Tender Touch Day Care

10A NCAC 09 .1711 · Violation

Name of Operation: TENDER TOUCH DAY CARE Facility ID: 39000003 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: 0225-030L Visit Date: 2/6/2025 Number Present: 4 Completed Date: 2/6/2025 Age: From 2 To 5 Total Minutes: 135 Time In: 11:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 2-4-25. When I arrived at the facility, I knocked on the door and was greeted by Ms. Johnson. I let Ms. Johnson know the purpose of my visit and started my observation. During today’s visit I discussed the allegations, and the owner was given an opportunity to provide information surrounding the allegations. Limited monitoring of childcare requirements occurred during today’s visit. I monitored supervision, capacity, incident reports, adequate /approved space, license posted and restrictions. Allegation # 1: There is a concern of inadequate supervision. Observation: During today’s visit I observed four children eating lunch at the table. Two 2-year-olds, One 3year old and one 5-year-old. I observed the owner going upstairs to get the children’s milk. She was gone for less than 1 minute; however, she could see the children. I observed the owner assisting the preschool children to the restroom while other children lay down on their cots for quite time. The owner could see and hear the children. Based on the information provided regarding concerns of inadequate supervision, I interviewed the owner regarding the allegation. Interview: During today’s visit the owner stated that she pre makes her lunches and when it is time for lunch the school age children will sit at the table and play a game while she fixes the plates, and she can hear them. The owner stated that the preschool children will go with her and stand in the hallway so she can see and hear them while she is fixing the lunch. The owner stated this takes her about 5-7 minutes. CONCLUSION: Based on information received from the Owner, observations, the finding regarding this allegation is Unsubstantiated. Allegation # 2: There is a concern that incident reports were not written for a child who was injured while in care. Observation: During today’s visit I did not observe any incidents occur, nor did I observe any incident reports. Based on the information provided regarding concerns of incident reports not written, I interviewed the owner regarding the allegation. Interview: The owner stated that if an incident occurs, she will pull the child aside, address the situation and administer first aid if needed. The owner also stated that she does fill out incident reports depending on the severity of the incident or injury and that she informs the parent of the child or children involved. When I asked the owner if she had any incident reports, I could review she said no. However, the owner did state that a biting incident had occurred, but she did not witness the incident happening. The owner stated that a child said that their leg was hurting and that is when she saw the injury. The owner stated that she washed the area with soap and water and applied Neosporin. The owner stated that she did not do an incident report for this incident because she did not see any skin broken. The provider stated that she did speak to both children’s parents involved in the incident and made them aware of what happened during pick up. CONCLUSION: Based on information received from the Owner, the finding regarding this allegation is Substantiated. One (1) violation was cited during today’s visit; the owner had a chance to ask questions to ensure staying in compliance. Violation Number Comment Rule 512 Incident reports were not complete and maintained in the child's file and/or were not signed by the person completing it and by the parent. Incident reports were not completed and maintained in the child's file, when a incident occurred. .1721(e)(3)(A-L) The violation(s) documented must be corrected immediately. On or before 2-20-25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance given regarding the unsubstantiated and substantiated allegations. Technical Assistance 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME Children shall be adequately supervised at all times in a family child care home. "Adequate supervision" shall mean that: (1) For pre-school age children, the family child care home operator shall be positioned in the indoor and outdoor environment to maximize his or her ability to hear and see the children at all times and render immediate assistance; (2) For school-age children, the operator shall be positioned in the indoor and outdoor environment to maximize his or her ability to hear or see the children at all times and render immediate assistance; (d) for children who are sleeping or napping, the operator shall not be required to visually supervise them, but shall be able to hear and respond without delay to them. Children shall not sleep or nap in a room with a closed door between the children and the operator. The operator shall be on the same level of the home where children are sleeping or napping. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (3) incident reports that are completed each time a child is injured or when a child receives medical treatment by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care. The incident report shall include: facility identifying information; the child's name; date and time of the incident; witness to the incident; time the parent is notified of the incident and by whom; piece of equipment involved, if applicable; cause of injury, if applicable; description of injury or incident; body part injured, if applicable; where the child received medical treatment, if applicable; description of how and where the incident occurred and First Aid received; and steps taken to prevent reoccurrence. (4) an incident log that is filled out any time an incident report is completed. This log shall be cumulative and maintained in a separate file and shall be available for review by the Division. This log shall be completed on a form supplied by the Division. The family child care home operator shall complete and maintain other records that include: This report shall be signed by the person completing it and by the parent, a copy given to the parent, and the report maintained in the child's file. When medical treatment is required, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. A copy of the form can be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf; Before today’s visit the facilities compliance, history is at 100%. Child Care programs are expected to always achieve and maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. 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/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. The visit summary was reviewed with the person in charge and a copy was left with her. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. 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 .1721 · Violation

Name of Operation: TENDER TOUCH DAY CARE Facility ID: 39000003 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: 0225-030L Visit Date: 2/6/2025 Number Present: 4 Completed Date: 2/6/2025 Age: From 2 To 5 Total Minutes: 135 Time In: 11:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 2-4-25. When I arrived at the facility, I knocked on the door and was greeted by Ms. Johnson. I let Ms. Johnson know the purpose of my visit and started my observation. During today’s visit I discussed the allegations, and the owner was given an opportunity to provide information surrounding the allegations. Limited monitoring of childcare requirements occurred during today’s visit. I monitored supervision, capacity, incident reports, adequate /approved space, license posted and restrictions. Allegation # 1: There is a concern of inadequate supervision. Observation: During today’s visit I observed four children eating lunch at the table. Two 2-year-olds, One 3year old and one 5-year-old. I observed the owner going upstairs to get the children’s milk. She was gone for less than 1 minute; however, she could see the children. I observed the owner assisting the preschool children to the restroom while other children lay down on their cots for quite time. The owner could see and hear the children. Based on the information provided regarding concerns of inadequate supervision, I interviewed the owner regarding the allegation. Interview: During today’s visit the owner stated that she pre makes her lunches and when it is time for lunch the school age children will sit at the table and play a game while she fixes the plates, and she can hear them. The owner stated that the preschool children will go with her and stand in the hallway so she can see and hear them while she is fixing the lunch. The owner stated this takes her about 5-7 minutes. CONCLUSION: Based on information received from the Owner, observations, the finding regarding this allegation is Unsubstantiated. Allegation # 2: There is a concern that incident reports were not written for a child who was injured while in care. Observation: During today’s visit I did not observe any incidents occur, nor did I observe any incident reports. Based on the information provided regarding concerns of incident reports not written, I interviewed the owner regarding the allegation. Interview: The owner stated that if an incident occurs, she will pull the child aside, address the situation and administer first aid if needed. The owner also stated that she does fill out incident reports depending on the severity of the incident or injury and that she informs the parent of the child or children involved. When I asked the owner if she had any incident reports, I could review she said no. However, the owner did state that a biting incident had occurred, but she did not witness the incident happening. The owner stated that a child said that their leg was hurting and that is when she saw the injury. The owner stated that she washed the area with soap and water and applied Neosporin. The owner stated that she did not do an incident report for this incident because she did not see any skin broken. The provider stated that she did speak to both children’s parents involved in the incident and made them aware of what happened during pick up. CONCLUSION: Based on information received from the Owner, the finding regarding this allegation is Substantiated. One (1) violation was cited during today’s visit; the owner had a chance to ask questions to ensure staying in compliance. Violation Number Comment Rule 512 Incident reports were not complete and maintained in the child's file and/or were not signed by the person completing it and by the parent. Incident reports were not completed and maintained in the child's file, when a incident occurred. .1721(e)(3)(A-L) The violation(s) documented must be corrected immediately. On or before 2-20-25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance given regarding the unsubstantiated and substantiated allegations. Technical Assistance 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME Children shall be adequately supervised at all times in a family child care home. "Adequate supervision" shall mean that: (1) For pre-school age children, the family child care home operator shall be positioned in the indoor and outdoor environment to maximize his or her ability to hear and see the children at all times and render immediate assistance; (2) For school-age children, the operator shall be positioned in the indoor and outdoor environment to maximize his or her ability to hear or see the children at all times and render immediate assistance; (d) for children who are sleeping or napping, the operator shall not be required to visually supervise them, but shall be able to hear and respond without delay to them. Children shall not sleep or nap in a room with a closed door between the children and the operator. The operator shall be on the same level of the home where children are sleeping or napping. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (3) incident reports that are completed each time a child is injured or when a child receives medical treatment by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care. The incident report shall include: facility identifying information; the child's name; date and time of the incident; witness to the incident; time the parent is notified of the incident and by whom; piece of equipment involved, if applicable; cause of injury, if applicable; description of injury or incident; body part injured, if applicable; where the child received medical treatment, if applicable; description of how and where the incident occurred and First Aid received; and steps taken to prevent reoccurrence. (4) an incident log that is filled out any time an incident report is completed. This log shall be cumulative and maintained in a separate file and shall be available for review by the Division. This log shall be completed on a form supplied by the Division. The family child care home operator shall complete and maintain other records that include: This report shall be signed by the person completing it and by the parent, a copy given to the parent, and the report maintained in the child's file. When medical treatment is required, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. A copy of the form can be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf; Before today’s visit the facilities compliance, history is at 100%. Child Care programs are expected to always achieve and maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. 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/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. The visit summary was reviewed with the person in charge and a copy was left with her. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: TENDER TOUCH DAY CARE Facility ID: 39000003 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: 0225-030L Visit Date: 2/6/2025 Number Present: 4 Completed Date: 2/6/2025 Age: From 2 To 5 Total Minutes: 135 Time In: 11:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of non-compliance with the NC Child Care Licensing Requirements received by the agency on 2-4-25. When I arrived at the facility, I knocked on the door and was greeted by Ms. Johnson. I let Ms. Johnson know the purpose of my visit and started my observation. During today’s visit I discussed the allegations, and the owner was given an opportunity to provide information surrounding the allegations. Limited monitoring of childcare requirements occurred during today’s visit. I monitored supervision, capacity, incident reports, adequate /approved space, license posted and restrictions. Allegation # 1: There is a concern of inadequate supervision. Observation: During today’s visit I observed four children eating lunch at the table. Two 2-year-olds, One 3year old and one 5-year-old. I observed the owner going upstairs to get the children’s milk. She was gone for less than 1 minute; however, she could see the children. I observed the owner assisting the preschool children to the restroom while other children lay down on their cots for quite time. The owner could see and hear the children. Based on the information provided regarding concerns of inadequate supervision, I interviewed the owner regarding the allegation. Interview: During today’s visit the owner stated that she pre makes her lunches and when it is time for lunch the school age children will sit at the table and play a game while she fixes the plates, and she can hear them. The owner stated that the preschool children will go with her and stand in the hallway so she can see and hear them while she is fixing the lunch. The owner stated this takes her about 5-7 minutes. CONCLUSION: Based on information received from the Owner, observations, the finding regarding this allegation is Unsubstantiated. Allegation # 2: There is a concern that incident reports were not written for a child who was injured while in care. Observation: During today’s visit I did not observe any incidents occur, nor did I observe any incident reports. Based on the information provided regarding concerns of incident reports not written, I interviewed the owner regarding the allegation. Interview: The owner stated that if an incident occurs, she will pull the child aside, address the situation and administer first aid if needed. The owner also stated that she does fill out incident reports depending on the severity of the incident or injury and that she informs the parent of the child or children involved. When I asked the owner if she had any incident reports, I could review she said no. However, the owner did state that a biting incident had occurred, but she did not witness the incident happening. The owner stated that a child said that their leg was hurting and that is when she saw the injury. The owner stated that she washed the area with soap and water and applied Neosporin. The owner stated that she did not do an incident report for this incident because she did not see any skin broken. The provider stated that she did speak to both children’s parents involved in the incident and made them aware of what happened during pick up. CONCLUSION: Based on information received from the Owner, the finding regarding this allegation is Substantiated. One (1) violation was cited during today’s visit; the owner had a chance to ask questions to ensure staying in compliance. Violation Number Comment Rule 512 Incident reports were not complete and maintained in the child's file and/or were not signed by the person completing it and by the parent. Incident reports were not completed and maintained in the child's file, when a incident occurred. .1721(e)(3)(A-L) The violation(s) documented must be corrected immediately. On or before 2-20-25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance given regarding the unsubstantiated and substantiated allegations. Technical Assistance 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME Children shall be adequately supervised at all times in a family child care home. "Adequate supervision" shall mean that: (1) For pre-school age children, the family child care home operator shall be positioned in the indoor and outdoor environment to maximize his or her ability to hear and see the children at all times and render immediate assistance; (2) For school-age children, the operator shall be positioned in the indoor and outdoor environment to maximize his or her ability to hear or see the children at all times and render immediate assistance; (d) for children who are sleeping or napping, the operator shall not be required to visually supervise them, but shall be able to hear and respond without delay to them. Children shall not sleep or nap in a room with a closed door between the children and the operator. The operator shall be on the same level of the home where children are sleeping or napping. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (3) incident reports that are completed each time a child is injured or when a child receives medical treatment by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care. The incident report shall include: facility identifying information; the child's name; date and time of the incident; witness to the incident; time the parent is notified of the incident and by whom; piece of equipment involved, if applicable; cause of injury, if applicable; description of injury or incident; body part injured, if applicable; where the child received medical treatment, if applicable; description of how and where the incident occurred and First Aid received; and steps taken to prevent reoccurrence. (4) an incident log that is filled out any time an incident report is completed. This log shall be cumulative and maintained in a separate file and shall be available for review by the Division. This log shall be completed on a form supplied by the Division. The family child care home operator shall complete and maintain other records that include: This report shall be signed by the person completing it and by the parent, a copy given to the parent, and the report maintained in the child's file. When medical treatment is required, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. A copy of the form can be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf; Before today’s visit the facilities compliance, history is at 100%. Child Care programs are expected to always achieve and maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. 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/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. The visit summary was reviewed with the person in charge and a copy was left with her. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: TENDER TOUCH DAY CARE Facility ID: 39000003 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 5/7/2024 Number Present: 5 Completed Date: 5/7/2024 Age: From 2 To 4 Total Minutes: 110 Time In: 09:10 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with all applicable Child Care Requirements for an annual compliance unannounced visit. The program currently operates with a Five Star Child-Care License that was issued on April 26th, 2019. You, Ms. M. Johnson, assisted me with the visit. The last Annual Compliance Visit was conducted on May 10th, 2023. The home's compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 4/18/24. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on 4/30/24 and TENDER TOUCH DAY CARE, LLC was listed as current- active. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed five (5) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the family child care home were engaging in free play, circle time and art. The caregiver was interacting and meeting the developmental needs of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan, emergency numbers posted, first aid poster posted, daily schedule, activity plan, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. The last fire drill was conducted on 5/1/24. The last shelter-in-place and lock down drills were conducted on 5/3/24. The last Outdoor inspection was completed on 5/2/24. All staff and children’s files were monitored during today’s visit. A checklist was used to note the requirements I monitored today. One violation was observed during today’s visit. The provider was given a consultation and technical assistance. Violation Number Comment Rule 2041 Application did not include the names and the phone numbers of the child's physician and the persons to be contacted in an emergency situation. One child's application did not include emergency medical care information for a health care professional, hospital preference, or telephone number. 10A NCAC 09 .1721(a)(3)(G)(H) The above violation(s) must be corrected immediately, and a compliance letter must be received by the consultant no later than (5/21/24) stating how each item was corrected and a plan to maintain compliance with the requirement. Please include your facility ID, date, your name, and your title. If I do not receive your letter by 5/21/24 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. Please be aware any information submitted by you is considered legal documentation. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature). Consultation and Technical Assistance 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/# completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan; (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (D) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (E) fears or behavior characteristics that the child has; (F) the names of individuals to whom the operator may release the child as authorized by the person who signs the application; (G) the names and phone numbers of persons to be contacted in an emergency situation; (H) the name and phone number of the child's physician; and (I) authorization for the operator to seek emergency medical care in the parent's absence. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (5) Complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of licensure. This training shall count toward requirements set forth in Paragraph (d) of this Rule. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/. (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; Staff Reminders Recognizing and responding to child maltreatment should be completed every five years along with the health and safety trainings. Please check the portal to see if you can get a copy of your emergency preparedness plan out of draft mode. 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”. This training is 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/ . At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. 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 .1714 · Violation

Name of Operation: TENDER TOUCH DAY CARE Facility ID: 39000003 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 5/7/2024 Number Present: 5 Completed Date: 5/7/2024 Age: From 2 To 4 Total Minutes: 110 Time In: 09:10 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with all applicable Child Care Requirements for an annual compliance unannounced visit. The program currently operates with a Five Star Child-Care License that was issued on April 26th, 2019. You, Ms. M. Johnson, assisted me with the visit. The last Annual Compliance Visit was conducted on May 10th, 2023. The home's compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 4/18/24. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on 4/30/24 and TENDER TOUCH DAY CARE, LLC was listed as current- active. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed five (5) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the family child care home were engaging in free play, circle time and art. The caregiver was interacting and meeting the developmental needs of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan, emergency numbers posted, first aid poster posted, daily schedule, activity plan, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. The last fire drill was conducted on 5/1/24. The last shelter-in-place and lock down drills were conducted on 5/3/24. The last Outdoor inspection was completed on 5/2/24. All staff and children’s files were monitored during today’s visit. A checklist was used to note the requirements I monitored today. One violation was observed during today’s visit. The provider was given a consultation and technical assistance. Violation Number Comment Rule 2041 Application did not include the names and the phone numbers of the child's physician and the persons to be contacted in an emergency situation. One child's application did not include emergency medical care information for a health care professional, hospital preference, or telephone number. 10A NCAC 09 .1721(a)(3)(G)(H) The above violation(s) must be corrected immediately, and a compliance letter must be received by the consultant no later than (5/21/24) stating how each item was corrected and a plan to maintain compliance with the requirement. Please include your facility ID, date, your name, and your title. If I do not receive your letter by 5/21/24 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. Please be aware any information submitted by you is considered legal documentation. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature). Consultation and Technical Assistance 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/# completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan; (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (D) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (E) fears or behavior characteristics that the child has; (F) the names of individuals to whom the operator may release the child as authorized by the person who signs the application; (G) the names and phone numbers of persons to be contacted in an emergency situation; (H) the name and phone number of the child's physician; and (I) authorization for the operator to seek emergency medical care in the parent's absence. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (5) Complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of licensure. This training shall count toward requirements set forth in Paragraph (d) of this Rule. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/. (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; Staff Reminders Recognizing and responding to child maltreatment should be completed every five years along with the health and safety trainings. Please check the portal to see if you can get a copy of your emergency preparedness plan out of draft mode. 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”. This training is 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/ . At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. 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 .1721 · Violation

Name of Operation: TENDER TOUCH DAY CARE Facility ID: 39000003 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 5/7/2024 Number Present: 5 Completed Date: 5/7/2024 Age: From 2 To 4 Total Minutes: 110 Time In: 09:10 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with all applicable Child Care Requirements for an annual compliance unannounced visit. The program currently operates with a Five Star Child-Care License that was issued on April 26th, 2019. You, Ms. M. Johnson, assisted me with the visit. The last Annual Compliance Visit was conducted on May 10th, 2023. The home's compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 4/18/24. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on 4/30/24 and TENDER TOUCH DAY CARE, LLC was listed as current- active. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed five (5) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the family child care home were engaging in free play, circle time and art. The caregiver was interacting and meeting the developmental needs of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan, emergency numbers posted, first aid poster posted, daily schedule, activity plan, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. The last fire drill was conducted on 5/1/24. The last shelter-in-place and lock down drills were conducted on 5/3/24. The last Outdoor inspection was completed on 5/2/24. All staff and children’s files were monitored during today’s visit. A checklist was used to note the requirements I monitored today. One violation was observed during today’s visit. The provider was given a consultation and technical assistance. Violation Number Comment Rule 2041 Application did not include the names and the phone numbers of the child's physician and the persons to be contacted in an emergency situation. One child's application did not include emergency medical care information for a health care professional, hospital preference, or telephone number. 10A NCAC 09 .1721(a)(3)(G)(H) The above violation(s) must be corrected immediately, and a compliance letter must be received by the consultant no later than (5/21/24) stating how each item was corrected and a plan to maintain compliance with the requirement. Please include your facility ID, date, your name, and your title. If I do not receive your letter by 5/21/24 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. Please be aware any information submitted by you is considered legal documentation. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature). Consultation and Technical Assistance 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/# completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan; (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (D) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (E) fears or behavior characteristics that the child has; (F) the names of individuals to whom the operator may release the child as authorized by the person who signs the application; (G) the names and phone numbers of persons to be contacted in an emergency situation; (H) the name and phone number of the child's physician; and (I) authorization for the operator to seek emergency medical care in the parent's absence. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (5) Complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of licensure. This training shall count toward requirements set forth in Paragraph (d) of this Rule. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/. (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; Staff Reminders Recognizing and responding to child maltreatment should be completed every five years along with the health and safety trainings. Please check the portal to see if you can get a copy of your emergency preparedness plan out of draft mode. 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”. This training is 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/ . At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: TENDER TOUCH DAY CARE Facility ID: 39000003 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 5/7/2024 Number Present: 5 Completed Date: 5/7/2024 Age: From 2 To 4 Total Minutes: 110 Time In: 09:10 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with all applicable Child Care Requirements for an annual compliance unannounced visit. The program currently operates with a Five Star Child-Care License that was issued on April 26th, 2019. You, Ms. M. Johnson, assisted me with the visit. The last Annual Compliance Visit was conducted on May 10th, 2023. The home's compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 4/18/24. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The NC Secretary of State website was reviewed on 4/30/24 and TENDER TOUCH DAY CARE, LLC was listed as current- active. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed five (5) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the family child care home were engaging in free play, circle time and art. The caregiver was interacting and meeting the developmental needs of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan, emergency numbers posted, first aid poster posted, daily schedule, activity plan, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. The last fire drill was conducted on 5/1/24. The last shelter-in-place and lock down drills were conducted on 5/3/24. The last Outdoor inspection was completed on 5/2/24. All staff and children’s files were monitored during today’s visit. A checklist was used to note the requirements I monitored today. One violation was observed during today’s visit. The provider was given a consultation and technical assistance. Violation Number Comment Rule 2041 Application did not include the names and the phone numbers of the child's physician and the persons to be contacted in an emergency situation. One child's application did not include emergency medical care information for a health care professional, hospital preference, or telephone number. 10A NCAC 09 .1721(a)(3)(G)(H) The above violation(s) must be corrected immediately, and a compliance letter must be received by the consultant no later than (5/21/24) stating how each item was corrected and a plan to maintain compliance with the requirement. Please include your facility ID, date, your name, and your title. If I do not receive your letter by 5/21/24 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. Please be aware any information submitted by you is considered legal documentation. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature). Consultation and Technical Assistance 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/# completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan; (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (D) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (E) fears or behavior characteristics that the child has; (F) the names of individuals to whom the operator may release the child as authorized by the person who signs the application; (G) the names and phone numbers of persons to be contacted in an emergency situation; (H) the name and phone number of the child's physician; and (I) authorization for the operator to seek emergency medical care in the parent's absence. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (5) Complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of licensure. This training shall count toward requirements set forth in Paragraph (d) of this Rule. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/. (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; Staff Reminders Recognizing and responding to child maltreatment should be completed every five years along with the health and safety trainings. Please check the portal to see if you can get a copy of your emergency preparedness plan out of draft mode. 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”. This training is 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/ . At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. 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