Child Care Matters INC

10A NCAC 09 .0803 · Violation

Name of Operation: CHILD CARE MATTERS INC Facility ID: 68000517 Consultant: CAROLINE SYKES Operation Type: Center Case Number: Visit Date: 12/17/2025 Number Present: 36 Completed Date: 12/17/2025 Age: From 0 To 5 Total Minutes: 105 Time In: 10:00 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for applicable Child Care Requirements. The facility currently operates with a Four Star Child Care License that was issued on July 28, 2020. The last annual compliance visit was conducted on June 17, 2025. The Program Director, Alesha Foushee, was present and assisted me during the visit. She accompanied me on a walk-through of the facility, where attendance was documented and observations made. Infants were observed engaging in routine care activities. Preschoolers were observed interacting in free play and teacher directed activities. During today’s visit, a partial assessment of applicable Child Care Requirements was conducted. The following violations were cited. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Medication Administration Permission forms for two diaper creams in space one were expired. FARE form and allergy action plans in spaces one and three were expired. 10A NCAC 09 .0803(4)(6-9) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded shelter-in-place or lockdown drill recorded was in March of 2025. .0604(u);.0302(d)(8) The above violations must be corrected immediately. A Corrective Action Letter must be drafted and sent to me by January 9, 2025. You can email the letter to me at caroline.sykes@dhhs.nc.gov The letter should include: -Facility name -Facility ID number -Each item number If a compliance letter is not received to my office by 5:00 PM January 9, 2025, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. TECHNICAL ASSISTANCE: Violations were cited regarding medication forms being expired. It is best to routinely check medications, including diaper creams, sunscreens and bug sprays and emergency medications, to make sure that they have not expired and/or the permission forms are not expired. When expiration occurs, items should be sent home and replaced with a new one if needed. When authorization forms expire, a new form must be completed in order to keep the mediation onsite and continue to administer it. For emergency medications, if the action plan form is completed by a parent it is acceptable for 6 months. If it is completed by a physician, it is acceptable for 12 months. Violations were cited regarding the shelter-in-place and lockdown drills not having been practiced and/or the record of drills not being available for review. It is imperative that the drills are practiced on the required schedule-monthly fire drills and quarterly shelter-in-place/lockdown drills-so that staff and children know what to do in the event of one of these emergencies. The record for these drills should be kept onsite, and drills should be recorded on the form when practiced. We discussed that it may be beneficial to hang the drill log in the center and update it when the drills take place. We discussed the new QRIS. We reviewed the Program Assessment and Classroom and Instructional Quality pathways. I encouraged the administrator to review the QRIS Modernization page on the DCDEE website to look closer at the pathways and see if there is one that may best fit the program. I demonstrated how to find the QRIS Modernization page and the resources within. The administrator plans to research the pathways more in-depth and then share the information with the board so that a decision can me made regarding which pathway the program will pursue. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. RESOURCES: -The Health and Safety Trainings are offered on the DCDEE Moodle format. These trainings are free, and participants will receive training certificates when completed. -For other upcoming training opportunities please visit the Early Years website at: earlyyearsnc.org -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. -For information on recalls regarding children’s products, food, medicine, and other products please visit www.recalls.gov . You can also sign up for e-mail alerts for recalled products at this site. If you have questions or concerns, please contact me at caroline.sykes@dhhs.nc.gov or by phone at 336-266-4938. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: CHILD CARE MATTERS INC Facility ID: 68000517 Consultant: CAROLINE SYKES Operation Type: Center Case Number: Visit Date: 6/17/2025 Number Present: 36 Completed Date: 6/17/2025 Age: From 0 To 5 Total Minutes: 260 Time In: 10:10 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for applicable Child Care Requirements. The facility currently operates with a Four Star Child Care License that was issued on July 28, 2020. The last annual compliance visit was conducted on June 26, 2024. The Program Director, Alesha Foushee, was present and assisted me during the visit. She accompanied me on a walk-through of the facility where attendance was documented, and observations made. Infants were observed interacting in floor play and napping. Toddlers and preschoolers were observed engaging in indoor and outdoor free play activities. The last Sanitation inspection was conducted on June 11, 2025, with a “Provisional” classification. The sanitation inspector will return tomorrow, June 18, 2025 to reinspect the facility. The last fire inspection was conducted on May 22, 2025, and the program was approved for daytime care only. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. The following violations were cited. Violation Number Comment Rule 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Two children's files did not contain a medical record. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children's files did not contain the medical exam. GS110-91(1) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Three staff members who have been employed exceeding 90 days have not completed the Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) In order to comply with the NC Laws and Rules any violations cited today must be corrected immediately. A compliance letter must be sent to me by July 1, 2025. The letter must address each violation and explain how it has been corrected. Please send this to caroline.sykes@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number If a compliance letter is not received to my office by 5:00 PM July 1, 2025, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. TECHNICAL ASSISTANCE: Violations were cited regarding the “Children’s Medical Report” missing in two of the children’s files. We discussed the importance of ensuing that all children have a medical report within 30 days of admission into the program. A violation was cited regarding staff members not having taken the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. We discussed the importance of all staff members taking this training within their first 90 days to ensure they are up to date on best practices when it comes to recognizing and responding to symptoms of child maltreatment. REMINDERS: The following staff members need additional training hours before June 26, 2025: L. Roberts needs 8 hours L Foushee needs 3 hours D. Florence needs 6 hours before September 2025 A. Savage needs to complete the Recognizing and Responding to Suspicions of Child Maltreatment training before June 21, 2025. **A. McNeill’s criminal background check expires tomorrow June 18, 2025. She needs to complete the background check process immediately. Please submit a copy of her qualification letter to me by July 1, 2025. If she does not receive her qualification letter by July 1, 2025, she may not return to work until it is received. The staff were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. RESOURCES: -The Health and Safety Trainings are offered on the DCDEE Moodle format. These trainings are free, and participants will receive training certificates when completed. -For other upcoming training opportunities please visit the Early Years website at: earlyyearsnc.org -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. -For information on recalls regarding children’s products, food, medicine, and other products please visit www.recalls.gov . You can also sign up for e-mail alerts for recalled products at this site. If you have questions or concerns, please contact me at caroline.sykes@dhhs.nc.gov or by phone at 336-266-4938. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: CHILD CARE MATTERS INC Facility ID: 68000517 Consultant: CAROLINE SYKES Operation Type: Center Case Number: Visit Date: 6/17/2025 Number Present: 36 Completed Date: 6/17/2025 Age: From 0 To 5 Total Minutes: 260 Time In: 10:10 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for applicable Child Care Requirements. The facility currently operates with a Four Star Child Care License that was issued on July 28, 2020. The last annual compliance visit was conducted on June 26, 2024. The Program Director, Alesha Foushee, was present and assisted me during the visit. She accompanied me on a walk-through of the facility where attendance was documented, and observations made. Infants were observed interacting in floor play and napping. Toddlers and preschoolers were observed engaging in indoor and outdoor free play activities. The last Sanitation inspection was conducted on June 11, 2025, with a “Provisional” classification. The sanitation inspector will return tomorrow, June 18, 2025 to reinspect the facility. The last fire inspection was conducted on May 22, 2025, and the program was approved for daytime care only. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. The following violations were cited. Violation Number Comment Rule 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Two children's files did not contain a medical record. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children's files did not contain the medical exam. GS110-91(1) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Three staff members who have been employed exceeding 90 days have not completed the Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) In order to comply with the NC Laws and Rules any violations cited today must be corrected immediately. A compliance letter must be sent to me by July 1, 2025. The letter must address each violation and explain how it has been corrected. Please send this to caroline.sykes@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number If a compliance letter is not received to my office by 5:00 PM July 1, 2025, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. TECHNICAL ASSISTANCE: Violations were cited regarding the “Children’s Medical Report” missing in two of the children’s files. We discussed the importance of ensuing that all children have a medical report within 30 days of admission into the program. A violation was cited regarding staff members not having taken the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. We discussed the importance of all staff members taking this training within their first 90 days to ensure they are up to date on best practices when it comes to recognizing and responding to symptoms of child maltreatment. REMINDERS: The following staff members need additional training hours before June 26, 2025: L. Roberts needs 8 hours L Foushee needs 3 hours D. Florence needs 6 hours before September 2025 A. Savage needs to complete the Recognizing and Responding to Suspicions of Child Maltreatment training before June 21, 2025. **A. McNeill’s criminal background check expires tomorrow June 18, 2025. She needs to complete the background check process immediately. Please submit a copy of her qualification letter to me by July 1, 2025. If she does not receive her qualification letter by July 1, 2025, she may not return to work until it is received. The staff were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. RESOURCES: -The Health and Safety Trainings are offered on the DCDEE Moodle format. These trainings are free, and participants will receive training certificates when completed. -For other upcoming training opportunities please visit the Early Years website at: earlyyearsnc.org -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. -For information on recalls regarding children’s products, food, medicine, and other products please visit www.recalls.gov . You can also sign up for e-mail alerts for recalled products at this site. If you have questions or concerns, please contact me at caroline.sykes@dhhs.nc.gov or by phone at 336-266-4938. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: CHILD CARE MATTERS INC Facility ID: 68000517 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 6/26/2024 Number Present: 38 Completed Date: 6/26/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 09:15 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for all applicable Child Care Requirements. Caroline Sykes, Child Care Consultant, accompanied me on today’s visit. The last Annual Compliance Visit was conducted on July 12, 2023. The center currently operates with a Four Star Child Care License that was issued on July 28, 2020. The Department of Secretary’s website was used to check the status of the corporation. The facility’s owner is current/active. The center director, Alesha Foushee was present and assisted us during today's visit. She accompanied us on a walk-through of the facility where attendance was documented. Children were observed participating in indoor and outdoor play activities. The last sanitation inspection was completed on April 11, 2024, with a “Superior” classification with 7 demerits. The last fire inspection was conducted on January 17, 2024 and the facility was approved for daytime care only. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. The following violations were cited: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #1, #2, #4 and #5 medication forms for several children did not have dates to be given or the dates on the form had expired. This includes topical ointments and over the medication. 10A NCAC 09 .0803(4)(6-9) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Four employees did not have a current annual health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three employee files did not have the required Emergency Information form updated annually. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three staff files did not have the requited orientation documented within the required timeframe. .1101(a) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. Recognizing and Responding training could not be verified for six employees. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. This was not available for review in five children's files. 10A NCAC 09 .0514(b) 1230 Personnel policies were not discussed with each staff at employment and a copy was not available to all staff. This was not available for review in two employee files. 10A NCAC 09 .0514(e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. This was not available for review in nine employee's files. 10A NCAC 09 .0514(f) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The Emergency Preparedness Response plan was not completed on the template provided by the Division and was not available for review. .0607(c) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. This was not available for review in five children's files. .0604(j) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two staff members did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. This was not available for review in five children's files. .0608(b)(1-6) In order to comply with the NC Laws and Rules any violations cited today must be corrected immediately. A compliance letter must be sent to me by July 10, 2024. The letter must address each violation and explain how it has been corrected. Please send this to Marcia.Humphrey@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number COMPLIANCE HISTORY Prior to today's visit, the Compliance History Score for the center was 100%. According to NC General Statute 110-90 (4)(d) all facilities must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months. TECHNICAL ASSISTANCE: We spoke with Ms. Foushee regarding making sure all employee’s and children’s paperwork have been completed within the required time, including maltreatment treatment training, health questionnaires, emergency information forms, health and safety trainings, annual ongoing trainings and required orientations. In regards too children records making sure they all have signed operational policies receipt, smoking attestation notification, shaken baby syndrome and any other required forms. The Mrs. Foushee had questions regarding the incident log which we discussed in detail during today's visit and walked through the Divisions website under documents and forms she printed the new incident report form. We also discussed in detail the information that is required to be placed on the medication forms and again she was able to print the updated documents during today's visit. Due to the center director not having the Emergency Preparedness book completed, we discussed the steps she needs to take in completing this in the Risk Management Portal system and to update the Emergency Preparedness Response Plan annually. REMINDER: Your facility is in Cohort 2. Your preparation year will begin July 1, 2024, and will end on June 30, 2025. Your assessment year begins July 1, 2025. RESOURCES -The Health and Safety Trainings are now being offered on the DCDEE Moodle format. Visit the Division’s website and look under the “SERVICES” tab for “DCDEE Moodle.” These trainings are free, and participants will receive training certificates when completed. -For other upcoming training opportunities please visit CCSA’s website at: https://www.childcareservices.org/programs/ccrr/professional-development/ -For information on recalls regarding children’s products, food, medicine, and other products please visit www.recalls.gov. You can also sign up for e-mail alerts for recalled products at this site. If you have questions, please contact me at 919-259-5860 or email at mmarcia.humphrey@dhhs.nc.gov. You may also contact my Licensing Supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov Your new consultant’s contact information is as follows: Caroline Sykes 336-266-4938 caroline.sykes@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: CHILD CARE MATTERS INC Facility ID: 68000517 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 6/26/2024 Number Present: 38 Completed Date: 6/26/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 09:15 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for all applicable Child Care Requirements. Caroline Sykes, Child Care Consultant, accompanied me on today’s visit. The last Annual Compliance Visit was conducted on July 12, 2023. The center currently operates with a Four Star Child Care License that was issued on July 28, 2020. The Department of Secretary’s website was used to check the status of the corporation. The facility’s owner is current/active. The center director, Alesha Foushee was present and assisted us during today's visit. She accompanied us on a walk-through of the facility where attendance was documented. Children were observed participating in indoor and outdoor play activities. The last sanitation inspection was completed on April 11, 2024, with a “Superior” classification with 7 demerits. The last fire inspection was conducted on January 17, 2024 and the facility was approved for daytime care only. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. The following violations were cited: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #1, #2, #4 and #5 medication forms for several children did not have dates to be given or the dates on the form had expired. This includes topical ointments and over the medication. 10A NCAC 09 .0803(4)(6-9) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Four employees did not have a current annual health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three employee files did not have the required Emergency Information form updated annually. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three staff files did not have the requited orientation documented within the required timeframe. .1101(a) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. Recognizing and Responding training could not be verified for six employees. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. This was not available for review in five children's files. 10A NCAC 09 .0514(b) 1230 Personnel policies were not discussed with each staff at employment and a copy was not available to all staff. This was not available for review in two employee files. 10A NCAC 09 .0514(e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. This was not available for review in nine employee's files. 10A NCAC 09 .0514(f) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The Emergency Preparedness Response plan was not completed on the template provided by the Division and was not available for review. .0607(c) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. This was not available for review in five children's files. .0604(j) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two staff members did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. This was not available for review in five children's files. .0608(b)(1-6) In order to comply with the NC Laws and Rules any violations cited today must be corrected immediately. A compliance letter must be sent to me by July 10, 2024. The letter must address each violation and explain how it has been corrected. Please send this to Marcia.Humphrey@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number COMPLIANCE HISTORY Prior to today's visit, the Compliance History Score for the center was 100%. According to NC General Statute 110-90 (4)(d) all facilities must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months. TECHNICAL ASSISTANCE: We spoke with Ms. Foushee regarding making sure all employee’s and children’s paperwork have been completed within the required time, including maltreatment treatment training, health questionnaires, emergency information forms, health and safety trainings, annual ongoing trainings and required orientations. In regards too children records making sure they all have signed operational policies receipt, smoking attestation notification, shaken baby syndrome and any other required forms. The Mrs. Foushee had questions regarding the incident log which we discussed in detail during today's visit and walked through the Divisions website under documents and forms she printed the new incident report form. We also discussed in detail the information that is required to be placed on the medication forms and again she was able to print the updated documents during today's visit. Due to the center director not having the Emergency Preparedness book completed, we discussed the steps she needs to take in completing this in the Risk Management Portal system and to update the Emergency Preparedness Response Plan annually. REMINDER: Your facility is in Cohort 2. Your preparation year will begin July 1, 2024, and will end on June 30, 2025. Your assessment year begins July 1, 2025. RESOURCES -The Health and Safety Trainings are now being offered on the DCDEE Moodle format. Visit the Division’s website and look under the “SERVICES” tab for “DCDEE Moodle.” These trainings are free, and participants will receive training certificates when completed. -For other upcoming training opportunities please visit CCSA’s website at: https://www.childcareservices.org/programs/ccrr/professional-development/ -For information on recalls regarding children’s products, food, medicine, and other products please visit www.recalls.gov. You can also sign up for e-mail alerts for recalled products at this site. If you have questions, please contact me at 919-259-5860 or email at mmarcia.humphrey@dhhs.nc.gov. You may also contact my Licensing Supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov Your new consultant’s contact information is as follows: Caroline Sykes 336-266-4938 caroline.sykes@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.1102 · Violation

Name of Operation: CHILD CARE MATTERS INC Facility ID: 68000517 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 6/26/2024 Number Present: 38 Completed Date: 6/26/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 09:15 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for all applicable Child Care Requirements. Caroline Sykes, Child Care Consultant, accompanied me on today’s visit. The last Annual Compliance Visit was conducted on July 12, 2023. The center currently operates with a Four Star Child Care License that was issued on July 28, 2020. The Department of Secretary’s website was used to check the status of the corporation. The facility’s owner is current/active. The center director, Alesha Foushee was present and assisted us during today's visit. She accompanied us on a walk-through of the facility where attendance was documented. Children were observed participating in indoor and outdoor play activities. The last sanitation inspection was completed on April 11, 2024, with a “Superior” classification with 7 demerits. The last fire inspection was conducted on January 17, 2024 and the facility was approved for daytime care only. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. The following violations were cited: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #1, #2, #4 and #5 medication forms for several children did not have dates to be given or the dates on the form had expired. This includes topical ointments and over the medication. 10A NCAC 09 .0803(4)(6-9) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Four employees did not have a current annual health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three employee files did not have the required Emergency Information form updated annually. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three staff files did not have the requited orientation documented within the required timeframe. .1101(a) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. Recognizing and Responding training could not be verified for six employees. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. This was not available for review in five children's files. 10A NCAC 09 .0514(b) 1230 Personnel policies were not discussed with each staff at employment and a copy was not available to all staff. This was not available for review in two employee files. 10A NCAC 09 .0514(e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. This was not available for review in nine employee's files. 10A NCAC 09 .0514(f) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The Emergency Preparedness Response plan was not completed on the template provided by the Division and was not available for review. .0607(c) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. This was not available for review in five children's files. .0604(j) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two staff members did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. This was not available for review in five children's files. .0608(b)(1-6) In order to comply with the NC Laws and Rules any violations cited today must be corrected immediately. A compliance letter must be sent to me by July 10, 2024. The letter must address each violation and explain how it has been corrected. Please send this to Marcia.Humphrey@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number COMPLIANCE HISTORY Prior to today's visit, the Compliance History Score for the center was 100%. According to NC General Statute 110-90 (4)(d) all facilities must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months. TECHNICAL ASSISTANCE: We spoke with Ms. Foushee regarding making sure all employee’s and children’s paperwork have been completed within the required time, including maltreatment treatment training, health questionnaires, emergency information forms, health and safety trainings, annual ongoing trainings and required orientations. In regards too children records making sure they all have signed operational policies receipt, smoking attestation notification, shaken baby syndrome and any other required forms. The Mrs. Foushee had questions regarding the incident log which we discussed in detail during today's visit and walked through the Divisions website under documents and forms she printed the new incident report form. We also discussed in detail the information that is required to be placed on the medication forms and again she was able to print the updated documents during today's visit. Due to the center director not having the Emergency Preparedness book completed, we discussed the steps she needs to take in completing this in the Risk Management Portal system and to update the Emergency Preparedness Response Plan annually. REMINDER: Your facility is in Cohort 2. Your preparation year will begin July 1, 2024, and will end on June 30, 2025. Your assessment year begins July 1, 2025. RESOURCES -The Health and Safety Trainings are now being offered on the DCDEE Moodle format. Visit the Division’s website and look under the “SERVICES” tab for “DCDEE Moodle.” These trainings are free, and participants will receive training certificates when completed. -For other upcoming training opportunities please visit CCSA’s website at: https://www.childcareservices.org/programs/ccrr/professional-development/ -For information on recalls regarding children’s products, food, medicine, and other products please visit www.recalls.gov. You can also sign up for e-mail alerts for recalled products at this site. If you have questions, please contact me at 919-259-5860 or email at mmarcia.humphrey@dhhs.nc.gov. You may also contact my Licensing Supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov Your new consultant’s contact information is as follows: Caroline Sykes 336-266-4938 caroline.sykes@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: CHILD CARE MATTERS INC Facility ID: 68000517 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 6/26/2024 Number Present: 38 Completed Date: 6/26/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 09:15 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for all applicable Child Care Requirements. Caroline Sykes, Child Care Consultant, accompanied me on today’s visit. The last Annual Compliance Visit was conducted on July 12, 2023. The center currently operates with a Four Star Child Care License that was issued on July 28, 2020. The Department of Secretary’s website was used to check the status of the corporation. The facility’s owner is current/active. The center director, Alesha Foushee was present and assisted us during today's visit. She accompanied us on a walk-through of the facility where attendance was documented. Children were observed participating in indoor and outdoor play activities. The last sanitation inspection was completed on April 11, 2024, with a “Superior” classification with 7 demerits. The last fire inspection was conducted on January 17, 2024 and the facility was approved for daytime care only. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. The following violations were cited: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #1, #2, #4 and #5 medication forms for several children did not have dates to be given or the dates on the form had expired. This includes topical ointments and over the medication. 10A NCAC 09 .0803(4)(6-9) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Four employees did not have a current annual health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three employee files did not have the required Emergency Information form updated annually. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three staff files did not have the requited orientation documented within the required timeframe. .1101(a) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. Recognizing and Responding training could not be verified for six employees. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. This was not available for review in five children's files. 10A NCAC 09 .0514(b) 1230 Personnel policies were not discussed with each staff at employment and a copy was not available to all staff. This was not available for review in two employee files. 10A NCAC 09 .0514(e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. This was not available for review in nine employee's files. 10A NCAC 09 .0514(f) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The Emergency Preparedness Response plan was not completed on the template provided by the Division and was not available for review. .0607(c) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. This was not available for review in five children's files. .0604(j) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two staff members did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. This was not available for review in five children's files. .0608(b)(1-6) In order to comply with the NC Laws and Rules any violations cited today must be corrected immediately. A compliance letter must be sent to me by July 10, 2024. The letter must address each violation and explain how it has been corrected. Please send this to Marcia.Humphrey@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number COMPLIANCE HISTORY Prior to today's visit, the Compliance History Score for the center was 100%. According to NC General Statute 110-90 (4)(d) all facilities must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months. TECHNICAL ASSISTANCE: We spoke with Ms. Foushee regarding making sure all employee’s and children’s paperwork have been completed within the required time, including maltreatment treatment training, health questionnaires, emergency information forms, health and safety trainings, annual ongoing trainings and required orientations. In regards too children records making sure they all have signed operational policies receipt, smoking attestation notification, shaken baby syndrome and any other required forms. The Mrs. Foushee had questions regarding the incident log which we discussed in detail during today's visit and walked through the Divisions website under documents and forms she printed the new incident report form. We also discussed in detail the information that is required to be placed on the medication forms and again she was able to print the updated documents during today's visit. Due to the center director not having the Emergency Preparedness book completed, we discussed the steps she needs to take in completing this in the Risk Management Portal system and to update the Emergency Preparedness Response Plan annually. REMINDER: Your facility is in Cohort 2. Your preparation year will begin July 1, 2024, and will end on June 30, 2025. Your assessment year begins July 1, 2025. RESOURCES -The Health and Safety Trainings are now being offered on the DCDEE Moodle format. Visit the Division’s website and look under the “SERVICES” tab for “DCDEE Moodle.” These trainings are free, and participants will receive training certificates when completed. -For other upcoming training opportunities please visit CCSA’s website at: https://www.childcareservices.org/programs/ccrr/professional-development/ -For information on recalls regarding children’s products, food, medicine, and other products please visit www.recalls.gov. You can also sign up for e-mail alerts for recalled products at this site. If you have questions, please contact me at 919-259-5860 or email at mmarcia.humphrey@dhhs.nc.gov. You may also contact my Licensing Supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov Your new consultant’s contact information is as follows: Caroline Sykes 336-266-4938 caroline.sykes@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