10A NCAC 09 .1703 · Violation

Name of Operation: NESSA LOVE & CARE CENTER Facility ID: 71000156 Consultant: TAMMY ROSS Operation Type: Family CC Home Case Number: Visit Date: 8/14/2024 Number Present: 7 Completed Date: 8/14/2024 Age: From 3 To 10 Total Minutes: 120 Time In: 12:30 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this visit was to monitor compliance with applicable child care requirements during your annual compliance visit. A checklist was used to note the requirements I monitored today. Your facility operates with a Five Star License issued September 10, 2019, earning 7 points in Education, 6 points in Program, and 1 quality point for choosing a Programmatic Option. Restrictions on the license include daytime and overnight, capacity of 8 children ages 0-12, maximum of 5 preschool children at any time, and no more than 2 children under the age of one. The license was posted, and the restrictions were in compliance. The last annual compliance visit was conducted at this facility on August 23, 2023. As of August 12, 2024, your facility has an 18-month compliance history of 100%; this information was reviewed with you during today’s visit. Owner/Operator, Vanessa Carr, was present and caring for the children. Seven (7) children ranging in ages of four(4) through ten (10) years of age are present and ten(10) children, including drop ins, are enrolled. Ms. Carr has a room set up exclusively for child care. A bathroom is located through a door and to the right from the child care space/room. All areas used by the children were monitored. Age-appropriate materials and activities were provided for all children. Upon arrival to the home, children were completing bathroom routines and preparing for nap/rest time. Mats were appropriately spaced, and soft music played. The children were adequately supervised. Caregiver and child interacted in a positive and appropriate manner. A daily schedule was observed posted. Ensure your activity plan contains evidence that you are using the North Carolina Foundations for Early Learning. During today’s visit, the FCCH Operator’s Statements of Responsibility and the Verification of Required Information for Operator and Additional Caregivers Form was completed. There were two violations observed today. All violations must be corrected immediately. Continued compliance with applicable child care requirements is required. Violation Number Comment Rule 919 Accurate records were not maintained for all children. There were three children(siblings) in attendance who did not a record with all required information. G.S. 110-91(9) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The last recorded emergency drill was 02/22/2024 and it was incomplete. .1719(a )(16) & .1721(e )(7) In order for your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. A signed and dated letter of compliance must be received by August 27, 2024, describing how each violation was corrected and how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. If I can be of further assistance, please do not hesitate to contact me at (910)824-1143 or you can email me at Tammy.Ross@dhhs.nc.gov. You may email me your verification or mail it to me at: Tammy Ross, Child Care Licensing Consultant, P.O. Box 278, Jacksonville, NC 28541 Comments regarding violations cited. Emergency Drills - Lockdown or shelter-in-place drills must be practiced at least every three months as part of your facility's EPR plan. Your last documented emergency drill was 02/22/2024 and it was incomplete. These drills must be completed and documented on the Emergency Drill Record. Frequent practice will allow children and staff members to be familiar with the steps to take to keep everyone safe in an emergency. Today I suggested you plan the dates and times of your drills in advance and use calendar reminders to ensure they are completed at least every three months. Recordkeeping - I strongly urge you to review Child Care Rule 10A NCAC 09 .1721 regarding requirements for records. Please pay close attention to the charts located in 10A NCAC 09 .1721(f)(4) which indicate how long records must be kept on file. I also suggest you utilize the checklists for staff files, children’s files and program records to ensure you have all required documents. These checklists are available on the DCDEE website under the Provider Documents tab. There were three preschool children (siblings) in attendance at your facility without a file containing the required information for each child. Child Care programs are expected to always achieve and maintain compliance 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. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always whether they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Rated License Reassessment Information - Your facility’s three-year rated license reassessment was due to be completed in September 2022. As discussed during previous visit, DCDEE developed a 3-Cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. You are in Cohort 2. Placement in this cohort means you will have from July 1, 2024, to June 30, 2025, to plan and prepare for your reassessment, with your reassessment having to be completed between July 1, 2025, and June 30, 2026. In your planning year, you may review resources available at www.ncrlap.org and contact Smart Start of Pender County and Region 4 for assistance with completion of the self-study component. During today’s visit, we discussed the “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place. This means that you are not required to have a reassessment according to timeline discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your additional caregivers on new assessment tools if you are still interested in Environment Rating Scales assessments. The new tools are the “3” versions, and I will share more information about training opportunities as they become available. Reminders: Enrollment/Capacity - You currently have a total of ten(10) children enrolled at your facility on first , including drop ins. You cannot have more than eight children, five preschool children and three school age children, present at any time, no exceptions. Children who attend PreK programs at local elementary schools are considered preschool children until they complete their first day of kindergarten. If you have or are legal guardian of a preschool children, they count in your total number of preschool children allowed at one time. It is vital that you keep accurate sign in/out sheets and attendance records to verify times when children are in attendance. Professional Development Plan(PDP) & Emergency Preparedness and Response (EPR) Plan - You must update your Professional Development Plan and EPR plan annually. Revised child care rules also require that family child care home operators complete a PDP at least annually. Early childhood research shows that caregiver education is directly related to children’s success as they prepare for and enter school. A sample document can be found on the DCDEE website under Provider Documents and Forms; however, you may develop your own PDP as long as all requirements are met. You should also update your EPR plan at least once a year. Once you have completed your annually updated, print the front page of your EPR plan and it will have the date that it was updated. That date is used to verify your annually update. Other Information: Health and Safety Training- These training topics outlined in Child Care Rule 10A NCAC 09 .1703(b) must be completed within the first year of employment for new staff, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment – it must be completed within 90 days of hire. After initial completion of Health and Safety Trainings, they must be completed every five years. Use the Health and Safety Training Record which is found on the DCDEE website under Provider Documents and Forms to track the completion of these trainings. You completed these trainings in August 2022; therefore, you will need to completed these trainings again by August 2027. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Clean Classrooms for Kids Program – All child care programs must have their water tested for lead and your building tested for lead and asbestos hazards. May 1, 2024, was the initial deadline to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. Facilities that have not yet enrolled should complete the process by November 1, 2024. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years(centers) and to have inspections for lead paint and asbestos if applicable. This facility completed the lead water test on July 3, 2024. Please see steps below: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-leadbased-paint-reimbursement-program-arpa The information above is from https://www.cleanwaterforuskids.org/en/carolina/, which is also where you enroll in the program. Remember, centers must have their water tested every three years. Family child care homes, as of now, are only required to do it once, and the water testing must be completed by January 1, 2025. DPI Pre-K programs do not need to enroll separately as public schools will be tested as a whole. Please refer to the website if you have specific questions! Criminal Background Check Information - DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff/household members, and run a printable report of the staff roster to assist with compliance visits. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position, and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Access will then be granted within 2 business days. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. Documentation was completed, reviewed, and signed on site. Please remember it is your responsibility to comply with all child care rules and requirements at all times. Continue to contact me with any questions or concerns at Tammy.Ross@dhhs.nc.gov and/or(910)824-1143. 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 .1721 · Violation

Name of Operation: NESSA LOVE & CARE CENTER Facility ID: 71000156 Consultant: TAMMY ROSS Operation Type: Family CC Home Case Number: Visit Date: 8/14/2024 Number Present: 7 Completed Date: 8/14/2024 Age: From 3 To 10 Total Minutes: 120 Time In: 12:30 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this visit was to monitor compliance with applicable child care requirements during your annual compliance visit. A checklist was used to note the requirements I monitored today. Your facility operates with a Five Star License issued September 10, 2019, earning 7 points in Education, 6 points in Program, and 1 quality point for choosing a Programmatic Option. Restrictions on the license include daytime and overnight, capacity of 8 children ages 0-12, maximum of 5 preschool children at any time, and no more than 2 children under the age of one. The license was posted, and the restrictions were in compliance. The last annual compliance visit was conducted at this facility on August 23, 2023. As of August 12, 2024, your facility has an 18-month compliance history of 100%; this information was reviewed with you during today’s visit. Owner/Operator, Vanessa Carr, was present and caring for the children. Seven (7) children ranging in ages of four(4) through ten (10) years of age are present and ten(10) children, including drop ins, are enrolled. Ms. Carr has a room set up exclusively for child care. A bathroom is located through a door and to the right from the child care space/room. All areas used by the children were monitored. Age-appropriate materials and activities were provided for all children. Upon arrival to the home, children were completing bathroom routines and preparing for nap/rest time. Mats were appropriately spaced, and soft music played. The children were adequately supervised. Caregiver and child interacted in a positive and appropriate manner. A daily schedule was observed posted. Ensure your activity plan contains evidence that you are using the North Carolina Foundations for Early Learning. During today’s visit, the FCCH Operator’s Statements of Responsibility and the Verification of Required Information for Operator and Additional Caregivers Form was completed. There were two violations observed today. All violations must be corrected immediately. Continued compliance with applicable child care requirements is required. Violation Number Comment Rule 919 Accurate records were not maintained for all children. There were three children(siblings) in attendance who did not a record with all required information. G.S. 110-91(9) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The last recorded emergency drill was 02/22/2024 and it was incomplete. .1719(a )(16) & .1721(e )(7) In order for your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. A signed and dated letter of compliance must be received by August 27, 2024, describing how each violation was corrected and how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. If I can be of further assistance, please do not hesitate to contact me at (910)824-1143 or you can email me at Tammy.Ross@dhhs.nc.gov. You may email me your verification or mail it to me at: Tammy Ross, Child Care Licensing Consultant, P.O. Box 278, Jacksonville, NC 28541 Comments regarding violations cited. Emergency Drills - Lockdown or shelter-in-place drills must be practiced at least every three months as part of your facility's EPR plan. Your last documented emergency drill was 02/22/2024 and it was incomplete. These drills must be completed and documented on the Emergency Drill Record. Frequent practice will allow children and staff members to be familiar with the steps to take to keep everyone safe in an emergency. Today I suggested you plan the dates and times of your drills in advance and use calendar reminders to ensure they are completed at least every three months. Recordkeeping - I strongly urge you to review Child Care Rule 10A NCAC 09 .1721 regarding requirements for records. Please pay close attention to the charts located in 10A NCAC 09 .1721(f)(4) which indicate how long records must be kept on file. I also suggest you utilize the checklists for staff files, children’s files and program records to ensure you have all required documents. These checklists are available on the DCDEE website under the Provider Documents tab. There were three preschool children (siblings) in attendance at your facility without a file containing the required information for each child. Child Care programs are expected to always achieve and maintain compliance 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. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always whether they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Rated License Reassessment Information - Your facility’s three-year rated license reassessment was due to be completed in September 2022. As discussed during previous visit, DCDEE developed a 3-Cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. You are in Cohort 2. Placement in this cohort means you will have from July 1, 2024, to June 30, 2025, to plan and prepare for your reassessment, with your reassessment having to be completed between July 1, 2025, and June 30, 2026. In your planning year, you may review resources available at www.ncrlap.org and contact Smart Start of Pender County and Region 4 for assistance with completion of the self-study component. During today’s visit, we discussed the “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place. This means that you are not required to have a reassessment according to timeline discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your additional caregivers on new assessment tools if you are still interested in Environment Rating Scales assessments. The new tools are the “3” versions, and I will share more information about training opportunities as they become available. Reminders: Enrollment/Capacity - You currently have a total of ten(10) children enrolled at your facility on first , including drop ins. You cannot have more than eight children, five preschool children and three school age children, present at any time, no exceptions. Children who attend PreK programs at local elementary schools are considered preschool children until they complete their first day of kindergarten. If you have or are legal guardian of a preschool children, they count in your total number of preschool children allowed at one time. It is vital that you keep accurate sign in/out sheets and attendance records to verify times when children are in attendance. Professional Development Plan(PDP) & Emergency Preparedness and Response (EPR) Plan - You must update your Professional Development Plan and EPR plan annually. Revised child care rules also require that family child care home operators complete a PDP at least annually. Early childhood research shows that caregiver education is directly related to children’s success as they prepare for and enter school. A sample document can be found on the DCDEE website under Provider Documents and Forms; however, you may develop your own PDP as long as all requirements are met. You should also update your EPR plan at least once a year. Once you have completed your annually updated, print the front page of your EPR plan and it will have the date that it was updated. That date is used to verify your annually update. Other Information: Health and Safety Training- These training topics outlined in Child Care Rule 10A NCAC 09 .1703(b) must be completed within the first year of employment for new staff, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment – it must be completed within 90 days of hire. After initial completion of Health and Safety Trainings, they must be completed every five years. Use the Health and Safety Training Record which is found on the DCDEE website under Provider Documents and Forms to track the completion of these trainings. You completed these trainings in August 2022; therefore, you will need to completed these trainings again by August 2027. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Clean Classrooms for Kids Program – All child care programs must have their water tested for lead and your building tested for lead and asbestos hazards. May 1, 2024, was the initial deadline to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. Facilities that have not yet enrolled should complete the process by November 1, 2024. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years(centers) and to have inspections for lead paint and asbestos if applicable. This facility completed the lead water test on July 3, 2024. Please see steps below: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-leadbased-paint-reimbursement-program-arpa The information above is from https://www.cleanwaterforuskids.org/en/carolina/, which is also where you enroll in the program. Remember, centers must have their water tested every three years. Family child care homes, as of now, are only required to do it once, and the water testing must be completed by January 1, 2025. DPI Pre-K programs do not need to enroll separately as public schools will be tested as a whole. Please refer to the website if you have specific questions! Criminal Background Check Information - DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff/household members, and run a printable report of the staff roster to assist with compliance visits. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position, and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Access will then be granted within 2 business days. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. Documentation was completed, reviewed, and signed on site. Please remember it is your responsibility to comply with all child care rules and requirements at all times. Continue to contact me with any questions or concerns at Tammy.Ross@dhhs.nc.gov and/or(910)824-1143. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: NESSA LOVE & CARE CENTER Facility ID: 71000156 Consultant: TAMMY ROSS Operation Type: Family CC Home Case Number: Visit Date: 8/14/2024 Number Present: 7 Completed Date: 8/14/2024 Age: From 3 To 10 Total Minutes: 120 Time In: 12:30 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this visit was to monitor compliance with applicable child care requirements during your annual compliance visit. A checklist was used to note the requirements I monitored today. Your facility operates with a Five Star License issued September 10, 2019, earning 7 points in Education, 6 points in Program, and 1 quality point for choosing a Programmatic Option. Restrictions on the license include daytime and overnight, capacity of 8 children ages 0-12, maximum of 5 preschool children at any time, and no more than 2 children under the age of one. The license was posted, and the restrictions were in compliance. The last annual compliance visit was conducted at this facility on August 23, 2023. As of August 12, 2024, your facility has an 18-month compliance history of 100%; this information was reviewed with you during today’s visit. Owner/Operator, Vanessa Carr, was present and caring for the children. Seven (7) children ranging in ages of four(4) through ten (10) years of age are present and ten(10) children, including drop ins, are enrolled. Ms. Carr has a room set up exclusively for child care. A bathroom is located through a door and to the right from the child care space/room. All areas used by the children were monitored. Age-appropriate materials and activities were provided for all children. Upon arrival to the home, children were completing bathroom routines and preparing for nap/rest time. Mats were appropriately spaced, and soft music played. The children were adequately supervised. Caregiver and child interacted in a positive and appropriate manner. A daily schedule was observed posted. Ensure your activity plan contains evidence that you are using the North Carolina Foundations for Early Learning. During today’s visit, the FCCH Operator’s Statements of Responsibility and the Verification of Required Information for Operator and Additional Caregivers Form was completed. There were two violations observed today. All violations must be corrected immediately. Continued compliance with applicable child care requirements is required. Violation Number Comment Rule 919 Accurate records were not maintained for all children. There were three children(siblings) in attendance who did not a record with all required information. G.S. 110-91(9) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The last recorded emergency drill was 02/22/2024 and it was incomplete. .1719(a )(16) & .1721(e )(7) In order for your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. A signed and dated letter of compliance must be received by August 27, 2024, describing how each violation was corrected and how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. If I can be of further assistance, please do not hesitate to contact me at (910)824-1143 or you can email me at Tammy.Ross@dhhs.nc.gov. You may email me your verification or mail it to me at: Tammy Ross, Child Care Licensing Consultant, P.O. Box 278, Jacksonville, NC 28541 Comments regarding violations cited. Emergency Drills - Lockdown or shelter-in-place drills must be practiced at least every three months as part of your facility's EPR plan. Your last documented emergency drill was 02/22/2024 and it was incomplete. These drills must be completed and documented on the Emergency Drill Record. Frequent practice will allow children and staff members to be familiar with the steps to take to keep everyone safe in an emergency. Today I suggested you plan the dates and times of your drills in advance and use calendar reminders to ensure they are completed at least every three months. Recordkeeping - I strongly urge you to review Child Care Rule 10A NCAC 09 .1721 regarding requirements for records. Please pay close attention to the charts located in 10A NCAC 09 .1721(f)(4) which indicate how long records must be kept on file. I also suggest you utilize the checklists for staff files, children’s files and program records to ensure you have all required documents. These checklists are available on the DCDEE website under the Provider Documents tab. There were three preschool children (siblings) in attendance at your facility without a file containing the required information for each child. Child Care programs are expected to always achieve and maintain compliance 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. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always whether they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Rated License Reassessment Information - Your facility’s three-year rated license reassessment was due to be completed in September 2022. As discussed during previous visit, DCDEE developed a 3-Cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. You are in Cohort 2. Placement in this cohort means you will have from July 1, 2024, to June 30, 2025, to plan and prepare for your reassessment, with your reassessment having to be completed between July 1, 2025, and June 30, 2026. In your planning year, you may review resources available at www.ncrlap.org and contact Smart Start of Pender County and Region 4 for assistance with completion of the self-study component. During today’s visit, we discussed the “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place. This means that you are not required to have a reassessment according to timeline discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your additional caregivers on new assessment tools if you are still interested in Environment Rating Scales assessments. The new tools are the “3” versions, and I will share more information about training opportunities as they become available. Reminders: Enrollment/Capacity - You currently have a total of ten(10) children enrolled at your facility on first , including drop ins. You cannot have more than eight children, five preschool children and three school age children, present at any time, no exceptions. Children who attend PreK programs at local elementary schools are considered preschool children until they complete their first day of kindergarten. If you have or are legal guardian of a preschool children, they count in your total number of preschool children allowed at one time. It is vital that you keep accurate sign in/out sheets and attendance records to verify times when children are in attendance. Professional Development Plan(PDP) & Emergency Preparedness and Response (EPR) Plan - You must update your Professional Development Plan and EPR plan annually. Revised child care rules also require that family child care home operators complete a PDP at least annually. Early childhood research shows that caregiver education is directly related to children’s success as they prepare for and enter school. A sample document can be found on the DCDEE website under Provider Documents and Forms; however, you may develop your own PDP as long as all requirements are met. You should also update your EPR plan at least once a year. Once you have completed your annually updated, print the front page of your EPR plan and it will have the date that it was updated. That date is used to verify your annually update. Other Information: Health and Safety Training- These training topics outlined in Child Care Rule 10A NCAC 09 .1703(b) must be completed within the first year of employment for new staff, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment – it must be completed within 90 days of hire. After initial completion of Health and Safety Trainings, they must be completed every five years. Use the Health and Safety Training Record which is found on the DCDEE website under Provider Documents and Forms to track the completion of these trainings. You completed these trainings in August 2022; therefore, you will need to completed these trainings again by August 2027. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Clean Classrooms for Kids Program – All child care programs must have their water tested for lead and your building tested for lead and asbestos hazards. May 1, 2024, was the initial deadline to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. Facilities that have not yet enrolled should complete the process by November 1, 2024. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years(centers) and to have inspections for lead paint and asbestos if applicable. This facility completed the lead water test on July 3, 2024. Please see steps below: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-leadbased-paint-reimbursement-program-arpa The information above is from https://www.cleanwaterforuskids.org/en/carolina/, which is also where you enroll in the program. Remember, centers must have their water tested every three years. Family child care homes, as of now, are only required to do it once, and the water testing must be completed by January 1, 2025. DPI Pre-K programs do not need to enroll separately as public schools will be tested as a whole. Please refer to the website if you have specific questions! Criminal Background Check Information - DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff/household members, and run a printable report of the staff roster to assist with compliance visits. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position, and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Access will then be granted within 2 business days. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. Documentation was completed, reviewed, and signed on site. Please remember it is your responsibility to comply with all child care rules and requirements at all times. Continue to contact me with any questions or concerns at Tammy.Ross@dhhs.nc.gov and/or(910)824-1143. 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: NESSA LOVE & CARE CENTER Facility ID: 71000156 Consultant: TAMMY ROSS Operation Type: Family CC Home Case Number: Visit Date: 8/14/2024 Number Present: 7 Completed Date: 8/14/2024 Age: From 3 To 10 Total Minutes: 120 Time In: 12:30 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this visit was to monitor compliance with applicable child care requirements during your annual compliance visit. A checklist was used to note the requirements I monitored today. Your facility operates with a Five Star License issued September 10, 2019, earning 7 points in Education, 6 points in Program, and 1 quality point for choosing a Programmatic Option. Restrictions on the license include daytime and overnight, capacity of 8 children ages 0-12, maximum of 5 preschool children at any time, and no more than 2 children under the age of one. The license was posted, and the restrictions were in compliance. The last annual compliance visit was conducted at this facility on August 23, 2023. As of August 12, 2024, your facility has an 18-month compliance history of 100%; this information was reviewed with you during today’s visit. Owner/Operator, Vanessa Carr, was present and caring for the children. Seven (7) children ranging in ages of four(4) through ten (10) years of age are present and ten(10) children, including drop ins, are enrolled. Ms. Carr has a room set up exclusively for child care. A bathroom is located through a door and to the right from the child care space/room. All areas used by the children were monitored. Age-appropriate materials and activities were provided for all children. Upon arrival to the home, children were completing bathroom routines and preparing for nap/rest time. Mats were appropriately spaced, and soft music played. The children were adequately supervised. Caregiver and child interacted in a positive and appropriate manner. A daily schedule was observed posted. Ensure your activity plan contains evidence that you are using the North Carolina Foundations for Early Learning. During today’s visit, the FCCH Operator’s Statements of Responsibility and the Verification of Required Information for Operator and Additional Caregivers Form was completed. There were two violations observed today. All violations must be corrected immediately. Continued compliance with applicable child care requirements is required. Violation Number Comment Rule 919 Accurate records were not maintained for all children. There were three children(siblings) in attendance who did not a record with all required information. G.S. 110-91(9) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The last recorded emergency drill was 02/22/2024 and it was incomplete. .1719(a )(16) & .1721(e )(7) In order for your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. A signed and dated letter of compliance must be received by August 27, 2024, describing how each violation was corrected and how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. If I can be of further assistance, please do not hesitate to contact me at (910)824-1143 or you can email me at Tammy.Ross@dhhs.nc.gov. You may email me your verification or mail it to me at: Tammy Ross, Child Care Licensing Consultant, P.O. Box 278, Jacksonville, NC 28541 Comments regarding violations cited. Emergency Drills - Lockdown or shelter-in-place drills must be practiced at least every three months as part of your facility's EPR plan. Your last documented emergency drill was 02/22/2024 and it was incomplete. These drills must be completed and documented on the Emergency Drill Record. Frequent practice will allow children and staff members to be familiar with the steps to take to keep everyone safe in an emergency. Today I suggested you plan the dates and times of your drills in advance and use calendar reminders to ensure they are completed at least every three months. Recordkeeping - I strongly urge you to review Child Care Rule 10A NCAC 09 .1721 regarding requirements for records. Please pay close attention to the charts located in 10A NCAC 09 .1721(f)(4) which indicate how long records must be kept on file. I also suggest you utilize the checklists for staff files, children’s files and program records to ensure you have all required documents. These checklists are available on the DCDEE website under the Provider Documents tab. There were three preschool children (siblings) in attendance at your facility without a file containing the required information for each child. Child Care programs are expected to always achieve and maintain compliance 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. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always whether they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Rated License Reassessment Information - Your facility’s three-year rated license reassessment was due to be completed in September 2022. As discussed during previous visit, DCDEE developed a 3-Cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. You are in Cohort 2. Placement in this cohort means you will have from July 1, 2024, to June 30, 2025, to plan and prepare for your reassessment, with your reassessment having to be completed between July 1, 2025, and June 30, 2026. In your planning year, you may review resources available at www.ncrlap.org and contact Smart Start of Pender County and Region 4 for assistance with completion of the self-study component. During today’s visit, we discussed the “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place. This means that you are not required to have a reassessment according to timeline discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your additional caregivers on new assessment tools if you are still interested in Environment Rating Scales assessments. The new tools are the “3” versions, and I will share more information about training opportunities as they become available. Reminders: Enrollment/Capacity - You currently have a total of ten(10) children enrolled at your facility on first , including drop ins. You cannot have more than eight children, five preschool children and three school age children, present at any time, no exceptions. Children who attend PreK programs at local elementary schools are considered preschool children until they complete their first day of kindergarten. If you have or are legal guardian of a preschool children, they count in your total number of preschool children allowed at one time. It is vital that you keep accurate sign in/out sheets and attendance records to verify times when children are in attendance. Professional Development Plan(PDP) & Emergency Preparedness and Response (EPR) Plan - You must update your Professional Development Plan and EPR plan annually. Revised child care rules also require that family child care home operators complete a PDP at least annually. Early childhood research shows that caregiver education is directly related to children’s success as they prepare for and enter school. A sample document can be found on the DCDEE website under Provider Documents and Forms; however, you may develop your own PDP as long as all requirements are met. You should also update your EPR plan at least once a year. Once you have completed your annually updated, print the front page of your EPR plan and it will have the date that it was updated. That date is used to verify your annually update. Other Information: Health and Safety Training- These training topics outlined in Child Care Rule 10A NCAC 09 .1703(b) must be completed within the first year of employment for new staff, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment – it must be completed within 90 days of hire. After initial completion of Health and Safety Trainings, they must be completed every five years. Use the Health and Safety Training Record which is found on the DCDEE website under Provider Documents and Forms to track the completion of these trainings. You completed these trainings in August 2022; therefore, you will need to completed these trainings again by August 2027. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Clean Classrooms for Kids Program – All child care programs must have their water tested for lead and your building tested for lead and asbestos hazards. May 1, 2024, was the initial deadline to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. Facilities that have not yet enrolled should complete the process by November 1, 2024. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years(centers) and to have inspections for lead paint and asbestos if applicable. This facility completed the lead water test on July 3, 2024. Please see steps below: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-leadbased-paint-reimbursement-program-arpa The information above is from https://www.cleanwaterforuskids.org/en/carolina/, which is also where you enroll in the program. Remember, centers must have their water tested every three years. Family child care homes, as of now, are only required to do it once, and the water testing must be completed by January 1, 2025. DPI Pre-K programs do not need to enroll separately as public schools will be tested as a whole. Please refer to the website if you have specific questions! Criminal Background Check Information - DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff/household members, and run a printable report of the staff roster to assist with compliance visits. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position, and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Access will then be granted within 2 business days. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. Documentation was completed, reviewed, and signed on site. Please remember it is your responsibility to comply with all child care rules and requirements at all times. Continue to contact me with any questions or concerns at Tammy.Ross@dhhs.nc.gov and/or(910)824-1143. 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