A Mother'S Love TOO

10A NCAC 09 .0606 · Violation

Name of Operation: A MOTHER'S LOVE TOO Facility ID: 60004188 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 1/11/2024 Number Present: 32 Completed Date: 1/11/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 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 unannounced visit was to monitor for compliance with applicable child care requirements during the Annual Compliance Visit. Upon arrival at the center, I was greeted at the facility front door by a staff person, who escorted me to Ms. Potts who was in a classroom. The center was last issued a five-star rated license, August 1, 2022. The center continued to maintain enhanced space and ratios. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. Spaces #1-4, kitchen and outdoor learning environment were monitored for compliance with Ms. Potts. Ms. Potts confirmed no transportation is provided. Children were monitored eating, napping on cots with linen and engaged in free play. There were forty-two (42) children enrolled and thirty-two (32) children were present. Four children’s files were monitored for compliance. Four children did not have current/annual permission to participate in off premises activities. It was recommended to update any annual documents within the first two weeks of the year. It was also recommended to develop a list of documents or plans due for annual updates. The center continues to implement the Mother Goose curriculum to four-year-old children and the remaining other groups. Posted lesson plans were monitored with the use of the Foundations book. Lesson plans were monitored posted, current, and developmentally appropriate for each applicable age group. Infant feeding schedules were monitored posted and current. There were individually posted ITS-SIDS signed policies. I informed the lead teacher and operator, only the center’s adopted ITS-SIDS policy should be posted. A few of the posted individual ITS-SIDS policies were customized and others were not. It was recommended to file each child’s signed ITS-SIDS policy in their file and only post the center’s adopted ITS-SIDS policy in the sleeping area for infants in space #1. A sample policy was customized during the visit and posted in space #1. Staff and Training worksheets were printed and provided during the visit. The last Routine Unannounced visit was conducted July 13, 2023. There were two staff hired since the July 2023 RU visit (M. Springs and S. Allen). The DCDEE WORKS page was utilized to review staff education. The following staff must act in the DCDEE WORKS system: R. Trez, E. Clark, V. Harris, and M. Springs. Two staff did not have an established WORKS page and are not lead teacher qualified in the system. Documentation of degrees or CDA’s were monitored on file. It was explained to Ms. Potts, until each staff person presents a printed DCDEE WORKS status letter the employee has not completed the process. The outdoor learning environment was monitored for compliance. It was recommended to sand and paint/stain the wooden play piece. Monthly outdoor inspections were monitored for compliance and found to meet child care requirements. Documentation for quarterly safety drills and monthly fire drills were monitored documented and current. We discussed the quarterly drills were required to be completed at least once every three months (date sensitive). The center’s EPR plan was monitored and dated 2022. The consultant and contact number were not current. The center Ready to Go File were monitored not current. A checklist for the EPR RTGF was emailed to Ms. Potts for correction. I reminded Ms. Potts that a child’s medical action plan should also be attached and maintained with the child’s first page of the application in the Ready to Go File in addition to the child’s center file. The kitchen was monitored for compliance with food stored properly and a posted current menu. A current posted allergy list was monitored in each classroom and kitchen. The last sanitation inspection was conducted October 17, 2023, with five (5) demerits cited, and a Superior Classification issued. The last annual fire inspection was completed July 21, 2023. It was highly recommended to begin the annual inspection process four to six to eight weeks prior to expiration. The center’s last ERS was completed June 21, 2022. The RLA was processed August 1, 2022. Based on DCDEE three-year reassessment plan, the center will be required to have ERS completed no later than June 21, 2025. It was emphasized with Ms. Potts to ensure each staff has a printed DCDEE WORKS letter for each lead teacher, teacher, floater, and group leader. It was explained only lead teachers and the center administrator were required to maintain a WORKS letter on file. It was also explained it was best practice to have each staff person regardless of position to maintain a DCDEE WORKS letter. It was recommended to request a potential employee brings their DCDEE WORKS letter to their interview and if they are hired without it, to ensure the process begins to establish an individual WORKS page during their orientation time period. After today’s visit the current 18-month compliance history was 93% Violation Number Comment Rule 891 The safe sleep policy did not contain the required information. In space #1, there were individual infant ITS-SIDS policies posted instead of the center's adopted ITS-SIDS policy. The posted individual policies were not consistent. Some were customized and some were not. The operator took the sample policy and customized and posted it during the visit. 10A NCAC 09 .0606(a)(1-8) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Four children's files were monitored, and four children did not have an annual written permission to participate in off premises activities. .1005(b)(4) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR RTGF was not current and did not maintain all required documents. Blank incident reports, an area map, children's nutritional and allergy information were not maintained in the required file. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The monitored EPR plan was dated 2022 and the consultant's name and contact information were not current. .0607(e) Technical Assistance Provided and General Discussion: 1. The center’s for-profit corporation (LLC) was listed as “current-active” by the NC Secretary of State’s office. 2. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff, and the facility to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. 3. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. 4. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping, unless: (A) for an infant aged six months or less, the center receives a written waiver of this requirement from a health care professional; or (B) for an infant older than six months, the center receives a written waiver of this requirement from a health care professional, or a parent or a legal guardian; (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; (3) specifies that children shall not be swaddled; (4) specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; (8) specifies that pacifiers that attach to infant clothing shall not be used with sleeping infants; (9) specifies that infants aged 12 months or younger sleep alone in a crib, bassinet, play pen, mat, or cot; (10) specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and (11) specifies any other steps the center shall take to provide a safe sleep environment for infants aged 12 months or younger. (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. (c) A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. (d) If a center amends its safe sleep policy, it shall give written notice of the amendment to the parents of all enrolled infants aged 12 months or younger at least 14 days before the amended policy is implemented. Each parent shall sign a statement acknowledging the receipt and explanation of the amendment. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. (e) A caregiver shall place a child age 12 months or younger on the child's back for sleeping, unless for a child age 6 months or younger, the operator obtains a written waiver from a health care professional; or for a child older than 6 months, the operator obtains a written waiver from a health care professional or parent. Waivers shall include the following: (1) the infant's name and birth date; (2) the signature and date of the infant's health care professional or parent; (3) if a wedge is needed specify why it is needed and how it is to be used; and (4) the infant's authorized sleep positions. The center shall retain the waiver in the child's record as long as the child is enrolled at the center. (f) For each infant with a waiver on file at the center as specified in Paragraph (e) of this Rule, a notice shall be posted for quick reference near the infant's crib, bassinet, play pen, cot or mat that shall include: (1) the infant's name; (2) the infant's authorized sleep position; and (3) the location of the signed waiver. No confidential medical information, including an infant's medical diagnosis, shall be shown on the notice. (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. (h) A bed, crib, or cot, equipped with a firm waterproof mattress at least four inches thick and a fitted sheet shall be provided for each child who remains in the center after midnight. The top of bunk beds shall be used by school-age children only. (i) A caregiver shall not place anything over the face of a child during rest time. History Note: Authority G.S. 110-85; 110-91(15); 143B-168.3; Eff. May 1, 2004; Amended Eff. July 1, 2010; Readopted Eff. October 1, 2017; Amended Eff. February 1, 2021. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Thursday, January 25, 2024. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. 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 or an administrative action may be recommended. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@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 .0607 · Violation

Name of Operation: A MOTHER'S LOVE TOO Facility ID: 60004188 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 1/11/2024 Number Present: 32 Completed Date: 1/11/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 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 unannounced visit was to monitor for compliance with applicable child care requirements during the Annual Compliance Visit. Upon arrival at the center, I was greeted at the facility front door by a staff person, who escorted me to Ms. Potts who was in a classroom. The center was last issued a five-star rated license, August 1, 2022. The center continued to maintain enhanced space and ratios. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. Spaces #1-4, kitchen and outdoor learning environment were monitored for compliance with Ms. Potts. Ms. Potts confirmed no transportation is provided. Children were monitored eating, napping on cots with linen and engaged in free play. There were forty-two (42) children enrolled and thirty-two (32) children were present. Four children’s files were monitored for compliance. Four children did not have current/annual permission to participate in off premises activities. It was recommended to update any annual documents within the first two weeks of the year. It was also recommended to develop a list of documents or plans due for annual updates. The center continues to implement the Mother Goose curriculum to four-year-old children and the remaining other groups. Posted lesson plans were monitored with the use of the Foundations book. Lesson plans were monitored posted, current, and developmentally appropriate for each applicable age group. Infant feeding schedules were monitored posted and current. There were individually posted ITS-SIDS signed policies. I informed the lead teacher and operator, only the center’s adopted ITS-SIDS policy should be posted. A few of the posted individual ITS-SIDS policies were customized and others were not. It was recommended to file each child’s signed ITS-SIDS policy in their file and only post the center’s adopted ITS-SIDS policy in the sleeping area for infants in space #1. A sample policy was customized during the visit and posted in space #1. Staff and Training worksheets were printed and provided during the visit. The last Routine Unannounced visit was conducted July 13, 2023. There were two staff hired since the July 2023 RU visit (M. Springs and S. Allen). The DCDEE WORKS page was utilized to review staff education. The following staff must act in the DCDEE WORKS system: R. Trez, E. Clark, V. Harris, and M. Springs. Two staff did not have an established WORKS page and are not lead teacher qualified in the system. Documentation of degrees or CDA’s were monitored on file. It was explained to Ms. Potts, until each staff person presents a printed DCDEE WORKS status letter the employee has not completed the process. The outdoor learning environment was monitored for compliance. It was recommended to sand and paint/stain the wooden play piece. Monthly outdoor inspections were monitored for compliance and found to meet child care requirements. Documentation for quarterly safety drills and monthly fire drills were monitored documented and current. We discussed the quarterly drills were required to be completed at least once every three months (date sensitive). The center’s EPR plan was monitored and dated 2022. The consultant and contact number were not current. The center Ready to Go File were monitored not current. A checklist for the EPR RTGF was emailed to Ms. Potts for correction. I reminded Ms. Potts that a child’s medical action plan should also be attached and maintained with the child’s first page of the application in the Ready to Go File in addition to the child’s center file. The kitchen was monitored for compliance with food stored properly and a posted current menu. A current posted allergy list was monitored in each classroom and kitchen. The last sanitation inspection was conducted October 17, 2023, with five (5) demerits cited, and a Superior Classification issued. The last annual fire inspection was completed July 21, 2023. It was highly recommended to begin the annual inspection process four to six to eight weeks prior to expiration. The center’s last ERS was completed June 21, 2022. The RLA was processed August 1, 2022. Based on DCDEE three-year reassessment plan, the center will be required to have ERS completed no later than June 21, 2025. It was emphasized with Ms. Potts to ensure each staff has a printed DCDEE WORKS letter for each lead teacher, teacher, floater, and group leader. It was explained only lead teachers and the center administrator were required to maintain a WORKS letter on file. It was also explained it was best practice to have each staff person regardless of position to maintain a DCDEE WORKS letter. It was recommended to request a potential employee brings their DCDEE WORKS letter to their interview and if they are hired without it, to ensure the process begins to establish an individual WORKS page during their orientation time period. After today’s visit the current 18-month compliance history was 93% Violation Number Comment Rule 891 The safe sleep policy did not contain the required information. In space #1, there were individual infant ITS-SIDS policies posted instead of the center's adopted ITS-SIDS policy. The posted individual policies were not consistent. Some were customized and some were not. The operator took the sample policy and customized and posted it during the visit. 10A NCAC 09 .0606(a)(1-8) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Four children's files were monitored, and four children did not have an annual written permission to participate in off premises activities. .1005(b)(4) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR RTGF was not current and did not maintain all required documents. Blank incident reports, an area map, children's nutritional and allergy information were not maintained in the required file. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The monitored EPR plan was dated 2022 and the consultant's name and contact information were not current. .0607(e) Technical Assistance Provided and General Discussion: 1. The center’s for-profit corporation (LLC) was listed as “current-active” by the NC Secretary of State’s office. 2. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff, and the facility to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. 3. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. 4. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping, unless: (A) for an infant aged six months or less, the center receives a written waiver of this requirement from a health care professional; or (B) for an infant older than six months, the center receives a written waiver of this requirement from a health care professional, or a parent or a legal guardian; (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; (3) specifies that children shall not be swaddled; (4) specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; (8) specifies that pacifiers that attach to infant clothing shall not be used with sleeping infants; (9) specifies that infants aged 12 months or younger sleep alone in a crib, bassinet, play pen, mat, or cot; (10) specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and (11) specifies any other steps the center shall take to provide a safe sleep environment for infants aged 12 months or younger. (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. (c) A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. (d) If a center amends its safe sleep policy, it shall give written notice of the amendment to the parents of all enrolled infants aged 12 months or younger at least 14 days before the amended policy is implemented. Each parent shall sign a statement acknowledging the receipt and explanation of the amendment. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. (e) A caregiver shall place a child age 12 months or younger on the child's back for sleeping, unless for a child age 6 months or younger, the operator obtains a written waiver from a health care professional; or for a child older than 6 months, the operator obtains a written waiver from a health care professional or parent. Waivers shall include the following: (1) the infant's name and birth date; (2) the signature and date of the infant's health care professional or parent; (3) if a wedge is needed specify why it is needed and how it is to be used; and (4) the infant's authorized sleep positions. The center shall retain the waiver in the child's record as long as the child is enrolled at the center. (f) For each infant with a waiver on file at the center as specified in Paragraph (e) of this Rule, a notice shall be posted for quick reference near the infant's crib, bassinet, play pen, cot or mat that shall include: (1) the infant's name; (2) the infant's authorized sleep position; and (3) the location of the signed waiver. No confidential medical information, including an infant's medical diagnosis, shall be shown on the notice. (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. (h) A bed, crib, or cot, equipped with a firm waterproof mattress at least four inches thick and a fitted sheet shall be provided for each child who remains in the center after midnight. The top of bunk beds shall be used by school-age children only. (i) A caregiver shall not place anything over the face of a child during rest time. History Note: Authority G.S. 110-85; 110-91(15); 143B-168.3; Eff. May 1, 2004; Amended Eff. July 1, 2010; Readopted Eff. October 1, 2017; Amended Eff. February 1, 2021. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Thursday, January 25, 2024. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. 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 or an administrative action may be recommended. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@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: A MOTHER'S LOVE TOO Facility ID: 60004188 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 1/11/2024 Number Present: 32 Completed Date: 1/11/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 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 unannounced visit was to monitor for compliance with applicable child care requirements during the Annual Compliance Visit. Upon arrival at the center, I was greeted at the facility front door by a staff person, who escorted me to Ms. Potts who was in a classroom. The center was last issued a five-star rated license, August 1, 2022. The center continued to maintain enhanced space and ratios. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. Spaces #1-4, kitchen and outdoor learning environment were monitored for compliance with Ms. Potts. Ms. Potts confirmed no transportation is provided. Children were monitored eating, napping on cots with linen and engaged in free play. There were forty-two (42) children enrolled and thirty-two (32) children were present. Four children’s files were monitored for compliance. Four children did not have current/annual permission to participate in off premises activities. It was recommended to update any annual documents within the first two weeks of the year. It was also recommended to develop a list of documents or plans due for annual updates. The center continues to implement the Mother Goose curriculum to four-year-old children and the remaining other groups. Posted lesson plans were monitored with the use of the Foundations book. Lesson plans were monitored posted, current, and developmentally appropriate for each applicable age group. Infant feeding schedules were monitored posted and current. There were individually posted ITS-SIDS signed policies. I informed the lead teacher and operator, only the center’s adopted ITS-SIDS policy should be posted. A few of the posted individual ITS-SIDS policies were customized and others were not. It was recommended to file each child’s signed ITS-SIDS policy in their file and only post the center’s adopted ITS-SIDS policy in the sleeping area for infants in space #1. A sample policy was customized during the visit and posted in space #1. Staff and Training worksheets were printed and provided during the visit. The last Routine Unannounced visit was conducted July 13, 2023. There were two staff hired since the July 2023 RU visit (M. Springs and S. Allen). The DCDEE WORKS page was utilized to review staff education. The following staff must act in the DCDEE WORKS system: R. Trez, E. Clark, V. Harris, and M. Springs. Two staff did not have an established WORKS page and are not lead teacher qualified in the system. Documentation of degrees or CDA’s were monitored on file. It was explained to Ms. Potts, until each staff person presents a printed DCDEE WORKS status letter the employee has not completed the process. The outdoor learning environment was monitored for compliance. It was recommended to sand and paint/stain the wooden play piece. Monthly outdoor inspections were monitored for compliance and found to meet child care requirements. Documentation for quarterly safety drills and monthly fire drills were monitored documented and current. We discussed the quarterly drills were required to be completed at least once every three months (date sensitive). The center’s EPR plan was monitored and dated 2022. The consultant and contact number were not current. The center Ready to Go File were monitored not current. A checklist for the EPR RTGF was emailed to Ms. Potts for correction. I reminded Ms. Potts that a child’s medical action plan should also be attached and maintained with the child’s first page of the application in the Ready to Go File in addition to the child’s center file. The kitchen was monitored for compliance with food stored properly and a posted current menu. A current posted allergy list was monitored in each classroom and kitchen. The last sanitation inspection was conducted October 17, 2023, with five (5) demerits cited, and a Superior Classification issued. The last annual fire inspection was completed July 21, 2023. It was highly recommended to begin the annual inspection process four to six to eight weeks prior to expiration. The center’s last ERS was completed June 21, 2022. The RLA was processed August 1, 2022. Based on DCDEE three-year reassessment plan, the center will be required to have ERS completed no later than June 21, 2025. It was emphasized with Ms. Potts to ensure each staff has a printed DCDEE WORKS letter for each lead teacher, teacher, floater, and group leader. It was explained only lead teachers and the center administrator were required to maintain a WORKS letter on file. It was also explained it was best practice to have each staff person regardless of position to maintain a DCDEE WORKS letter. It was recommended to request a potential employee brings their DCDEE WORKS letter to their interview and if they are hired without it, to ensure the process begins to establish an individual WORKS page during their orientation time period. After today’s visit the current 18-month compliance history was 93% Violation Number Comment Rule 891 The safe sleep policy did not contain the required information. In space #1, there were individual infant ITS-SIDS policies posted instead of the center's adopted ITS-SIDS policy. The posted individual policies were not consistent. Some were customized and some were not. The operator took the sample policy and customized and posted it during the visit. 10A NCAC 09 .0606(a)(1-8) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Four children's files were monitored, and four children did not have an annual written permission to participate in off premises activities. .1005(b)(4) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR RTGF was not current and did not maintain all required documents. Blank incident reports, an area map, children's nutritional and allergy information were not maintained in the required file. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The monitored EPR plan was dated 2022 and the consultant's name and contact information were not current. .0607(e) Technical Assistance Provided and General Discussion: 1. The center’s for-profit corporation (LLC) was listed as “current-active” by the NC Secretary of State’s office. 2. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff, and the facility to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. 3. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. 4. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping, unless: (A) for an infant aged six months or less, the center receives a written waiver of this requirement from a health care professional; or (B) for an infant older than six months, the center receives a written waiver of this requirement from a health care professional, or a parent or a legal guardian; (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; (3) specifies that children shall not be swaddled; (4) specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; (8) specifies that pacifiers that attach to infant clothing shall not be used with sleeping infants; (9) specifies that infants aged 12 months or younger sleep alone in a crib, bassinet, play pen, mat, or cot; (10) specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and (11) specifies any other steps the center shall take to provide a safe sleep environment for infants aged 12 months or younger. (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. (c) A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. (d) If a center amends its safe sleep policy, it shall give written notice of the amendment to the parents of all enrolled infants aged 12 months or younger at least 14 days before the amended policy is implemented. Each parent shall sign a statement acknowledging the receipt and explanation of the amendment. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. (e) A caregiver shall place a child age 12 months or younger on the child's back for sleeping, unless for a child age 6 months or younger, the operator obtains a written waiver from a health care professional; or for a child older than 6 months, the operator obtains a written waiver from a health care professional or parent. Waivers shall include the following: (1) the infant's name and birth date; (2) the signature and date of the infant's health care professional or parent; (3) if a wedge is needed specify why it is needed and how it is to be used; and (4) the infant's authorized sleep positions. The center shall retain the waiver in the child's record as long as the child is enrolled at the center. (f) For each infant with a waiver on file at the center as specified in Paragraph (e) of this Rule, a notice shall be posted for quick reference near the infant's crib, bassinet, play pen, cot or mat that shall include: (1) the infant's name; (2) the infant's authorized sleep position; and (3) the location of the signed waiver. No confidential medical information, including an infant's medical diagnosis, shall be shown on the notice. (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. (h) A bed, crib, or cot, equipped with a firm waterproof mattress at least four inches thick and a fitted sheet shall be provided for each child who remains in the center after midnight. The top of bunk beds shall be used by school-age children only. (i) A caregiver shall not place anything over the face of a child during rest time. History Note: Authority G.S. 110-85; 110-91(15); 143B-168.3; Eff. May 1, 2004; Amended Eff. July 1, 2010; Readopted Eff. October 1, 2017; Amended Eff. February 1, 2021. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Thursday, January 25, 2024. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. 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 or an administrative action may be recommended. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@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

G.S. 110-85 · Violation

Name of Operation: A MOTHER'S LOVE TOO Facility ID: 60004188 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 1/11/2024 Number Present: 32 Completed Date: 1/11/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 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 unannounced visit was to monitor for compliance with applicable child care requirements during the Annual Compliance Visit. Upon arrival at the center, I was greeted at the facility front door by a staff person, who escorted me to Ms. Potts who was in a classroom. The center was last issued a five-star rated license, August 1, 2022. The center continued to maintain enhanced space and ratios. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. Spaces #1-4, kitchen and outdoor learning environment were monitored for compliance with Ms. Potts. Ms. Potts confirmed no transportation is provided. Children were monitored eating, napping on cots with linen and engaged in free play. There were forty-two (42) children enrolled and thirty-two (32) children were present. Four children’s files were monitored for compliance. Four children did not have current/annual permission to participate in off premises activities. It was recommended to update any annual documents within the first two weeks of the year. It was also recommended to develop a list of documents or plans due for annual updates. The center continues to implement the Mother Goose curriculum to four-year-old children and the remaining other groups. Posted lesson plans were monitored with the use of the Foundations book. Lesson plans were monitored posted, current, and developmentally appropriate for each applicable age group. Infant feeding schedules were monitored posted and current. There were individually posted ITS-SIDS signed policies. I informed the lead teacher and operator, only the center’s adopted ITS-SIDS policy should be posted. A few of the posted individual ITS-SIDS policies were customized and others were not. It was recommended to file each child’s signed ITS-SIDS policy in their file and only post the center’s adopted ITS-SIDS policy in the sleeping area for infants in space #1. A sample policy was customized during the visit and posted in space #1. Staff and Training worksheets were printed and provided during the visit. The last Routine Unannounced visit was conducted July 13, 2023. There were two staff hired since the July 2023 RU visit (M. Springs and S. Allen). The DCDEE WORKS page was utilized to review staff education. The following staff must act in the DCDEE WORKS system: R. Trez, E. Clark, V. Harris, and M. Springs. Two staff did not have an established WORKS page and are not lead teacher qualified in the system. Documentation of degrees or CDA’s were monitored on file. It was explained to Ms. Potts, until each staff person presents a printed DCDEE WORKS status letter the employee has not completed the process. The outdoor learning environment was monitored for compliance. It was recommended to sand and paint/stain the wooden play piece. Monthly outdoor inspections were monitored for compliance and found to meet child care requirements. Documentation for quarterly safety drills and monthly fire drills were monitored documented and current. We discussed the quarterly drills were required to be completed at least once every three months (date sensitive). The center’s EPR plan was monitored and dated 2022. The consultant and contact number were not current. The center Ready to Go File were monitored not current. A checklist for the EPR RTGF was emailed to Ms. Potts for correction. I reminded Ms. Potts that a child’s medical action plan should also be attached and maintained with the child’s first page of the application in the Ready to Go File in addition to the child’s center file. The kitchen was monitored for compliance with food stored properly and a posted current menu. A current posted allergy list was monitored in each classroom and kitchen. The last sanitation inspection was conducted October 17, 2023, with five (5) demerits cited, and a Superior Classification issued. The last annual fire inspection was completed July 21, 2023. It was highly recommended to begin the annual inspection process four to six to eight weeks prior to expiration. The center’s last ERS was completed June 21, 2022. The RLA was processed August 1, 2022. Based on DCDEE three-year reassessment plan, the center will be required to have ERS completed no later than June 21, 2025. It was emphasized with Ms. Potts to ensure each staff has a printed DCDEE WORKS letter for each lead teacher, teacher, floater, and group leader. It was explained only lead teachers and the center administrator were required to maintain a WORKS letter on file. It was also explained it was best practice to have each staff person regardless of position to maintain a DCDEE WORKS letter. It was recommended to request a potential employee brings their DCDEE WORKS letter to their interview and if they are hired without it, to ensure the process begins to establish an individual WORKS page during their orientation time period. After today’s visit the current 18-month compliance history was 93% Violation Number Comment Rule 891 The safe sleep policy did not contain the required information. In space #1, there were individual infant ITS-SIDS policies posted instead of the center's adopted ITS-SIDS policy. The posted individual policies were not consistent. Some were customized and some were not. The operator took the sample policy and customized and posted it during the visit. 10A NCAC 09 .0606(a)(1-8) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Four children's files were monitored, and four children did not have an annual written permission to participate in off premises activities. .1005(b)(4) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR RTGF was not current and did not maintain all required documents. Blank incident reports, an area map, children's nutritional and allergy information were not maintained in the required file. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The monitored EPR plan was dated 2022 and the consultant's name and contact information were not current. .0607(e) Technical Assistance Provided and General Discussion: 1. The center’s for-profit corporation (LLC) was listed as “current-active” by the NC Secretary of State’s office. 2. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff, and the facility to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. 3. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. 4. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping, unless: (A) for an infant aged six months or less, the center receives a written waiver of this requirement from a health care professional; or (B) for an infant older than six months, the center receives a written waiver of this requirement from a health care professional, or a parent or a legal guardian; (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; (3) specifies that children shall not be swaddled; (4) specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; (8) specifies that pacifiers that attach to infant clothing shall not be used with sleeping infants; (9) specifies that infants aged 12 months or younger sleep alone in a crib, bassinet, play pen, mat, or cot; (10) specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and (11) specifies any other steps the center shall take to provide a safe sleep environment for infants aged 12 months or younger. (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. (c) A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. (d) If a center amends its safe sleep policy, it shall give written notice of the amendment to the parents of all enrolled infants aged 12 months or younger at least 14 days before the amended policy is implemented. Each parent shall sign a statement acknowledging the receipt and explanation of the amendment. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. (e) A caregiver shall place a child age 12 months or younger on the child's back for sleeping, unless for a child age 6 months or younger, the operator obtains a written waiver from a health care professional; or for a child older than 6 months, the operator obtains a written waiver from a health care professional or parent. Waivers shall include the following: (1) the infant's name and birth date; (2) the signature and date of the infant's health care professional or parent; (3) if a wedge is needed specify why it is needed and how it is to be used; and (4) the infant's authorized sleep positions. The center shall retain the waiver in the child's record as long as the child is enrolled at the center. (f) For each infant with a waiver on file at the center as specified in Paragraph (e) of this Rule, a notice shall be posted for quick reference near the infant's crib, bassinet, play pen, cot or mat that shall include: (1) the infant's name; (2) the infant's authorized sleep position; and (3) the location of the signed waiver. No confidential medical information, including an infant's medical diagnosis, shall be shown on the notice. (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. (h) A bed, crib, or cot, equipped with a firm waterproof mattress at least four inches thick and a fitted sheet shall be provided for each child who remains in the center after midnight. The top of bunk beds shall be used by school-age children only. (i) A caregiver shall not place anything over the face of a child during rest time. History Note: Authority G.S. 110-85; 110-91(15); 143B-168.3; Eff. May 1, 2004; Amended Eff. July 1, 2010; Readopted Eff. October 1, 2017; Amended Eff. February 1, 2021. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Thursday, January 25, 2024. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. 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 or an administrative action may be recommended. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: A MOTHER'S LOVE TOO Facility ID: 60004188 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 7/13/2023 Number Present: 31 Completed Date: 7/13/2023 Age: From 0 To 6 Total Minutes: 115 Time In: 11:35 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s Routine Unannounced visit was to monitor for applicable child care requirements. The facility currently has a Five Star Rated License with an effective date of August 1, 2022. The facility’s 18-month compliance history before today’s visit was 86%. The facility license and NC Summary of the Child Care Law was prominently posted. Upon arrival, I was greeted by the Director, P. Potts. I stated the reason for the visit. A walk through of the facility was conducted with the Director. Children were observed participating in personal care routines, transitions, and rest time. Staff were observed assisting children with personal care routines and supervising transitions and rest time. The following items were monitored during today’s visit, supervision, staff/child ratio, first aid, CPR, special training, criminal background checks, ITS-SIDS training, emergency medical care plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, permit restrictions. The Staff and Training Worksheets were reviewed to confirm existing staff were current with CPR, First Aid, ITS-SIDS training, BSAC and criminal background qualifying letters. One new staff member has been hired since the annual compliance visit conducted on January 26, 2023. The file for the new staff member was monitored today. The last approved fire inspection was conducted July 5, 2022. The Director stated that she has contacted the Inspector to schedule an inspection however, has not heard back. The last sanitation inspection was conducted on January 6, 2023, with six demerits and a Superior rating. A fire drill was conducted on June 9, 2023, and a lockdown drill on April 18, 2023. Outdoor inspections were also monitored and occurring monthly as required. There was one violation cited today. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted July 5, 2022. 10A NCAC 09 .0304(a) Technical Assistance: A conversation was held with the Director regarding the violation cited. Below is the rule reference for the violation. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. Violations must be corrected immediately. A signed and dated letter of compliance must be mailed or emailed to me by July 27, 2023. The letter of compliance must describe how and when the violation was corrected. The letter must be mailed to Kaye Dunlap, 3109 Wyntree Court, Matthews, NC, 28104 or emailed to Kaye.Dunlap@dhhs.nc.gov. If a letter is not received by the required date, another visit will be conducted to confirm the violation was corrected. 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 or an administrative action may be recommended. 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. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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