Becoming Grace

10A NCAC 09 .0302 · Violation

Name of Operation: BECOMING GRACE Facility ID: 01000670 Consultant: MONA NDIAYE Operation Type: Center Case Number: 0626-284L Visit Date: 6/25/2026 Number Present: 25 Completed Date: 6/25/2026 Age: From 1 To 10 Total Minutes: 85 Time In: 10:35 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations of noncompliance with child care requirements. The program operates under a four-star rated license. Upon my arrival, I was greeted by staff and informed them of the purpose of my visit. The Administrator was contacted by telephone and arrived shortly after the visit began. Children were observed playing outdoors. A report was received alleging that children enrolled at the licensed child care center were being transported to an unlicensed location for care. Prior to arriving at the center, I observed children playing outside at the address identified in the complaint. This location is not licensed as a child care facility. The children observed appeared to be school-age. Upon the Administrator's arrival, I explained the purpose of my visit. She stated she had been at the pool with the school-age children and that two group leaders remained with the children while she returned to the center. At approximately 12:15 p.m., sixteen children, ranging in age from 5 to 13 years, returned to the center accompanied by two group leaders. I reviewed the attendance records and sign-in/sign-out documentation. The sign-in/sign-out records were incomplete, as several children had not been signed in. I asked the Administrator whether children enrolled at the licensed center were being transported to the unlicensed location identified in the complaint. She stated they were not. Attempts were made to contact parents of several school-age children. I’m waiting on contact from the parents More information must be gathered before this complaint can be closed, based on additional findings violations may be added to this visit. A partial assessment of child care requirements was completed during the visit. Violations of child care requirements identified during today's visit were cited separately. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Only 10 of the 16 school-age children in care were signed in. 10A NCAC 09 .0302(d)(4) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. A one year old child was groups with 3 year olds on the playground. 10A NCAC 09 .0713(a)(6) 1919 A blanket permission for field trips or leaving the premises was on file, but a plan of activities was not posted in a place for review by parents in advance on a weekly basis. A list of field trips for summer camp was not posted for parents. .2509(e) My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by July 9, 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. During today’s visit a one year old was grouped with three year olds outside on the playground. All of the school age children were not signed in. Thank you for your cooperation today. If you have questions, please contact me at 336-580-5417 or by e-mail at mona.ndiaye@dhhs.nc.gov. You can also contact 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: BECOMING GRACE Facility ID: 01000670 Consultant: MONA NDIAYE Operation Type: Center Case Number: 0626-284L Visit Date: 6/25/2026 Number Present: 25 Completed Date: 6/25/2026 Age: From 1 To 10 Total Minutes: 85 Time In: 10:35 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations of noncompliance with child care requirements. The program operates under a four-star rated license. Upon my arrival, I was greeted by staff and informed them of the purpose of my visit. The Administrator was contacted by telephone and arrived shortly after the visit began. Children were observed playing outdoors. A report was received alleging that children enrolled at the licensed child care center were being transported to an unlicensed location for care. Prior to arriving at the center, I observed children playing outside at the address identified in the complaint. This location is not licensed as a child care facility. The children observed appeared to be school-age. Upon the Administrator's arrival, I explained the purpose of my visit. She stated she had been at the pool with the school-age children and that two group leaders remained with the children while she returned to the center. At approximately 12:15 p.m., sixteen children, ranging in age from 5 to 13 years, returned to the center accompanied by two group leaders. I reviewed the attendance records and sign-in/sign-out documentation. The sign-in/sign-out records were incomplete, as several children had not been signed in. I asked the Administrator whether children enrolled at the licensed center were being transported to the unlicensed location identified in the complaint. She stated they were not. Attempts were made to contact parents of several school-age children. I’m waiting on contact from the parents More information must be gathered before this complaint can be closed, based on additional findings violations may be added to this visit. A partial assessment of child care requirements was completed during the visit. Violations of child care requirements identified during today's visit were cited separately. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Only 10 of the 16 school-age children in care were signed in. 10A NCAC 09 .0302(d)(4) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. A one year old child was groups with 3 year olds on the playground. 10A NCAC 09 .0713(a)(6) 1919 A blanket permission for field trips or leaving the premises was on file, but a plan of activities was not posted in a place for review by parents in advance on a weekly basis. A list of field trips for summer camp was not posted for parents. .2509(e) My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by July 9, 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. During today’s visit a one year old was grouped with three year olds outside on the playground. All of the school age children were not signed in. Thank you for your cooperation today. If you have questions, please contact me at 336-580-5417 or by e-mail at mona.ndiaye@dhhs.nc.gov. You can also contact 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: BECOMING GRACE Facility ID: 01000670 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 9/26/2025 Number Present: 14 Completed Date: 9/26/2025 Age: From 1 To 8 Total Minutes: 150 Time In: 09:30 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 during an unannounced annual compliance visit. Upon my arrival, I was greeted by the Director, Chadea Pulliam, she assisted me throughout the visit. I conducted a walk-through of all classroom spaces, documented enrollment and attendance records, and completed observations. Children were observed participating in free play in their classroom. The toddlers were observed listening to a story and participating in free play. The children were observed eating lunch which consisted of spaghetti with meat sauce, apple sauce, green beans and milk. The last annual compliance visit was conducted on October 23, 2024. The center is currently operating with a 4-star license issued on May 8/2024. The most recent sanitation inspection was conducted on June 25, 2025, with the center receiving a Superior rating. Fire drills and playground inspections were reviewed, and the most recent fire inspection was conducted on September 25, 2025. All staff files were monitored along with four children’s files. The vehicle used for transportation was not onsite, however pictures of the requirements were reviewed during today's visit. Your compliance history is currently 96 % this percentage may change based on the results of 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 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Lunch was served to the children however it was not what was listed on the menu for today. 10A NCAC 09 .0901(b) 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.All staff did not have current emergency information on file. .0701(a) 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 report on file. See children's records form. GS 110-91(1);.0302(d)(2); .0304(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. New staff hired 9/15/25 did not have signed acknowledgement on file. .0608(d)(1-4) 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. All staff did not have current health questionnaires on file. .0701(d) The above violations must be corrected immediately, and a letter must be sent to me no later than October 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 October 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 Pick a day and have all staff update health questionaries and emergency information. This should help you to keep up with the updates better. We discussed a child that had a medical note of file from a Dr. stating the child should have medication on site, however the child did not have medication on site. Talk with the mother as soon as possible, if medication is no longer needed, document this in the child’s file and have the mother sign acknowledging the information. A routine unannounced visit was conducted in April 2025, the owner who had assumed Director duties was advised she needed EPR training within three months, as of today’s visit she has not completed the training due to availability of the training. She is scheduled to take the training on October 29, 2025. She is also scheduled for Playground safety training on October 9, 2025. Send documentation of completion of these trainings the day following the training, if not received a violation will be added to this visit. 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. A provider meeting will be held September 29, 2025, 1pm-3pm, at Impact Alamance in downtown Burlington, please plan to attend this meeting to get further information about the new QRIS system. For more information and guidance, visit https://ncchildcare.ncdhhs.gov. There will be a Director’s meeting on September 29, 2025 from 1pm-3pm, to review the new QRIS licensing process. The meeting will be held at Impact Alamance in downtown Burlington, NC. 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 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: BECOMING GRACE Facility ID: 01000670 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 9/26/2025 Number Present: 14 Completed Date: 9/26/2025 Age: From 1 To 8 Total Minutes: 150 Time In: 09:30 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 during an unannounced annual compliance visit. Upon my arrival, I was greeted by the Director, Chadea Pulliam, she assisted me throughout the visit. I conducted a walk-through of all classroom spaces, documented enrollment and attendance records, and completed observations. Children were observed participating in free play in their classroom. The toddlers were observed listening to a story and participating in free play. The children were observed eating lunch which consisted of spaghetti with meat sauce, apple sauce, green beans and milk. The last annual compliance visit was conducted on October 23, 2024. The center is currently operating with a 4-star license issued on May 8/2024. The most recent sanitation inspection was conducted on June 25, 2025, with the center receiving a Superior rating. Fire drills and playground inspections were reviewed, and the most recent fire inspection was conducted on September 25, 2025. All staff files were monitored along with four children’s files. The vehicle used for transportation was not onsite, however pictures of the requirements were reviewed during today's visit. Your compliance history is currently 96 % this percentage may change based on the results of 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 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Lunch was served to the children however it was not what was listed on the menu for today. 10A NCAC 09 .0901(b) 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.All staff did not have current emergency information on file. .0701(a) 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 report on file. See children's records form. GS 110-91(1);.0302(d)(2); .0304(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. New staff hired 9/15/25 did not have signed acknowledgement on file. .0608(d)(1-4) 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. All staff did not have current health questionnaires on file. .0701(d) The above violations must be corrected immediately, and a letter must be sent to me no later than October 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 October 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 Pick a day and have all staff update health questionaries and emergency information. This should help you to keep up with the updates better. We discussed a child that had a medical note of file from a Dr. stating the child should have medication on site, however the child did not have medication on site. Talk with the mother as soon as possible, if medication is no longer needed, document this in the child’s file and have the mother sign acknowledging the information. A routine unannounced visit was conducted in April 2025, the owner who had assumed Director duties was advised she needed EPR training within three months, as of today’s visit she has not completed the training due to availability of the training. She is scheduled to take the training on October 29, 2025. She is also scheduled for Playground safety training on October 9, 2025. Send documentation of completion of these trainings the day following the training, if not received a violation will be added to this visit. 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. A provider meeting will be held September 29, 2025, 1pm-3pm, at Impact Alamance in downtown Burlington, please plan to attend this meeting to get further information about the new QRIS system. For more information and guidance, visit https://ncchildcare.ncdhhs.gov. There will be a Director’s meeting on September 29, 2025 from 1pm-3pm, to review the new QRIS licensing process. The meeting will be held at Impact Alamance in downtown Burlington, NC. 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 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: BECOMING GRACE Facility ID: 01000670 Consultant: ANITA GRAHAM Operation Type: Center Case Number: 0425-252L Visit Date: 4/29/2025 Number Present: 22 Completed Date: 4/29/2025 Age: From 1 To 5 Total Minutes: 166 Time In: 10:30 AM Time Out: 01:16 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate allegations of violations of childcare requirements. On April 22, 2025, the Raleigh office received a report of alleged non-compliance with childcare requirements. Upon arrival at the facility, I was greeted by a staff member. Ms. Pulliam, the director, was notified by phone of my arrival. I was escorted to the playground where I spoke with the second-in-charge, Ms. Ryan, I stated the purpose of my visit. Attendance was taken. There are twenty-two (22) children present this date, ranging in age from one (1) year to five (5) years old. ALLEGATION: There are allegations of violations of child care requirements. OBSERVATIONS: Today, I discussed the concerns with the director, and I interviewed two (2) staff members. I reviewed relevant facility policies and postings. I reviewed sign in and out sheets for students. Prior to visit, by way of access of the State's Division of Child Development ABCMS Portal, I reviewed the status of all staff members criminal background status and during the visit I reviewed one staff member’s criminal background qualifying letter. CONCLUSION: Based on my observations and conversations with the director and staff, the allegation regarding violations of child care requirements is SUBSTANTIATED. The following violations were observed, cited and technical assistance, and resource links were offered. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. ***Twenty-two children ranging in age from one (1) year to five (5) years old were observed grouped together in the outdoor learning space. This was corrected during the visit*** GS 110-91(7);.0713(a-d) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. *** Four(4) children who are one(1) year old and three(3) children who are two(2) years old were observed group with children aged three years and up to age five years old. This was corrected during the visit.*** 10A NCAC 09 .0713(a)(6) 1245 For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time. ***There are twenty-two (22) children observed, all playing in the outdoor learning space designated as maximum capacity of sixteen (16). This was corrected during the visit*** 10A NCAC 09 .2809(a) The above violations must be corrected immediately. Please submit a letter stating when and how you corrected the violations. When drafting the letter please include the item numbers cited, and any documentation to support the corrective actions taken. Your letter should be received by my office by 5:00 pm, on or before May 13, 2025. The corrective action may be emailed to me at anita.c.graham@dhhs.nc.gov. You were provided with an opportunity to ask questions regarding childcare requirements. We discussed each of the areas of non-compliance this date. TECHNICAL ASSISTANCE: We discussed that staff/child ratios, and group size are based on the number of staff in ratio to the age of the children. The same is true relevant to the capacity of the indoor and outdoor learning spaces. Child care rules and guidelines are for the purpose of maintaining a safe and healthy environment for children. Please be aware that any information obtained during these investigations, and any violations determined, may be included in future Administrative Action. Completion of Immediate Corrective Action does not prohibit the Division from taking further action. However, successful completion of the items will be considered when determining appropriate case closure. RESOURCE LINKS: -Caring for Our Children National Health and Safety Performance Standard Guidelines for Early Care and Education Programs: https://nrckids.org/CFOC Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at anita.c.graham@dhhs.nc.gov or by calling; 336-894-0609. 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: BECOMING GRACE Facility ID: 01000670 Consultant: ANITA GRAHAM Operation Type: Center Case Number: 0425-252L Visit Date: 4/29/2025 Number Present: 22 Completed Date: 4/29/2025 Age: From 1 To 5 Total Minutes: 166 Time In: 10:30 AM Time Out: 01:16 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate allegations of violations of childcare requirements. On April 22, 2025, the Raleigh office received a report of alleged non-compliance with childcare requirements. Upon arrival at the facility, I was greeted by a staff member. Ms. Pulliam, the director, was notified by phone of my arrival. I was escorted to the playground where I spoke with the second-in-charge, Ms. Ryan, I stated the purpose of my visit. Attendance was taken. There are twenty-two (22) children present this date, ranging in age from one (1) year to five (5) years old. ALLEGATION: There are allegations of violations of child care requirements. OBSERVATIONS: Today, I discussed the concerns with the director, and I interviewed two (2) staff members. I reviewed relevant facility policies and postings. I reviewed sign in and out sheets for students. Prior to visit, by way of access of the State's Division of Child Development ABCMS Portal, I reviewed the status of all staff members criminal background status and during the visit I reviewed one staff member’s criminal background qualifying letter. CONCLUSION: Based on my observations and conversations with the director and staff, the allegation regarding violations of child care requirements is SUBSTANTIATED. The following violations were observed, cited and technical assistance, and resource links were offered. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. ***Twenty-two children ranging in age from one (1) year to five (5) years old were observed grouped together in the outdoor learning space. This was corrected during the visit*** GS 110-91(7);.0713(a-d) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. *** Four(4) children who are one(1) year old and three(3) children who are two(2) years old were observed group with children aged three years and up to age five years old. This was corrected during the visit.*** 10A NCAC 09 .0713(a)(6) 1245 For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time. ***There are twenty-two (22) children observed, all playing in the outdoor learning space designated as maximum capacity of sixteen (16). This was corrected during the visit*** 10A NCAC 09 .2809(a) The above violations must be corrected immediately. Please submit a letter stating when and how you corrected the violations. When drafting the letter please include the item numbers cited, and any documentation to support the corrective actions taken. Your letter should be received by my office by 5:00 pm, on or before May 13, 2025. The corrective action may be emailed to me at anita.c.graham@dhhs.nc.gov. You were provided with an opportunity to ask questions regarding childcare requirements. We discussed each of the areas of non-compliance this date. TECHNICAL ASSISTANCE: We discussed that staff/child ratios, and group size are based on the number of staff in ratio to the age of the children. The same is true relevant to the capacity of the indoor and outdoor learning spaces. Child care rules and guidelines are for the purpose of maintaining a safe and healthy environment for children. Please be aware that any information obtained during these investigations, and any violations determined, may be included in future Administrative Action. Completion of Immediate Corrective Action does not prohibit the Division from taking further action. However, successful completion of the items will be considered when determining appropriate case closure. RESOURCE LINKS: -Caring for Our Children National Health and Safety Performance Standard Guidelines for Early Care and Education Programs: https://nrckids.org/CFOC Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at anita.c.graham@dhhs.nc.gov or by calling; 336-894-0609. 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: BECOMING GRACE Facility ID: 01000670 Consultant: ANITA GRAHAM Operation Type: Center Case Number: 0425-252L Visit Date: 4/29/2025 Number Present: 22 Completed Date: 4/29/2025 Age: From 1 To 5 Total Minutes: 166 Time In: 10:30 AM Time Out: 01:16 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate allegations of violations of childcare requirements. On April 22, 2025, the Raleigh office received a report of alleged non-compliance with childcare requirements. Upon arrival at the facility, I was greeted by a staff member. Ms. Pulliam, the director, was notified by phone of my arrival. I was escorted to the playground where I spoke with the second-in-charge, Ms. Ryan, I stated the purpose of my visit. Attendance was taken. There are twenty-two (22) children present this date, ranging in age from one (1) year to five (5) years old. ALLEGATION: There are allegations of violations of child care requirements. OBSERVATIONS: Today, I discussed the concerns with the director, and I interviewed two (2) staff members. I reviewed relevant facility policies and postings. I reviewed sign in and out sheets for students. Prior to visit, by way of access of the State's Division of Child Development ABCMS Portal, I reviewed the status of all staff members criminal background status and during the visit I reviewed one staff member’s criminal background qualifying letter. CONCLUSION: Based on my observations and conversations with the director and staff, the allegation regarding violations of child care requirements is SUBSTANTIATED. The following violations were observed, cited and technical assistance, and resource links were offered. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. ***Twenty-two children ranging in age from one (1) year to five (5) years old were observed grouped together in the outdoor learning space. This was corrected during the visit*** GS 110-91(7);.0713(a-d) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. *** Four(4) children who are one(1) year old and three(3) children who are two(2) years old were observed group with children aged three years and up to age five years old. This was corrected during the visit.*** 10A NCAC 09 .0713(a)(6) 1245 For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time. ***There are twenty-two (22) children observed, all playing in the outdoor learning space designated as maximum capacity of sixteen (16). This was corrected during the visit*** 10A NCAC 09 .2809(a) The above violations must be corrected immediately. Please submit a letter stating when and how you corrected the violations. When drafting the letter please include the item numbers cited, and any documentation to support the corrective actions taken. Your letter should be received by my office by 5:00 pm, on or before May 13, 2025. The corrective action may be emailed to me at anita.c.graham@dhhs.nc.gov. You were provided with an opportunity to ask questions regarding childcare requirements. We discussed each of the areas of non-compliance this date. TECHNICAL ASSISTANCE: We discussed that staff/child ratios, and group size are based on the number of staff in ratio to the age of the children. The same is true relevant to the capacity of the indoor and outdoor learning spaces. Child care rules and guidelines are for the purpose of maintaining a safe and healthy environment for children. Please be aware that any information obtained during these investigations, and any violations determined, may be included in future Administrative Action. Completion of Immediate Corrective Action does not prohibit the Division from taking further action. However, successful completion of the items will be considered when determining appropriate case closure. RESOURCE LINKS: -Caring for Our Children National Health and Safety Performance Standard Guidelines for Early Care and Education Programs: https://nrckids.org/CFOC Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at anita.c.graham@dhhs.nc.gov or by calling; 336-894-0609. 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: BECOMING GRACE Facility ID: 01000670 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 10/23/2024 Number Present: 14 Completed Date: 10/23/2024 Age: From 1 To 4 Total Minutes: 190 Time In: 09:45 AM Time Out: 12:55 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 has been to conduct the annual compliance monitoring . This facility operates with a Four(4) Star License, which was issued on May 8, 2024. A check of the Secretary of State's website shows the company as Current-Active. Upon arrival to the facility I was greeted by the owner Chandrea Puliliam and the administrator, Sharnice Long. I stated the purpose of my visit and was assisted on a walkthrough of the facility. Attendance was taken, and observations made. The children were observed participating in morning routines, indoor and outdoor free play preparing for lunch and resting. The last Fire Inspection was conducted on September 10, 2024. The last Sanitation Inspection was conducted on June 21, 2024 the superior classification was assigned to this facility. During today's visit at full assessment was assessed. I monitored permit postings permit restrictions, supervision, staff/child ratio, adequate approved space, program records, children's records, and staff files. This facility does provide transportation therefore monitor the transportation policy, conducted a monitoring of the Transportation. The following violations were observed cited and technical assistance was provided. Violation Number Comment Rule 544 Screen time was offered to children under three years of age. **A screen was observed mounted in a classroom with children who are one(1) and two(2) years old. There was also a screen time log with documentation of times of use. .0510(f) 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. A toy rider car with a broken steering wheel, headlights and seat was observed in the outdoor learning space. This was corrected during the visit. 10A NCAC 09 .0604(p) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. ***Neither the fire extinguisher nor the First-Aid Kit were mounted. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. **The binders with the children's information did not have photographs of the children transported. 10A NCAC 09 .1003(d) 1329 Application for enrollment did not include all required information. **A child's application did not contain the parents response regarding the needs of the child. .0801(a)(1-7) The above violations must be corrected immediately, and a corrective action letter must be submitted to my office on or before November 6, 2024. Using your facility letterhead, please submit your letter to anita.c.graham@dhs.nc.gov. Upon submitting your letter please document the date and type of visit, and how you corrected each of the violations cited this date. Please include your electronic signature. If your letter has not been received by my office on or before November 6, 2024, a return visit may be necessary to ensure childcare requirements have been met. You were provided an opportunity to ask questions regarding childcare requirements . We discussed each of the items of noncompliance during today's visit. TECHNICAL ASSISTANTS: Remember that the First Aid kit and fire extinguisher must be mounted or secured if kept in the passenger compartment. In the unfortunate case of an accident, these two very necessary and important items could become a hazardous projectile. Remember, when children are being transported each child being shall have all the required information on the bus. They include identifying information, such as including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form. We discussed the importance of the documenting of all incident/accidents on the incident log each time an incident occurs. We discussed the importance of parents completing the application to include information about their child/children’s particular fears, any allergies and symptoms. If a parent says there are no concerns, they should select that “no” option on the application. Please remember that children two years old or older should not participate in screen time activities. RESOURCE LINKS: https://nrckids.org/CFOC AGENCY NEWS: Please visit our website for more information, at https://ncchildcare.ncdhhs.gov. Check out the ‘What’s New’ tab you will also be able to access information on Child Care Commission meetings. -North Carolina law requires all children in the state to receive certain immunizations. Records are checked when children enter school or childcare. In response to Hurricane Helene, Governor Cooper issued Executive Order 319, which allowed for an extension for immunization and reporting deadlines. Read the details in the State Health Director’s Memo. (see link below) Starting November 1, 2024, children will have a 30-day grace period to show compliance with immunization requirements. The new deadline for Annual Immunization Reports is January 15, 2025. Finally, the Annual Immunization Reports for the 2024-25 school year are now open and can be completed https://immunization.dph.ncdhhs.gov/memos/SHDmemoExecutiveOrder319.pdf https://survey.alchemer.com/s3/7955242/2024-2025-Child-Care-Immunization-Report https://surveygizmolibrary.s3.amazonaws.com/library/12181/ChildCareAlchemerReportGuide.pdf -The Health and Safety Trainings are now being offered on the DCDEE website https://ncchildcare.ncdhhs.gov. free of charge. Look for the “DCDEE Moodle” tab under the “Services” tab on the website. Child care providers who took the training in 2019 will need to retake the trainings by the end of 2024. Thank you for your assistance during today’s visit. If you have any questions or concerns, please e-mail me at anita.c.graham@dhhs.nc.gov or call me at 336-894-0609. 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 .1003 · Violation

Name of Operation: BECOMING GRACE Facility ID: 01000670 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 10/23/2024 Number Present: 14 Completed Date: 10/23/2024 Age: From 1 To 4 Total Minutes: 190 Time In: 09:45 AM Time Out: 12:55 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 has been to conduct the annual compliance monitoring . This facility operates with a Four(4) Star License, which was issued on May 8, 2024. A check of the Secretary of State's website shows the company as Current-Active. Upon arrival to the facility I was greeted by the owner Chandrea Puliliam and the administrator, Sharnice Long. I stated the purpose of my visit and was assisted on a walkthrough of the facility. Attendance was taken, and observations made. The children were observed participating in morning routines, indoor and outdoor free play preparing for lunch and resting. The last Fire Inspection was conducted on September 10, 2024. The last Sanitation Inspection was conducted on June 21, 2024 the superior classification was assigned to this facility. During today's visit at full assessment was assessed. I monitored permit postings permit restrictions, supervision, staff/child ratio, adequate approved space, program records, children's records, and staff files. This facility does provide transportation therefore monitor the transportation policy, conducted a monitoring of the Transportation. The following violations were observed cited and technical assistance was provided. Violation Number Comment Rule 544 Screen time was offered to children under three years of age. **A screen was observed mounted in a classroom with children who are one(1) and two(2) years old. There was also a screen time log with documentation of times of use. .0510(f) 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. A toy rider car with a broken steering wheel, headlights and seat was observed in the outdoor learning space. This was corrected during the visit. 10A NCAC 09 .0604(p) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. ***Neither the fire extinguisher nor the First-Aid Kit were mounted. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. **The binders with the children's information did not have photographs of the children transported. 10A NCAC 09 .1003(d) 1329 Application for enrollment did not include all required information. **A child's application did not contain the parents response regarding the needs of the child. .0801(a)(1-7) The above violations must be corrected immediately, and a corrective action letter must be submitted to my office on or before November 6, 2024. Using your facility letterhead, please submit your letter to anita.c.graham@dhs.nc.gov. Upon submitting your letter please document the date and type of visit, and how you corrected each of the violations cited this date. Please include your electronic signature. If your letter has not been received by my office on or before November 6, 2024, a return visit may be necessary to ensure childcare requirements have been met. You were provided an opportunity to ask questions regarding childcare requirements . We discussed each of the items of noncompliance during today's visit. TECHNICAL ASSISTANTS: Remember that the First Aid kit and fire extinguisher must be mounted or secured if kept in the passenger compartment. In the unfortunate case of an accident, these two very necessary and important items could become a hazardous projectile. Remember, when children are being transported each child being shall have all the required information on the bus. They include identifying information, such as including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form. We discussed the importance of the documenting of all incident/accidents on the incident log each time an incident occurs. We discussed the importance of parents completing the application to include information about their child/children’s particular fears, any allergies and symptoms. If a parent says there are no concerns, they should select that “no” option on the application. Please remember that children two years old or older should not participate in screen time activities. RESOURCE LINKS: https://nrckids.org/CFOC AGENCY NEWS: Please visit our website for more information, at https://ncchildcare.ncdhhs.gov. Check out the ‘What’s New’ tab you will also be able to access information on Child Care Commission meetings. -North Carolina law requires all children in the state to receive certain immunizations. Records are checked when children enter school or childcare. In response to Hurricane Helene, Governor Cooper issued Executive Order 319, which allowed for an extension for immunization and reporting deadlines. Read the details in the State Health Director’s Memo. (see link below) Starting November 1, 2024, children will have a 30-day grace period to show compliance with immunization requirements. The new deadline for Annual Immunization Reports is January 15, 2025. Finally, the Annual Immunization Reports for the 2024-25 school year are now open and can be completed https://immunization.dph.ncdhhs.gov/memos/SHDmemoExecutiveOrder319.pdf https://survey.alchemer.com/s3/7955242/2024-2025-Child-Care-Immunization-Report https://surveygizmolibrary.s3.amazonaws.com/library/12181/ChildCareAlchemerReportGuide.pdf -The Health and Safety Trainings are now being offered on the DCDEE website https://ncchildcare.ncdhhs.gov. free of charge. Look for the “DCDEE Moodle” tab under the “Services” tab on the website. Child care providers who took the training in 2019 will need to retake the trainings by the end of 2024. Thank you for your assistance during today’s visit. If you have any questions or concerns, please e-mail me at anita.c.graham@dhhs.nc.gov or call me at 336-894-0609. 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: BECOMING GRACE Facility ID: 01000670 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 2/19/2024 Number Present: 13 Completed Date: 2/19/2024 Age: From 1 To 10 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to complete the facility’s second of three temporary time period visits. The owner, Ms. Chadea Pulliam and the center director, Ms. Sharnice Long were present and assisted us during today’s visit. Mrs. Anita Graham, Child Care Licensing Consultant accompanied me during today's visit. We completed a general walk through of the indoor and outdoor play areas. We observed two classrooms with children actively involved with their caregivers upon arrival. The children were engaged in different free play activities and preparing to go outside. The license was posted along with the Safe Arrival and Departure procedures, Emergency Medical Care Plan, Emergency Numbers and a First Aid reference sheet. Today we monitored 10% of the children’s files based on the total number of children present during today’s visit. Five children’s files were reviewed. The staff and training worksheet was completed during today's visit. The temporary license was issued to this facility on 11/7/23 and expires on 5/7/24. * The fire drill was conducted on 2/12/24. * The last outdoor play inspection was conducted 2/12/24. * The shelter-in-place was conducted on 1/17/24. Inspections: * The last Sanitation inspection was conducted on 12/15/23 and received a “Superior “classification with (7) demerits. * The Fire Inspection was completed on 6/14/23 approved for daytime care only. The following violation was cited: Violation Number Comment Rule 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. It was observed during today's visit a broken bin with different balls inside accessible to children present in care. 10A NCAC 09 .0604(p) The one violation cited today was corrected during today's visit. TECHNICAL ASSISTANCE: We spoke to Ms. Pulliam and Ms. Long regarding the Staff and Training Worksheet and making sure this is completed annually and ready for review during the facilities annual compliance visit. Ms. Long informed us that she will be signing up for EPR training in April through the local health department. REMINDERS: I discussed in detail again with the owner/center director that it is her responsibility to assure that the center maintains compliance with all applicable minimum licensing requirements, including, but not limited to the following: 1) Minimum staff/child ratios, however, we recommend using whichever staff/child ratios that you wish to use at the end of your temporary license period, so that you do not have to dis-enroll children to meet ratios. 2) Please make sure to always maintain copies of all staff members CPR certification cards and First Aid Training verification on site at the center at all times. 3) According to your license capacity, the center's administrator must be on site at the center, performing administrative duties, for a minimum of 25 hours per week. 4) There must be a lead teacher present in each classroom for children for a minimum of 2/3rds of your operating day. 5) Children under 2 1/2 must only be in classrooms that have a direct exit to the outside. RATED LICENSE ASSESSMENT: Today we reviewed the process for completing the Environmental Rating Scales (ERS). Ms. Pulliam and Ms. Long informed us that she does not want the facility to have the (ERS) Assessment completed at this time. Therefore based on this the facility will receive 2 points in the Program Standard Component. Please make sure all your staff are in “Works”. Works is located on the Division of Child Development website https://ncchildcare.ncdhhs.gov/ under the Services tab labeled as DCDEE-Works or you can access Works directly at: https://dcdee.works.nc.gov/ You will need your NCID number to login. If you have any additional questions or concerns, I can be reached at (919) 259-5860 or by email at marcia.humphrey@dhhs.nc.gov I appreciate all you are doing to serve the children and families of NC. Please continue to visit the DHHS DCDEE website for the latest ” What’s New” information. 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: BECOMING GRACE Facility ID: 01000670 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 12/19/2023 Number Present: 3 Completed Date: 12/19/2023 Age: From 2 To 5 Total Minutes: 120 Time In: 09:30 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to conduct the first temporary time period visit. The temporary time period license was issued on 11/7/23 and expires on 5/7/24. Upon arrival, I was greeted by the center director Ms. Sharnice Long. I did a sampling of two classrooms the preschool classroom (which was being during today's visit) and the school age classroom. In addition, I observed the children involved in different free play activities with the center director and preparing to go outside when the owner Ms. Chadea Pulliam arrived. I concluded the visit by reviewing today's visit summary with Ms. Long and will email the visit summary to her. The three employee files were reviewed and the children’s records forms were completed during today's visit. Three children were present during today's walk-through. The center had the following items posted/located in a prominent place in the center for parents and available for me to review: * Center's license * Current and nutritious menu * Safe Arrival and Departure Procedure * Summary of the NC Child Care Law posted * Activity plan * Daily Schedule INSPECTIONS: The fire drill must be conducted by 12/13/23. The first outdoor inspection must be conducted by 12/13/23. The lockdown drill or shelter-in-place has not been completed at this time due to the facility having one year to complete this training from the time their Temporary License was issued. The sanitation inspection was completed on 12/15/23 with 7 demerits for Superior Classification. The fire inspection was completed on 6/14/23 and the facility was approved for daytime care only. The center does not provide aquatic activities, thus, those requirements were not monitored during this visit. The facility does transport school-age children, this vehicle was looked at during today's visit. The vehicle is a RAM-3500 (15 passenger van), the tags expire this month December 2023. The vehicles insurance is through Geico which expires March 2024. The following violations were cited during today's visit: Violation Number Comment Rule 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Outside on the playground there was a rake accessible to children in care. .0604(a) 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. This was not completed within the required timeframe for one employee. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The last six weeks of orientation was not completed for one employee. .1101(a) Comments: In order to comply with NC Child Care Laws and Rules any violation cited must be corrected IMMEDIATELY. A Compliance letter must be sent by January 2, 2024. The letter must address each violation cited. Please send to my email address Marcia.Humphrey@dhhs.nc.gov and be sure to include the following: *Facility Name *Facility ID number *Each Item numbers TECHNICAL ASSISTANCE: I discussed with the owner, Ms. Pulliam and the center director, Ms. Long the importance of making sure all necessary paperwork has been completed in all employee's files within the required timeframe. The main concern while reviewing files was with the completion of orientation trainings and medical assessment being completed within the required timeframe. COMPLIANCE HISTORY When you receive your Child Care License from the State of NC, you are agreeing to comply at all times with the Law, Rules and Requirements pertaining to and governing Child Care in NC. It is your responsibility to read, learn, and maintain all Child Care Requirements that apply to your licensed facility. It is also your responsibility to ask Division staff questions for clarification of requirements you do not understand and to monitor your staff to ensure that all requirements are maintained at all times. TECHNICAL ASSISTANCE AND CONSULTATION The following items were discussed during today' visit: 1) Please refer to the Staff and Training Worksheets to continue to keep all staff members current with their upcoming due dates for CPR/First Aid training, child maltreatment training, and health and safety training requirements. 2) Please refer to the What’s New Section of the DCDEE website for the new rules and other updates. 3) MOODLE: *On-line training modules on new rules are now available on Moodle on the DCDEE website. They will help you understand any new rules that are adopted so that you can maintain compliance with them. You and your staff will earn hours of on-going training if you complete Moodle modules. Log onto the DCDEE website at www.ncchildcare.nc.gov and click on Services and then click on DCDEE Moodle. To access Moodle, you will need to have created an NCID username and password. If you need assistance with creating an NCID username and password click on How DO I and then create an NCID. Health and Safety Trainings are now available for free via Moodle. The operator and I navigated through Moodle today. Health and Safety Trainings are required to be completed within the first year. Health & Safety Training a. Complete training in 11 topic areas b. Document on Health & Safety Training Record (available on DCDEE website) c. After 1st year, complete training in each topic area at least every five years, except for CPR/First Aid (every 2 years) and Safe Sleep Training (every 3 years) To access the health and safety trainings available in Moodle, once you have logged in to Moodle, please complete the following steps: 1. Scroll down to the end of the page, look on the left side under "My Courses" and select "All courses" 2. Select "Early Childhood Professional Development" 3. Select "Regulatory" 4. Select "CCDF - Health and Safety in Child Care Health and Safety trainings are required to be completed within the first year of operation. 4) Update Sanitation Rules will be effective 07/01/23 and can be found at www.ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.html. There are several new definitions and clarifications that you will need to become familiar with. Sanitation Rule .2827(c) specifies where the sick child area must located and when it is to be used. Sanitation Rule .2827(d) requires a written Vomit & Diarrhea Clean-up Plan to be on file and reviewed with staff. The sanitation grade sheet (inspection form) has been revised as well. You will want to look over all the updates and begin implementing them. RATED LICENSE APPLICATION INFORMATION Once you have achieved a full six (6) months of operation, your program will be eligible for a Voluntary Enhanced Rated License. The award of this Rated License will occur at the end of the 6-month Temporary License Time Period. The following information will be discussed in more detail during the next visit. The Optional Rated License Assessment Process: 1) Please go to the NCRLAP website, www.ncrlap.org, to learn more about the Environmental Rating Scale Process. 2) Please ensure that all new staff member’s education information is current in the W.O.R.K.S. database. Each staff member must register in the WORKS system as soon as they are hired at this location. Education evaluations can take some time to process so beginning the process early will help to ensure we have the accurate information needed when it is time to complete the rated license assessment before the end of the temporary time period. You may also want to consider having staff members complete the Early Educator Certification process (www.ncicdp.org) to assist in getting higher education evaluations completed if their degree is not in early childhood education. CONTACT INFORMATION: If you have any questions or need further assistance, I can be reached via email at marcia.humphreyr@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