Little Thinkers On Fisher

10A NCAC 09 .0302 · Violation

Name of Operation: LITTLE THINKERS on Fisher Facility ID: 01000662 Consultant: LORI RIERSON Operation Type: Center Case Number: Visit Date: 10/7/2024 Number Present: 49 Completed Date: 10/7/2024 Age: From 0 To 4 Total Minutes: 225 Time In: 10:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today an unannounced annual compliance visit was conducted. A checklist was used to note the requirements I monitored today, and a copy was left with you. The last annual compliance visit was conducted 10/25/23. Currently this program operates with a four (4) Star License, issued 4/27/23. The facility earned five (5) points in staff education, six (6) points in program standards, and one (1) quality point for programmatic options met. The center director, Roxanne Castile, assisted me today. I conducted an assisted walkthrough of the center. The last sanitation inspection was completed 6/9/23 with a ‘Superior’ classification and 13 demerits. The last fire inspection was conducted on 10/31/23. Children were observed playing in activity areas, eating lunch, resting, and routine care activities. Transportation is not provided. A full assessment of childcare rule was conducted today. The following violations were observed today: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One emergency medication for a child in the toddler room was not in the original container. .0803(2)(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The form for one child was due by 10/22/23 and was received 3/18/24. 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. The form for one child was due by 10/22/23 and was received 2/29/24. 10A NCAC 09 .0302(d)(2) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Two permission forms for a child in the toddler room expired 10/9/24. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-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. The training for S. Gomez was due by 10/24/23 and was completed 11/6/23. This is a repeat violation. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. The training for M. Hawkins was due by 2/16/24 and was incomplete. The training for S. Gomez was due by 7/24/24 and was incomplete. This is a repeat violation. .1102(a) You were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Each violation cited was discussed with Ms. Castile. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received on or before 10/21/24. The letter must include the following: *Facility Name and ID number *List of each violation number *How each violation was corrected All items must be included, or the corrective action letter will be returned for corrections. CONSULTATION: ITS/SIDS for T. Taborn must be completed by 11/25/24. Floater K. Singleton must complete it by 11/3/24 and L. Salazar by 1/3/25 if they work in the infant room. Any staff member must complete ITS/SIDS within two months of working in the infant room. CPR/First Aid is due for the following staff: T. Taborn-12/25/24, K. Singelton-12/3/24, L. Salazar-1/3/25. If staff are currently enrolled in school, a current transcript must be on file at the end of each semester showing a final grade for the course. Only EDU classes count towards ongoing training hours. The only health and safety training not required by your staff is the training on transportation. A fire inspection must be completed by 10/30/24. A copy must be sent to me within seven days. We discussed the emergency medication storage for a child in the toddler room. Items should be stored in a clearly labeled container. It is best practice to have a copy of the child’s picture attached to the action plans. All prescriptions must be in the originally labeled prescription box or have the prescription label attached. AGENCY NEWS AND UPDATES: Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: *’What’s New’ tab *QRIS If you have and questions or concerns, please call me at 336-816-4826, or email lori.rierson@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: LITTLE THINKERS on Fisher Facility ID: 01000662 Consultant: LORI RIERSON Operation Type: Center Case Number: Visit Date: 10/7/2024 Number Present: 49 Completed Date: 10/7/2024 Age: From 0 To 4 Total Minutes: 225 Time In: 10:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today an unannounced annual compliance visit was conducted. A checklist was used to note the requirements I monitored today, and a copy was left with you. The last annual compliance visit was conducted 10/25/23. Currently this program operates with a four (4) Star License, issued 4/27/23. The facility earned five (5) points in staff education, six (6) points in program standards, and one (1) quality point for programmatic options met. The center director, Roxanne Castile, assisted me today. I conducted an assisted walkthrough of the center. The last sanitation inspection was completed 6/9/23 with a ‘Superior’ classification and 13 demerits. The last fire inspection was conducted on 10/31/23. Children were observed playing in activity areas, eating lunch, resting, and routine care activities. Transportation is not provided. A full assessment of childcare rule was conducted today. The following violations were observed today: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One emergency medication for a child in the toddler room was not in the original container. .0803(2)(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The form for one child was due by 10/22/23 and was received 3/18/24. 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. The form for one child was due by 10/22/23 and was received 2/29/24. 10A NCAC 09 .0302(d)(2) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Two permission forms for a child in the toddler room expired 10/9/24. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-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. The training for S. Gomez was due by 10/24/23 and was completed 11/6/23. This is a repeat violation. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. The training for M. Hawkins was due by 2/16/24 and was incomplete. The training for S. Gomez was due by 7/24/24 and was incomplete. This is a repeat violation. .1102(a) You were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Each violation cited was discussed with Ms. Castile. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received on or before 10/21/24. The letter must include the following: *Facility Name and ID number *List of each violation number *How each violation was corrected All items must be included, or the corrective action letter will be returned for corrections. CONSULTATION: ITS/SIDS for T. Taborn must be completed by 11/25/24. Floater K. Singleton must complete it by 11/3/24 and L. Salazar by 1/3/25 if they work in the infant room. Any staff member must complete ITS/SIDS within two months of working in the infant room. CPR/First Aid is due for the following staff: T. Taborn-12/25/24, K. Singelton-12/3/24, L. Salazar-1/3/25. If staff are currently enrolled in school, a current transcript must be on file at the end of each semester showing a final grade for the course. Only EDU classes count towards ongoing training hours. The only health and safety training not required by your staff is the training on transportation. A fire inspection must be completed by 10/30/24. A copy must be sent to me within seven days. We discussed the emergency medication storage for a child in the toddler room. Items should be stored in a clearly labeled container. It is best practice to have a copy of the child’s picture attached to the action plans. All prescriptions must be in the originally labeled prescription box or have the prescription label attached. AGENCY NEWS AND UPDATES: Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: *’What’s New’ tab *QRIS If you have and questions or concerns, please call me at 336-816-4826, or email lori.rierson@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: LITTLE THINKERS on Fisher Facility ID: 01000662 Consultant: LORI RIERSON Operation Type: Center Case Number: Visit Date: 10/25/2023 Number Present: 55 Completed Date: 10/25/2023 Age: From 0 To 5 Total Minutes: 230 Time In: 10:05 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today an unannounced annual compliance visit was conducted. A checklist was used to note the requirements I monitored today, and a copy was left with you. This is the facilities first annual compliance visit. Currently this program operates with a four (4) Star License, issued 4/27/23. The facility earned five (5) points in staff education, six (6) points in program standards, and one (1) quality point for programmatic options met. The center director, Roxanne Castille, assisted me today. I conducted an assisted walkthrough of the center. The last sanitation inspection was completed 6/9/23 with a ‘Superior’ classification and 13 demerits. The last fire inspection was conducted on 9/22/22. Children were observed playing in activity areas, playing outside, eating lunch, and routine care activities. Transportation is not provided. A full assessment of childcare rule was conducted today. The following violations were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed 9/22/22. 10A NCAC 09 .0304(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. Staff member D. Agnello began employment 5/15/23. Her medical report was dated 5/19/23. 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. Staff member D. Agnello began employment 5/15/23 and her TB test was dated 5/22/23. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member A. Black was short one hour of training. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff development plan was not on file for R. Castille. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The exam for one child was received after thirty days of enrollment. GS110-91(1) 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. Staff member M. Hawkins did not complete the training. She was hired 2/16/23. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff members B. Saunders and A. Black did not complete the trainings within one year of date of hire. A copy of the health and safety training log must accompany the corrective action letter. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. The health and safety trainings for R. Castille and B. Lurch were not completed within five years. A copy of the health and safety training log must accompany the corrective action letter. .1103(b) You were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Each violation cited was discussed with Ms. Castille. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received on or before 11/8/23. The letter must include the following: *Facility Name and ID number *List of each violation number *How each violation was corrected All items must be included, or the corrective action letter will be returned for corrections. CONSULTATION: You have many new staff members. We reviewed the staff/training worksheets today so that you are aware of the due dates for CPR/First Aid, Recognizing and Responding to Maltreatment, and the health and safety trainings. We reviewed the changes the sanitation rules. Demerits will be cited beginning January 1, 2024. Line two of the Emergency Medical Care plan should state ‘Child’s Doctor.’ AGENCY NEWS AND UPDATES: Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: *’What’s New’ tab If you have and questions or concerns, please call me at 336-816-4826, or email lori.rierson@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: LITTLE THINKERS on Fisher Facility ID: 01000662 Consultant: LORI RIERSON Operation Type: Center Case Number: Visit Date: 10/25/2023 Number Present: 55 Completed Date: 10/25/2023 Age: From 0 To 5 Total Minutes: 230 Time In: 10:05 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today an unannounced annual compliance visit was conducted. A checklist was used to note the requirements I monitored today, and a copy was left with you. This is the facilities first annual compliance visit. Currently this program operates with a four (4) Star License, issued 4/27/23. The facility earned five (5) points in staff education, six (6) points in program standards, and one (1) quality point for programmatic options met. The center director, Roxanne Castille, assisted me today. I conducted an assisted walkthrough of the center. The last sanitation inspection was completed 6/9/23 with a ‘Superior’ classification and 13 demerits. The last fire inspection was conducted on 9/22/22. Children were observed playing in activity areas, playing outside, eating lunch, and routine care activities. Transportation is not provided. A full assessment of childcare rule was conducted today. The following violations were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed 9/22/22. 10A NCAC 09 .0304(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. Staff member D. Agnello began employment 5/15/23. Her medical report was dated 5/19/23. 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. Staff member D. Agnello began employment 5/15/23 and her TB test was dated 5/22/23. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member A. Black was short one hour of training. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff development plan was not on file for R. Castille. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The exam for one child was received after thirty days of enrollment. GS110-91(1) 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. Staff member M. Hawkins did not complete the training. She was hired 2/16/23. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff members B. Saunders and A. Black did not complete the trainings within one year of date of hire. A copy of the health and safety training log must accompany the corrective action letter. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. The health and safety trainings for R. Castille and B. Lurch were not completed within five years. A copy of the health and safety training log must accompany the corrective action letter. .1103(b) You were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Each violation cited was discussed with Ms. Castille. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received on or before 11/8/23. The letter must include the following: *Facility Name and ID number *List of each violation number *How each violation was corrected All items must be included, or the corrective action letter will be returned for corrections. CONSULTATION: You have many new staff members. We reviewed the staff/training worksheets today so that you are aware of the due dates for CPR/First Aid, Recognizing and Responding to Maltreatment, and the health and safety trainings. We reviewed the changes the sanitation rules. Demerits will be cited beginning January 1, 2024. Line two of the Emergency Medical Care plan should state ‘Child’s Doctor.’ AGENCY NEWS AND UPDATES: Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: *’What’s New’ tab If you have and questions or concerns, please call me at 336-816-4826, or email lori.rierson@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: LITTLE THINKERS on Fisher Facility ID: 01000662 Consultant: LORI RIERSON Operation Type: Center Case Number: Visit Date: 10/25/2023 Number Present: 55 Completed Date: 10/25/2023 Age: From 0 To 5 Total Minutes: 230 Time In: 10:05 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today an unannounced annual compliance visit was conducted. A checklist was used to note the requirements I monitored today, and a copy was left with you. This is the facilities first annual compliance visit. Currently this program operates with a four (4) Star License, issued 4/27/23. The facility earned five (5) points in staff education, six (6) points in program standards, and one (1) quality point for programmatic options met. The center director, Roxanne Castille, assisted me today. I conducted an assisted walkthrough of the center. The last sanitation inspection was completed 6/9/23 with a ‘Superior’ classification and 13 demerits. The last fire inspection was conducted on 9/22/22. Children were observed playing in activity areas, playing outside, eating lunch, and routine care activities. Transportation is not provided. A full assessment of childcare rule was conducted today. The following violations were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed 9/22/22. 10A NCAC 09 .0304(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. Staff member D. Agnello began employment 5/15/23. Her medical report was dated 5/19/23. 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. Staff member D. Agnello began employment 5/15/23 and her TB test was dated 5/22/23. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member A. Black was short one hour of training. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff development plan was not on file for R. Castille. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The exam for one child was received after thirty days of enrollment. GS110-91(1) 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. Staff member M. Hawkins did not complete the training. She was hired 2/16/23. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff members B. Saunders and A. Black did not complete the trainings within one year of date of hire. A copy of the health and safety training log must accompany the corrective action letter. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. The health and safety trainings for R. Castille and B. Lurch were not completed within five years. A copy of the health and safety training log must accompany the corrective action letter. .1103(b) You were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Each violation cited was discussed with Ms. Castille. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received on or before 11/8/23. The letter must include the following: *Facility Name and ID number *List of each violation number *How each violation was corrected All items must be included, or the corrective action letter will be returned for corrections. CONSULTATION: You have many new staff members. We reviewed the staff/training worksheets today so that you are aware of the due dates for CPR/First Aid, Recognizing and Responding to Maltreatment, and the health and safety trainings. We reviewed the changes the sanitation rules. Demerits will be cited beginning January 1, 2024. Line two of the Emergency Medical Care plan should state ‘Child’s Doctor.’ AGENCY NEWS AND UPDATES: Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: *’What’s New’ tab If you have and questions or concerns, please call me at 336-816-4826, or email lori.rierson@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: LITTLE THINKERS on Fisher Facility ID: 01000662 Consultant: LORI RIERSON Operation Type: Center Case Number: Visit Date: 10/25/2023 Number Present: 55 Completed Date: 10/25/2023 Age: From 0 To 5 Total Minutes: 230 Time In: 10:05 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today an unannounced annual compliance visit was conducted. A checklist was used to note the requirements I monitored today, and a copy was left with you. This is the facilities first annual compliance visit. Currently this program operates with a four (4) Star License, issued 4/27/23. The facility earned five (5) points in staff education, six (6) points in program standards, and one (1) quality point for programmatic options met. The center director, Roxanne Castille, assisted me today. I conducted an assisted walkthrough of the center. The last sanitation inspection was completed 6/9/23 with a ‘Superior’ classification and 13 demerits. The last fire inspection was conducted on 9/22/22. Children were observed playing in activity areas, playing outside, eating lunch, and routine care activities. Transportation is not provided. A full assessment of childcare rule was conducted today. The following violations were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed 9/22/22. 10A NCAC 09 .0304(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. Staff member D. Agnello began employment 5/15/23. Her medical report was dated 5/19/23. 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. Staff member D. Agnello began employment 5/15/23 and her TB test was dated 5/22/23. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member A. Black was short one hour of training. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff development plan was not on file for R. Castille. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The exam for one child was received after thirty days of enrollment. GS110-91(1) 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. Staff member M. Hawkins did not complete the training. She was hired 2/16/23. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff members B. Saunders and A. Black did not complete the trainings within one year of date of hire. A copy of the health and safety training log must accompany the corrective action letter. .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. The health and safety trainings for R. Castille and B. Lurch were not completed within five years. A copy of the health and safety training log must accompany the corrective action letter. .1103(b) You were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Each violation cited was discussed with Ms. Castille. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received on or before 11/8/23. The letter must include the following: *Facility Name and ID number *List of each violation number *How each violation was corrected All items must be included, or the corrective action letter will be returned for corrections. CONSULTATION: You have many new staff members. We reviewed the staff/training worksheets today so that you are aware of the due dates for CPR/First Aid, Recognizing and Responding to Maltreatment, and the health and safety trainings. We reviewed the changes the sanitation rules. Demerits will be cited beginning January 1, 2024. Line two of the Emergency Medical Care plan should state ‘Child’s Doctor.’ AGENCY NEWS AND UPDATES: Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: *’What’s New’ tab If you have and questions or concerns, please call me at 336-816-4826, or email lori.rierson@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