10A NCAC 09 .1102 · Violation

Name of Operation: BUSY BEE CHILD DEVELOPMENT Facility ID: 44000156 Consultant: KAORU EDDINS Operation Type: Family CC Home Case Number: Visit Date: 6/3/2024 Number Present: 5 Completed Date: 6/3/2024 Age: From 2 To 9 Total Minutes: 120 Time In: 11:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Marie Stanford, Owner/Operator, during the visit. (An electronic signed copy of the visit summary was electronically emailed to you. Ms. Stanford was available during the visit today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100) percentage as of today prior to the visit. Permit type – Four Star Family Child Care Home License issued on 12/2/22. Special Services/Restrictions – 1st shift, 2nd shift, maximum of five (5) preschool children at any time. The last annual compliance visit was conducted on 11/28/23. The last fire drill was practiced on 5/15/24. The last lockdown drill was practiced on 5/8/24. The last playground inspection was documented on 5/1/24. The Emergency Medical Care plan was posted and was current. The Emergency Preparedness and Response (EPR) Plan was last reviewed on 10/28/23. Upon arrival, I announced my presence and the purpose of the visit. A group of children, two-to-nine years of age played on the playground. There were a sandbox, two (2) swings, balance beams and other accessories were available. The children washed their hands upon transitioning back to inside. Then the children played with playdough on the kitchen table. In the playroom, there were books, manipulative, housekeeping materials, art, blocks and other materials available. Interaction and supervision by Ms. Stanford was adequate. While Ms. Stanford prepared lunch, PBS children’s show was played on the TV and the children watched the show. After two (2) minutes, a two-year-old child was asked to wash hands and help set up the table. The children washed their hands in the bathroom. The children watched the show for approximately nineteen (19) minutes. Lunch was provided. Today’s menu was fish sticks, bread, salad, and cut-up cantaloupes. Ms. Stanford sat and engaged in conversation with the children. They talked about Spanish language. Supervision by Ms. Stanford during the meal was adequate. Per FCCH and Centers Located in A Residence form monitored on 11/28/23, Ms. Stanford’s CBC letter, the family member’s CBC letter, CPR/First Aid certificate are valid. CWA system was reviewed during the visit. I used the Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. I monitored the vehicle during the visit. A first aid kit and a fire extinguisher were maintained in the compartment. There were emergency information with photographs of five (5) children in the vehicle. Ms. Stanford takes children to the library every Tuesdays. The plan is written on the children’s Written Plan of Care. The following violations were documented during today’s visit: Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. From 11:43 am to 11:45 am, a two (2)-year-old child sat on a chair in front of the TV and watched PBS children's show before being offered to help set up the table for lunch by Ms. Stanford. .1718(c) 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. a bag of Finish Powerball Quantum was stored under the sink, and the cabinet door was not locked. .1719 (a)(7) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. Eight (8) children are enrolled, but there were emergency information for five (5) children were maintained in the vehicle. .1723(13) 2035 Operator did not document screen time on a cumulative log or activity plan and/or it was not available for review. The children ranged from two (2) to nine (9) years of age watched PBS children's show from 11:43 am to 12: 02 pm during the time the operator prepared for lunch, and the screen time log was not filled out. .1718(b)(3) Technical assistance was provided as follows: 543: Screen time Screen time is provided to a child who is two (2) years of age. If you use screen time, an alternative activity shall be provided to the children under three (3) years of age. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. 706: Potentially Hazardous products All potentially hazardous products that may be harmful to the children if ingested shall be maintained in a locked storge. Please remove the dish water detergent or store it in a locked storage. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor; 1103: Emergency information maintained in the vehicle Please maintain emergency information for all enrolled children. Please add three (3) additional children’s information (ET, LB, AJ). 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; 2035: Screen time log Screen time log shall be recorded for any screen time provided to the children three (3) years of age and up. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b) When screen time is provided on any electronic media device with a visual display, it shall be: (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. Corrective Action Plan: 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 violation(s) documented must be corrected immediately. 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 any information submitted by you is legal documentation. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/17/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Cohort information: Busy Bee Child Development is in cohort two (2). Your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. Challenging Behaviors Helpline: The Division has launched a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1703 · Violation

Name of Operation: BUSY BEE CHILD DEVELOPMENT Facility ID: 44000156 Consultant: KAORU EDDINS Operation Type: Family CC Home Case Number: Visit Date: 6/3/2024 Number Present: 5 Completed Date: 6/3/2024 Age: From 2 To 9 Total Minutes: 120 Time In: 11:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Marie Stanford, Owner/Operator, during the visit. (An electronic signed copy of the visit summary was electronically emailed to you. Ms. Stanford was available during the visit today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100) percentage as of today prior to the visit. Permit type – Four Star Family Child Care Home License issued on 12/2/22. Special Services/Restrictions – 1st shift, 2nd shift, maximum of five (5) preschool children at any time. The last annual compliance visit was conducted on 11/28/23. The last fire drill was practiced on 5/15/24. The last lockdown drill was practiced on 5/8/24. The last playground inspection was documented on 5/1/24. The Emergency Medical Care plan was posted and was current. The Emergency Preparedness and Response (EPR) Plan was last reviewed on 10/28/23. Upon arrival, I announced my presence and the purpose of the visit. A group of children, two-to-nine years of age played on the playground. There were a sandbox, two (2) swings, balance beams and other accessories were available. The children washed their hands upon transitioning back to inside. Then the children played with playdough on the kitchen table. In the playroom, there were books, manipulative, housekeeping materials, art, blocks and other materials available. Interaction and supervision by Ms. Stanford was adequate. While Ms. Stanford prepared lunch, PBS children’s show was played on the TV and the children watched the show. After two (2) minutes, a two-year-old child was asked to wash hands and help set up the table. The children washed their hands in the bathroom. The children watched the show for approximately nineteen (19) minutes. Lunch was provided. Today’s menu was fish sticks, bread, salad, and cut-up cantaloupes. Ms. Stanford sat and engaged in conversation with the children. They talked about Spanish language. Supervision by Ms. Stanford during the meal was adequate. Per FCCH and Centers Located in A Residence form monitored on 11/28/23, Ms. Stanford’s CBC letter, the family member’s CBC letter, CPR/First Aid certificate are valid. CWA system was reviewed during the visit. I used the Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. I monitored the vehicle during the visit. A first aid kit and a fire extinguisher were maintained in the compartment. There were emergency information with photographs of five (5) children in the vehicle. Ms. Stanford takes children to the library every Tuesdays. The plan is written on the children’s Written Plan of Care. The following violations were documented during today’s visit: Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. From 11:43 am to 11:45 am, a two (2)-year-old child sat on a chair in front of the TV and watched PBS children's show before being offered to help set up the table for lunch by Ms. Stanford. .1718(c) 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. a bag of Finish Powerball Quantum was stored under the sink, and the cabinet door was not locked. .1719 (a)(7) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. Eight (8) children are enrolled, but there were emergency information for five (5) children were maintained in the vehicle. .1723(13) 2035 Operator did not document screen time on a cumulative log or activity plan and/or it was not available for review. The children ranged from two (2) to nine (9) years of age watched PBS children's show from 11:43 am to 12: 02 pm during the time the operator prepared for lunch, and the screen time log was not filled out. .1718(b)(3) Technical assistance was provided as follows: 543: Screen time Screen time is provided to a child who is two (2) years of age. If you use screen time, an alternative activity shall be provided to the children under three (3) years of age. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. 706: Potentially Hazardous products All potentially hazardous products that may be harmful to the children if ingested shall be maintained in a locked storge. Please remove the dish water detergent or store it in a locked storage. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor; 1103: Emergency information maintained in the vehicle Please maintain emergency information for all enrolled children. Please add three (3) additional children’s information (ET, LB, AJ). 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; 2035: Screen time log Screen time log shall be recorded for any screen time provided to the children three (3) years of age and up. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b) When screen time is provided on any electronic media device with a visual display, it shall be: (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. Corrective Action Plan: 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 violation(s) documented must be corrected immediately. 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 any information submitted by you is legal documentation. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/17/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Cohort information: Busy Bee Child Development is in cohort two (2). Your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. Challenging Behaviors Helpline: The Division has launched a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1718 · Violation

Name of Operation: BUSY BEE CHILD DEVELOPMENT Facility ID: 44000156 Consultant: KAORU EDDINS Operation Type: Family CC Home Case Number: Visit Date: 6/3/2024 Number Present: 5 Completed Date: 6/3/2024 Age: From 2 To 9 Total Minutes: 120 Time In: 11:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Marie Stanford, Owner/Operator, during the visit. (An electronic signed copy of the visit summary was electronically emailed to you. Ms. Stanford was available during the visit today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100) percentage as of today prior to the visit. Permit type – Four Star Family Child Care Home License issued on 12/2/22. Special Services/Restrictions – 1st shift, 2nd shift, maximum of five (5) preschool children at any time. The last annual compliance visit was conducted on 11/28/23. The last fire drill was practiced on 5/15/24. The last lockdown drill was practiced on 5/8/24. The last playground inspection was documented on 5/1/24. The Emergency Medical Care plan was posted and was current. The Emergency Preparedness and Response (EPR) Plan was last reviewed on 10/28/23. Upon arrival, I announced my presence and the purpose of the visit. A group of children, two-to-nine years of age played on the playground. There were a sandbox, two (2) swings, balance beams and other accessories were available. The children washed their hands upon transitioning back to inside. Then the children played with playdough on the kitchen table. In the playroom, there were books, manipulative, housekeeping materials, art, blocks and other materials available. Interaction and supervision by Ms. Stanford was adequate. While Ms. Stanford prepared lunch, PBS children’s show was played on the TV and the children watched the show. After two (2) minutes, a two-year-old child was asked to wash hands and help set up the table. The children washed their hands in the bathroom. The children watched the show for approximately nineteen (19) minutes. Lunch was provided. Today’s menu was fish sticks, bread, salad, and cut-up cantaloupes. Ms. Stanford sat and engaged in conversation with the children. They talked about Spanish language. Supervision by Ms. Stanford during the meal was adequate. Per FCCH and Centers Located in A Residence form monitored on 11/28/23, Ms. Stanford’s CBC letter, the family member’s CBC letter, CPR/First Aid certificate are valid. CWA system was reviewed during the visit. I used the Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. I monitored the vehicle during the visit. A first aid kit and a fire extinguisher were maintained in the compartment. There were emergency information with photographs of five (5) children in the vehicle. Ms. Stanford takes children to the library every Tuesdays. The plan is written on the children’s Written Plan of Care. The following violations were documented during today’s visit: Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. From 11:43 am to 11:45 am, a two (2)-year-old child sat on a chair in front of the TV and watched PBS children's show before being offered to help set up the table for lunch by Ms. Stanford. .1718(c) 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. a bag of Finish Powerball Quantum was stored under the sink, and the cabinet door was not locked. .1719 (a)(7) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. Eight (8) children are enrolled, but there were emergency information for five (5) children were maintained in the vehicle. .1723(13) 2035 Operator did not document screen time on a cumulative log or activity plan and/or it was not available for review. The children ranged from two (2) to nine (9) years of age watched PBS children's show from 11:43 am to 12: 02 pm during the time the operator prepared for lunch, and the screen time log was not filled out. .1718(b)(3) Technical assistance was provided as follows: 543: Screen time Screen time is provided to a child who is two (2) years of age. If you use screen time, an alternative activity shall be provided to the children under three (3) years of age. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. 706: Potentially Hazardous products All potentially hazardous products that may be harmful to the children if ingested shall be maintained in a locked storge. Please remove the dish water detergent or store it in a locked storage. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor; 1103: Emergency information maintained in the vehicle Please maintain emergency information for all enrolled children. Please add three (3) additional children’s information (ET, LB, AJ). 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; 2035: Screen time log Screen time log shall be recorded for any screen time provided to the children three (3) years of age and up. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b) When screen time is provided on any electronic media device with a visual display, it shall be: (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. Corrective Action Plan: 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 violation(s) documented must be corrected immediately. 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 any information submitted by you is legal documentation. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/17/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Cohort information: Busy Bee Child Development is in cohort two (2). Your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. Challenging Behaviors Helpline: The Division has launched a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1719 · Violation

Name of Operation: BUSY BEE CHILD DEVELOPMENT Facility ID: 44000156 Consultant: KAORU EDDINS Operation Type: Family CC Home Case Number: Visit Date: 6/3/2024 Number Present: 5 Completed Date: 6/3/2024 Age: From 2 To 9 Total Minutes: 120 Time In: 11:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Marie Stanford, Owner/Operator, during the visit. (An electronic signed copy of the visit summary was electronically emailed to you. Ms. Stanford was available during the visit today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100) percentage as of today prior to the visit. Permit type – Four Star Family Child Care Home License issued on 12/2/22. Special Services/Restrictions – 1st shift, 2nd shift, maximum of five (5) preschool children at any time. The last annual compliance visit was conducted on 11/28/23. The last fire drill was practiced on 5/15/24. The last lockdown drill was practiced on 5/8/24. The last playground inspection was documented on 5/1/24. The Emergency Medical Care plan was posted and was current. The Emergency Preparedness and Response (EPR) Plan was last reviewed on 10/28/23. Upon arrival, I announced my presence and the purpose of the visit. A group of children, two-to-nine years of age played on the playground. There were a sandbox, two (2) swings, balance beams and other accessories were available. The children washed their hands upon transitioning back to inside. Then the children played with playdough on the kitchen table. In the playroom, there were books, manipulative, housekeeping materials, art, blocks and other materials available. Interaction and supervision by Ms. Stanford was adequate. While Ms. Stanford prepared lunch, PBS children’s show was played on the TV and the children watched the show. After two (2) minutes, a two-year-old child was asked to wash hands and help set up the table. The children washed their hands in the bathroom. The children watched the show for approximately nineteen (19) minutes. Lunch was provided. Today’s menu was fish sticks, bread, salad, and cut-up cantaloupes. Ms. Stanford sat and engaged in conversation with the children. They talked about Spanish language. Supervision by Ms. Stanford during the meal was adequate. Per FCCH and Centers Located in A Residence form monitored on 11/28/23, Ms. Stanford’s CBC letter, the family member’s CBC letter, CPR/First Aid certificate are valid. CWA system was reviewed during the visit. I used the Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. I monitored the vehicle during the visit. A first aid kit and a fire extinguisher were maintained in the compartment. There were emergency information with photographs of five (5) children in the vehicle. Ms. Stanford takes children to the library every Tuesdays. The plan is written on the children’s Written Plan of Care. The following violations were documented during today’s visit: Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. From 11:43 am to 11:45 am, a two (2)-year-old child sat on a chair in front of the TV and watched PBS children's show before being offered to help set up the table for lunch by Ms. Stanford. .1718(c) 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. a bag of Finish Powerball Quantum was stored under the sink, and the cabinet door was not locked. .1719 (a)(7) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. Eight (8) children are enrolled, but there were emergency information for five (5) children were maintained in the vehicle. .1723(13) 2035 Operator did not document screen time on a cumulative log or activity plan and/or it was not available for review. The children ranged from two (2) to nine (9) years of age watched PBS children's show from 11:43 am to 12: 02 pm during the time the operator prepared for lunch, and the screen time log was not filled out. .1718(b)(3) Technical assistance was provided as follows: 543: Screen time Screen time is provided to a child who is two (2) years of age. If you use screen time, an alternative activity shall be provided to the children under three (3) years of age. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. 706: Potentially Hazardous products All potentially hazardous products that may be harmful to the children if ingested shall be maintained in a locked storge. Please remove the dish water detergent or store it in a locked storage. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor; 1103: Emergency information maintained in the vehicle Please maintain emergency information for all enrolled children. Please add three (3) additional children’s information (ET, LB, AJ). 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; 2035: Screen time log Screen time log shall be recorded for any screen time provided to the children three (3) years of age and up. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b) When screen time is provided on any electronic media device with a visual display, it shall be: (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. Corrective Action Plan: 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 violation(s) documented must be corrected immediately. 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 any information submitted by you is legal documentation. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/17/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Cohort information: Busy Bee Child Development is in cohort two (2). Your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. Challenging Behaviors Helpline: The Division has launched a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1723 · Violation

Name of Operation: BUSY BEE CHILD DEVELOPMENT Facility ID: 44000156 Consultant: KAORU EDDINS Operation Type: Family CC Home Case Number: Visit Date: 6/3/2024 Number Present: 5 Completed Date: 6/3/2024 Age: From 2 To 9 Total Minutes: 120 Time In: 11:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Marie Stanford, Owner/Operator, during the visit. (An electronic signed copy of the visit summary was electronically emailed to you. Ms. Stanford was available during the visit today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100) percentage as of today prior to the visit. Permit type – Four Star Family Child Care Home License issued on 12/2/22. Special Services/Restrictions – 1st shift, 2nd shift, maximum of five (5) preschool children at any time. The last annual compliance visit was conducted on 11/28/23. The last fire drill was practiced on 5/15/24. The last lockdown drill was practiced on 5/8/24. The last playground inspection was documented on 5/1/24. The Emergency Medical Care plan was posted and was current. The Emergency Preparedness and Response (EPR) Plan was last reviewed on 10/28/23. Upon arrival, I announced my presence and the purpose of the visit. A group of children, two-to-nine years of age played on the playground. There were a sandbox, two (2) swings, balance beams and other accessories were available. The children washed their hands upon transitioning back to inside. Then the children played with playdough on the kitchen table. In the playroom, there were books, manipulative, housekeeping materials, art, blocks and other materials available. Interaction and supervision by Ms. Stanford was adequate. While Ms. Stanford prepared lunch, PBS children’s show was played on the TV and the children watched the show. After two (2) minutes, a two-year-old child was asked to wash hands and help set up the table. The children washed their hands in the bathroom. The children watched the show for approximately nineteen (19) minutes. Lunch was provided. Today’s menu was fish sticks, bread, salad, and cut-up cantaloupes. Ms. Stanford sat and engaged in conversation with the children. They talked about Spanish language. Supervision by Ms. Stanford during the meal was adequate. Per FCCH and Centers Located in A Residence form monitored on 11/28/23, Ms. Stanford’s CBC letter, the family member’s CBC letter, CPR/First Aid certificate are valid. CWA system was reviewed during the visit. I used the Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. I monitored the vehicle during the visit. A first aid kit and a fire extinguisher were maintained in the compartment. There were emergency information with photographs of five (5) children in the vehicle. Ms. Stanford takes children to the library every Tuesdays. The plan is written on the children’s Written Plan of Care. The following violations were documented during today’s visit: Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. From 11:43 am to 11:45 am, a two (2)-year-old child sat on a chair in front of the TV and watched PBS children's show before being offered to help set up the table for lunch by Ms. Stanford. .1718(c) 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. a bag of Finish Powerball Quantum was stored under the sink, and the cabinet door was not locked. .1719 (a)(7) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. Eight (8) children are enrolled, but there were emergency information for five (5) children were maintained in the vehicle. .1723(13) 2035 Operator did not document screen time on a cumulative log or activity plan and/or it was not available for review. The children ranged from two (2) to nine (9) years of age watched PBS children's show from 11:43 am to 12: 02 pm during the time the operator prepared for lunch, and the screen time log was not filled out. .1718(b)(3) Technical assistance was provided as follows: 543: Screen time Screen time is provided to a child who is two (2) years of age. If you use screen time, an alternative activity shall be provided to the children under three (3) years of age. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. 706: Potentially Hazardous products All potentially hazardous products that may be harmful to the children if ingested shall be maintained in a locked storge. Please remove the dish water detergent or store it in a locked storage. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor; 1103: Emergency information maintained in the vehicle Please maintain emergency information for all enrolled children. Please add three (3) additional children’s information (ET, LB, AJ). 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; 2035: Screen time log Screen time log shall be recorded for any screen time provided to the children three (3) years of age and up. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b) When screen time is provided on any electronic media device with a visual display, it shall be: (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. Corrective Action Plan: 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 violation(s) documented must be corrected immediately. 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 any information submitted by you is legal documentation. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/17/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Cohort information: Busy Bee Child Development is in cohort two (2). Your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. Challenging Behaviors Helpline: The Division has launched a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2830 · Violation

Name of Operation: BUSY BEE CHILD DEVELOPMENT Facility ID: 44000156 Consultant: KAORU EDDINS Operation Type: Family CC Home Case Number: Visit Date: 6/3/2024 Number Present: 5 Completed Date: 6/3/2024 Age: From 2 To 9 Total Minutes: 120 Time In: 11:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Marie Stanford, Owner/Operator, during the visit. (An electronic signed copy of the visit summary was electronically emailed to you. Ms. Stanford was available during the visit today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100) percentage as of today prior to the visit. Permit type – Four Star Family Child Care Home License issued on 12/2/22. Special Services/Restrictions – 1st shift, 2nd shift, maximum of five (5) preschool children at any time. The last annual compliance visit was conducted on 11/28/23. The last fire drill was practiced on 5/15/24. The last lockdown drill was practiced on 5/8/24. The last playground inspection was documented on 5/1/24. The Emergency Medical Care plan was posted and was current. The Emergency Preparedness and Response (EPR) Plan was last reviewed on 10/28/23. Upon arrival, I announced my presence and the purpose of the visit. A group of children, two-to-nine years of age played on the playground. There were a sandbox, two (2) swings, balance beams and other accessories were available. The children washed their hands upon transitioning back to inside. Then the children played with playdough on the kitchen table. In the playroom, there were books, manipulative, housekeeping materials, art, blocks and other materials available. Interaction and supervision by Ms. Stanford was adequate. While Ms. Stanford prepared lunch, PBS children’s show was played on the TV and the children watched the show. After two (2) minutes, a two-year-old child was asked to wash hands and help set up the table. The children washed their hands in the bathroom. The children watched the show for approximately nineteen (19) minutes. Lunch was provided. Today’s menu was fish sticks, bread, salad, and cut-up cantaloupes. Ms. Stanford sat and engaged in conversation with the children. They talked about Spanish language. Supervision by Ms. Stanford during the meal was adequate. Per FCCH and Centers Located in A Residence form monitored on 11/28/23, Ms. Stanford’s CBC letter, the family member’s CBC letter, CPR/First Aid certificate are valid. CWA system was reviewed during the visit. I used the Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. I monitored the vehicle during the visit. A first aid kit and a fire extinguisher were maintained in the compartment. There were emergency information with photographs of five (5) children in the vehicle. Ms. Stanford takes children to the library every Tuesdays. The plan is written on the children’s Written Plan of Care. The following violations were documented during today’s visit: Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. From 11:43 am to 11:45 am, a two (2)-year-old child sat on a chair in front of the TV and watched PBS children's show before being offered to help set up the table for lunch by Ms. Stanford. .1718(c) 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. a bag of Finish Powerball Quantum was stored under the sink, and the cabinet door was not locked. .1719 (a)(7) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. Eight (8) children are enrolled, but there were emergency information for five (5) children were maintained in the vehicle. .1723(13) 2035 Operator did not document screen time on a cumulative log or activity plan and/or it was not available for review. The children ranged from two (2) to nine (9) years of age watched PBS children's show from 11:43 am to 12: 02 pm during the time the operator prepared for lunch, and the screen time log was not filled out. .1718(b)(3) Technical assistance was provided as follows: 543: Screen time Screen time is provided to a child who is two (2) years of age. If you use screen time, an alternative activity shall be provided to the children under three (3) years of age. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. 706: Potentially Hazardous products All potentially hazardous products that may be harmful to the children if ingested shall be maintained in a locked storge. Please remove the dish water detergent or store it in a locked storage. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor; 1103: Emergency information maintained in the vehicle Please maintain emergency information for all enrolled children. Please add three (3) additional children’s information (ET, LB, AJ). 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; 2035: Screen time log Screen time log shall be recorded for any screen time provided to the children three (3) years of age and up. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b) When screen time is provided on any electronic media device with a visual display, it shall be: (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. Corrective Action Plan: 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 violation(s) documented must be corrected immediately. 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 any information submitted by you is legal documentation. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/17/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Cohort information: Busy Bee Child Development is in cohort two (2). Your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. Challenging Behaviors Helpline: The Division has launched a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: BUSY BEE CHILD DEVELOPMENT Facility ID: 44000156 Consultant: KAORU EDDINS Operation Type: Family CC Home Case Number: Visit Date: 6/3/2024 Number Present: 5 Completed Date: 6/3/2024 Age: From 2 To 9 Total Minutes: 120 Time In: 11:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Marie Stanford, Owner/Operator, during the visit. (An electronic signed copy of the visit summary was electronically emailed to you. Ms. Stanford was available during the visit today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100) percentage as of today prior to the visit. Permit type – Four Star Family Child Care Home License issued on 12/2/22. Special Services/Restrictions – 1st shift, 2nd shift, maximum of five (5) preschool children at any time. The last annual compliance visit was conducted on 11/28/23. The last fire drill was practiced on 5/15/24. The last lockdown drill was practiced on 5/8/24. The last playground inspection was documented on 5/1/24. The Emergency Medical Care plan was posted and was current. The Emergency Preparedness and Response (EPR) Plan was last reviewed on 10/28/23. Upon arrival, I announced my presence and the purpose of the visit. A group of children, two-to-nine years of age played on the playground. There were a sandbox, two (2) swings, balance beams and other accessories were available. The children washed their hands upon transitioning back to inside. Then the children played with playdough on the kitchen table. In the playroom, there were books, manipulative, housekeeping materials, art, blocks and other materials available. Interaction and supervision by Ms. Stanford was adequate. While Ms. Stanford prepared lunch, PBS children’s show was played on the TV and the children watched the show. After two (2) minutes, a two-year-old child was asked to wash hands and help set up the table. The children washed their hands in the bathroom. The children watched the show for approximately nineteen (19) minutes. Lunch was provided. Today’s menu was fish sticks, bread, salad, and cut-up cantaloupes. Ms. Stanford sat and engaged in conversation with the children. They talked about Spanish language. Supervision by Ms. Stanford during the meal was adequate. Per FCCH and Centers Located in A Residence form monitored on 11/28/23, Ms. Stanford’s CBC letter, the family member’s CBC letter, CPR/First Aid certificate are valid. CWA system was reviewed during the visit. I used the Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. I monitored the vehicle during the visit. A first aid kit and a fire extinguisher were maintained in the compartment. There were emergency information with photographs of five (5) children in the vehicle. Ms. Stanford takes children to the library every Tuesdays. The plan is written on the children’s Written Plan of Care. The following violations were documented during today’s visit: Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. From 11:43 am to 11:45 am, a two (2)-year-old child sat on a chair in front of the TV and watched PBS children's show before being offered to help set up the table for lunch by Ms. Stanford. .1718(c) 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. a bag of Finish Powerball Quantum was stored under the sink, and the cabinet door was not locked. .1719 (a)(7) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. Eight (8) children are enrolled, but there were emergency information for five (5) children were maintained in the vehicle. .1723(13) 2035 Operator did not document screen time on a cumulative log or activity plan and/or it was not available for review. The children ranged from two (2) to nine (9) years of age watched PBS children's show from 11:43 am to 12: 02 pm during the time the operator prepared for lunch, and the screen time log was not filled out. .1718(b)(3) Technical assistance was provided as follows: 543: Screen time Screen time is provided to a child who is two (2) years of age. If you use screen time, an alternative activity shall be provided to the children under three (3) years of age. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. 706: Potentially Hazardous products All potentially hazardous products that may be harmful to the children if ingested shall be maintained in a locked storge. Please remove the dish water detergent or store it in a locked storage. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor; 1103: Emergency information maintained in the vehicle Please maintain emergency information for all enrolled children. Please add three (3) additional children’s information (ET, LB, AJ). 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; 2035: Screen time log Screen time log shall be recorded for any screen time provided to the children three (3) years of age and up. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b) When screen time is provided on any electronic media device with a visual display, it shall be: (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. Corrective Action Plan: 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 violation(s) documented must be corrected immediately. 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 any information submitted by you is legal documentation. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/17/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Cohort information: Busy Bee Child Development is in cohort two (2). Your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. Challenging Behaviors Helpline: The Division has launched a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.