Annie'S Blessed Children Daycare 2

GS 110-91 · Violation

Name of Operation: ANNIE'S BLESSED CHILDREN DAYCARE 2 Facility ID: 01000658 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 6/15/2026 Number Present: 3 Completed Date: 6/15/2026 Age: From 2 To 3 Total Minutes: 120 Time In: 11:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced Annual Compliance Visit with Rated License Assessment was to monitor compliance with applicable child care requirements and evaluate the program’s license. Upon arrival, I was greeted by the Director Annie Woods, who remained present and cooperative throughout the visit. A walkthrough of the classrooms was completed, attendance was verified, and observations were conducted. Children were observed eating lunch and napping and resting. The center is currently operating under a Three-Star License issued on February 1, 2023. The last Annual Compliance Visit was conducted on July 24, 2025. The most recent sanitation inspection was completed on May 13, 2026, with an “Superior” rating. The last fire inspection was documented on February 11, 2026 During today’s visit: • Two new staff files and 3 children’s files were monitored. • Fire drills and playground safety inspections were monitored • A full assessment of applicable childcare requirements was conducted The center’s compliance was previously at 87%. Based on today’s observations, the following violation was observed. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The classroom for Infants did not have a current activity plan. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was documented in April 2026. .0604(t); .0302(d)(5) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The staff did not have emergency information on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff did not have a completed orientation on file. .1101(a) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The staff's health information was not in a separate file. .0701(d) The above violation must be corrected immediately, and a letter must be sent to me no later than June 29, 2026 stating how each item was corrected and a plan to maintain compliance with the requirement. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by June 29, 2026 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Technical Assistance Order the ECERS-3 and the ITERS-3 to prepare for your upcoming assessment. When the ages change be sure to update you staff child ratio forms in each classroom. Rated License Information-QRIS The center has decided to go with Pathway 1. The center currently has a 3-star license. We discussed the following: • The center meets enhanced ratios • The family and community engagement requirements • CQI plans for the facility and the staff. The Environment Rating scales must be used to set goals. • Visit the NCRLAP website and complete the thinking more activities for ITERS and ECERS. • Staff education requirements The program is waiting to have the Environment Rating Scales conducted. The plan is to request the scales in September 2026, so the Director has time to receive technical assistance from the Alamance Partnership For Children. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or336-580-2527 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: ANNIE'S BLESSED CHILDREN DAYCARE 2 Facility ID: 01000658 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 12/18/2025 Number Present: 6 Completed Date: 12/18/2025 Age: From 0 To 4 Total Minutes: 75 Time In: 11:50 AM Time Out: 01:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements. Upon my arrival I was greeted by the Director/Owner. The facility currently operates under a Three Star License that was issued on February 1, 2023. The last annual compliance visit was conducted on August 11, 2025. The last sanitation inspection was completed December 8, 2025 with a “Superior” classification. The last fire inspection was conducted on April 3, 2025. I completed a walk-through of the classrooms, attendance was documented, and observations were made. The children were observed resting and the infants were observed laying in their cribs. During today’s visit, a partial assessment of applicable Child Care Requirements was conducted which included, General Licensing Requirements, Program Requirements, Staff Records, Staff Child Ratio, Supervision, Medications and General Safety. There were no new staff. Today I observed the following violation(s) regarding the Child Care Requirements Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Two children ages three and four were observed in their classroom and no teacher was onsite, leaving the Director with four infants and a three and four year old. GS 110-91(7);.0713(a-d) The above violations must be corrected immediately, and a letter must be sent to me no later than December 26, 2025 stating how each item was corrected and a plan to maintain compliance with the requirement. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter December 26, 2025 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Technical Assistance During today’s visit, there were four infants present and two preschool children, ages three and four. The Director was the only staff member on site and reported that the preschool teacher had left for the day. The two preschool children were resting in the preschool classroom, while the infants were in the infant classroom. No staff member was physically present in the preschool classroom with the preschool children. The Director was observed sitting in the infant classroom and she could see into the preschool classroom from that location. I advised Ms. Annie that this staffing arrangement did not meet DCDEE supervision and ratio requirements. She was instructed to send the two preschool children home. Ms. Annie contacted the parents, and arrangements were made for the children to be picked up. I observed the three and four year old leave the center with the parent. A follow-up visit will be conducted due to the type of violations cited. Preparing for North Carolina's New QRIS System The Quality Rating Improvement System (QRIS) is being modernized to provide more flexible and equitable ways for programs to demonstrate quality. Starting later this year, providers will be able to choose from three star-rating pathways—Program Assessment, Classroom & Instructional Quality, or Accreditation—allowing you to align your strengths with the rating method that best fits your program. Now is the time to evaluate your current practices, staff credentials, curriculum use, and classroom interactions to determine which pathway is the best fit. Programs are encouraged to begin preparing for updates to staff qualification standards and assessment tools. While existing star ratings will remain valid for now, all new star ratings will be subject to the new system. Your program’s quality should reflect not just compliance—but a commitment to best practices, child development, and continuous improvement. Stay informed, stay proactive, and take advantage of technical assistance and training opportunities as they become available. For more information and guidance, visit https://ncchildcare.ncdhhs.gov. During today’s visit you stated you would be choosing Pathway 1 for the QRIS. We discussed how education is determined and that all staff should submit education to Works as soon as possible. A technical assistance visit will be provided if needed and I will be in contact with you to start the process. Resources The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. 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 .0604 · Violation

Name of Operation: ANNIE'S BLESSED CHILDREN DAYCARE 2 Facility ID: 01000658 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 7/24/2025 Number Present: 3 Completed Date: 7/24/2025 Age: From 0 To 3 Total Minutes: 135 Time In: 09:45 AM Time Out: 12:00 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 childcare requirements applicable to a childcare center during an unannounced annual compliance visit. Upon my arrival I was greeted by the Director/Owner, Annie Woods she assisted me during today’s visit. I completed a walk-through of the classroom spaces, enrollment and attendance were documented, and observations were made. One infant was observed being held by the Director. The two other children were observed participating in free play. A teacher arrived around 11:30 am and prepared lunch for the children. The children were observed eating lunch which consisted of corn dogs, baked beans, blueberries and milk. The last annual compliance visit was conducted on August 16,2024. The center is operating with a 3-star license that was issued February 2, 2023. The license was earned with 3 points in program standards, 4 points in education and 1 quality point. The last sanitation inspection was conducted March 19, 2025, and the center received a Superior rating. Fire drills and playground inspections were monitored. The last fire inspection was conducted on March 4, 2025. Staff files were monitored along with 7 children’s files were monitored. Your current compliance history is 88%; however, this percentage may change following today’s visit. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. I observed the following violations during today’s visit. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. During today’s visit the basement door was unlocked which in not in compliance with the license restriction. GS 110-91; GS 110-106 307 Only one caregiver was required to meet staff/child ratio, but the name, address and telephone number of agreed emergency relief was not posted or a second adult was not on the premises for emergency relief. The Director, was present with 3 children ages infant through 3 years of age. This is a repeat violation the annual compliance visit conducted on 2/22/2024. .0713(a)(9) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Two 3 year olds and one infant were observed in the classroom for three year olds. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. None of the activity plans in the three spaces used for care were current. This is a repeat violation from the annual compliance visit conducted on 8/16/24 GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not updated with changes made to lunch during today’s visit. The menu stated lunch would include fruit cocktail, however the children were served blueberries. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Several outlets were uncovered throughout the childcare spaces. 10A NCAC 09 .0604(c) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. The outdoor area had broken sticks and the equipment had visible dirt on it and spider webs were on all of the equipment. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed in February 2025. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised.staff hired 7/2/2024, had not received an annual review of the EMC plan. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.Staff hired 7/2/2024 did not have a current health questionnaire on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff hired 7/2/2024, did not have a complete orientation on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience.Staff hired 7/2/2024, did not complete any of the 8 hours on ongoing training that is required. .1103(a) 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.A teacher that cares for infants did not have ITS SIDS training. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan.Staff hire 7/2/2024, did not have a staff evaluation on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.Staff hired 7/2/2024, did not have a job description on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0514(g) 1314 Emergency information did not name child's health care professional.Four of the seven children's files that were monitored did not have the preferred health care professional om file. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.One child did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement.Three of the seven children’s files reviewed did not have a completed discipline policy on file. .1804(b) 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 hired 7/2/2024, did not have documentation on file of an EPR plan review on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Staff hired 7/2/2024, did not complete health and safety training that is required within one year of employment. .1102(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.One child did not have a signed acknowledgement of receipt of the Prevention of shaken baby syndrome and abusive head trauma on file. .0608(b)(1-6) 9999 A violation was found for which there is no item number.During today’s visit, both the Teacher and Administrator had their purses in areas accessible to children. Sanitation Rule 15A NCAC 18A .2820(f), employee purses and other personal belongings must be stored out of children's reach. The above violations must be corrected immediately, and a letter must be sent to me no later than July 10, 2025 stating how each item was corrected and a plan to maintain compliance with the requirement. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation and your plan to keep each item in compliance. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by July 10, 2025 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the violations have not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Technical Assistance There were several repeat violations during today’s visit that were also cited at the last annual compliance visit on August 16, 2024. A corrective action letter was submitted on August 27, 2024, stating those violations had been corrected. However, items 428, 856, 862, 1045, 1054, 1232, 1233, and 1825 have been cited again today as repeat violations. When you submit a corrective action letter, you are confirming that the violations have been fully corrected. Stating that violations have been corrected in a corrective action letter when they have not is a serious matter. Under NC Child Care Rule 110-91(14), any effort to falsify information provided to the Division of Child Development and Early Education is considered a violation of the law and may be grounds for license denial or revocation. Providing false or misleading information undermines trust and puts children at risk. Accurate, truthful reporting is not only expected—it is required. During today's visit, Ms. Woods was caring for one infant and two 3 year olds in the classroom for three year olds, children under 24 months cannot be grouped with 3 year olds. This is why it is important to have more one staff when caring for mixed ages. During today’s visit, the basement door was found unlocked, which is a violation of your license restriction. You stated that the plumber left the door unlocked, but it is your responsibility to ensure the basement door remains locked at all times when children are in care. This requirement was reviewed with you when your license was issued and is clearly stated as a restriction on your license. Playground Inspections: Playground inspections must be completed monthly. Choose a specific date to complete the inspection each month and stick to it for consistency. Electrical Outlet Safety: Several electrical outlets were found uncovered throughout the child care areas. To prevent this, do a daily safety check every morning before children arrive to ensure all outlets are covered and the environment is safe. Activity Plans: None of the activity plans in the three rooms used for care were current. Review and update activity plans every Friday for the upcoming week, or at the latest, every Monday morning before children arrive. Menus: The posted menu was not updated to reflect today’s lunch. The menu listed fruit cocktail, but the children were served blueberries instead. At the beginning of each week, review the menu to ensure all listed items are available. If any changes are made, update the menu immediately to match what is actually being served. Teacher V. Slade was hired on 7/2/2024. During the review of her staff file, the following items were missing: •Annual review of the Emergency Medical Care Plan •Completed orientation •Annual work evaluation •Annual EPR (Emergency Preparedness and Response) review •Signed job description •Current health questionnaire Please use the staff file checklist we discussed during the visit to help organize and maintain required documentation. If you need further assistance with organizing staff files, feel free to contact me to schedule a technical assistance visit. In addition, Ms. Slade does not have current ITS-SIDS training on file. This training is required because she cares for infants. Since she has completed it in the past, she may renew it virtually. Ms. Slade also needs to complete 8 hours of ongoing training each year, based on her Associate’s Degree in Early Childhood Education. Her annual training will be reviewed from July to July each year. The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”.These trainings are free, and participants will receive training certificates when completed. The outdoor play area had broken sticks, and the equipment was visibly dirty with spider webs, suggesting that children have not been taken outside regularly. Per DCDEE child care rules, children are required to go outside daily, weather permitting. Outdoor play is essential for children's health and development. Be sure to check weather advisories each day and ensure the outdoor area is safe, clean, and ready for use. During today’s visit, both the Teacher and Administrator had their purses in areas accessible to children. This poses a potential safety hazard. According to Sanitation Rule 15A NCAC 18A .2820(f), employee purses and other personal belongings must be stored out of children's reach. Personal items should be kept in locked or secure storage at all times to ensure children's safety. Children’s Files: During the review of seven children’s files, the following issues were found: •Three files were missing a completed discipline policy. This form must be filled out in full and include the child’s date of enrollment. •One child did not have immunization records on file. •Four files were missing the preferred health care professional information. •One file was missing a signed acknowledgment of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. •One file did not have a medical exam on file. The children’s file checklist was attached to the files but was not being used. Please use the checklist to ensure all required documents are completed and up to date. Also, review the Children’s Records Form that was provided to you during today’s visit for further guidance. Ongoing repeat violations over the past 18 months show a serious disregard for North Carolina child care laws and rules. Compliance is not optional—it is your legal obligation. Continued failure to correct and sustain compliance puts children at risk and may lead to stronger enforcement actions, including license revocation. Immediate and lasting correction is expected. RESOURCES Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or 336-580-2527 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 .0302 · Violation

Name of Operation: ANNIE'S BLESSED CHILDREN DAYCARE 2 Facility ID: 01000658 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 7/24/2025 Number Present: 3 Completed Date: 7/24/2025 Age: From 0 To 3 Total Minutes: 135 Time In: 09:45 AM Time Out: 12:00 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 childcare requirements applicable to a childcare center during an unannounced annual compliance visit. Upon my arrival I was greeted by the Director/Owner, Annie Woods she assisted me during today’s visit. I completed a walk-through of the classroom spaces, enrollment and attendance were documented, and observations were made. One infant was observed being held by the Director. The two other children were observed participating in free play. A teacher arrived around 11:30 am and prepared lunch for the children. The children were observed eating lunch which consisted of corn dogs, baked beans, blueberries and milk. The last annual compliance visit was conducted on August 16,2024. The center is operating with a 3-star license that was issued February 2, 2023. The license was earned with 3 points in program standards, 4 points in education and 1 quality point. The last sanitation inspection was conducted March 19, 2025, and the center received a Superior rating. Fire drills and playground inspections were monitored. The last fire inspection was conducted on March 4, 2025. Staff files were monitored along with 7 children’s files were monitored. Your current compliance history is 88%; however, this percentage may change following today’s visit. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. I observed the following violations during today’s visit. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. During today’s visit the basement door was unlocked which in not in compliance with the license restriction. GS 110-91; GS 110-106 307 Only one caregiver was required to meet staff/child ratio, but the name, address and telephone number of agreed emergency relief was not posted or a second adult was not on the premises for emergency relief. The Director, was present with 3 children ages infant through 3 years of age. This is a repeat violation the annual compliance visit conducted on 2/22/2024. .0713(a)(9) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Two 3 year olds and one infant were observed in the classroom for three year olds. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. None of the activity plans in the three spaces used for care were current. This is a repeat violation from the annual compliance visit conducted on 8/16/24 GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not updated with changes made to lunch during today’s visit. The menu stated lunch would include fruit cocktail, however the children were served blueberries. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Several outlets were uncovered throughout the childcare spaces. 10A NCAC 09 .0604(c) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. The outdoor area had broken sticks and the equipment had visible dirt on it and spider webs were on all of the equipment. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed in February 2025. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised.staff hired 7/2/2024, had not received an annual review of the EMC plan. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.Staff hired 7/2/2024 did not have a current health questionnaire on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff hired 7/2/2024, did not have a complete orientation on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience.Staff hired 7/2/2024, did not complete any of the 8 hours on ongoing training that is required. .1103(a) 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.A teacher that cares for infants did not have ITS SIDS training. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan.Staff hire 7/2/2024, did not have a staff evaluation on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.Staff hired 7/2/2024, did not have a job description on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0514(g) 1314 Emergency information did not name child's health care professional.Four of the seven children's files that were monitored did not have the preferred health care professional om file. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.One child did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement.Three of the seven children’s files reviewed did not have a completed discipline policy on file. .1804(b) 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 hired 7/2/2024, did not have documentation on file of an EPR plan review on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Staff hired 7/2/2024, did not complete health and safety training that is required within one year of employment. .1102(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.One child did not have a signed acknowledgement of receipt of the Prevention of shaken baby syndrome and abusive head trauma on file. .0608(b)(1-6) 9999 A violation was found for which there is no item number.During today’s visit, both the Teacher and Administrator had their purses in areas accessible to children. Sanitation Rule 15A NCAC 18A .2820(f), employee purses and other personal belongings must be stored out of children's reach. The above violations must be corrected immediately, and a letter must be sent to me no later than July 10, 2025 stating how each item was corrected and a plan to maintain compliance with the requirement. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation and your plan to keep each item in compliance. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by July 10, 2025 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the violations have not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Technical Assistance There were several repeat violations during today’s visit that were also cited at the last annual compliance visit on August 16, 2024. A corrective action letter was submitted on August 27, 2024, stating those violations had been corrected. However, items 428, 856, 862, 1045, 1054, 1232, 1233, and 1825 have been cited again today as repeat violations. When you submit a corrective action letter, you are confirming that the violations have been fully corrected. Stating that violations have been corrected in a corrective action letter when they have not is a serious matter. Under NC Child Care Rule 110-91(14), any effort to falsify information provided to the Division of Child Development and Early Education is considered a violation of the law and may be grounds for license denial or revocation. Providing false or misleading information undermines trust and puts children at risk. Accurate, truthful reporting is not only expected—it is required. During today's visit, Ms. Woods was caring for one infant and two 3 year olds in the classroom for three year olds, children under 24 months cannot be grouped with 3 year olds. This is why it is important to have more one staff when caring for mixed ages. During today’s visit, the basement door was found unlocked, which is a violation of your license restriction. You stated that the plumber left the door unlocked, but it is your responsibility to ensure the basement door remains locked at all times when children are in care. This requirement was reviewed with you when your license was issued and is clearly stated as a restriction on your license. Playground Inspections: Playground inspections must be completed monthly. Choose a specific date to complete the inspection each month and stick to it for consistency. Electrical Outlet Safety: Several electrical outlets were found uncovered throughout the child care areas. To prevent this, do a daily safety check every morning before children arrive to ensure all outlets are covered and the environment is safe. Activity Plans: None of the activity plans in the three rooms used for care were current. Review and update activity plans every Friday for the upcoming week, or at the latest, every Monday morning before children arrive. Menus: The posted menu was not updated to reflect today’s lunch. The menu listed fruit cocktail, but the children were served blueberries instead. At the beginning of each week, review the menu to ensure all listed items are available. If any changes are made, update the menu immediately to match what is actually being served. Teacher V. Slade was hired on 7/2/2024. During the review of her staff file, the following items were missing: •Annual review of the Emergency Medical Care Plan •Completed orientation •Annual work evaluation •Annual EPR (Emergency Preparedness and Response) review •Signed job description •Current health questionnaire Please use the staff file checklist we discussed during the visit to help organize and maintain required documentation. If you need further assistance with organizing staff files, feel free to contact me to schedule a technical assistance visit. In addition, Ms. Slade does not have current ITS-SIDS training on file. This training is required because she cares for infants. Since she has completed it in the past, she may renew it virtually. Ms. Slade also needs to complete 8 hours of ongoing training each year, based on her Associate’s Degree in Early Childhood Education. Her annual training will be reviewed from July to July each year. The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”.These trainings are free, and participants will receive training certificates when completed. The outdoor play area had broken sticks, and the equipment was visibly dirty with spider webs, suggesting that children have not been taken outside regularly. Per DCDEE child care rules, children are required to go outside daily, weather permitting. Outdoor play is essential for children's health and development. Be sure to check weather advisories each day and ensure the outdoor area is safe, clean, and ready for use. During today’s visit, both the Teacher and Administrator had their purses in areas accessible to children. This poses a potential safety hazard. According to Sanitation Rule 15A NCAC 18A .2820(f), employee purses and other personal belongings must be stored out of children's reach. Personal items should be kept in locked or secure storage at all times to ensure children's safety. Children’s Files: During the review of seven children’s files, the following issues were found: •Three files were missing a completed discipline policy. This form must be filled out in full and include the child’s date of enrollment. •One child did not have immunization records on file. •Four files were missing the preferred health care professional information. •One file was missing a signed acknowledgment of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. •One file did not have a medical exam on file. The children’s file checklist was attached to the files but was not being used. Please use the checklist to ensure all required documents are completed and up to date. Also, review the Children’s Records Form that was provided to you during today’s visit for further guidance. Ongoing repeat violations over the past 18 months show a serious disregard for North Carolina child care laws and rules. Compliance is not optional—it is your legal obligation. Continued failure to correct and sustain compliance puts children at risk and may lead to stronger enforcement actions, including license revocation. Immediate and lasting correction is expected. RESOURCES Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or 336-580-2527 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 .0514 · Violation

Name of Operation: ANNIE'S BLESSED CHILDREN DAYCARE 2 Facility ID: 01000658 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 7/24/2025 Number Present: 3 Completed Date: 7/24/2025 Age: From 0 To 3 Total Minutes: 135 Time In: 09:45 AM Time Out: 12:00 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 childcare requirements applicable to a childcare center during an unannounced annual compliance visit. Upon my arrival I was greeted by the Director/Owner, Annie Woods she assisted me during today’s visit. I completed a walk-through of the classroom spaces, enrollment and attendance were documented, and observations were made. One infant was observed being held by the Director. The two other children were observed participating in free play. A teacher arrived around 11:30 am and prepared lunch for the children. The children were observed eating lunch which consisted of corn dogs, baked beans, blueberries and milk. The last annual compliance visit was conducted on August 16,2024. The center is operating with a 3-star license that was issued February 2, 2023. The license was earned with 3 points in program standards, 4 points in education and 1 quality point. The last sanitation inspection was conducted March 19, 2025, and the center received a Superior rating. Fire drills and playground inspections were monitored. The last fire inspection was conducted on March 4, 2025. Staff files were monitored along with 7 children’s files were monitored. Your current compliance history is 88%; however, this percentage may change following today’s visit. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. I observed the following violations during today’s visit. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. During today’s visit the basement door was unlocked which in not in compliance with the license restriction. GS 110-91; GS 110-106 307 Only one caregiver was required to meet staff/child ratio, but the name, address and telephone number of agreed emergency relief was not posted or a second adult was not on the premises for emergency relief. The Director, was present with 3 children ages infant through 3 years of age. This is a repeat violation the annual compliance visit conducted on 2/22/2024. .0713(a)(9) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Two 3 year olds and one infant were observed in the classroom for three year olds. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. None of the activity plans in the three spaces used for care were current. This is a repeat violation from the annual compliance visit conducted on 8/16/24 GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not updated with changes made to lunch during today’s visit. The menu stated lunch would include fruit cocktail, however the children were served blueberries. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Several outlets were uncovered throughout the childcare spaces. 10A NCAC 09 .0604(c) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. The outdoor area had broken sticks and the equipment had visible dirt on it and spider webs were on all of the equipment. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed in February 2025. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised.staff hired 7/2/2024, had not received an annual review of the EMC plan. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.Staff hired 7/2/2024 did not have a current health questionnaire on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff hired 7/2/2024, did not have a complete orientation on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience.Staff hired 7/2/2024, did not complete any of the 8 hours on ongoing training that is required. .1103(a) 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.A teacher that cares for infants did not have ITS SIDS training. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan.Staff hire 7/2/2024, did not have a staff evaluation on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.Staff hired 7/2/2024, did not have a job description on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0514(g) 1314 Emergency information did not name child's health care professional.Four of the seven children's files that were monitored did not have the preferred health care professional om file. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.One child did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement.Three of the seven children’s files reviewed did not have a completed discipline policy on file. .1804(b) 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 hired 7/2/2024, did not have documentation on file of an EPR plan review on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Staff hired 7/2/2024, did not complete health and safety training that is required within one year of employment. .1102(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.One child did not have a signed acknowledgement of receipt of the Prevention of shaken baby syndrome and abusive head trauma on file. .0608(b)(1-6) 9999 A violation was found for which there is no item number.During today’s visit, both the Teacher and Administrator had their purses in areas accessible to children. Sanitation Rule 15A NCAC 18A .2820(f), employee purses and other personal belongings must be stored out of children's reach. The above violations must be corrected immediately, and a letter must be sent to me no later than July 10, 2025 stating how each item was corrected and a plan to maintain compliance with the requirement. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation and your plan to keep each item in compliance. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by July 10, 2025 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the violations have not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Technical Assistance There were several repeat violations during today’s visit that were also cited at the last annual compliance visit on August 16, 2024. A corrective action letter was submitted on August 27, 2024, stating those violations had been corrected. However, items 428, 856, 862, 1045, 1054, 1232, 1233, and 1825 have been cited again today as repeat violations. When you submit a corrective action letter, you are confirming that the violations have been fully corrected. Stating that violations have been corrected in a corrective action letter when they have not is a serious matter. Under NC Child Care Rule 110-91(14), any effort to falsify information provided to the Division of Child Development and Early Education is considered a violation of the law and may be grounds for license denial or revocation. Providing false or misleading information undermines trust and puts children at risk. Accurate, truthful reporting is not only expected—it is required. During today's visit, Ms. Woods was caring for one infant and two 3 year olds in the classroom for three year olds, children under 24 months cannot be grouped with 3 year olds. This is why it is important to have more one staff when caring for mixed ages. During today’s visit, the basement door was found unlocked, which is a violation of your license restriction. You stated that the plumber left the door unlocked, but it is your responsibility to ensure the basement door remains locked at all times when children are in care. This requirement was reviewed with you when your license was issued and is clearly stated as a restriction on your license. Playground Inspections: Playground inspections must be completed monthly. Choose a specific date to complete the inspection each month and stick to it for consistency. Electrical Outlet Safety: Several electrical outlets were found uncovered throughout the child care areas. To prevent this, do a daily safety check every morning before children arrive to ensure all outlets are covered and the environment is safe. Activity Plans: None of the activity plans in the three rooms used for care were current. Review and update activity plans every Friday for the upcoming week, or at the latest, every Monday morning before children arrive. Menus: The posted menu was not updated to reflect today’s lunch. The menu listed fruit cocktail, but the children were served blueberries instead. At the beginning of each week, review the menu to ensure all listed items are available. If any changes are made, update the menu immediately to match what is actually being served. Teacher V. Slade was hired on 7/2/2024. During the review of her staff file, the following items were missing: •Annual review of the Emergency Medical Care Plan •Completed orientation •Annual work evaluation •Annual EPR (Emergency Preparedness and Response) review •Signed job description •Current health questionnaire Please use the staff file checklist we discussed during the visit to help organize and maintain required documentation. If you need further assistance with organizing staff files, feel free to contact me to schedule a technical assistance visit. In addition, Ms. Slade does not have current ITS-SIDS training on file. This training is required because she cares for infants. Since she has completed it in the past, she may renew it virtually. Ms. Slade also needs to complete 8 hours of ongoing training each year, based on her Associate’s Degree in Early Childhood Education. Her annual training will be reviewed from July to July each year. The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”.These trainings are free, and participants will receive training certificates when completed. The outdoor play area had broken sticks, and the equipment was visibly dirty with spider webs, suggesting that children have not been taken outside regularly. Per DCDEE child care rules, children are required to go outside daily, weather permitting. Outdoor play is essential for children's health and development. Be sure to check weather advisories each day and ensure the outdoor area is safe, clean, and ready for use. During today’s visit, both the Teacher and Administrator had their purses in areas accessible to children. This poses a potential safety hazard. According to Sanitation Rule 15A NCAC 18A .2820(f), employee purses and other personal belongings must be stored out of children's reach. Personal items should be kept in locked or secure storage at all times to ensure children's safety. Children’s Files: During the review of seven children’s files, the following issues were found: •Three files were missing a completed discipline policy. This form must be filled out in full and include the child’s date of enrollment. •One child did not have immunization records on file. •Four files were missing the preferred health care professional information. •One file was missing a signed acknowledgment of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. •One file did not have a medical exam on file. The children’s file checklist was attached to the files but was not being used. Please use the checklist to ensure all required documents are completed and up to date. Also, review the Children’s Records Form that was provided to you during today’s visit for further guidance. Ongoing repeat violations over the past 18 months show a serious disregard for North Carolina child care laws and rules. Compliance is not optional—it is your legal obligation. Continued failure to correct and sustain compliance puts children at risk and may lead to stronger enforcement actions, including license revocation. Immediate and lasting correction is expected. RESOURCES Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or 336-580-2527 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 .0713 · Violation

Name of Operation: ANNIE'S BLESSED CHILDREN DAYCARE 2 Facility ID: 01000658 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 7/24/2025 Number Present: 3 Completed Date: 7/24/2025 Age: From 0 To 3 Total Minutes: 135 Time In: 09:45 AM Time Out: 12:00 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 childcare requirements applicable to a childcare center during an unannounced annual compliance visit. Upon my arrival I was greeted by the Director/Owner, Annie Woods she assisted me during today’s visit. I completed a walk-through of the classroom spaces, enrollment and attendance were documented, and observations were made. One infant was observed being held by the Director. The two other children were observed participating in free play. A teacher arrived around 11:30 am and prepared lunch for the children. The children were observed eating lunch which consisted of corn dogs, baked beans, blueberries and milk. The last annual compliance visit was conducted on August 16,2024. The center is operating with a 3-star license that was issued February 2, 2023. The license was earned with 3 points in program standards, 4 points in education and 1 quality point. The last sanitation inspection was conducted March 19, 2025, and the center received a Superior rating. Fire drills and playground inspections were monitored. The last fire inspection was conducted on March 4, 2025. Staff files were monitored along with 7 children’s files were monitored. Your current compliance history is 88%; however, this percentage may change following today’s visit. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. I observed the following violations during today’s visit. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. During today’s visit the basement door was unlocked which in not in compliance with the license restriction. GS 110-91; GS 110-106 307 Only one caregiver was required to meet staff/child ratio, but the name, address and telephone number of agreed emergency relief was not posted or a second adult was not on the premises for emergency relief. The Director, was present with 3 children ages infant through 3 years of age. This is a repeat violation the annual compliance visit conducted on 2/22/2024. .0713(a)(9) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Two 3 year olds and one infant were observed in the classroom for three year olds. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. None of the activity plans in the three spaces used for care were current. This is a repeat violation from the annual compliance visit conducted on 8/16/24 GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not updated with changes made to lunch during today’s visit. The menu stated lunch would include fruit cocktail, however the children were served blueberries. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Several outlets were uncovered throughout the childcare spaces. 10A NCAC 09 .0604(c) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. The outdoor area had broken sticks and the equipment had visible dirt on it and spider webs were on all of the equipment. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed in February 2025. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised.staff hired 7/2/2024, had not received an annual review of the EMC plan. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.Staff hired 7/2/2024 did not have a current health questionnaire on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff hired 7/2/2024, did not have a complete orientation on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience.Staff hired 7/2/2024, did not complete any of the 8 hours on ongoing training that is required. .1103(a) 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.A teacher that cares for infants did not have ITS SIDS training. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan.Staff hire 7/2/2024, did not have a staff evaluation on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.Staff hired 7/2/2024, did not have a job description on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0514(g) 1314 Emergency information did not name child's health care professional.Four of the seven children's files that were monitored did not have the preferred health care professional om file. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.One child did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement.Three of the seven children’s files reviewed did not have a completed discipline policy on file. .1804(b) 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 hired 7/2/2024, did not have documentation on file of an EPR plan review on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Staff hired 7/2/2024, did not complete health and safety training that is required within one year of employment. .1102(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.One child did not have a signed acknowledgement of receipt of the Prevention of shaken baby syndrome and abusive head trauma on file. .0608(b)(1-6) 9999 A violation was found for which there is no item number.During today’s visit, both the Teacher and Administrator had their purses in areas accessible to children. Sanitation Rule 15A NCAC 18A .2820(f), employee purses and other personal belongings must be stored out of children's reach. The above violations must be corrected immediately, and a letter must be sent to me no later than July 10, 2025 stating how each item was corrected and a plan to maintain compliance with the requirement. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation and your plan to keep each item in compliance. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by July 10, 2025 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the violations have not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Technical Assistance There were several repeat violations during today’s visit that were also cited at the last annual compliance visit on August 16, 2024. A corrective action letter was submitted on August 27, 2024, stating those violations had been corrected. However, items 428, 856, 862, 1045, 1054, 1232, 1233, and 1825 have been cited again today as repeat violations. When you submit a corrective action letter, you are confirming that the violations have been fully corrected. Stating that violations have been corrected in a corrective action letter when they have not is a serious matter. Under NC Child Care Rule 110-91(14), any effort to falsify information provided to the Division of Child Development and Early Education is considered a violation of the law and may be grounds for license denial or revocation. Providing false or misleading information undermines trust and puts children at risk. Accurate, truthful reporting is not only expected—it is required. During today's visit, Ms. Woods was caring for one infant and two 3 year olds in the classroom for three year olds, children under 24 months cannot be grouped with 3 year olds. This is why it is important to have more one staff when caring for mixed ages. During today’s visit, the basement door was found unlocked, which is a violation of your license restriction. You stated that the plumber left the door unlocked, but it is your responsibility to ensure the basement door remains locked at all times when children are in care. This requirement was reviewed with you when your license was issued and is clearly stated as a restriction on your license. Playground Inspections: Playground inspections must be completed monthly. Choose a specific date to complete the inspection each month and stick to it for consistency. Electrical Outlet Safety: Several electrical outlets were found uncovered throughout the child care areas. To prevent this, do a daily safety check every morning before children arrive to ensure all outlets are covered and the environment is safe. Activity Plans: None of the activity plans in the three rooms used for care were current. Review and update activity plans every Friday for the upcoming week, or at the latest, every Monday morning before children arrive. Menus: The posted menu was not updated to reflect today’s lunch. The menu listed fruit cocktail, but the children were served blueberries instead. At the beginning of each week, review the menu to ensure all listed items are available. If any changes are made, update the menu immediately to match what is actually being served. Teacher V. Slade was hired on 7/2/2024. During the review of her staff file, the following items were missing: •Annual review of the Emergency Medical Care Plan •Completed orientation •Annual work evaluation •Annual EPR (Emergency Preparedness and Response) review •Signed job description •Current health questionnaire Please use the staff file checklist we discussed during the visit to help organize and maintain required documentation. If you need further assistance with organizing staff files, feel free to contact me to schedule a technical assistance visit. In addition, Ms. Slade does not have current ITS-SIDS training on file. This training is required because she cares for infants. Since she has completed it in the past, she may renew it virtually. Ms. Slade also needs to complete 8 hours of ongoing training each year, based on her Associate’s Degree in Early Childhood Education. Her annual training will be reviewed from July to July each year. The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”.These trainings are free, and participants will receive training certificates when completed. The outdoor play area had broken sticks, and the equipment was visibly dirty with spider webs, suggesting that children have not been taken outside regularly. Per DCDEE child care rules, children are required to go outside daily, weather permitting. Outdoor play is essential for children's health and development. Be sure to check weather advisories each day and ensure the outdoor area is safe, clean, and ready for use. During today’s visit, both the Teacher and Administrator had their purses in areas accessible to children. This poses a potential safety hazard. According to Sanitation Rule 15A NCAC 18A .2820(f), employee purses and other personal belongings must be stored out of children's reach. Personal items should be kept in locked or secure storage at all times to ensure children's safety. Children’s Files: During the review of seven children’s files, the following issues were found: •Three files were missing a completed discipline policy. This form must be filled out in full and include the child’s date of enrollment. •One child did not have immunization records on file. •Four files were missing the preferred health care professional information. •One file was missing a signed acknowledgment of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. •One file did not have a medical exam on file. The children’s file checklist was attached to the files but was not being used. Please use the checklist to ensure all required documents are completed and up to date. Also, review the Children’s Records Form that was provided to you during today’s visit for further guidance. Ongoing repeat violations over the past 18 months show a serious disregard for North Carolina child care laws and rules. Compliance is not optional—it is your legal obligation. Continued failure to correct and sustain compliance puts children at risk and may lead to stronger enforcement actions, including license revocation. Immediate and lasting correction is expected. RESOURCES Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or 336-580-2527 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: ANNIE'S BLESSED CHILDREN DAYCARE 2 Facility ID: 01000658 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 7/24/2025 Number Present: 3 Completed Date: 7/24/2025 Age: From 0 To 3 Total Minutes: 135 Time In: 09:45 AM Time Out: 12:00 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 childcare requirements applicable to a childcare center during an unannounced annual compliance visit. Upon my arrival I was greeted by the Director/Owner, Annie Woods she assisted me during today’s visit. I completed a walk-through of the classroom spaces, enrollment and attendance were documented, and observations were made. One infant was observed being held by the Director. The two other children were observed participating in free play. A teacher arrived around 11:30 am and prepared lunch for the children. The children were observed eating lunch which consisted of corn dogs, baked beans, blueberries and milk. The last annual compliance visit was conducted on August 16,2024. The center is operating with a 3-star license that was issued February 2, 2023. The license was earned with 3 points in program standards, 4 points in education and 1 quality point. The last sanitation inspection was conducted March 19, 2025, and the center received a Superior rating. Fire drills and playground inspections were monitored. The last fire inspection was conducted on March 4, 2025. Staff files were monitored along with 7 children’s files were monitored. Your current compliance history is 88%; however, this percentage may change following today’s visit. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. I observed the following violations during today’s visit. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. During today’s visit the basement door was unlocked which in not in compliance with the license restriction. GS 110-91; GS 110-106 307 Only one caregiver was required to meet staff/child ratio, but the name, address and telephone number of agreed emergency relief was not posted or a second adult was not on the premises for emergency relief. The Director, was present with 3 children ages infant through 3 years of age. This is a repeat violation the annual compliance visit conducted on 2/22/2024. .0713(a)(9) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Two 3 year olds and one infant were observed in the classroom for three year olds. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. None of the activity plans in the three spaces used for care were current. This is a repeat violation from the annual compliance visit conducted on 8/16/24 GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not updated with changes made to lunch during today’s visit. The menu stated lunch would include fruit cocktail, however the children were served blueberries. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Several outlets were uncovered throughout the childcare spaces. 10A NCAC 09 .0604(c) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. The outdoor area had broken sticks and the equipment had visible dirt on it and spider webs were on all of the equipment. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed in February 2025. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised.staff hired 7/2/2024, had not received an annual review of the EMC plan. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.Staff hired 7/2/2024 did not have a current health questionnaire on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff hired 7/2/2024, did not have a complete orientation on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience.Staff hired 7/2/2024, did not complete any of the 8 hours on ongoing training that is required. .1103(a) 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.A teacher that cares for infants did not have ITS SIDS training. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan.Staff hire 7/2/2024, did not have a staff evaluation on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.Staff hired 7/2/2024, did not have a job description on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0514(g) 1314 Emergency information did not name child's health care professional.Four of the seven children's files that were monitored did not have the preferred health care professional om file. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.One child did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement.Three of the seven children’s files reviewed did not have a completed discipline policy on file. .1804(b) 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 hired 7/2/2024, did not have documentation on file of an EPR plan review on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Staff hired 7/2/2024, did not complete health and safety training that is required within one year of employment. .1102(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.One child did not have a signed acknowledgement of receipt of the Prevention of shaken baby syndrome and abusive head trauma on file. .0608(b)(1-6) 9999 A violation was found for which there is no item number.During today’s visit, both the Teacher and Administrator had their purses in areas accessible to children. Sanitation Rule 15A NCAC 18A .2820(f), employee purses and other personal belongings must be stored out of children's reach. The above violations must be corrected immediately, and a letter must be sent to me no later than July 10, 2025 stating how each item was corrected and a plan to maintain compliance with the requirement. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation and your plan to keep each item in compliance. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by July 10, 2025 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the violations have not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Technical Assistance There were several repeat violations during today’s visit that were also cited at the last annual compliance visit on August 16, 2024. A corrective action letter was submitted on August 27, 2024, stating those violations had been corrected. However, items 428, 856, 862, 1045, 1054, 1232, 1233, and 1825 have been cited again today as repeat violations. When you submit a corrective action letter, you are confirming that the violations have been fully corrected. Stating that violations have been corrected in a corrective action letter when they have not is a serious matter. Under NC Child Care Rule 110-91(14), any effort to falsify information provided to the Division of Child Development and Early Education is considered a violation of the law and may be grounds for license denial or revocation. Providing false or misleading information undermines trust and puts children at risk. Accurate, truthful reporting is not only expected—it is required. During today's visit, Ms. Woods was caring for one infant and two 3 year olds in the classroom for three year olds, children under 24 months cannot be grouped with 3 year olds. This is why it is important to have more one staff when caring for mixed ages. During today’s visit, the basement door was found unlocked, which is a violation of your license restriction. You stated that the plumber left the door unlocked, but it is your responsibility to ensure the basement door remains locked at all times when children are in care. This requirement was reviewed with you when your license was issued and is clearly stated as a restriction on your license. Playground Inspections: Playground inspections must be completed monthly. Choose a specific date to complete the inspection each month and stick to it for consistency. Electrical Outlet Safety: Several electrical outlets were found uncovered throughout the child care areas. To prevent this, do a daily safety check every morning before children arrive to ensure all outlets are covered and the environment is safe. Activity Plans: None of the activity plans in the three rooms used for care were current. Review and update activity plans every Friday for the upcoming week, or at the latest, every Monday morning before children arrive. Menus: The posted menu was not updated to reflect today’s lunch. The menu listed fruit cocktail, but the children were served blueberries instead. At the beginning of each week, review the menu to ensure all listed items are available. If any changes are made, update the menu immediately to match what is actually being served. Teacher V. Slade was hired on 7/2/2024. During the review of her staff file, the following items were missing: •Annual review of the Emergency Medical Care Plan •Completed orientation •Annual work evaluation •Annual EPR (Emergency Preparedness and Response) review •Signed job description •Current health questionnaire Please use the staff file checklist we discussed during the visit to help organize and maintain required documentation. If you need further assistance with organizing staff files, feel free to contact me to schedule a technical assistance visit. In addition, Ms. Slade does not have current ITS-SIDS training on file. This training is required because she cares for infants. Since she has completed it in the past, she may renew it virtually. Ms. Slade also needs to complete 8 hours of ongoing training each year, based on her Associate’s Degree in Early Childhood Education. Her annual training will be reviewed from July to July each year. The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”.These trainings are free, and participants will receive training certificates when completed. The outdoor play area had broken sticks, and the equipment was visibly dirty with spider webs, suggesting that children have not been taken outside regularly. Per DCDEE child care rules, children are required to go outside daily, weather permitting. Outdoor play is essential for children's health and development. Be sure to check weather advisories each day and ensure the outdoor area is safe, clean, and ready for use. During today’s visit, both the Teacher and Administrator had their purses in areas accessible to children. This poses a potential safety hazard. According to Sanitation Rule 15A NCAC 18A .2820(f), employee purses and other personal belongings must be stored out of children's reach. Personal items should be kept in locked or secure storage at all times to ensure children's safety. Children’s Files: During the review of seven children’s files, the following issues were found: •Three files were missing a completed discipline policy. This form must be filled out in full and include the child’s date of enrollment. •One child did not have immunization records on file. •Four files were missing the preferred health care professional information. •One file was missing a signed acknowledgment of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. •One file did not have a medical exam on file. The children’s file checklist was attached to the files but was not being used. Please use the checklist to ensure all required documents are completed and up to date. Also, review the Children’s Records Form that was provided to you during today’s visit for further guidance. Ongoing repeat violations over the past 18 months show a serious disregard for North Carolina child care laws and rules. Compliance is not optional—it is your legal obligation. Continued failure to correct and sustain compliance puts children at risk and may lead to stronger enforcement actions, including license revocation. Immediate and lasting correction is expected. RESOURCES Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or 336-580-2527 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 .0901 · Violation

Name of Operation: ANNIE'S BLESSED CHILDREN DAYCARE 2 Facility ID: 01000658 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 7/24/2025 Number Present: 3 Completed Date: 7/24/2025 Age: From 0 To 3 Total Minutes: 135 Time In: 09:45 AM Time Out: 12:00 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 childcare requirements applicable to a childcare center during an unannounced annual compliance visit. Upon my arrival I was greeted by the Director/Owner, Annie Woods she assisted me during today’s visit. I completed a walk-through of the classroom spaces, enrollment and attendance were documented, and observations were made. One infant was observed being held by the Director. The two other children were observed participating in free play. A teacher arrived around 11:30 am and prepared lunch for the children. The children were observed eating lunch which consisted of corn dogs, baked beans, blueberries and milk. The last annual compliance visit was conducted on August 16,2024. The center is operating with a 3-star license that was issued February 2, 2023. The license was earned with 3 points in program standards, 4 points in education and 1 quality point. The last sanitation inspection was conducted March 19, 2025, and the center received a Superior rating. Fire drills and playground inspections were monitored. The last fire inspection was conducted on March 4, 2025. Staff files were monitored along with 7 children’s files were monitored. Your current compliance history is 88%; however, this percentage may change following today’s visit. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. I observed the following violations during today’s visit. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. During today’s visit the basement door was unlocked which in not in compliance with the license restriction. GS 110-91; GS 110-106 307 Only one caregiver was required to meet staff/child ratio, but the name, address and telephone number of agreed emergency relief was not posted or a second adult was not on the premises for emergency relief. The Director, was present with 3 children ages infant through 3 years of age. This is a repeat violation the annual compliance visit conducted on 2/22/2024. .0713(a)(9) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Two 3 year olds and one infant were observed in the classroom for three year olds. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. None of the activity plans in the three spaces used for care were current. This is a repeat violation from the annual compliance visit conducted on 8/16/24 GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not updated with changes made to lunch during today’s visit. The menu stated lunch would include fruit cocktail, however the children were served blueberries. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Several outlets were uncovered throughout the childcare spaces. 10A NCAC 09 .0604(c) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. The outdoor area had broken sticks and the equipment had visible dirt on it and spider webs were on all of the equipment. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed in February 2025. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised.staff hired 7/2/2024, had not received an annual review of the EMC plan. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.Staff hired 7/2/2024 did not have a current health questionnaire on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff hired 7/2/2024, did not have a complete orientation on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience.Staff hired 7/2/2024, did not complete any of the 8 hours on ongoing training that is required. .1103(a) 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.A teacher that cares for infants did not have ITS SIDS training. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan.Staff hire 7/2/2024, did not have a staff evaluation on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.Staff hired 7/2/2024, did not have a job description on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0514(g) 1314 Emergency information did not name child's health care professional.Four of the seven children's files that were monitored did not have the preferred health care professional om file. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.One child did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement.Three of the seven children’s files reviewed did not have a completed discipline policy on file. .1804(b) 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 hired 7/2/2024, did not have documentation on file of an EPR plan review on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Staff hired 7/2/2024, did not complete health and safety training that is required within one year of employment. .1102(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.One child did not have a signed acknowledgement of receipt of the Prevention of shaken baby syndrome and abusive head trauma on file. .0608(b)(1-6) 9999 A violation was found for which there is no item number.During today’s visit, both the Teacher and Administrator had their purses in areas accessible to children. Sanitation Rule 15A NCAC 18A .2820(f), employee purses and other personal belongings must be stored out of children's reach. The above violations must be corrected immediately, and a letter must be sent to me no later than July 10, 2025 stating how each item was corrected and a plan to maintain compliance with the requirement. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation and your plan to keep each item in compliance. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by July 10, 2025 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the violations have not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Technical Assistance There were several repeat violations during today’s visit that were also cited at the last annual compliance visit on August 16, 2024. A corrective action letter was submitted on August 27, 2024, stating those violations had been corrected. However, items 428, 856, 862, 1045, 1054, 1232, 1233, and 1825 have been cited again today as repeat violations. When you submit a corrective action letter, you are confirming that the violations have been fully corrected. Stating that violations have been corrected in a corrective action letter when they have not is a serious matter. Under NC Child Care Rule 110-91(14), any effort to falsify information provided to the Division of Child Development and Early Education is considered a violation of the law and may be grounds for license denial or revocation. Providing false or misleading information undermines trust and puts children at risk. Accurate, truthful reporting is not only expected—it is required. During today's visit, Ms. Woods was caring for one infant and two 3 year olds in the classroom for three year olds, children under 24 months cannot be grouped with 3 year olds. This is why it is important to have more one staff when caring for mixed ages. During today’s visit, the basement door was found unlocked, which is a violation of your license restriction. You stated that the plumber left the door unlocked, but it is your responsibility to ensure the basement door remains locked at all times when children are in care. This requirement was reviewed with you when your license was issued and is clearly stated as a restriction on your license. Playground Inspections: Playground inspections must be completed monthly. Choose a specific date to complete the inspection each month and stick to it for consistency. Electrical Outlet Safety: Several electrical outlets were found uncovered throughout the child care areas. To prevent this, do a daily safety check every morning before children arrive to ensure all outlets are covered and the environment is safe. Activity Plans: None of the activity plans in the three rooms used for care were current. Review and update activity plans every Friday for the upcoming week, or at the latest, every Monday morning before children arrive. Menus: The posted menu was not updated to reflect today’s lunch. The menu listed fruit cocktail, but the children were served blueberries instead. At the beginning of each week, review the menu to ensure all listed items are available. If any changes are made, update the menu immediately to match what is actually being served. Teacher V. Slade was hired on 7/2/2024. During the review of her staff file, the following items were missing: •Annual review of the Emergency Medical Care Plan •Completed orientation •Annual work evaluation •Annual EPR (Emergency Preparedness and Response) review •Signed job description •Current health questionnaire Please use the staff file checklist we discussed during the visit to help organize and maintain required documentation. If you need further assistance with organizing staff files, feel free to contact me to schedule a technical assistance visit. In addition, Ms. Slade does not have current ITS-SIDS training on file. This training is required because she cares for infants. Since she has completed it in the past, she may renew it virtually. Ms. Slade also needs to complete 8 hours of ongoing training each year, based on her Associate’s Degree in Early Childhood Education. Her annual training will be reviewed from July to July each year. The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”.These trainings are free, and participants will receive training certificates when completed. The outdoor play area had broken sticks, and the equipment was visibly dirty with spider webs, suggesting that children have not been taken outside regularly. Per DCDEE child care rules, children are required to go outside daily, weather permitting. Outdoor play is essential for children's health and development. Be sure to check weather advisories each day and ensure the outdoor area is safe, clean, and ready for use. During today’s visit, both the Teacher and Administrator had their purses in areas accessible to children. This poses a potential safety hazard. According to Sanitation Rule 15A NCAC 18A .2820(f), employee purses and other personal belongings must be stored out of children's reach. Personal items should be kept in locked or secure storage at all times to ensure children's safety. Children’s Files: During the review of seven children’s files, the following issues were found: •Three files were missing a completed discipline policy. This form must be filled out in full and include the child’s date of enrollment. •One child did not have immunization records on file. •Four files were missing the preferred health care professional information. •One file was missing a signed acknowledgment of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. •One file did not have a medical exam on file. The children’s file checklist was attached to the files but was not being used. Please use the checklist to ensure all required documents are completed and up to date. Also, review the Children’s Records Form that was provided to you during today’s visit for further guidance. Ongoing repeat violations over the past 18 months show a serious disregard for North Carolina child care laws and rules. Compliance is not optional—it is your legal obligation. Continued failure to correct and sustain compliance puts children at risk and may lead to stronger enforcement actions, including license revocation. Immediate and lasting correction is expected. RESOURCES Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or 336-580-2527 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-106 · Violation

Name of Operation: ANNIE'S BLESSED CHILDREN DAYCARE 2 Facility ID: 01000658 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 7/24/2025 Number Present: 3 Completed Date: 7/24/2025 Age: From 0 To 3 Total Minutes: 135 Time In: 09:45 AM Time Out: 12:00 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 childcare requirements applicable to a childcare center during an unannounced annual compliance visit. Upon my arrival I was greeted by the Director/Owner, Annie Woods she assisted me during today’s visit. I completed a walk-through of the classroom spaces, enrollment and attendance were documented, and observations were made. One infant was observed being held by the Director. The two other children were observed participating in free play. A teacher arrived around 11:30 am and prepared lunch for the children. The children were observed eating lunch which consisted of corn dogs, baked beans, blueberries and milk. The last annual compliance visit was conducted on August 16,2024. The center is operating with a 3-star license that was issued February 2, 2023. The license was earned with 3 points in program standards, 4 points in education and 1 quality point. The last sanitation inspection was conducted March 19, 2025, and the center received a Superior rating. Fire drills and playground inspections were monitored. The last fire inspection was conducted on March 4, 2025. Staff files were monitored along with 7 children’s files were monitored. Your current compliance history is 88%; however, this percentage may change following today’s visit. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. I observed the following violations during today’s visit. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. During today’s visit the basement door was unlocked which in not in compliance with the license restriction. GS 110-91; GS 110-106 307 Only one caregiver was required to meet staff/child ratio, but the name, address and telephone number of agreed emergency relief was not posted or a second adult was not on the premises for emergency relief. The Director, was present with 3 children ages infant through 3 years of age. This is a repeat violation the annual compliance visit conducted on 2/22/2024. .0713(a)(9) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Two 3 year olds and one infant were observed in the classroom for three year olds. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. None of the activity plans in the three spaces used for care were current. This is a repeat violation from the annual compliance visit conducted on 8/16/24 GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not updated with changes made to lunch during today’s visit. The menu stated lunch would include fruit cocktail, however the children were served blueberries. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Several outlets were uncovered throughout the childcare spaces. 10A NCAC 09 .0604(c) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. The outdoor area had broken sticks and the equipment had visible dirt on it and spider webs were on all of the equipment. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed in February 2025. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised.staff hired 7/2/2024, had not received an annual review of the EMC plan. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.Staff hired 7/2/2024 did not have a current health questionnaire on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff hired 7/2/2024, did not have a complete orientation on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience.Staff hired 7/2/2024, did not complete any of the 8 hours on ongoing training that is required. .1103(a) 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.A teacher that cares for infants did not have ITS SIDS training. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan.Staff hire 7/2/2024, did not have a staff evaluation on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.Staff hired 7/2/2024, did not have a job description on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0514(g) 1314 Emergency information did not name child's health care professional.Four of the seven children's files that were monitored did not have the preferred health care professional om file. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.One child did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement.Three of the seven children’s files reviewed did not have a completed discipline policy on file. .1804(b) 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 hired 7/2/2024, did not have documentation on file of an EPR plan review on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Staff hired 7/2/2024, did not complete health and safety training that is required within one year of employment. .1102(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.One child did not have a signed acknowledgement of receipt of the Prevention of shaken baby syndrome and abusive head trauma on file. .0608(b)(1-6) 9999 A violation was found for which there is no item number.During today’s visit, both the Teacher and Administrator had their purses in areas accessible to children. Sanitation Rule 15A NCAC 18A .2820(f), employee purses and other personal belongings must be stored out of children's reach. The above violations must be corrected immediately, and a letter must be sent to me no later than July 10, 2025 stating how each item was corrected and a plan to maintain compliance with the requirement. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation and your plan to keep each item in compliance. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by July 10, 2025 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the violations have not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Technical Assistance There were several repeat violations during today’s visit that were also cited at the last annual compliance visit on August 16, 2024. A corrective action letter was submitted on August 27, 2024, stating those violations had been corrected. However, items 428, 856, 862, 1045, 1054, 1232, 1233, and 1825 have been cited again today as repeat violations. When you submit a corrective action letter, you are confirming that the violations have been fully corrected. Stating that violations have been corrected in a corrective action letter when they have not is a serious matter. Under NC Child Care Rule 110-91(14), any effort to falsify information provided to the Division of Child Development and Early Education is considered a violation of the law and may be grounds for license denial or revocation. Providing false or misleading information undermines trust and puts children at risk. Accurate, truthful reporting is not only expected—it is required. During today's visit, Ms. Woods was caring for one infant and two 3 year olds in the classroom for three year olds, children under 24 months cannot be grouped with 3 year olds. This is why it is important to have more one staff when caring for mixed ages. During today’s visit, the basement door was found unlocked, which is a violation of your license restriction. You stated that the plumber left the door unlocked, but it is your responsibility to ensure the basement door remains locked at all times when children are in care. This requirement was reviewed with you when your license was issued and is clearly stated as a restriction on your license. Playground Inspections: Playground inspections must be completed monthly. Choose a specific date to complete the inspection each month and stick to it for consistency. Electrical Outlet Safety: Several electrical outlets were found uncovered throughout the child care areas. To prevent this, do a daily safety check every morning before children arrive to ensure all outlets are covered and the environment is safe. Activity Plans: None of the activity plans in the three rooms used for care were current. Review and update activity plans every Friday for the upcoming week, or at the latest, every Monday morning before children arrive. Menus: The posted menu was not updated to reflect today’s lunch. The menu listed fruit cocktail, but the children were served blueberries instead. At the beginning of each week, review the menu to ensure all listed items are available. If any changes are made, update the menu immediately to match what is actually being served. Teacher V. Slade was hired on 7/2/2024. During the review of her staff file, the following items were missing: •Annual review of the Emergency Medical Care Plan •Completed orientation •Annual work evaluation •Annual EPR (Emergency Preparedness and Response) review •Signed job description •Current health questionnaire Please use the staff file checklist we discussed during the visit to help organize and maintain required documentation. If you need further assistance with organizing staff files, feel free to contact me to schedule a technical assistance visit. In addition, Ms. Slade does not have current ITS-SIDS training on file. This training is required because she cares for infants. Since she has completed it in the past, she may renew it virtually. Ms. Slade also needs to complete 8 hours of ongoing training each year, based on her Associate’s Degree in Early Childhood Education. Her annual training will be reviewed from July to July each year. The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”.These trainings are free, and participants will receive training certificates when completed. The outdoor play area had broken sticks, and the equipment was visibly dirty with spider webs, suggesting that children have not been taken outside regularly. Per DCDEE child care rules, children are required to go outside daily, weather permitting. Outdoor play is essential for children's health and development. Be sure to check weather advisories each day and ensure the outdoor area is safe, clean, and ready for use. During today’s visit, both the Teacher and Administrator had their purses in areas accessible to children. This poses a potential safety hazard. According to Sanitation Rule 15A NCAC 18A .2820(f), employee purses and other personal belongings must be stored out of children's reach. Personal items should be kept in locked or secure storage at all times to ensure children's safety. Children’s Files: During the review of seven children’s files, the following issues were found: •Three files were missing a completed discipline policy. This form must be filled out in full and include the child’s date of enrollment. •One child did not have immunization records on file. •Four files were missing the preferred health care professional information. •One file was missing a signed acknowledgment of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. •One file did not have a medical exam on file. The children’s file checklist was attached to the files but was not being used. Please use the checklist to ensure all required documents are completed and up to date. Also, review the Children’s Records Form that was provided to you during today’s visit for further guidance. Ongoing repeat violations over the past 18 months show a serious disregard for North Carolina child care laws and rules. Compliance is not optional—it is your legal obligation. Continued failure to correct and sustain compliance puts children at risk and may lead to stronger enforcement actions, including license revocation. Immediate and lasting correction is expected. RESOURCES Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or 336-580-2527 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: ANNIE'S BLESSED CHILDREN DAYCARE 2 Facility ID: 01000658 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 7/24/2025 Number Present: 3 Completed Date: 7/24/2025 Age: From 0 To 3 Total Minutes: 135 Time In: 09:45 AM Time Out: 12:00 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 childcare requirements applicable to a childcare center during an unannounced annual compliance visit. Upon my arrival I was greeted by the Director/Owner, Annie Woods she assisted me during today’s visit. I completed a walk-through of the classroom spaces, enrollment and attendance were documented, and observations were made. One infant was observed being held by the Director. The two other children were observed participating in free play. A teacher arrived around 11:30 am and prepared lunch for the children. The children were observed eating lunch which consisted of corn dogs, baked beans, blueberries and milk. The last annual compliance visit was conducted on August 16,2024. The center is operating with a 3-star license that was issued February 2, 2023. The license was earned with 3 points in program standards, 4 points in education and 1 quality point. The last sanitation inspection was conducted March 19, 2025, and the center received a Superior rating. Fire drills and playground inspections were monitored. The last fire inspection was conducted on March 4, 2025. Staff files were monitored along with 7 children’s files were monitored. Your current compliance history is 88%; however, this percentage may change following today’s visit. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. I observed the following violations during today’s visit. Violation Number Comment Rule 107 The center did not comply with the permit restrictions. During today’s visit the basement door was unlocked which in not in compliance with the license restriction. GS 110-91; GS 110-106 307 Only one caregiver was required to meet staff/child ratio, but the name, address and telephone number of agreed emergency relief was not posted or a second adult was not on the premises for emergency relief. The Director, was present with 3 children ages infant through 3 years of age. This is a repeat violation the annual compliance visit conducted on 2/22/2024. .0713(a)(9) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Two 3 year olds and one infant were observed in the classroom for three year olds. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. None of the activity plans in the three spaces used for care were current. This is a repeat violation from the annual compliance visit conducted on 8/16/24 GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not updated with changes made to lunch during today’s visit. The menu stated lunch would include fruit cocktail, however the children were served blueberries. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Several outlets were uncovered throughout the childcare spaces. 10A NCAC 09 .0604(c) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. The outdoor area had broken sticks and the equipment had visible dirt on it and spider webs were on all of the equipment. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed in February 2025. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised.staff hired 7/2/2024, had not received an annual review of the EMC plan. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.Staff hired 7/2/2024 did not have a current health questionnaire on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff hired 7/2/2024, did not have a complete orientation on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience.Staff hired 7/2/2024, did not complete any of the 8 hours on ongoing training that is required. .1103(a) 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.A teacher that cares for infants did not have ITS SIDS training. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan.Staff hire 7/2/2024, did not have a staff evaluation on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.Staff hired 7/2/2024, did not have a job description on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 10A NCAC 09 .0514(g) 1314 Emergency information did not name child's health care professional.Four of the seven children's files that were monitored did not have the preferred health care professional om file. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.One child did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement.Three of the seven children’s files reviewed did not have a completed discipline policy on file. .1804(b) 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 hired 7/2/2024, did not have documentation on file of an EPR plan review on file. This is a repeat violation from the annual compliance visit conducted on 8/16/24 .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Staff hired 7/2/2024, did not complete health and safety training that is required within one year of employment. .1102(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.One child did not have a signed acknowledgement of receipt of the Prevention of shaken baby syndrome and abusive head trauma on file. .0608(b)(1-6) 9999 A violation was found for which there is no item number.During today’s visit, both the Teacher and Administrator had their purses in areas accessible to children. Sanitation Rule 15A NCAC 18A .2820(f), employee purses and other personal belongings must be stored out of children's reach. The above violations must be corrected immediately, and a letter must be sent to me no later than July 10, 2025 stating how each item was corrected and a plan to maintain compliance with the requirement. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation and your plan to keep each item in compliance. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by July 10, 2025 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the violations have not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Technical Assistance There were several repeat violations during today’s visit that were also cited at the last annual compliance visit on August 16, 2024. A corrective action letter was submitted on August 27, 2024, stating those violations had been corrected. However, items 428, 856, 862, 1045, 1054, 1232, 1233, and 1825 have been cited again today as repeat violations. When you submit a corrective action letter, you are confirming that the violations have been fully corrected. Stating that violations have been corrected in a corrective action letter when they have not is a serious matter. Under NC Child Care Rule 110-91(14), any effort to falsify information provided to the Division of Child Development and Early Education is considered a violation of the law and may be grounds for license denial or revocation. Providing false or misleading information undermines trust and puts children at risk. Accurate, truthful reporting is not only expected—it is required. During today's visit, Ms. Woods was caring for one infant and two 3 year olds in the classroom for three year olds, children under 24 months cannot be grouped with 3 year olds. This is why it is important to have more one staff when caring for mixed ages. During today’s visit, the basement door was found unlocked, which is a violation of your license restriction. You stated that the plumber left the door unlocked, but it is your responsibility to ensure the basement door remains locked at all times when children are in care. This requirement was reviewed with you when your license was issued and is clearly stated as a restriction on your license. Playground Inspections: Playground inspections must be completed monthly. Choose a specific date to complete the inspection each month and stick to it for consistency. Electrical Outlet Safety: Several electrical outlets were found uncovered throughout the child care areas. To prevent this, do a daily safety check every morning before children arrive to ensure all outlets are covered and the environment is safe. Activity Plans: None of the activity plans in the three rooms used for care were current. Review and update activity plans every Friday for the upcoming week, or at the latest, every Monday morning before children arrive. Menus: The posted menu was not updated to reflect today’s lunch. The menu listed fruit cocktail, but the children were served blueberries instead. At the beginning of each week, review the menu to ensure all listed items are available. If any changes are made, update the menu immediately to match what is actually being served. Teacher V. Slade was hired on 7/2/2024. During the review of her staff file, the following items were missing: •Annual review of the Emergency Medical Care Plan •Completed orientation •Annual work evaluation •Annual EPR (Emergency Preparedness and Response) review •Signed job description •Current health questionnaire Please use the staff file checklist we discussed during the visit to help organize and maintain required documentation. If you need further assistance with organizing staff files, feel free to contact me to schedule a technical assistance visit. In addition, Ms. Slade does not have current ITS-SIDS training on file. This training is required because she cares for infants. Since she has completed it in the past, she may renew it virtually. Ms. Slade also needs to complete 8 hours of ongoing training each year, based on her Associate’s Degree in Early Childhood Education. Her annual training will be reviewed from July to July each year. The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”.These trainings are free, and participants will receive training certificates when completed. The outdoor play area had broken sticks, and the equipment was visibly dirty with spider webs, suggesting that children have not been taken outside regularly. Per DCDEE child care rules, children are required to go outside daily, weather permitting. Outdoor play is essential for children's health and development. Be sure to check weather advisories each day and ensure the outdoor area is safe, clean, and ready for use. During today’s visit, both the Teacher and Administrator had their purses in areas accessible to children. This poses a potential safety hazard. According to Sanitation Rule 15A NCAC 18A .2820(f), employee purses and other personal belongings must be stored out of children's reach. Personal items should be kept in locked or secure storage at all times to ensure children's safety. Children’s Files: During the review of seven children’s files, the following issues were found: •Three files were missing a completed discipline policy. This form must be filled out in full and include the child’s date of enrollment. •One child did not have immunization records on file. •Four files were missing the preferred health care professional information. •One file was missing a signed acknowledgment of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. •One file did not have a medical exam on file. The children’s file checklist was attached to the files but was not being used. Please use the checklist to ensure all required documents are completed and up to date. Also, review the Children’s Records Form that was provided to you during today’s visit for further guidance. Ongoing repeat violations over the past 18 months show a serious disregard for North Carolina child care laws and rules. Compliance is not optional—it is your legal obligation. Continued failure to correct and sustain compliance puts children at risk and may lead to stronger enforcement actions, including license revocation. Immediate and lasting correction is expected. RESOURCES Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or 336-580-2527 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 .0302 · Violation

Name of Operation: ANNIE'S BLESSED CHILDREN DAYCARE 2 Facility ID: 01000658 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 2/14/2025 Number Present: 3 Completed Date: 2/14/2025 Age: From 2 To 3 Total Minutes: 115 Time In: 10:12 AM Time Out: 12:07 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced Today, I conducted an unannounced routine visit to monitor for compliance with applicable childcare requirements. The facility currently operates with a three (3) star license which was issued on February 1, 2023. The facility received a score of 4.3 on the ITERS-R and on the SACERS-R a score of 4.49 for an overall score of 4.4 and operates with enhanced ratios and space. When I arrived at the facility, I was greeted by the owner, Ms. Woods, who assisted me during today’s visit. We conducted a walkthrough of the facility. Attendance was taken and observations made. The children were observed participating in indoor free play, teacher directed activities, and routines. The last Fire Inspection was conducted on February 14, 2025. The inspection is approved for day time care. With a note to provide documentation of the annual fire alarm inspection. The last Sanitation Inspection was completed October 31, 2024. The center achieved a “Superior” classification. A partial assessment of childcare requirements was monitored during today’s visit. Including program requirements, staff/child ratio and supervision, all staff emergency training and all new children’s records. The following violations were observed, cited and technical assistance was provided. Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. **One child's records did not contain the medical exam report. Documentation indicated the child enrolled in September 2024. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.**One child's record did not contain the immunization report. Documentation indicated the child enrolled in September 2024. 10A NCAC 09 .0302(d)(2) The above violations must be corrected immediately, and a compliance letter drafted stating how you corrected the items and when the violations was corrected. The letter should be submitted on your business letterhead. Please refer to the type of visit, the visit date, and the item numbers cited for the violations. Please sign and submit the letter. You may submit to my email at anita.c.graham@dhhs.nc.gov. The letter should be sent to my office no later than February 28, 2025. If the letter is not received by the above date, a return visit may be conducted to ensure each of the violations have been corrected or addressed. Additional violations may be cited if corrections are not observed. You were provided an opportunity to ask question regarding child care requirements. We discussed each of the violations cited this date. TECHNICAL ASSISTANCE: Please remember to collect children's medical records on or before the first day of attendance, but not later than 30 days of enrollment. RESOURCES: https://nrckids.org/CFOC Additional Information: Childcare programs may order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ If you completed Health and Safety trainings in 2020, you must retake them in 2025. The Health and Safety Trainings continue to be offered on the DCDEE website, https://ncchildcare.ncdhhs.gov/ ,and are free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Thank you for your assistance during today’s visit. If I can be of additional assistance, please do not hesitate to contact me. My phone number is 336-894-0609 or via email anita.c.graham@dhhs.nc.gov. You may also contact my supervisor Kaye Adkins at kaye.adkins@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

GS110-91 · Violation

Name of Operation: ANNIE'S BLESSED CHILDREN DAYCARE 2 Facility ID: 01000658 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 2/14/2025 Number Present: 3 Completed Date: 2/14/2025 Age: From 2 To 3 Total Minutes: 115 Time In: 10:12 AM Time Out: 12:07 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced Today, I conducted an unannounced routine visit to monitor for compliance with applicable childcare requirements. The facility currently operates with a three (3) star license which was issued on February 1, 2023. The facility received a score of 4.3 on the ITERS-R and on the SACERS-R a score of 4.49 for an overall score of 4.4 and operates with enhanced ratios and space. When I arrived at the facility, I was greeted by the owner, Ms. Woods, who assisted me during today’s visit. We conducted a walkthrough of the facility. Attendance was taken and observations made. The children were observed participating in indoor free play, teacher directed activities, and routines. The last Fire Inspection was conducted on February 14, 2025. The inspection is approved for day time care. With a note to provide documentation of the annual fire alarm inspection. The last Sanitation Inspection was completed October 31, 2024. The center achieved a “Superior” classification. A partial assessment of childcare requirements was monitored during today’s visit. Including program requirements, staff/child ratio and supervision, all staff emergency training and all new children’s records. The following violations were observed, cited and technical assistance was provided. Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. **One child's records did not contain the medical exam report. Documentation indicated the child enrolled in September 2024. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.**One child's record did not contain the immunization report. Documentation indicated the child enrolled in September 2024. 10A NCAC 09 .0302(d)(2) The above violations must be corrected immediately, and a compliance letter drafted stating how you corrected the items and when the violations was corrected. The letter should be submitted on your business letterhead. Please refer to the type of visit, the visit date, and the item numbers cited for the violations. Please sign and submit the letter. You may submit to my email at anita.c.graham@dhhs.nc.gov. The letter should be sent to my office no later than February 28, 2025. If the letter is not received by the above date, a return visit may be conducted to ensure each of the violations have been corrected or addressed. Additional violations may be cited if corrections are not observed. You were provided an opportunity to ask question regarding child care requirements. We discussed each of the violations cited this date. TECHNICAL ASSISTANCE: Please remember to collect children's medical records on or before the first day of attendance, but not later than 30 days of enrollment. RESOURCES: https://nrckids.org/CFOC Additional Information: Childcare programs may order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ If you completed Health and Safety trainings in 2020, you must retake them in 2025. The Health and Safety Trainings continue to be offered on the DCDEE website, https://ncchildcare.ncdhhs.gov/ ,and are free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Thank you for your assistance during today’s visit. If I can be of additional assistance, please do not hesitate to contact me. My phone number is 336-894-0609 or via email anita.c.graham@dhhs.nc.gov. You may also contact my supervisor Kaye Adkins at kaye.adkins@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 .0604 · Violation

Name of Operation: ANNIE'S BLESSED CHILDREN DAYCARE 2 Facility ID: 01000658 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 8/16/2024 Number Present: 2 Completed Date: 8/16/2024 Age: From 1 To 10 Total Minutes: 225 Time In: 09:50 AM Time Out: 01:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct the Annual Compliance monitoring for applicable child care requirements. The facility currently operates with a Three(3) Star License. It was issued on February 1, 2023. Turkessha Casterlow, Child Care Consultant accompanied me on today’s visit. When we arrived at the facility, we were greeted by the owner/administrator, Annie Woods. I stated the purpose of our visit. We conducted a walkthrough of the facility, mostly unaccompanied. Attendance was taken and observations made. The children were observed participating in teacher directed activities, indoor free play, routines, lunch and resting. The last Fire Inspection was conducted on January 23, 2024, and the facility was approved for daytime and nighttime care. The last Sanitation Inspection was completed on April 29, 2024. The center achieved a “Superior” classification. A full assessment of child care requirements was monitored during today’s visit. These included program requirements, staff/child ratio and supervision. All staff files, all new children’s records and a sampling of previously enrolled children’s records. The following violations were observed, cited, technical assistance and resource links was provided. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Activity plans posted in the classrooms were not current. Neither were current plans available for review. GS 110-91(12); .0508(a) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. There was a missing/broken leg on a child-sized sofa observed in the classroom used for children who are three(3)-five(5) years old. It appeared that the playground used by preschoolers was not checked daily. We observed spiderwebs, standing water, and dirt on outdoor equipment and debris(small broken limbs) on the playground. 10A NCAC 09 .0604(p) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. New staff has not been oriented with the Emergency Medical Care Plan. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. Documentation of a staff member's criminal background indicate that the qualifying letter was received approximately ten(10) days after the staff member's date of hire. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member with a documented hire date of 7/8/2024, has not completed 16 hours of orientation. .1101(a) 1054 Documentation of staff's on-going training was not on file and/or was not current. Documentation of the administrator's on-going training log was not available. 10A NCAC 09 .1106(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Documentation of staff development plans were not present for Division Representative Review. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. There are no job description in the new staff member's personnel files. 10A NCAC 09 .0514(g) 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. The documentation of the EPR Plan review was not available in staff files. .0607(f) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Documentation of a staff members medical file indicate that the medical report was received approximately three weeks after the staff member's hire date. .0701(d) The above violations must be corrected immediately, and a compliance letter drafted stating how and when the corrections were attained. The letter should be submitted on your business letterhead. Please reference the type of visit, the visit date, and the item numbers cited for the violations along with your electronic signature. You may submit the letter to my email at anita.c.graham@dhhs.nc.gov. Please submit to my office on or before August 30, 2024. If the letter is not received by the above date, a return visit may be conducted to ensure each of the violations has been corrected or addressed. Additional violations may be cited if non-compliance with child care requirements is observed. You were provided an opportunity to ask question regarding child care requirements. You have stated that you understand our discussions around the violations cited. TECHNICAL ASSISTANCE: We discussed each of the violations this date. Regarding the collection of staff documents. Best practice will be to ensure that staff members are not given a date for their first day of work until, all required pre-employment paperwork is secured by the owner/administrator and maintained in the new staff member’s medical and personnel files. Such items shall include staff medical reports, including the final TB test results, and the criminal background checks. As staff members personnel file indicated that the medical exam report was dated approximately three weeks after hire. The same staff member had a criminal background check which was recorded as received ten(10 days) after the hire date. Please be reminded that staff may not work with or be allowed around the children in care until after the medical report and negative TB test are received and the criminal background check has been cleared. Background checks are especially important as they help to identify applicants with unsafe backgrounds and/or who may put children at risk. Such as persons who may present with a history of violent behaviors or habitual drug use. The following items may also be collected prior to first day and/or certainly, during the first week of orientation, and maintained in staff files. These include the job descriptions, a staff development plan, the emergency care plan reviews, and the EPR plan. When these items are addressed immediately upon hire, the likelihood of oversite in the future work days or weeks is minimized. Each year documentation of on-going trainings must be recorded to a training log. It may be helpful to have the log nearby when one is participating in the trainings. This practice ensures that logs are readily available to record trainings immediately upon completion. This will allow Division Representatives the tool needed to monitor compliance. It is your responsibility to complete the documentation of all trainings to the log. Completing activity plans, in advance, each week or each month, may be instrumental in ensuring current plans are available to be posted in each classroom prior to implementation week. We observed chipping paint and a broken chair in a classroom used for children who are three(3)-five(5) years old. Chipping paint can be hazardous to children if ingested, and broken furniture may contribute to the injury of a child. You have stated that you understand and will have the chair repaired or discarded. Your daily checks of the playground shall include clearing all standing water, wiping down equipment and insuring that spiderwebs and other nuisances are removed from the equipment, and that tree limbs, debris and trash are removed from the outdoor learning space. RESOURCE LINKS: https://nrckids.org/CFOC https://www.childcareservices.org/ https://www.childcarerrnc.org/services/for-child-care-providers/training/ https://www.ncrlap.org/ The Health and Safety Trainings are also offered on the DCDEE Moodle format. These trainings are free, and participants will receive training certificates when completed. -For other upcoming training opportunities please visit CCSA’s website at: https://www.childcareservices.org/programs/ccrr/professional-development. -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at: https://healthychildcare.unc.edu/. Thank you for your assistance during the visit. If you have questions, please contact me at 336-894-0609 or by e-mail at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins, at kaye.adkins@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 .0514 · Violation

Name of Operation: ANNIE'S BLESSED CHILDREN DAYCARE 2 Facility ID: 01000658 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 8/16/2024 Number Present: 2 Completed Date: 8/16/2024 Age: From 1 To 10 Total Minutes: 225 Time In: 09:50 AM Time Out: 01:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct the Annual Compliance monitoring for applicable child care requirements. The facility currently operates with a Three(3) Star License. It was issued on February 1, 2023. Turkessha Casterlow, Child Care Consultant accompanied me on today’s visit. When we arrived at the facility, we were greeted by the owner/administrator, Annie Woods. I stated the purpose of our visit. We conducted a walkthrough of the facility, mostly unaccompanied. Attendance was taken and observations made. The children were observed participating in teacher directed activities, indoor free play, routines, lunch and resting. The last Fire Inspection was conducted on January 23, 2024, and the facility was approved for daytime and nighttime care. The last Sanitation Inspection was completed on April 29, 2024. The center achieved a “Superior” classification. A full assessment of child care requirements was monitored during today’s visit. These included program requirements, staff/child ratio and supervision. All staff files, all new children’s records and a sampling of previously enrolled children’s records. The following violations were observed, cited, technical assistance and resource links was provided. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Activity plans posted in the classrooms were not current. Neither were current plans available for review. GS 110-91(12); .0508(a) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. There was a missing/broken leg on a child-sized sofa observed in the classroom used for children who are three(3)-five(5) years old. It appeared that the playground used by preschoolers was not checked daily. We observed spiderwebs, standing water, and dirt on outdoor equipment and debris(small broken limbs) on the playground. 10A NCAC 09 .0604(p) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. New staff has not been oriented with the Emergency Medical Care Plan. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. Documentation of a staff member's criminal background indicate that the qualifying letter was received approximately ten(10) days after the staff member's date of hire. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member with a documented hire date of 7/8/2024, has not completed 16 hours of orientation. .1101(a) 1054 Documentation of staff's on-going training was not on file and/or was not current. Documentation of the administrator's on-going training log was not available. 10A NCAC 09 .1106(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Documentation of staff development plans were not present for Division Representative Review. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. There are no job description in the new staff member's personnel files. 10A NCAC 09 .0514(g) 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. The documentation of the EPR Plan review was not available in staff files. .0607(f) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Documentation of a staff members medical file indicate that the medical report was received approximately three weeks after the staff member's hire date. .0701(d) The above violations must be corrected immediately, and a compliance letter drafted stating how and when the corrections were attained. The letter should be submitted on your business letterhead. Please reference the type of visit, the visit date, and the item numbers cited for the violations along with your electronic signature. You may submit the letter to my email at anita.c.graham@dhhs.nc.gov. Please submit to my office on or before August 30, 2024. If the letter is not received by the above date, a return visit may be conducted to ensure each of the violations has been corrected or addressed. Additional violations may be cited if non-compliance with child care requirements is observed. You were provided an opportunity to ask question regarding child care requirements. You have stated that you understand our discussions around the violations cited. TECHNICAL ASSISTANCE: We discussed each of the violations this date. Regarding the collection of staff documents. Best practice will be to ensure that staff members are not given a date for their first day of work until, all required pre-employment paperwork is secured by the owner/administrator and maintained in the new staff member’s medical and personnel files. Such items shall include staff medical reports, including the final TB test results, and the criminal background checks. As staff members personnel file indicated that the medical exam report was dated approximately three weeks after hire. The same staff member had a criminal background check which was recorded as received ten(10 days) after the hire date. Please be reminded that staff may not work with or be allowed around the children in care until after the medical report and negative TB test are received and the criminal background check has been cleared. Background checks are especially important as they help to identify applicants with unsafe backgrounds and/or who may put children at risk. Such as persons who may present with a history of violent behaviors or habitual drug use. The following items may also be collected prior to first day and/or certainly, during the first week of orientation, and maintained in staff files. These include the job descriptions, a staff development plan, the emergency care plan reviews, and the EPR plan. When these items are addressed immediately upon hire, the likelihood of oversite in the future work days or weeks is minimized. Each year documentation of on-going trainings must be recorded to a training log. It may be helpful to have the log nearby when one is participating in the trainings. This practice ensures that logs are readily available to record trainings immediately upon completion. This will allow Division Representatives the tool needed to monitor compliance. It is your responsibility to complete the documentation of all trainings to the log. Completing activity plans, in advance, each week or each month, may be instrumental in ensuring current plans are available to be posted in each classroom prior to implementation week. We observed chipping paint and a broken chair in a classroom used for children who are three(3)-five(5) years old. Chipping paint can be hazardous to children if ingested, and broken furniture may contribute to the injury of a child. You have stated that you understand and will have the chair repaired or discarded. Your daily checks of the playground shall include clearing all standing water, wiping down equipment and insuring that spiderwebs and other nuisances are removed from the equipment, and that tree limbs, debris and trash are removed from the outdoor learning space. RESOURCE LINKS: https://nrckids.org/CFOC https://www.childcareservices.org/ https://www.childcarerrnc.org/services/for-child-care-providers/training/ https://www.ncrlap.org/ The Health and Safety Trainings are also offered on the DCDEE Moodle format. These trainings are free, and participants will receive training certificates when completed. -For other upcoming training opportunities please visit CCSA’s website at: https://www.childcareservices.org/programs/ccrr/professional-development. -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at: https://healthychildcare.unc.edu/. Thank you for your assistance during the visit. If you have questions, please contact me at 336-894-0609 or by e-mail at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins, at kaye.adkins@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: ANNIE'S BLESSED CHILDREN DAYCARE 2 Facility ID: 01000658 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 8/16/2024 Number Present: 2 Completed Date: 8/16/2024 Age: From 1 To 10 Total Minutes: 225 Time In: 09:50 AM Time Out: 01:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct the Annual Compliance monitoring for applicable child care requirements. The facility currently operates with a Three(3) Star License. It was issued on February 1, 2023. Turkessha Casterlow, Child Care Consultant accompanied me on today’s visit. When we arrived at the facility, we were greeted by the owner/administrator, Annie Woods. I stated the purpose of our visit. We conducted a walkthrough of the facility, mostly unaccompanied. Attendance was taken and observations made. The children were observed participating in teacher directed activities, indoor free play, routines, lunch and resting. The last Fire Inspection was conducted on January 23, 2024, and the facility was approved for daytime and nighttime care. The last Sanitation Inspection was completed on April 29, 2024. The center achieved a “Superior” classification. A full assessment of child care requirements was monitored during today’s visit. These included program requirements, staff/child ratio and supervision. All staff files, all new children’s records and a sampling of previously enrolled children’s records. The following violations were observed, cited, technical assistance and resource links was provided. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Activity plans posted in the classrooms were not current. Neither were current plans available for review. GS 110-91(12); .0508(a) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. There was a missing/broken leg on a child-sized sofa observed in the classroom used for children who are three(3)-five(5) years old. It appeared that the playground used by preschoolers was not checked daily. We observed spiderwebs, standing water, and dirt on outdoor equipment and debris(small broken limbs) on the playground. 10A NCAC 09 .0604(p) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. New staff has not been oriented with the Emergency Medical Care Plan. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. Documentation of a staff member's criminal background indicate that the qualifying letter was received approximately ten(10) days after the staff member's date of hire. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member with a documented hire date of 7/8/2024, has not completed 16 hours of orientation. .1101(a) 1054 Documentation of staff's on-going training was not on file and/or was not current. Documentation of the administrator's on-going training log was not available. 10A NCAC 09 .1106(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Documentation of staff development plans were not present for Division Representative Review. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. There are no job description in the new staff member's personnel files. 10A NCAC 09 .0514(g) 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. The documentation of the EPR Plan review was not available in staff files. .0607(f) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Documentation of a staff members medical file indicate that the medical report was received approximately three weeks after the staff member's hire date. .0701(d) The above violations must be corrected immediately, and a compliance letter drafted stating how and when the corrections were attained. The letter should be submitted on your business letterhead. Please reference the type of visit, the visit date, and the item numbers cited for the violations along with your electronic signature. You may submit the letter to my email at anita.c.graham@dhhs.nc.gov. Please submit to my office on or before August 30, 2024. If the letter is not received by the above date, a return visit may be conducted to ensure each of the violations has been corrected or addressed. Additional violations may be cited if non-compliance with child care requirements is observed. You were provided an opportunity to ask question regarding child care requirements. You have stated that you understand our discussions around the violations cited. TECHNICAL ASSISTANCE: We discussed each of the violations this date. Regarding the collection of staff documents. Best practice will be to ensure that staff members are not given a date for their first day of work until, all required pre-employment paperwork is secured by the owner/administrator and maintained in the new staff member’s medical and personnel files. Such items shall include staff medical reports, including the final TB test results, and the criminal background checks. As staff members personnel file indicated that the medical exam report was dated approximately three weeks after hire. The same staff member had a criminal background check which was recorded as received ten(10 days) after the hire date. Please be reminded that staff may not work with or be allowed around the children in care until after the medical report and negative TB test are received and the criminal background check has been cleared. Background checks are especially important as they help to identify applicants with unsafe backgrounds and/or who may put children at risk. Such as persons who may present with a history of violent behaviors or habitual drug use. The following items may also be collected prior to first day and/or certainly, during the first week of orientation, and maintained in staff files. These include the job descriptions, a staff development plan, the emergency care plan reviews, and the EPR plan. When these items are addressed immediately upon hire, the likelihood of oversite in the future work days or weeks is minimized. Each year documentation of on-going trainings must be recorded to a training log. It may be helpful to have the log nearby when one is participating in the trainings. This practice ensures that logs are readily available to record trainings immediately upon completion. This will allow Division Representatives the tool needed to monitor compliance. It is your responsibility to complete the documentation of all trainings to the log. Completing activity plans, in advance, each week or each month, may be instrumental in ensuring current plans are available to be posted in each classroom prior to implementation week. We observed chipping paint and a broken chair in a classroom used for children who are three(3)-five(5) years old. Chipping paint can be hazardous to children if ingested, and broken furniture may contribute to the injury of a child. You have stated that you understand and will have the chair repaired or discarded. Your daily checks of the playground shall include clearing all standing water, wiping down equipment and insuring that spiderwebs and other nuisances are removed from the equipment, and that tree limbs, debris and trash are removed from the outdoor learning space. RESOURCE LINKS: https://nrckids.org/CFOC https://www.childcareservices.org/ https://www.childcarerrnc.org/services/for-child-care-providers/training/ https://www.ncrlap.org/ The Health and Safety Trainings are also offered on the DCDEE Moodle format. These trainings are free, and participants will receive training certificates when completed. -For other upcoming training opportunities please visit CCSA’s website at: https://www.childcareservices.org/programs/ccrr/professional-development. -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at: https://healthychildcare.unc.edu/. Thank you for your assistance during the visit. If you have questions, please contact me at 336-894-0609 or by e-mail at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins, at kaye.adkins@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 .1106 · Violation

Name of Operation: ANNIE'S BLESSED CHILDREN DAYCARE 2 Facility ID: 01000658 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 8/16/2024 Number Present: 2 Completed Date: 8/16/2024 Age: From 1 To 10 Total Minutes: 225 Time In: 09:50 AM Time Out: 01:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct the Annual Compliance monitoring for applicable child care requirements. The facility currently operates with a Three(3) Star License. It was issued on February 1, 2023. Turkessha Casterlow, Child Care Consultant accompanied me on today’s visit. When we arrived at the facility, we were greeted by the owner/administrator, Annie Woods. I stated the purpose of our visit. We conducted a walkthrough of the facility, mostly unaccompanied. Attendance was taken and observations made. The children were observed participating in teacher directed activities, indoor free play, routines, lunch and resting. The last Fire Inspection was conducted on January 23, 2024, and the facility was approved for daytime and nighttime care. The last Sanitation Inspection was completed on April 29, 2024. The center achieved a “Superior” classification. A full assessment of child care requirements was monitored during today’s visit. These included program requirements, staff/child ratio and supervision. All staff files, all new children’s records and a sampling of previously enrolled children’s records. The following violations were observed, cited, technical assistance and resource links was provided. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Activity plans posted in the classrooms were not current. Neither were current plans available for review. GS 110-91(12); .0508(a) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. There was a missing/broken leg on a child-sized sofa observed in the classroom used for children who are three(3)-five(5) years old. It appeared that the playground used by preschoolers was not checked daily. We observed spiderwebs, standing water, and dirt on outdoor equipment and debris(small broken limbs) on the playground. 10A NCAC 09 .0604(p) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. New staff has not been oriented with the Emergency Medical Care Plan. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. Documentation of a staff member's criminal background indicate that the qualifying letter was received approximately ten(10) days after the staff member's date of hire. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member with a documented hire date of 7/8/2024, has not completed 16 hours of orientation. .1101(a) 1054 Documentation of staff's on-going training was not on file and/or was not current. Documentation of the administrator's on-going training log was not available. 10A NCAC 09 .1106(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Documentation of staff development plans were not present for Division Representative Review. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. There are no job description in the new staff member's personnel files. 10A NCAC 09 .0514(g) 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. The documentation of the EPR Plan review was not available in staff files. .0607(f) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Documentation of a staff members medical file indicate that the medical report was received approximately three weeks after the staff member's hire date. .0701(d) The above violations must be corrected immediately, and a compliance letter drafted stating how and when the corrections were attained. The letter should be submitted on your business letterhead. Please reference the type of visit, the visit date, and the item numbers cited for the violations along with your electronic signature. You may submit the letter to my email at anita.c.graham@dhhs.nc.gov. Please submit to my office on or before August 30, 2024. If the letter is not received by the above date, a return visit may be conducted to ensure each of the violations has been corrected or addressed. Additional violations may be cited if non-compliance with child care requirements is observed. You were provided an opportunity to ask question regarding child care requirements. You have stated that you understand our discussions around the violations cited. TECHNICAL ASSISTANCE: We discussed each of the violations this date. Regarding the collection of staff documents. Best practice will be to ensure that staff members are not given a date for their first day of work until, all required pre-employment paperwork is secured by the owner/administrator and maintained in the new staff member’s medical and personnel files. Such items shall include staff medical reports, including the final TB test results, and the criminal background checks. As staff members personnel file indicated that the medical exam report was dated approximately three weeks after hire. The same staff member had a criminal background check which was recorded as received ten(10 days) after the hire date. Please be reminded that staff may not work with or be allowed around the children in care until after the medical report and negative TB test are received and the criminal background check has been cleared. Background checks are especially important as they help to identify applicants with unsafe backgrounds and/or who may put children at risk. Such as persons who may present with a history of violent behaviors or habitual drug use. The following items may also be collected prior to first day and/or certainly, during the first week of orientation, and maintained in staff files. These include the job descriptions, a staff development plan, the emergency care plan reviews, and the EPR plan. When these items are addressed immediately upon hire, the likelihood of oversite in the future work days or weeks is minimized. Each year documentation of on-going trainings must be recorded to a training log. It may be helpful to have the log nearby when one is participating in the trainings. This practice ensures that logs are readily available to record trainings immediately upon completion. This will allow Division Representatives the tool needed to monitor compliance. It is your responsibility to complete the documentation of all trainings to the log. Completing activity plans, in advance, each week or each month, may be instrumental in ensuring current plans are available to be posted in each classroom prior to implementation week. We observed chipping paint and a broken chair in a classroom used for children who are three(3)-five(5) years old. Chipping paint can be hazardous to children if ingested, and broken furniture may contribute to the injury of a child. You have stated that you understand and will have the chair repaired or discarded. Your daily checks of the playground shall include clearing all standing water, wiping down equipment and insuring that spiderwebs and other nuisances are removed from the equipment, and that tree limbs, debris and trash are removed from the outdoor learning space. RESOURCE LINKS: https://nrckids.org/CFOC https://www.childcareservices.org/ https://www.childcarerrnc.org/services/for-child-care-providers/training/ https://www.ncrlap.org/ The Health and Safety Trainings are also offered on the DCDEE Moodle format. These trainings are free, and participants will receive training certificates when completed. -For other upcoming training opportunities please visit CCSA’s website at: https://www.childcareservices.org/programs/ccrr/professional-development. -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at: https://healthychildcare.unc.edu/. Thank you for your assistance during the visit. If you have questions, please contact me at 336-894-0609 or by e-mail at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins, at kaye.adkins@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: ANNIE'S BLESSED CHILDREN DAYCARE 2 Facility ID: 01000658 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 8/16/2024 Number Present: 2 Completed Date: 8/16/2024 Age: From 1 To 10 Total Minutes: 225 Time In: 09:50 AM Time Out: 01:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct the Annual Compliance monitoring for applicable child care requirements. The facility currently operates with a Three(3) Star License. It was issued on February 1, 2023. Turkessha Casterlow, Child Care Consultant accompanied me on today’s visit. When we arrived at the facility, we were greeted by the owner/administrator, Annie Woods. I stated the purpose of our visit. We conducted a walkthrough of the facility, mostly unaccompanied. Attendance was taken and observations made. The children were observed participating in teacher directed activities, indoor free play, routines, lunch and resting. The last Fire Inspection was conducted on January 23, 2024, and the facility was approved for daytime and nighttime care. The last Sanitation Inspection was completed on April 29, 2024. The center achieved a “Superior” classification. A full assessment of child care requirements was monitored during today’s visit. These included program requirements, staff/child ratio and supervision. All staff files, all new children’s records and a sampling of previously enrolled children’s records. The following violations were observed, cited, technical assistance and resource links was provided. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Activity plans posted in the classrooms were not current. Neither were current plans available for review. GS 110-91(12); .0508(a) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. There was a missing/broken leg on a child-sized sofa observed in the classroom used for children who are three(3)-five(5) years old. It appeared that the playground used by preschoolers was not checked daily. We observed spiderwebs, standing water, and dirt on outdoor equipment and debris(small broken limbs) on the playground. 10A NCAC 09 .0604(p) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. New staff has not been oriented with the Emergency Medical Care Plan. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. Documentation of a staff member's criminal background indicate that the qualifying letter was received approximately ten(10) days after the staff member's date of hire. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member with a documented hire date of 7/8/2024, has not completed 16 hours of orientation. .1101(a) 1054 Documentation of staff's on-going training was not on file and/or was not current. Documentation of the administrator's on-going training log was not available. 10A NCAC 09 .1106(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Documentation of staff development plans were not present for Division Representative Review. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. There are no job description in the new staff member's personnel files. 10A NCAC 09 .0514(g) 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. The documentation of the EPR Plan review was not available in staff files. .0607(f) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Documentation of a staff members medical file indicate that the medical report was received approximately three weeks after the staff member's hire date. .0701(d) The above violations must be corrected immediately, and a compliance letter drafted stating how and when the corrections were attained. The letter should be submitted on your business letterhead. Please reference the type of visit, the visit date, and the item numbers cited for the violations along with your electronic signature. You may submit the letter to my email at anita.c.graham@dhhs.nc.gov. Please submit to my office on or before August 30, 2024. If the letter is not received by the above date, a return visit may be conducted to ensure each of the violations has been corrected or addressed. Additional violations may be cited if non-compliance with child care requirements is observed. You were provided an opportunity to ask question regarding child care requirements. You have stated that you understand our discussions around the violations cited. TECHNICAL ASSISTANCE: We discussed each of the violations this date. Regarding the collection of staff documents. Best practice will be to ensure that staff members are not given a date for their first day of work until, all required pre-employment paperwork is secured by the owner/administrator and maintained in the new staff member’s medical and personnel files. Such items shall include staff medical reports, including the final TB test results, and the criminal background checks. As staff members personnel file indicated that the medical exam report was dated approximately three weeks after hire. The same staff member had a criminal background check which was recorded as received ten(10 days) after the hire date. Please be reminded that staff may not work with or be allowed around the children in care until after the medical report and negative TB test are received and the criminal background check has been cleared. Background checks are especially important as they help to identify applicants with unsafe backgrounds and/or who may put children at risk. Such as persons who may present with a history of violent behaviors or habitual drug use. The following items may also be collected prior to first day and/or certainly, during the first week of orientation, and maintained in staff files. These include the job descriptions, a staff development plan, the emergency care plan reviews, and the EPR plan. When these items are addressed immediately upon hire, the likelihood of oversite in the future work days or weeks is minimized. Each year documentation of on-going trainings must be recorded to a training log. It may be helpful to have the log nearby when one is participating in the trainings. This practice ensures that logs are readily available to record trainings immediately upon completion. This will allow Division Representatives the tool needed to monitor compliance. It is your responsibility to complete the documentation of all trainings to the log. Completing activity plans, in advance, each week or each month, may be instrumental in ensuring current plans are available to be posted in each classroom prior to implementation week. We observed chipping paint and a broken chair in a classroom used for children who are three(3)-five(5) years old. Chipping paint can be hazardous to children if ingested, and broken furniture may contribute to the injury of a child. You have stated that you understand and will have the chair repaired or discarded. Your daily checks of the playground shall include clearing all standing water, wiping down equipment and insuring that spiderwebs and other nuisances are removed from the equipment, and that tree limbs, debris and trash are removed from the outdoor learning space. RESOURCE LINKS: https://nrckids.org/CFOC https://www.childcareservices.org/ https://www.childcarerrnc.org/services/for-child-care-providers/training/ https://www.ncrlap.org/ The Health and Safety Trainings are also offered on the DCDEE Moodle format. These trainings are free, and participants will receive training certificates when completed. -For other upcoming training opportunities please visit CCSA’s website at: https://www.childcareservices.org/programs/ccrr/professional-development. -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at: https://healthychildcare.unc.edu/. Thank you for your assistance during the visit. If you have questions, please contact me at 336-894-0609 or by e-mail at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins, at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: ANNIE'S BLESSED CHILDREN DAYCARE 2 Facility ID: 01000658 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 8/16/2024 Number Present: 2 Completed Date: 8/16/2024 Age: From 1 To 10 Total Minutes: 225 Time In: 09:50 AM Time Out: 01:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct the Annual Compliance monitoring for applicable child care requirements. The facility currently operates with a Three(3) Star License. It was issued on February 1, 2023. Turkessha Casterlow, Child Care Consultant accompanied me on today’s visit. When we arrived at the facility, we were greeted by the owner/administrator, Annie Woods. I stated the purpose of our visit. We conducted a walkthrough of the facility, mostly unaccompanied. Attendance was taken and observations made. The children were observed participating in teacher directed activities, indoor free play, routines, lunch and resting. The last Fire Inspection was conducted on January 23, 2024, and the facility was approved for daytime and nighttime care. The last Sanitation Inspection was completed on April 29, 2024. The center achieved a “Superior” classification. A full assessment of child care requirements was monitored during today’s visit. These included program requirements, staff/child ratio and supervision. All staff files, all new children’s records and a sampling of previously enrolled children’s records. The following violations were observed, cited, technical assistance and resource links was provided. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Activity plans posted in the classrooms were not current. Neither were current plans available for review. GS 110-91(12); .0508(a) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. There was a missing/broken leg on a child-sized sofa observed in the classroom used for children who are three(3)-five(5) years old. It appeared that the playground used by preschoolers was not checked daily. We observed spiderwebs, standing water, and dirt on outdoor equipment and debris(small broken limbs) on the playground. 10A NCAC 09 .0604(p) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. New staff has not been oriented with the Emergency Medical Care Plan. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. Documentation of a staff member's criminal background indicate that the qualifying letter was received approximately ten(10) days after the staff member's date of hire. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member with a documented hire date of 7/8/2024, has not completed 16 hours of orientation. .1101(a) 1054 Documentation of staff's on-going training was not on file and/or was not current. Documentation of the administrator's on-going training log was not available. 10A NCAC 09 .1106(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Documentation of staff development plans were not present for Division Representative Review. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. There are no job description in the new staff member's personnel files. 10A NCAC 09 .0514(g) 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. The documentation of the EPR Plan review was not available in staff files. .0607(f) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Documentation of a staff members medical file indicate that the medical report was received approximately three weeks after the staff member's hire date. .0701(d) The above violations must be corrected immediately, and a compliance letter drafted stating how and when the corrections were attained. The letter should be submitted on your business letterhead. Please reference the type of visit, the visit date, and the item numbers cited for the violations along with your electronic signature. You may submit the letter to my email at anita.c.graham@dhhs.nc.gov. Please submit to my office on or before August 30, 2024. If the letter is not received by the above date, a return visit may be conducted to ensure each of the violations has been corrected or addressed. Additional violations may be cited if non-compliance with child care requirements is observed. You were provided an opportunity to ask question regarding child care requirements. You have stated that you understand our discussions around the violations cited. TECHNICAL ASSISTANCE: We discussed each of the violations this date. Regarding the collection of staff documents. Best practice will be to ensure that staff members are not given a date for their first day of work until, all required pre-employment paperwork is secured by the owner/administrator and maintained in the new staff member’s medical and personnel files. Such items shall include staff medical reports, including the final TB test results, and the criminal background checks. As staff members personnel file indicated that the medical exam report was dated approximately three weeks after hire. The same staff member had a criminal background check which was recorded as received ten(10 days) after the hire date. Please be reminded that staff may not work with or be allowed around the children in care until after the medical report and negative TB test are received and the criminal background check has been cleared. Background checks are especially important as they help to identify applicants with unsafe backgrounds and/or who may put children at risk. Such as persons who may present with a history of violent behaviors or habitual drug use. The following items may also be collected prior to first day and/or certainly, during the first week of orientation, and maintained in staff files. These include the job descriptions, a staff development plan, the emergency care plan reviews, and the EPR plan. When these items are addressed immediately upon hire, the likelihood of oversite in the future work days or weeks is minimized. Each year documentation of on-going trainings must be recorded to a training log. It may be helpful to have the log nearby when one is participating in the trainings. This practice ensures that logs are readily available to record trainings immediately upon completion. This will allow Division Representatives the tool needed to monitor compliance. It is your responsibility to complete the documentation of all trainings to the log. Completing activity plans, in advance, each week or each month, may be instrumental in ensuring current plans are available to be posted in each classroom prior to implementation week. We observed chipping paint and a broken chair in a classroom used for children who are three(3)-five(5) years old. Chipping paint can be hazardous to children if ingested, and broken furniture may contribute to the injury of a child. You have stated that you understand and will have the chair repaired or discarded. Your daily checks of the playground shall include clearing all standing water, wiping down equipment and insuring that spiderwebs and other nuisances are removed from the equipment, and that tree limbs, debris and trash are removed from the outdoor learning space. RESOURCE LINKS: https://nrckids.org/CFOC https://www.childcareservices.org/ https://www.childcarerrnc.org/services/for-child-care-providers/training/ https://www.ncrlap.org/ The Health and Safety Trainings are also offered on the DCDEE Moodle format. These trainings are free, and participants will receive training certificates when completed. -For other upcoming training opportunities please visit CCSA’s website at: https://www.childcareservices.org/programs/ccrr/professional-development. -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at: https://healthychildcare.unc.edu/. Thank you for your assistance during the visit. If you have questions, please contact me at 336-894-0609 or by e-mail at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins, at kaye.adkins@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 .0514 · Violation

Name of Operation: ANNIE'S BLESSED CHILDREN DAYCARE 2 Facility ID: 01000658 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 8/24/2023 Number Present: 13 Completed Date: 8/24/2023 Age: From 1 To 8 Total Minutes: 205 Time In: 10:15 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today, I conducted an unannounced Annual Compliance visit to monitor for compliance with applicable childcare requirements. The facility currently operates with a three (3) star license which was issued on February 1, 2023. The facility received a score of 4.3 on the ITERS-R and on the SACERS-R a score of 4.49 for an overall score of 4.4 and operates with enhanced ratios and space. When I arrived at the facility, I was greeted by a staff member. Annie Woods, administrator was contacted and arrived later to assist with the visit. I conducted a walkthrough of the facility mostly unaccompanied. Attendance was taken and observations made. The children were observed participating in indoor free play, teacher directed activities, routines, lunch and resting. The last Fire Inspection was conducted on March 8, 2022, and the facility was approved for day time care and night time care. The last Sanitation Inspection was completed on June 27, 2023. The center achieved a “Superior” classification. A full assessment of child care requirements were monitored during today’s visit. Including program requirements, staff/child ratio and supervision, All staff files and all new children’s records. The following violations were observed, cited and technical assistance was provided. Violation Number Comment Rule 853 Incident logs were not completed and maintained as required. The program file did not contain any of the incident reports observed in children's files. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A staff member without the playground safety training was documented as inspecting the playground over the last several months. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Medical reports for new hire was from 2020. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Medical reports was older than 12 months. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member who was hired July 2022 did not complete on going training. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff development plans and staff evaluations were not available for review. 10A NCAC 09 .0514(f) 1245 For each child, there was not at least 30 sq. ft. indoors and 75 sq. ft. outdoors for one-third of the total number of the total licensed capacity, or at least 35 sq. ft. indoors and 75 sq. ft. outdoors for the total licensed capacity. The program permit states enhanced ratios and space however, a classroom designated for five (5) children had seven (7) children present. 10A NCAC 09 .2809(a) 1739 All records required were not available for review by a representative of the Division. Several program, staff and children's records were not available for Division Representative review. .2318(1-8) 1750 Except for special events or activities, children ages three and older were grouped with school age children. Children who were two(2), three(3), four(4), five(5) and eight(8) years old were grouped together for class today. 10 NCAC 09 .2904(b) 1842 Staff members and child care administrators who were counted in meeting the staff/child ratios concurrently performed food preparation or other duties that are not direct child care responsibilities. A staff member serving preschool aged children was concurrently responsible for food service. .0713(a)(8) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Medical information was maintained in personnel files. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired in March 2023 has not completed Recognizing and Responding to Suspicions of Child Maltreatment. .1102(g) The above violation must be corrected immediately, and a compliance letter drafted stating how you corrected the items and when the violation was corrected. The letter should be submitted on your business letterhead. Please reference the type of visit, the visit date, and the item numbers cited for the violations. Please sign and submit the letter. You may submit to my email at anita.c.graham@dhhs.nc.gov. The letter should be sent to my office no later than September 6, 2023. If the letter is not received by the above date, a return visit may be conducted to ensure each of the violations have been corrected or addressed. Additional violations may be cited if corrections are not observed. You were provided an opportunity to ask question regarding child care requirements. We discussed each of the violations cited this date. Please remember that all required program, children and staff records including trainings, must be available for review by a representative of the Division of Child Development. Please remember, all newly hired staff must submit a medical statement prior to employment. And the submitted reports medical statements, TB test must not be older than 12 months. Two staff members recently hired have medical reports which are older than 12 months. Medical reports, proof of tuberculosis test or screenings, and/or completed health questionnaire must be maintain in a medical file, maintained separately from the staff member's individual personnel file. Incident logs must be completed and maintained as required. Monthly playground inspections must be completed by a staff member trained in playground safety requirements. Staff members and child care administrators who are counted in meeting the staff/child ratios, may not concurrently performed food preparation or other duties that are not direct child care responsibilities. All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled must be stored in a locked room or cabinet. The kitchen/food prep room must always remain locked and hazardous items used in the kitchen must be maintained in locked storage inside the kitchen. Resources: Additional Information: Child care programs may order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ If you completed Health and Safety trainings in 2018, you must retake them in 2023. The Health and Safety Trainings continue to be offered on the DCDEE website, https://ncchildcare.ncdhhs.gov/ and are free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Thank you for your assistance during today’s visit. If I can be of additional assistance, please do not hesitate to contact me. My phone number is 336-894-0609 or via email anita.c.graham@dhhs.nc.gov. You may also contact my supervisor Kaye Adkins at kaye.adkins@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 .0701 · Violation

Name of Operation: ANNIE'S BLESSED CHILDREN DAYCARE 2 Facility ID: 01000658 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 8/24/2023 Number Present: 13 Completed Date: 8/24/2023 Age: From 1 To 8 Total Minutes: 205 Time In: 10:15 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today, I conducted an unannounced Annual Compliance visit to monitor for compliance with applicable childcare requirements. The facility currently operates with a three (3) star license which was issued on February 1, 2023. The facility received a score of 4.3 on the ITERS-R and on the SACERS-R a score of 4.49 for an overall score of 4.4 and operates with enhanced ratios and space. When I arrived at the facility, I was greeted by a staff member. Annie Woods, administrator was contacted and arrived later to assist with the visit. I conducted a walkthrough of the facility mostly unaccompanied. Attendance was taken and observations made. The children were observed participating in indoor free play, teacher directed activities, routines, lunch and resting. The last Fire Inspection was conducted on March 8, 2022, and the facility was approved for day time care and night time care. The last Sanitation Inspection was completed on June 27, 2023. The center achieved a “Superior” classification. A full assessment of child care requirements were monitored during today’s visit. Including program requirements, staff/child ratio and supervision, All staff files and all new children’s records. The following violations were observed, cited and technical assistance was provided. Violation Number Comment Rule 853 Incident logs were not completed and maintained as required. The program file did not contain any of the incident reports observed in children's files. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A staff member without the playground safety training was documented as inspecting the playground over the last several months. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Medical reports for new hire was from 2020. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Medical reports was older than 12 months. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member who was hired July 2022 did not complete on going training. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff development plans and staff evaluations were not available for review. 10A NCAC 09 .0514(f) 1245 For each child, there was not at least 30 sq. ft. indoors and 75 sq. ft. outdoors for one-third of the total number of the total licensed capacity, or at least 35 sq. ft. indoors and 75 sq. ft. outdoors for the total licensed capacity. The program permit states enhanced ratios and space however, a classroom designated for five (5) children had seven (7) children present. 10A NCAC 09 .2809(a) 1739 All records required were not available for review by a representative of the Division. Several program, staff and children's records were not available for Division Representative review. .2318(1-8) 1750 Except for special events or activities, children ages three and older were grouped with school age children. Children who were two(2), three(3), four(4), five(5) and eight(8) years old were grouped together for class today. 10 NCAC 09 .2904(b) 1842 Staff members and child care administrators who were counted in meeting the staff/child ratios concurrently performed food preparation or other duties that are not direct child care responsibilities. A staff member serving preschool aged children was concurrently responsible for food service. .0713(a)(8) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Medical information was maintained in personnel files. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired in March 2023 has not completed Recognizing and Responding to Suspicions of Child Maltreatment. .1102(g) The above violation must be corrected immediately, and a compliance letter drafted stating how you corrected the items and when the violation was corrected. The letter should be submitted on your business letterhead. Please reference the type of visit, the visit date, and the item numbers cited for the violations. Please sign and submit the letter. You may submit to my email at anita.c.graham@dhhs.nc.gov. The letter should be sent to my office no later than September 6, 2023. If the letter is not received by the above date, a return visit may be conducted to ensure each of the violations have been corrected or addressed. Additional violations may be cited if corrections are not observed. You were provided an opportunity to ask question regarding child care requirements. We discussed each of the violations cited this date. Please remember that all required program, children and staff records including trainings, must be available for review by a representative of the Division of Child Development. Please remember, all newly hired staff must submit a medical statement prior to employment. And the submitted reports medical statements, TB test must not be older than 12 months. Two staff members recently hired have medical reports which are older than 12 months. Medical reports, proof of tuberculosis test or screenings, and/or completed health questionnaire must be maintain in a medical file, maintained separately from the staff member's individual personnel file. Incident logs must be completed and maintained as required. Monthly playground inspections must be completed by a staff member trained in playground safety requirements. Staff members and child care administrators who are counted in meeting the staff/child ratios, may not concurrently performed food preparation or other duties that are not direct child care responsibilities. All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled must be stored in a locked room or cabinet. The kitchen/food prep room must always remain locked and hazardous items used in the kitchen must be maintained in locked storage inside the kitchen. Resources: Additional Information: Child care programs may order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ If you completed Health and Safety trainings in 2018, you must retake them in 2023. The Health and Safety Trainings continue to be offered on the DCDEE website, https://ncchildcare.ncdhhs.gov/ and are free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Thank you for your assistance during today’s visit. If I can be of additional assistance, please do not hesitate to contact me. My phone number is 336-894-0609 or via email anita.c.graham@dhhs.nc.gov. You may also contact my supervisor Kaye Adkins at kaye.adkins@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 .2809 · Violation

Name of Operation: ANNIE'S BLESSED CHILDREN DAYCARE 2 Facility ID: 01000658 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 8/24/2023 Number Present: 13 Completed Date: 8/24/2023 Age: From 1 To 8 Total Minutes: 205 Time In: 10:15 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today, I conducted an unannounced Annual Compliance visit to monitor for compliance with applicable childcare requirements. The facility currently operates with a three (3) star license which was issued on February 1, 2023. The facility received a score of 4.3 on the ITERS-R and on the SACERS-R a score of 4.49 for an overall score of 4.4 and operates with enhanced ratios and space. When I arrived at the facility, I was greeted by a staff member. Annie Woods, administrator was contacted and arrived later to assist with the visit. I conducted a walkthrough of the facility mostly unaccompanied. Attendance was taken and observations made. The children were observed participating in indoor free play, teacher directed activities, routines, lunch and resting. The last Fire Inspection was conducted on March 8, 2022, and the facility was approved for day time care and night time care. The last Sanitation Inspection was completed on June 27, 2023. The center achieved a “Superior” classification. A full assessment of child care requirements were monitored during today’s visit. Including program requirements, staff/child ratio and supervision, All staff files and all new children’s records. The following violations were observed, cited and technical assistance was provided. Violation Number Comment Rule 853 Incident logs were not completed and maintained as required. The program file did not contain any of the incident reports observed in children's files. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A staff member without the playground safety training was documented as inspecting the playground over the last several months. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Medical reports for new hire was from 2020. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Medical reports was older than 12 months. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member who was hired July 2022 did not complete on going training. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff development plans and staff evaluations were not available for review. 10A NCAC 09 .0514(f) 1245 For each child, there was not at least 30 sq. ft. indoors and 75 sq. ft. outdoors for one-third of the total number of the total licensed capacity, or at least 35 sq. ft. indoors and 75 sq. ft. outdoors for the total licensed capacity. The program permit states enhanced ratios and space however, a classroom designated for five (5) children had seven (7) children present. 10A NCAC 09 .2809(a) 1739 All records required were not available for review by a representative of the Division. Several program, staff and children's records were not available for Division Representative review. .2318(1-8) 1750 Except for special events or activities, children ages three and older were grouped with school age children. Children who were two(2), three(3), four(4), five(5) and eight(8) years old were grouped together for class today. 10 NCAC 09 .2904(b) 1842 Staff members and child care administrators who were counted in meeting the staff/child ratios concurrently performed food preparation or other duties that are not direct child care responsibilities. A staff member serving preschool aged children was concurrently responsible for food service. .0713(a)(8) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Medical information was maintained in personnel files. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired in March 2023 has not completed Recognizing and Responding to Suspicions of Child Maltreatment. .1102(g) The above violation must be corrected immediately, and a compliance letter drafted stating how you corrected the items and when the violation was corrected. The letter should be submitted on your business letterhead. Please reference the type of visit, the visit date, and the item numbers cited for the violations. Please sign and submit the letter. You may submit to my email at anita.c.graham@dhhs.nc.gov. The letter should be sent to my office no later than September 6, 2023. If the letter is not received by the above date, a return visit may be conducted to ensure each of the violations have been corrected or addressed. Additional violations may be cited if corrections are not observed. You were provided an opportunity to ask question regarding child care requirements. We discussed each of the violations cited this date. Please remember that all required program, children and staff records including trainings, must be available for review by a representative of the Division of Child Development. Please remember, all newly hired staff must submit a medical statement prior to employment. And the submitted reports medical statements, TB test must not be older than 12 months. Two staff members recently hired have medical reports which are older than 12 months. Medical reports, proof of tuberculosis test or screenings, and/or completed health questionnaire must be maintain in a medical file, maintained separately from the staff member's individual personnel file. Incident logs must be completed and maintained as required. Monthly playground inspections must be completed by a staff member trained in playground safety requirements. Staff members and child care administrators who are counted in meeting the staff/child ratios, may not concurrently performed food preparation or other duties that are not direct child care responsibilities. All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled must be stored in a locked room or cabinet. The kitchen/food prep room must always remain locked and hazardous items used in the kitchen must be maintained in locked storage inside the kitchen. Resources: Additional Information: Child care programs may order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ If you completed Health and Safety trainings in 2018, you must retake them in 2023. The Health and Safety Trainings continue to be offered on the DCDEE website, https://ncchildcare.ncdhhs.gov/ and are free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Thank you for your assistance during today’s visit. If I can be of additional assistance, please do not hesitate to contact me. My phone number is 336-894-0609 or via email anita.c.graham@dhhs.nc.gov. You may also contact my supervisor Kaye Adkins at kaye.adkins@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