. Mr. Crite stated they are in the process of scheduling a training for the staff member to reach compliance. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 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 11/28/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: FDA Advises Parents and Caregivers Not to Buy or Feed WanaBana Apple Cinnamon Fruit Puree Pouches to Toddlers and young Children Because of Elevated Lead Levels. Product • WanaBana apple cinnamon fruit puree pouches, all lot codes and expiration dates. • WanaBana apple cinnamon fruit puree pouches are sold nationally and are available through multiple retailers including Sam’s Club, Amazon and Dollar Tree. • WanaBana has agreed to voluntarily recall all WanaBana apple cinnamon fruit puree pouches regardless of expiration. Purpose The FDA is advising parents and caregivers not to buy or feed WanaBana apple cinnamon fruit puree pouches to children because the product may contain elevated levels of lead. Parents and caregivers of toddlers and young children who may have consumed WanaBana apple cinnamon fruit puree pouches should contact their child’s healthcare provider about getting a blood test. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. Dawn McCrary provided you with a hard copy handout with the information for the challenging behaviors helpline. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 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. 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. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 11/14/2023 Number Present: 19 Completed Date: 11/14/2023 Age: From 1 To 4 Total Minutes: 130 Time In: 10:20 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this unannounced follow-up 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 Dawn McCrary, Child Care Consultant, and Marion Crite, Program Coordinator/Group Leader, during the visit. Upon arrival, I made my presence known to Marion Crite, Program Coordinator/Group Leader. Mr. Crite was available to assist during the visit. The following areas were monitored: Supervision Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training, if applicable 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. The children were observed participating in free choice play on the playgrounds. The outdoor playgrounds offer adequate space for running, vigorous play, climbing, riding, balancing, dramatic play and art. The teaching staff were observed interacting with the children to enhance their play. The teaching staff were strategically positioned to provide adequate supervision. All interactions were positive and nurturing. There are zero (0) newly hired staff. The ABCMS system was checked for all staff members. All staff members have valid criminal background letters. 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 following violations were documented during today’s visit. Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff, A.C. does not have current first aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff, A.C., does not have current CPR training. .1102(d) Technical assistance provided #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. #1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff, A.C., does not have current CPR and FA training. A training had been scheduled for the staff member previously. The staff member was unable to attend the training. Mr. Crite stated they are in the process of scheduling a training for the staff member to reach compliance. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 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 11/28/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: FDA Advises Parents and Caregivers Not to Buy or Feed WanaBana Apple Cinnamon Fruit Puree Pouches to Toddlers and young Children Because of Elevated Lead Levels. Product • WanaBana apple cinnamon fruit puree pouches, all lot codes and expiration dates. • WanaBana apple cinnamon fruit puree pouches are sold nationally and are available through multiple retailers including Sam’s Club, Amazon and Dollar Tree. • WanaBana has agreed to voluntarily recall all WanaBana apple cinnamon fruit puree pouches regardless of expiration. Purpose The FDA is advising parents and caregivers not to buy or feed WanaBana apple cinnamon fruit puree pouches to children because the product may contain elevated levels of lead. Parents and caregivers of toddlers and young children who may have consumed WanaBana apple cinnamon fruit puree pouches should contact their child’s healthcare provider about getting a blood test. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. Dawn McCrary provided you with a hard copy handout with the information for the challenging behaviors helpline. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 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. 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. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 11/14/2023 Number Present: 19 Completed Date: 11/14/2023 Age: From 1 To 4 Total Minutes: 130 Time In: 10:20 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this unannounced follow-up 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 Dawn McCrary, Child Care Consultant, and Marion Crite, Program Coordinator/Group Leader, during the visit. Upon arrival, I made my presence known to Marion Crite, Program Coordinator/Group Leader. Mr. Crite was available to assist during the visit. The following areas were monitored: Supervision Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training, if applicable 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. The children were observed participating in free choice play on the playgrounds. The outdoor playgrounds offer adequate space for running, vigorous play, climbing, riding, balancing, dramatic play and art. The teaching staff were observed interacting with the children to enhance their play. The teaching staff were strategically positioned to provide adequate supervision. All interactions were positive and nurturing. There are zero (0) newly hired staff. The ABCMS system was checked for all staff members. All staff members have valid criminal background letters. 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 following violations were documented during today’s visit. Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff, A.C. does not have current first aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff, A.C., does not have current CPR training. .1102(d) Technical assistance provided #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. #1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff, A.C., does not have current CPR and FA training. A training had been scheduled for the staff member previously. The staff member was unable to attend the training. Mr. Crite stated they are in the process of scheduling a training for the staff member to reach compliance. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 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 11/28/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: FDA Advises Parents and Caregivers Not to Buy or Feed WanaBana Apple Cinnamon Fruit Puree Pouches to Toddlers and young Children Because of Elevated Lead Levels. Product • WanaBana apple cinnamon fruit puree pouches, all lot codes and expiration dates. • WanaBana apple cinnamon fruit puree pouches are sold nationally and are available through multiple retailers including Sam’s Club, Amazon and Dollar Tree. • WanaBana has agreed to voluntarily recall all WanaBana apple cinnamon fruit puree pouches regardless of expiration. Purpose The FDA is advising parents and caregivers not to buy or feed WanaBana apple cinnamon fruit puree pouches to children because the product may contain elevated levels of lead. Parents and caregivers of toddlers and young children who may have consumed WanaBana apple cinnamon fruit puree pouches should contact their child’s healthcare provider about getting a blood test. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. Dawn McCrary provided you with a hard copy handout with the information for the challenging behaviors helpline. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 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. 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. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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: LISA'S KIDDIEGARTEN Facility ID: 88000087 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 11/14/2023 Number Present: 19 Completed Date: 11/14/2023 Age: From 1 To 4 Total Minutes: 130 Time In: 10:20 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this unannounced follow-up 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 Dawn McCrary, Child Care Consultant, and Marion Crite, Program Coordinator/Group Leader, during the visit. Upon arrival, I made my presence known to Marion Crite, Program Coordinator/Group Leader. Mr. Crite was available to assist during the visit. The following areas were monitored: Supervision Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training, if applicable 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. The children were observed participating in free choice play on the playgrounds. The outdoor playgrounds offer adequate space for running, vigorous play, climbing, riding, balancing, dramatic play and art. The teaching staff were observed interacting with the children to enhance their play. The teaching staff were strategically positioned to provide adequate supervision. All interactions were positive and nurturing. There are zero (0) newly hired staff. The ABCMS system was checked for all staff members. All staff members have valid criminal background letters. 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 following violations were documented during today’s visit. Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff, A.C. does not have current first aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff, A.C., does not have current CPR training. .1102(d) Technical assistance provided #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. #1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff, A.C., does not have current CPR and FA training. A training had been scheduled for the staff member previously. The staff member was unable to attend the training. Mr. Crite stated they are in the process of scheduling a training for the staff member to reach compliance. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 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 11/28/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: FDA Advises Parents and Caregivers Not to Buy or Feed WanaBana Apple Cinnamon Fruit Puree Pouches to Toddlers and young Children Because of Elevated Lead Levels. Product • WanaBana apple cinnamon fruit puree pouches, all lot codes and expiration dates. • WanaBana apple cinnamon fruit puree pouches are sold nationally and are available through multiple retailers including Sam’s Club, Amazon and Dollar Tree. • WanaBana has agreed to voluntarily recall all WanaBana apple cinnamon fruit puree pouches regardless of expiration. Purpose The FDA is advising parents and caregivers not to buy or feed WanaBana apple cinnamon fruit puree pouches to children because the product may contain elevated levels of lead. Parents and caregivers of toddlers and young children who may have consumed WanaBana apple cinnamon fruit puree pouches should contact their child’s healthcare provider about getting a blood test. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. Dawn McCrary provided you with a hard copy handout with the information for the challenging behaviors helpline. 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. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 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. 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. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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