Angel Tender Loving Care

10A NCAC 09 .1703 · Violation

Name of Operation: ANGEL TENDER LOVING CARE Facility ID: 60001902 Consultant: RESHA WASHINGTON Operation Type: Family CC Home Case Number: Visit Date: 4/14/2026 Number Present: 1 Completed Date: 4/14/2026 Age: From 0 To 1 Total Minutes: 180 Time In: 11:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s Unannounced Follow-Up Visit was to monitor compliance of an outstanding violation related to the successful completion of the five-year renewal of various Health and Safety trainings, as these were due to be completed by October 2025. This violation was previously cited during the program’s most recent Annual Compliance Visit conducted on January 15, 2026. The center had a compliance history of 85% prior to today’s visit. Upon arrival I was greeted at the side entrance of the home by Ms. M. McMichael, owner/operator. I explained the purpose of today’s visit and Ms. McMichael allowed me entrance into the program. I proceeded into the childcare space where there was one (1) enrolled Infant observed present. The child was observed to be engaged with independent play utilizing fine motor materials. There are currently four (4) children enrolled in the program including two (2) Preschool-Aged children and one (1) School-Aged child on the program’s first shift; and one (1) Preschool-Aged child on the program’s second shift. Ms. McMichael was observed engaging in a nurturing manner with the child present and assisting with custodial needs. The licensed space was monitored and found to be in compliance. Adequate supervision was observed and the program was in ratio. During today’s visit training records were requested for the provider in an attempt to review if the requirements for the successful completion of the five-year renewal of specific Health and Safety training had been met. It was observed that the provider had various certificates on file for the successful completion of training related to nutrition, curriculum planning and program management but there was none available for the outstanding required Health and Safety related training. This was discussed with the provider and she stated that she had tried to send over the required completion information on multiple occasions but experienced technical issues, so she was unable to do so. She also stated that she had received assistance from another provider who had also attempted to send over the required information, but she (Ms. McMichael) was not sure if that had occurred. It was at this point that I informed her that I recalled her sharing that information previously but I had not received anything from either herself or the provider mentioned for her program pertaining to the specific Health and Safety trainings related to the topics outlined in Section 10A NCAC 09 .1703 on-going requirements for Family Child Care Home Operators. I also reiterated during this discussion that these trainings must be completed every five years as part of her on-going training, and she must maintain a record of on-going training in which she has participated to ensure this information is easily accessible and available for review. We then visited the Division’s website and reviewed which training topics would need to be covered to meet this requirement. She stated that she understood and would work on completing the required trainings immediately. During today’s visit there were two (2) violations cited including the violation previously cited pertaining to the successful completion of the five-year renewal of specific Health and Safety training topics, as well as maintaining a record of all on-going training. Violation Number Comment Rule 916 Operator did not maintain a record of on-going training in which he/she has participated. During today’s visit training records were reviewed for the provider. It was observed that the provider did not have a record on file for any required Health and Safety related training successfully completed. 10A NCAC 09 .1705(b)(4)(C) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. During today’s visit training records were reviewed for the provider it was observed that the provider had not completed the outstanding required Health and Safety related training. .1703(d)(2) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 28, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Resha K. Washington, Child Care Consultant 4962 Sunburst Lane Charlotte, NC 28213 resha.washington@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance Provided and General Discussion: -The provider was reminded of specific requirements for both her required annual in-service training hours and the five-year renewal of specific Health and Safety related training. We also discussed the importance of ensuring this training is recorded and adequately documented. -We revisited a prior discussion about program management and organization. I reminded Ms. McMichael that I am available to provide Technical Assistance in this area and to follow up if she is interested in scheduling an Announced visit related to this. Thank you for your time and if you have any questions about today’s visit, please feel free to contact Resha Washington at 704-910-7947 or email resha.washington@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 .1705 · Violation

Name of Operation: ANGEL TENDER LOVING CARE Facility ID: 60001902 Consultant: RESHA WASHINGTON Operation Type: Family CC Home Case Number: Visit Date: 4/14/2026 Number Present: 1 Completed Date: 4/14/2026 Age: From 0 To 1 Total Minutes: 180 Time In: 11:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s Unannounced Follow-Up Visit was to monitor compliance of an outstanding violation related to the successful completion of the five-year renewal of various Health and Safety trainings, as these were due to be completed by October 2025. This violation was previously cited during the program’s most recent Annual Compliance Visit conducted on January 15, 2026. The center had a compliance history of 85% prior to today’s visit. Upon arrival I was greeted at the side entrance of the home by Ms. M. McMichael, owner/operator. I explained the purpose of today’s visit and Ms. McMichael allowed me entrance into the program. I proceeded into the childcare space where there was one (1) enrolled Infant observed present. The child was observed to be engaged with independent play utilizing fine motor materials. There are currently four (4) children enrolled in the program including two (2) Preschool-Aged children and one (1) School-Aged child on the program’s first shift; and one (1) Preschool-Aged child on the program’s second shift. Ms. McMichael was observed engaging in a nurturing manner with the child present and assisting with custodial needs. The licensed space was monitored and found to be in compliance. Adequate supervision was observed and the program was in ratio. During today’s visit training records were requested for the provider in an attempt to review if the requirements for the successful completion of the five-year renewal of specific Health and Safety training had been met. It was observed that the provider had various certificates on file for the successful completion of training related to nutrition, curriculum planning and program management but there was none available for the outstanding required Health and Safety related training. This was discussed with the provider and she stated that she had tried to send over the required completion information on multiple occasions but experienced technical issues, so she was unable to do so. She also stated that she had received assistance from another provider who had also attempted to send over the required information, but she (Ms. McMichael) was not sure if that had occurred. It was at this point that I informed her that I recalled her sharing that information previously but I had not received anything from either herself or the provider mentioned for her program pertaining to the specific Health and Safety trainings related to the topics outlined in Section 10A NCAC 09 .1703 on-going requirements for Family Child Care Home Operators. I also reiterated during this discussion that these trainings must be completed every five years as part of her on-going training, and she must maintain a record of on-going training in which she has participated to ensure this information is easily accessible and available for review. We then visited the Division’s website and reviewed which training topics would need to be covered to meet this requirement. She stated that she understood and would work on completing the required trainings immediately. During today’s visit there were two (2) violations cited including the violation previously cited pertaining to the successful completion of the five-year renewal of specific Health and Safety training topics, as well as maintaining a record of all on-going training. Violation Number Comment Rule 916 Operator did not maintain a record of on-going training in which he/she has participated. During today’s visit training records were reviewed for the provider. It was observed that the provider did not have a record on file for any required Health and Safety related training successfully completed. 10A NCAC 09 .1705(b)(4)(C) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. During today’s visit training records were reviewed for the provider it was observed that the provider had not completed the outstanding required Health and Safety related training. .1703(d)(2) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 28, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Resha K. Washington, Child Care Consultant 4962 Sunburst Lane Charlotte, NC 28213 resha.washington@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance Provided and General Discussion: -The provider was reminded of specific requirements for both her required annual in-service training hours and the five-year renewal of specific Health and Safety related training. We also discussed the importance of ensuring this training is recorded and adequately documented. -We revisited a prior discussion about program management and organization. I reminded Ms. McMichael that I am available to provide Technical Assistance in this area and to follow up if she is interested in scheduling an Announced visit related to this. Thank you for your time and if you have any questions about today’s visit, please feel free to contact Resha Washington at 704-910-7947 or email resha.washington@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

NC GS 110-90 · Violation

Name of Operation: ANGEL TENDER LOVING CARE Facility ID: 60001902 Consultant: RESHA WASHINGTON Operation Type: Family CC Home Case Number: Visit Date: 4/14/2026 Number Present: 1 Completed Date: 4/14/2026 Age: From 0 To 1 Total Minutes: 180 Time In: 11:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s Unannounced Follow-Up Visit was to monitor compliance of an outstanding violation related to the successful completion of the five-year renewal of various Health and Safety trainings, as these were due to be completed by October 2025. This violation was previously cited during the program’s most recent Annual Compliance Visit conducted on January 15, 2026. The center had a compliance history of 85% prior to today’s visit. Upon arrival I was greeted at the side entrance of the home by Ms. M. McMichael, owner/operator. I explained the purpose of today’s visit and Ms. McMichael allowed me entrance into the program. I proceeded into the childcare space where there was one (1) enrolled Infant observed present. The child was observed to be engaged with independent play utilizing fine motor materials. There are currently four (4) children enrolled in the program including two (2) Preschool-Aged children and one (1) School-Aged child on the program’s first shift; and one (1) Preschool-Aged child on the program’s second shift. Ms. McMichael was observed engaging in a nurturing manner with the child present and assisting with custodial needs. The licensed space was monitored and found to be in compliance. Adequate supervision was observed and the program was in ratio. During today’s visit training records were requested for the provider in an attempt to review if the requirements for the successful completion of the five-year renewal of specific Health and Safety training had been met. It was observed that the provider had various certificates on file for the successful completion of training related to nutrition, curriculum planning and program management but there was none available for the outstanding required Health and Safety related training. This was discussed with the provider and she stated that she had tried to send over the required completion information on multiple occasions but experienced technical issues, so she was unable to do so. She also stated that she had received assistance from another provider who had also attempted to send over the required information, but she (Ms. McMichael) was not sure if that had occurred. It was at this point that I informed her that I recalled her sharing that information previously but I had not received anything from either herself or the provider mentioned for her program pertaining to the specific Health and Safety trainings related to the topics outlined in Section 10A NCAC 09 .1703 on-going requirements for Family Child Care Home Operators. I also reiterated during this discussion that these trainings must be completed every five years as part of her on-going training, and she must maintain a record of on-going training in which she has participated to ensure this information is easily accessible and available for review. We then visited the Division’s website and reviewed which training topics would need to be covered to meet this requirement. She stated that she understood and would work on completing the required trainings immediately. During today’s visit there were two (2) violations cited including the violation previously cited pertaining to the successful completion of the five-year renewal of specific Health and Safety training topics, as well as maintaining a record of all on-going training. Violation Number Comment Rule 916 Operator did not maintain a record of on-going training in which he/she has participated. During today’s visit training records were reviewed for the provider. It was observed that the provider did not have a record on file for any required Health and Safety related training successfully completed. 10A NCAC 09 .1705(b)(4)(C) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. During today’s visit training records were reviewed for the provider it was observed that the provider had not completed the outstanding required Health and Safety related training. .1703(d)(2) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 28, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Resha K. Washington, Child Care Consultant 4962 Sunburst Lane Charlotte, NC 28213 resha.washington@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance Provided and General Discussion: -The provider was reminded of specific requirements for both her required annual in-service training hours and the five-year renewal of specific Health and Safety related training. We also discussed the importance of ensuring this training is recorded and adequately documented. -We revisited a prior discussion about program management and organization. I reminded Ms. McMichael that I am available to provide Technical Assistance in this area and to follow up if she is interested in scheduling an Announced visit related to this. Thank you for your time and if you have any questions about today’s visit, please feel free to contact Resha Washington at 704-910-7947 or email resha.washington@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 .1718 · Violation

Name of Operation: ANGEL TENDER LOVING CARE Facility ID: 60001902 Consultant: RESHA WASHINGTON Operation Type: Family CC Home Case Number: Visit Date: 1/15/2026 Number Present: 2 Completed Date: 1/15/2026 Age: From 2 To 3 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the program’s full Annual Compliance visit. The facility had a Four Star Rated License issued May 17, 2018 and an eighteen month compliance history of 85% prior to today’s visit. The April 2025 FCCH Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. A copy of the Annual Compliance Summary and Checklist were left with the operator. The license and NC Summary of the Law were prominently posted. Upon my arrival, I was greeted at the side entrance of the home by the owner/operator, Ms. M. McMichael, where I explained the purpose of today’s visit. Ms. McMichael allowed me entry into the home where she was present with two (2) preschool children. Upon inquiring about the program’s current enrollment Ms. McMichael informed me that these are the only two children that she is currently providing care for in her program and that she is not being paid for their attendance. I, then, reminded Ms. McMichael that as a licensed program it is required that all children in attendance, even those that she is not receiving payment for, have a complete file on hand. She stated that she was not aware of this but she did have a complete file available, as the children present had been previously enrolled. At that point we discussed the current state of the licensed childcare space because it was visibly not set up as it had been during prior visits. There were no clearly defined learning areas and the materials available indoors did not support the activities listed on the written schedule and activity plan. Ms. McMichael explained that with the recent change in her enrollment she had decided to make some modifications to the space and she had taken quite a few of the items out of the area. I explained the importance of ensuring that the learning area remained set up to provide care for children even was enrollment is currently low. We discussed how this could impact moments of learning for those children currently in care and enrollment opportunities during potential tours. The provider stated that she understood and would begin setting the room back up later today. During today’s visit a walk-through of the program was conducted. The licensed childcare space, the program’s bathroom, the home’s kitchen used to prepare meals, and the outdoor learning environment were monitored. Children were observed in free play activities, participating in personal care routines and meal-time. In the childcare space a bin containing an aerosol can of disinfecting spray and a bottle of cleaning spray were observed being stored on a shelf. This was shared with Ms. McMichael and she was reminded that all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products stored under pressure in an aerosol dispenser, including any substance that may be hazardous to a child if ingested, inhaled, or handled must be kept in locked storage when children are in care. Ms. McMichael stated that she understood and each of these items was removed during the visit. It was also observed in the indoor learning space that large storage crates containing various learning materials and three (3) infant feeding chairs were observed being stored on top of two shelves in the active play area. I informed Ms. McMichael that these items would need to be taken down from the top of these shelves and placed in another area, as they pose a safety hazard and could fall potentially injuring children. While monitoring the outdoor learning environment various areas of clutter composed of construction materials, lawn care materials, a propane tank and other environmental debris were also observed present in this space accessible to children. It was also observed that the very limited materials available in this space did not provide the opportunity for developmentally appropriate vigorous play, large and small muscle development, and social, emotional, and intellectual development daily. This was brought to Ms. McMichael’s attention and discussed in depth. I reminded Ms. McMichael that the presence of each of these hazards creates safety concerns and absence of sufficient educational materials creates significant barriers for effective learning. She stated that she understood and she would correct each of these issues immediately. Attendance records were monitored. It was observed that the program’s daily sign-in information had been completed for the day and reflected the current number of children in care. It was also observed that the provider is currently utilizing prefilled sign-in sheets listing previously enrolled children complete with parent signatures. This was discussed with the provider, and it was recommended that she utilize a new blank form daily, as this current method is confusing and could potentially be an issue if the previously enrolled children are not omitted daily. The program’s lesson plan and daily schedule were reviewed. It was observed that the lesson plan was posted and current but there was no materials on hand to support the activities listed. Ms. McMichael’s staff file was monitored. It was observed that she has documentation on file verifying that she has current ITS-SIDS certification and current First Aid/CPR certifications. It was also observed that she has a current CBC qualifying letter on file and is readily accessible for review. During this process I inquired if the provider had her most current annual Health Questionnaire available for review, as the one on file expired in February 2025. Ms. McMichael stated that she had not completed another one since then. The provider is required to receive eight (8) in-service training hours annually. It was observed that has carried over .5 training hours from the previous year and will need to complete an additional seven and a half (7.5) additional hours by January 31, 2026 to remain compliant. It was also observed that the provider was due to complete the five-year renewal of seven (7) required health and safety training by October 2025 as part of on-going training but this did not occur. Ms. McMichael shared that she is currently the only caregiver and does not have an additional caregiver or substitute assisting with the program at this time. Ms. McMichael has two (2) pet canines that are housed onsite. Their vaccination records were monitored during today’s visit. Each was observed to be up to date and stored readily accessible for review. During today’s visit two (2) children’s files were reviewed. Each was observed to be compliant. There are currently no medications administered in the facility. The center currently does not provide transportation but a vehicle was observed present for emergency use. Program records were reviewed. It was observed that quarterly Emergency Drills, monthly Fire Drills and monthly Outdoor Inspections were being completed as required. The program’s Incident Log was reviewed and found to be in compliance. The program’s last Sanitation Inspection was completed on March 06, 2025, receiving six (6) demerits. During today’s visit I attempted to monitor the program’s Emergency Preparedness and Response Plan (EPR) but Ms. McMichael stated that she did not have one printed for review. It was also observed that she did not have a complete, up to date Ready to Go file accessible for review, as required. During today’s visit the provider was observed using ungloved hands to give the children crackers to eat as a snack while engaging in free play activities. The children were allowed to continue handling learning materials while eating without washing their hands either before or after handling this food. It was also observed that the provider did not wash her hands either before or after providing this snack to the children. Also, during today’s visit an unknown adult male was observed present in the living space of the home. I inquired about the identity of this person and if he was currently residing in the. Ms. McMichael shared that the adult male was her son and he was currently only visiting. She stated that he lives in another state and had only been in town for a few days. I reminded Ms. McMichael that the Division requires any individual over the age of 15, who resides in a family child care home or a center located in a residence on either a permanent or temporary basis, to have a current Criminal Background Check on file. This includes new residents whom must complete this process prior to moving in the home and the Division must be notified within five business days via the program’s ABCMS roster of anyone that either moves in or out of the home. She stated that she understood. Violation Number Comment Rule 535 The operator did not provide developmentally appropriate equipment and materials for a variety of outdoor activities which allow for vigorous play, large and small muscle development, and social, emotional, and intellectual development on a daily basis. While monitoring the outdoor learning environment it was also observed that there were very limited materials available. .1718(a)(1) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. While monitoring the outdoor learning environment various areas of clutter composed of construction materials, lawn care materials, a propane tank and other environmental debris were also observed present in this space and accessible to children. .1719(a)(1)&(17) 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. In the childcare space a bin containing an aerosol can of disinfecting spray and a bottle of cleaning spray were observed being stored on a shelf. .1719 (a)(7) 806 Operator did not wash his/her hands before and after handling food and feeding the children. During today’s visit the provider was observed using ungloved hands to give the children crackers to eat without washing her hands either before or after providing this snack. .1725(a)(7)(A) 816 Each child's hands were not washed before and after eating. Children were observed engaging in mealtime routines without washing their hands either before or after handling food. .1725(a)(7)(B) 908 Health questionnaire was not completed annually. The most current annual Health Questionnaire available for review on file expired in February 2025. .1703(a)(1) 932 Operator did not have materials or equipment available indoors or outdoors to support the activities listed on the written schedule and activity plan. While monitoring the licensed childcare space it was observed that the materials available indoors did not support the activities listed on the written schedule and activity plan. .1718(6) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. In the indoor learning space large storage crates containing various learning materials and three (3) infant feeding chairs were observed being stored on top of two shelves in the active play area. 10A NCAC 09 .1719 (a) 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. During today’s visit the program’s Emergency Preparedness and Response Plan (EPR) was not available for review. .1714(c) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. During today’s visit it was observed that the provider did not have a complete, up to date Ready to Go file accessible for review or the required information. .1714(d)(10) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. It was observed that the provider was due to complete the five-year renewal of seven (7) required health and safety training by October 2025 as part of on-going training but this did not occur. .1703(d)(2) 2055 An individual sleeping space for resting such as a bed, crib, play pen, cot, mat, or sleeping bag with individual linens was not provided for each pre-school age child who was in care for four hours or more, or for all children if overnight care is provided. 10A NCAC 09 .1718(a)(2) Corrective Action: All violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Thursday January 29, 2026 to the email listed below. Failure to correct the violation 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 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 .1719 · Violation

Name of Operation: ANGEL TENDER LOVING CARE Facility ID: 60001902 Consultant: RESHA WASHINGTON Operation Type: Family CC Home Case Number: Visit Date: 1/15/2026 Number Present: 2 Completed Date: 1/15/2026 Age: From 2 To 3 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the program’s full Annual Compliance visit. The facility had a Four Star Rated License issued May 17, 2018 and an eighteen month compliance history of 85% prior to today’s visit. The April 2025 FCCH Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. A copy of the Annual Compliance Summary and Checklist were left with the operator. The license and NC Summary of the Law were prominently posted. Upon my arrival, I was greeted at the side entrance of the home by the owner/operator, Ms. M. McMichael, where I explained the purpose of today’s visit. Ms. McMichael allowed me entry into the home where she was present with two (2) preschool children. Upon inquiring about the program’s current enrollment Ms. McMichael informed me that these are the only two children that she is currently providing care for in her program and that she is not being paid for their attendance. I, then, reminded Ms. McMichael that as a licensed program it is required that all children in attendance, even those that she is not receiving payment for, have a complete file on hand. She stated that she was not aware of this but she did have a complete file available, as the children present had been previously enrolled. At that point we discussed the current state of the licensed childcare space because it was visibly not set up as it had been during prior visits. There were no clearly defined learning areas and the materials available indoors did not support the activities listed on the written schedule and activity plan. Ms. McMichael explained that with the recent change in her enrollment she had decided to make some modifications to the space and she had taken quite a few of the items out of the area. I explained the importance of ensuring that the learning area remained set up to provide care for children even was enrollment is currently low. We discussed how this could impact moments of learning for those children currently in care and enrollment opportunities during potential tours. The provider stated that she understood and would begin setting the room back up later today. During today’s visit a walk-through of the program was conducted. The licensed childcare space, the program’s bathroom, the home’s kitchen used to prepare meals, and the outdoor learning environment were monitored. Children were observed in free play activities, participating in personal care routines and meal-time. In the childcare space a bin containing an aerosol can of disinfecting spray and a bottle of cleaning spray were observed being stored on a shelf. This was shared with Ms. McMichael and she was reminded that all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products stored under pressure in an aerosol dispenser, including any substance that may be hazardous to a child if ingested, inhaled, or handled must be kept in locked storage when children are in care. Ms. McMichael stated that she understood and each of these items was removed during the visit. It was also observed in the indoor learning space that large storage crates containing various learning materials and three (3) infant feeding chairs were observed being stored on top of two shelves in the active play area. I informed Ms. McMichael that these items would need to be taken down from the top of these shelves and placed in another area, as they pose a safety hazard and could fall potentially injuring children. While monitoring the outdoor learning environment various areas of clutter composed of construction materials, lawn care materials, a propane tank and other environmental debris were also observed present in this space accessible to children. It was also observed that the very limited materials available in this space did not provide the opportunity for developmentally appropriate vigorous play, large and small muscle development, and social, emotional, and intellectual development daily. This was brought to Ms. McMichael’s attention and discussed in depth. I reminded Ms. McMichael that the presence of each of these hazards creates safety concerns and absence of sufficient educational materials creates significant barriers for effective learning. She stated that she understood and she would correct each of these issues immediately. Attendance records were monitored. It was observed that the program’s daily sign-in information had been completed for the day and reflected the current number of children in care. It was also observed that the provider is currently utilizing prefilled sign-in sheets listing previously enrolled children complete with parent signatures. This was discussed with the provider, and it was recommended that she utilize a new blank form daily, as this current method is confusing and could potentially be an issue if the previously enrolled children are not omitted daily. The program’s lesson plan and daily schedule were reviewed. It was observed that the lesson plan was posted and current but there was no materials on hand to support the activities listed. Ms. McMichael’s staff file was monitored. It was observed that she has documentation on file verifying that she has current ITS-SIDS certification and current First Aid/CPR certifications. It was also observed that she has a current CBC qualifying letter on file and is readily accessible for review. During this process I inquired if the provider had her most current annual Health Questionnaire available for review, as the one on file expired in February 2025. Ms. McMichael stated that she had not completed another one since then. The provider is required to receive eight (8) in-service training hours annually. It was observed that has carried over .5 training hours from the previous year and will need to complete an additional seven and a half (7.5) additional hours by January 31, 2026 to remain compliant. It was also observed that the provider was due to complete the five-year renewal of seven (7) required health and safety training by October 2025 as part of on-going training but this did not occur. Ms. McMichael shared that she is currently the only caregiver and does not have an additional caregiver or substitute assisting with the program at this time. Ms. McMichael has two (2) pet canines that are housed onsite. Their vaccination records were monitored during today’s visit. Each was observed to be up to date and stored readily accessible for review. During today’s visit two (2) children’s files were reviewed. Each was observed to be compliant. There are currently no medications administered in the facility. The center currently does not provide transportation but a vehicle was observed present for emergency use. Program records were reviewed. It was observed that quarterly Emergency Drills, monthly Fire Drills and monthly Outdoor Inspections were being completed as required. The program’s Incident Log was reviewed and found to be in compliance. The program’s last Sanitation Inspection was completed on March 06, 2025, receiving six (6) demerits. During today’s visit I attempted to monitor the program’s Emergency Preparedness and Response Plan (EPR) but Ms. McMichael stated that she did not have one printed for review. It was also observed that she did not have a complete, up to date Ready to Go file accessible for review, as required. During today’s visit the provider was observed using ungloved hands to give the children crackers to eat as a snack while engaging in free play activities. The children were allowed to continue handling learning materials while eating without washing their hands either before or after handling this food. It was also observed that the provider did not wash her hands either before or after providing this snack to the children. Also, during today’s visit an unknown adult male was observed present in the living space of the home. I inquired about the identity of this person and if he was currently residing in the. Ms. McMichael shared that the adult male was her son and he was currently only visiting. She stated that he lives in another state and had only been in town for a few days. I reminded Ms. McMichael that the Division requires any individual over the age of 15, who resides in a family child care home or a center located in a residence on either a permanent or temporary basis, to have a current Criminal Background Check on file. This includes new residents whom must complete this process prior to moving in the home and the Division must be notified within five business days via the program’s ABCMS roster of anyone that either moves in or out of the home. She stated that she understood. Violation Number Comment Rule 535 The operator did not provide developmentally appropriate equipment and materials for a variety of outdoor activities which allow for vigorous play, large and small muscle development, and social, emotional, and intellectual development on a daily basis. While monitoring the outdoor learning environment it was also observed that there were very limited materials available. .1718(a)(1) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. While monitoring the outdoor learning environment various areas of clutter composed of construction materials, lawn care materials, a propane tank and other environmental debris were also observed present in this space and accessible to children. .1719(a)(1)&(17) 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. In the childcare space a bin containing an aerosol can of disinfecting spray and a bottle of cleaning spray were observed being stored on a shelf. .1719 (a)(7) 806 Operator did not wash his/her hands before and after handling food and feeding the children. During today’s visit the provider was observed using ungloved hands to give the children crackers to eat without washing her hands either before or after providing this snack. .1725(a)(7)(A) 816 Each child's hands were not washed before and after eating. Children were observed engaging in mealtime routines without washing their hands either before or after handling food. .1725(a)(7)(B) 908 Health questionnaire was not completed annually. The most current annual Health Questionnaire available for review on file expired in February 2025. .1703(a)(1) 932 Operator did not have materials or equipment available indoors or outdoors to support the activities listed on the written schedule and activity plan. While monitoring the licensed childcare space it was observed that the materials available indoors did not support the activities listed on the written schedule and activity plan. .1718(6) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. In the indoor learning space large storage crates containing various learning materials and three (3) infant feeding chairs were observed being stored on top of two shelves in the active play area. 10A NCAC 09 .1719 (a) 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. During today’s visit the program’s Emergency Preparedness and Response Plan (EPR) was not available for review. .1714(c) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. During today’s visit it was observed that the provider did not have a complete, up to date Ready to Go file accessible for review or the required information. .1714(d)(10) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. It was observed that the provider was due to complete the five-year renewal of seven (7) required health and safety training by October 2025 as part of on-going training but this did not occur. .1703(d)(2) 2055 An individual sleeping space for resting such as a bed, crib, play pen, cot, mat, or sleeping bag with individual linens was not provided for each pre-school age child who was in care for four hours or more, or for all children if overnight care is provided. 10A NCAC 09 .1718(a)(2) Corrective Action: All violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Thursday January 29, 2026 to the email listed below. Failure to correct the violation 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 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. 110-90 · Violation

Name of Operation: ANGEL TENDER LOVING CARE Facility ID: 60001902 Consultant: RESHA WASHINGTON Operation Type: Family CC Home Case Number: Visit Date: 7/24/2025 Number Present: 0 Completed Date: 7/24/2025 Age: From 0 To 0 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. The facility has a Four Star Rated License issued February 25, 2020 and an eighteen month compliance history of 80% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the April 2025 FCCH Item Number Listing: supervision, capacity, staff/child ratios, adequate and approved space, criminal background checks, CPR, First Aid, special training, new staff records, storage of hazardous products, and storage of medication. Upon arrival I was greeted at the primary entrance of the program by Ms. M. McMichael, owner/operator, and I explained the purpose of my visit. Ms. McMichael informed me that the program was open and operating but there were currently no children present, as some children did not come in today and two children who are siblings stayed at home with their parent. Ms. McMichael also reported that there is a total of four (4) children enrolled in the program’s first shift and one (1) child enrolled in the program’s second shift. During today’s visit the home’s licensed child care space, the bathroom utilized by children enrolled in the program and the home’s kitchen were monitored during a walk-through of the facility. Each were found to be in compliance. Arrival and departure times was reviewed for the previous month and observed to be documented and maintained as required. There were no arrival and departure times recorded for today, as there are no children currently in attendance. During today’s visit program records were monitored. Monthly fire drills, monthly outdoor inspections and quarterly emergency drills were each observed to be conducted as required and documented utilizing an approved form. Hazardous materials were observed being stored as required. Medication was monitored. It was shared that there are no children enrolled that require medication and there are no medications being stored on site for use with children. Ms. McMichael’s personnel information was reviewed during the visit. It was observed that she has verification of having both current CPR and First Aid certification, verification of having current ITS-SIDS training and a current Criminal Background Check (CBC). Ms. McMichael shared that she is currently the only caregiver. During today’s visit supervision and capacity were not able to be monitored, as there were no enrolled children currently presently. During today’s visit an adult female previously introduced as Ms. Michael’s granddaughter during a prior visit was observed present with two children. I inquired if she, the adult female, was currently residing in the home as it had been previously shared that she, the adult female, was only visiting. Ms. McMichael confirmed that the adult female had been residing in the home for the past two months. I then requested to see both the adult female’s approved Criminal Background Check and the program’s current ABCMS roster showing that she, the adult female, had been added. It was then shared by the provider that she had not completed the process for creating the required ABCMS and her granddaughter did not have a current CBC on file. I informed Ms. McMichael that both the Criminal Background Check and program roster are required and the absence of each will be cited in two separate violations. I also reminded Ms. McMichael that the Division requires any new resident that moves into a home that operates a licensed child care program must complete this process within five business days of moving into the home. She stated that she understood. There were two (2) violations cited today. Violation Number Comment Rule 1846 An individual over the age of 15, who resides in a family child care home or a center located in a residence on a permanent or temporary basis, or those who had their 16th birthday after the initial licensing of a family child care home; did not complete and submit required forms within five business days. G.S. 110-90.2 & .2703(q) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. G.S. 110-90.2 & .2703(r) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Thursday August 07, 2025 to the email listed below. Failure to correct the violation 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. Technical Assistance Provided and General Discussion: -During today’s visit I reminded Ms. McMichael of the importance of completing the required MOODLE training and creating a program roster for her facility in the ABCMS Provider Portal. I also reiterated the requirement that any new household member must complete the process to obtain a qualifying letter and Criminal Background Check within five days of moving into a home that operates a licensed child care program. -During today’s visit Ms. McMichael and I discussed the status of the QRIS Modernization process. I shared information about the three (3) Pathways to Stars and we discussed the last time her program went through the Rated License Assessment. I urged her to review the information available under the QRIS Modernization tab found under the What’s New dropdown menu located on the Division’s website. I also reminded her to complete the QRIS Provider survey to share her interest if she had not already done so and to reach out to the NCRLAP to request an Outreach Assessment for insight on where her program currently scores in preparation of the rollout for information about reassessment. -During today's visit Ms. McMichael and I also discussed the use of the NC Foundation of Early Learning indicators when she is implementing curriculum in her program, as she is a five-star rated program. We discussed how documenting what indicators are being met for specific activities can provide useful data and assist with setting goals for the children enrolled in her program. - I reminded Ms. McMichael to continue to regularly check her email for any updates or correspondence from either myself or DCDEE. -Ms. McMichael was reminded that Quality Everyday (QED) through CCRI is currently recruiting and is available to with one (1), two (2), three (3), four (4), and five (5) Star facilities in a variety of ways including reassessment preparation. Thank you for your time and if you have any questions, please contact Resha K. Washington at 704-910-7947 or email resha.washington@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 .1719 · Violation

Name of Operation: ANGEL TENDER LOVING CARE Facility ID: 60001902 Consultant: RESHA WASHINGTON Operation Type: Family CC Home Case Number: Visit Date: 1/21/2025 Number Present: 3 Completed Date: 1/21/2025 Age: From 1 To 3 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the program’s full Annual Compliance visit. The facility had a Four Star Rated License issued May 17, 2018 and an eighteen month compliance history of 80% prior to today’s visit. The November 2024 FCCH Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. A copy of the Annual Compliance Summary and Checklist were left with the operator. The license and NC Summary of the Law were prominently posted. Upon my arrival, I was greeted at the side entrance of the home by the owner/operator, Ms. M. McMichael, and I explained the purpose of today’s visit. Ms. McMichael allowed me entry into the home where she was present with three (3) enrolled preschool children. There are currently two (2) preschool children each two years old and two (2) school-aged children enrolled on first shift. There is currently only one (1) preschool-aged child enrolled on second shift. Children were observed in free play activities, utilizing table toys, engaging in a story-time activity facilitated by Ms. McMichael, participating in personal care routines and meal-time. During today’s visit a walk-through of the program was conducted. The licensed childcare space, the program’s bathroom, the home’s kitchen used to prepare meals, and the outdoor learning environment were monitored. In the childcare space three (3) books were observed present in the library center with visible damage to the front cover and ripped pages. I reminded Ms. McMichael these books would need to be removed as they present a choking hazard to the children. It was also observed while having this discussion with Ms. McMichael that two (2) children under three (3) years of age were engaging in active play utilizing plastic grocery bags that were accessible on chair located in the space and classroom dramatic play items. I reminded Ms. McMichael that children under three (3) years of age should not have access to plastic bags, as these also present a choking hazard. Ms. McMichael stated that she understood and each of these items was removed during the visit. Upon transitioning from the indoor learning space to the outdoor learning environment child-sized chairs were observed stacked on two tables near the manipulative area and dramatic play area. I informed Ms. McMichael that these chairs would need to be taken down from the tables and placed on the floor, as they pose a safety hazard and could fall potentially injuring children. While monitoring the outdoor learning environment dog feces was observed in multiple areas including the grass, carport and cemented areas of the space. Standing water containing chunks of ice, environmental debris and other particles was observed present in a sensory table, plastic storage bin and an uncovered sand box. Various areas of clutter composed of broken toys, construction materials, boxes of unused expired rapid COVID tests and other environmental debris were also observed present in this space. The presence of each of these hazards was brought to Ms. McMichael’s attention and discussed in depth. I reminded Ms. McMichael that the presence of each these create safety concerns but especially the pet waste in her yard as it can be hazardous to not only the children enrolled in the program but this could affect her own health, the health of her pets, and sanitation of the program’s outdoor learning environment as pet waste can potentially contain bacteria, parasites, and viruses. She stated that she understood and is currently looking for assistance with cleaning these areas up. Daily attendance records were monitored, and it was observed that neither the daily attendance or sign-in information had been completed for the day. This was brought to the attention of the provider and corrected during the visit. The program’s lesson plan and daily schedule were reviewed. It was observed that the lesson plan was posted and current but there was no daily schedule available for review. Ms. McMichael’s staff file was monitored and it was observed that all specialized training including ITS-SIDS, First Aid and CPR certification were current. It was also observed that she has a current CBC qualifying letter on file and is readily accessible for review. Ms. McMichael is required to receive eight (8) in-service training hours annually. She currently has carried over two (2) hours from the previous year and will need to complete six (6) additional hours by January 31, 2025 to remain compliant. Ms. McMichael shared that she is currently the only caregiver and does not have an additional caregiver or substitute assisting with the program at this time. Ms. McMichael has two (2) pet canines that are housed onsite. Their vaccination records were monitored during today’s visit and it was observed that one’s Rabies vaccination expired in February 2024. I reminded Ms. McMichael that all pets housed onsite must be up to date and remain current on all required vaccinations. During today’s visit children’s files were reviewed. It was observed that Ms. McMichael did not have a file available for review for two (2) enrolled children. Ms. McMichael stated that she had received the enrollment packets back from each of the families but was not sure where she had stored them. I reminded Ms. McMichael that it is imperative that each enrolled child have the required enrollment documentation on file, completed in their entirety and accessible for review by a representative from the DCDEE. We briefly reviewed the children’s file document accessible on the Division’s website. It was also during this process it was observed that one enrolled child did not have a current pet acknowledgment form on file listing all the animals housed onsite and an up to date Permission to Travel beyond the fenced area form on file, as Ms. McMichael had shared that she occasionally takes the children on walks in the neighborhood. There are currently no medications administered in the facility. The center currently does not provide transportation. Program records were reviewed, and it was observed that quarterly emergency drills, monthly fire drills and monthly outdoor inspections were being completed as required. The incident log was reviewed and found to be in compliance. The last sanitation inspection was completed January 31, 2024, receiving six (6) demerits. The Emergency Preparedness and Response Plan (EPR) was reviewed and it was observed that it had not been updated annually, as required. During today’s visit meal-time activities were monitored and it was observed that the provider did not sanitize the table both before and after serving lunch. It was also observed that handwashing did not occur after mealtime and there was no menu posted for review. Also during today’s visit a child was observed being placed in a highchair for timeout for approximately fifteen minutes after attempting to engage in aggressive behavior towards another child. I informed Ms. McMicheal that the use of the highchair for this behavior was not safe, as it was not age-appropriate seating for this child and it could topple over causing injury, as well as the length of the time-out did not align with what she had outlined in her program’s discipline policy. Ms. McMichael stated that she did not utilize this chair typically for that length of time for that behavior but she wanted to ensure he would not cause harm to himself or others. She then removed the child from that seating and placed him next to her until he calmed down. There were fourteen (14) violations cited during today’s visit. Violation Number Comment Rule 538 The written schedule did not reflect daily opportunities for both free choice and guided activities. The program’s lesson plan and daily schedule were reviewed. It was observed that the lesson plan was posted and current but there was no daily schedule available for review. .1718(a )(7)(C ) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. While monitoring the outdoor learning environment various areas of clutter composed of broken toys, construction materials, boxes of unused expired rapid COVID tests and other environmental debris were also observed present in this space. .1719(a)(1)&(17) 816 Each child's hands were not washed before and after eating. During today’s visit meal-time activities were monitored and it was observed that handwashing did not occur after mealtime. .1725(a)(7)(B) 907 Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats, was not available. Ms. McMichael has two (2) pet canines that are housed onsite. Their vaccination records were monitored during today’s visit and it was observed that one’s Rabies vaccination expired in February 2024. .1719(b)(1) 920 Records were not made available for review. During today’s visit children’s files were reviewed. It was observed that Ms. McMichael did not have a file available for review for two (2) enrolled children. G.S. 110-91(9) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Daily attendance records were monitored, and it was observed that neither the daily attendance or sign-in information had been completed for the day. .1721(e)(6) 1007 Discipline was not appropriate for the child's age and development. During today’s visit a child was observed being placed in a highchair for timeout for approximately fifteen minutes after attempting to engage in aggressive behavior towards another child. .1722(b) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Upon transitioning from the indoor learning space to the outdoor learning environment child-sized chairs were observed stacked on two tables near the manipulative area and dramatic play area. 10A NCAC 09 .1719 (a) 1741 Prior to enrollment of children in a Family Child Care Home, and before animals come into the Family Child Care Home, the operator did not obtain each parent's signature on a form acknowledging the type of animal located on the premises and where the animal will be kept during child care operating hours and /or the signed form was not maintained in the child's file. During today’s visit children’s files were reviewed. It was observed that one enrolled child did not have a current pet acknowledgment form on file listing all the animals housed onsite. 10 NCAC 09 .1719(b)(3) 1871 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan (EPR) was reviewed and it was observed that it had not been updated annually, as required. .1705(b)(8) 1920 Indoor and outdoor area was not checked daily for debris, vandalism, broken equipment, and animal waste. While monitoring the outdoor learning environment dog feces was observed in multiple areas including the grass, carport and cemented areas of the space. Standing water containing chunks of ice, environmental debris and other particles were also observed present in a sensory table, plastic storage bin and an uncovered sand box. .1719(a)(17) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. In the childcare space three (3) books were observed present in the library center with visible damage to the front cover and ripped pages. It was also observed that two (2) children under three (3) years of age were engaging in active play utilizing plastic grocery bags that were accessible on chair located in the space and classroom dramatic play items. .1719(a)(18) 2003 Operator and/or staff member did not have permission from the parent to walk children off-premises for play or outings. During today’s visit children’s files were reviewed. It was observed that one enrolled child did not have an up to date Permission to Travel beyond the fenced area form on file, as Ms. McMichael had shared that she occasionally takes the children on walks in the neighborhood. .1723(15)(a ) 9999 All other rules must be followed even if there is not a specific violation number listed on this form. During today’s visit meal-time activities were monitored and it was observed that the provider did not sanitize the table both before and after serving lunch. Corrective Action: All violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Tuesday February 04, 2025 to the email listed below. Failure to correct the violation 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. Technical Assistance Provided and General Discussion: -It was discussed that all required posted documentation should be always up to date, visible and completed as required. -We discussed the expectation that all program paperwork is completed accurately and, in its entirety, to ensure all information is captured and is reflected correctly. -Ms. McMichael and I discussed that NC Child Care rules, laws and expectations change periodically to meet the diverse needs of the early childhood community including children, families, professionals and others so it is best practice to visit the Division’s website for the most up to date information, provider forms and expectations. -During today’s visit Ms. McMichael was reminded of the importance ensuring both the indoor and outdoor space are safe environments for children. We spoke specifically about the safety hazard that child-sized chairs being stacked on tables when young children are in care pose. I reminded McMichael that these chairs could fall potentially injuring children. -I reminded Ms. McMichael that it is required that enrolled children have files available and easily accessible for review. -I reminded Ms. McMichael of the importance of monitoring the outdoor learning environment daily and prior to children utilizing the space for all potential hazards included but not limited to dog feces, standing water, environmental debris and other items of clutter such as broken toys, construction materials, boxes of unused expired rapid COVID tests and other environmental debris were also observed present in this space. -Please make sure you check your email regularly for any updates or correspondence from either myself or DCDEE. Thank you for your time today and if you have any questions, please feel free to contact me, Resha K. Washington by phone at 704-910-7947 or via email at resha.washington@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. 110-91 · Violation

Name of Operation: ANGEL TENDER LOVING CARE Facility ID: 60001902 Consultant: RESHA WASHINGTON Operation Type: Family CC Home Case Number: Visit Date: 1/21/2025 Number Present: 3 Completed Date: 1/21/2025 Age: From 1 To 3 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the program’s full Annual Compliance visit. The facility had a Four Star Rated License issued May 17, 2018 and an eighteen month compliance history of 80% prior to today’s visit. The November 2024 FCCH Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. A copy of the Annual Compliance Summary and Checklist were left with the operator. The license and NC Summary of the Law were prominently posted. Upon my arrival, I was greeted at the side entrance of the home by the owner/operator, Ms. M. McMichael, and I explained the purpose of today’s visit. Ms. McMichael allowed me entry into the home where she was present with three (3) enrolled preschool children. There are currently two (2) preschool children each two years old and two (2) school-aged children enrolled on first shift. There is currently only one (1) preschool-aged child enrolled on second shift. Children were observed in free play activities, utilizing table toys, engaging in a story-time activity facilitated by Ms. McMichael, participating in personal care routines and meal-time. During today’s visit a walk-through of the program was conducted. The licensed childcare space, the program’s bathroom, the home’s kitchen used to prepare meals, and the outdoor learning environment were monitored. In the childcare space three (3) books were observed present in the library center with visible damage to the front cover and ripped pages. I reminded Ms. McMichael these books would need to be removed as they present a choking hazard to the children. It was also observed while having this discussion with Ms. McMichael that two (2) children under three (3) years of age were engaging in active play utilizing plastic grocery bags that were accessible on chair located in the space and classroom dramatic play items. I reminded Ms. McMichael that children under three (3) years of age should not have access to plastic bags, as these also present a choking hazard. Ms. McMichael stated that she understood and each of these items was removed during the visit. Upon transitioning from the indoor learning space to the outdoor learning environment child-sized chairs were observed stacked on two tables near the manipulative area and dramatic play area. I informed Ms. McMichael that these chairs would need to be taken down from the tables and placed on the floor, as they pose a safety hazard and could fall potentially injuring children. While monitoring the outdoor learning environment dog feces was observed in multiple areas including the grass, carport and cemented areas of the space. Standing water containing chunks of ice, environmental debris and other particles was observed present in a sensory table, plastic storage bin and an uncovered sand box. Various areas of clutter composed of broken toys, construction materials, boxes of unused expired rapid COVID tests and other environmental debris were also observed present in this space. The presence of each of these hazards was brought to Ms. McMichael’s attention and discussed in depth. I reminded Ms. McMichael that the presence of each these create safety concerns but especially the pet waste in her yard as it can be hazardous to not only the children enrolled in the program but this could affect her own health, the health of her pets, and sanitation of the program’s outdoor learning environment as pet waste can potentially contain bacteria, parasites, and viruses. She stated that she understood and is currently looking for assistance with cleaning these areas up. Daily attendance records were monitored, and it was observed that neither the daily attendance or sign-in information had been completed for the day. This was brought to the attention of the provider and corrected during the visit. The program’s lesson plan and daily schedule were reviewed. It was observed that the lesson plan was posted and current but there was no daily schedule available for review. Ms. McMichael’s staff file was monitored and it was observed that all specialized training including ITS-SIDS, First Aid and CPR certification were current. It was also observed that she has a current CBC qualifying letter on file and is readily accessible for review. Ms. McMichael is required to receive eight (8) in-service training hours annually. She currently has carried over two (2) hours from the previous year and will need to complete six (6) additional hours by January 31, 2025 to remain compliant. Ms. McMichael shared that she is currently the only caregiver and does not have an additional caregiver or substitute assisting with the program at this time. Ms. McMichael has two (2) pet canines that are housed onsite. Their vaccination records were monitored during today’s visit and it was observed that one’s Rabies vaccination expired in February 2024. I reminded Ms. McMichael that all pets housed onsite must be up to date and remain current on all required vaccinations. During today’s visit children’s files were reviewed. It was observed that Ms. McMichael did not have a file available for review for two (2) enrolled children. Ms. McMichael stated that she had received the enrollment packets back from each of the families but was not sure where she had stored them. I reminded Ms. McMichael that it is imperative that each enrolled child have the required enrollment documentation on file, completed in their entirety and accessible for review by a representative from the DCDEE. We briefly reviewed the children’s file document accessible on the Division’s website. It was also during this process it was observed that one enrolled child did not have a current pet acknowledgment form on file listing all the animals housed onsite and an up to date Permission to Travel beyond the fenced area form on file, as Ms. McMichael had shared that she occasionally takes the children on walks in the neighborhood. There are currently no medications administered in the facility. The center currently does not provide transportation. Program records were reviewed, and it was observed that quarterly emergency drills, monthly fire drills and monthly outdoor inspections were being completed as required. The incident log was reviewed and found to be in compliance. The last sanitation inspection was completed January 31, 2024, receiving six (6) demerits. The Emergency Preparedness and Response Plan (EPR) was reviewed and it was observed that it had not been updated annually, as required. During today’s visit meal-time activities were monitored and it was observed that the provider did not sanitize the table both before and after serving lunch. It was also observed that handwashing did not occur after mealtime and there was no menu posted for review. Also during today’s visit a child was observed being placed in a highchair for timeout for approximately fifteen minutes after attempting to engage in aggressive behavior towards another child. I informed Ms. McMicheal that the use of the highchair for this behavior was not safe, as it was not age-appropriate seating for this child and it could topple over causing injury, as well as the length of the time-out did not align with what she had outlined in her program’s discipline policy. Ms. McMichael stated that she did not utilize this chair typically for that length of time for that behavior but she wanted to ensure he would not cause harm to himself or others. She then removed the child from that seating and placed him next to her until he calmed down. There were fourteen (14) violations cited during today’s visit. Violation Number Comment Rule 538 The written schedule did not reflect daily opportunities for both free choice and guided activities. The program’s lesson plan and daily schedule were reviewed. It was observed that the lesson plan was posted and current but there was no daily schedule available for review. .1718(a )(7)(C ) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. While monitoring the outdoor learning environment various areas of clutter composed of broken toys, construction materials, boxes of unused expired rapid COVID tests and other environmental debris were also observed present in this space. .1719(a)(1)&(17) 816 Each child's hands were not washed before and after eating. During today’s visit meal-time activities were monitored and it was observed that handwashing did not occur after mealtime. .1725(a)(7)(B) 907 Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats, was not available. Ms. McMichael has two (2) pet canines that are housed onsite. Their vaccination records were monitored during today’s visit and it was observed that one’s Rabies vaccination expired in February 2024. .1719(b)(1) 920 Records were not made available for review. During today’s visit children’s files were reviewed. It was observed that Ms. McMichael did not have a file available for review for two (2) enrolled children. G.S. 110-91(9) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Daily attendance records were monitored, and it was observed that neither the daily attendance or sign-in information had been completed for the day. .1721(e)(6) 1007 Discipline was not appropriate for the child's age and development. During today’s visit a child was observed being placed in a highchair for timeout for approximately fifteen minutes after attempting to engage in aggressive behavior towards another child. .1722(b) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Upon transitioning from the indoor learning space to the outdoor learning environment child-sized chairs were observed stacked on two tables near the manipulative area and dramatic play area. 10A NCAC 09 .1719 (a) 1741 Prior to enrollment of children in a Family Child Care Home, and before animals come into the Family Child Care Home, the operator did not obtain each parent's signature on a form acknowledging the type of animal located on the premises and where the animal will be kept during child care operating hours and /or the signed form was not maintained in the child's file. During today’s visit children’s files were reviewed. It was observed that one enrolled child did not have a current pet acknowledgment form on file listing all the animals housed onsite. 10 NCAC 09 .1719(b)(3) 1871 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan (EPR) was reviewed and it was observed that it had not been updated annually, as required. .1705(b)(8) 1920 Indoor and outdoor area was not checked daily for debris, vandalism, broken equipment, and animal waste. While monitoring the outdoor learning environment dog feces was observed in multiple areas including the grass, carport and cemented areas of the space. Standing water containing chunks of ice, environmental debris and other particles were also observed present in a sensory table, plastic storage bin and an uncovered sand box. .1719(a)(17) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. In the childcare space three (3) books were observed present in the library center with visible damage to the front cover and ripped pages. It was also observed that two (2) children under three (3) years of age were engaging in active play utilizing plastic grocery bags that were accessible on chair located in the space and classroom dramatic play items. .1719(a)(18) 2003 Operator and/or staff member did not have permission from the parent to walk children off-premises for play or outings. During today’s visit children’s files were reviewed. It was observed that one enrolled child did not have an up to date Permission to Travel beyond the fenced area form on file, as Ms. McMichael had shared that she occasionally takes the children on walks in the neighborhood. .1723(15)(a ) 9999 All other rules must be followed even if there is not a specific violation number listed on this form. During today’s visit meal-time activities were monitored and it was observed that the provider did not sanitize the table both before and after serving lunch. Corrective Action: All violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Tuesday February 04, 2025 to the email listed below. Failure to correct the violation 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. Technical Assistance Provided and General Discussion: -It was discussed that all required posted documentation should be always up to date, visible and completed as required. -We discussed the expectation that all program paperwork is completed accurately and, in its entirety, to ensure all information is captured and is reflected correctly. -Ms. McMichael and I discussed that NC Child Care rules, laws and expectations change periodically to meet the diverse needs of the early childhood community including children, families, professionals and others so it is best practice to visit the Division’s website for the most up to date information, provider forms and expectations. -During today’s visit Ms. McMichael was reminded of the importance ensuring both the indoor and outdoor space are safe environments for children. We spoke specifically about the safety hazard that child-sized chairs being stacked on tables when young children are in care pose. I reminded McMichael that these chairs could fall potentially injuring children. -I reminded Ms. McMichael that it is required that enrolled children have files available and easily accessible for review. -I reminded Ms. McMichael of the importance of monitoring the outdoor learning environment daily and prior to children utilizing the space for all potential hazards included but not limited to dog feces, standing water, environmental debris and other items of clutter such as broken toys, construction materials, boxes of unused expired rapid COVID tests and other environmental debris were also observed present in this space. -Please make sure you check your email regularly for any updates or correspondence from either myself or DCDEE. Thank you for your time today and if you have any questions, please feel free to contact me, Resha K. Washington by phone at 704-910-7947 or via email at resha.washington@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 .1719 · Violation

Name of Operation: ANGEL TENDER LOVING CARE Facility ID: 60001902 Consultant: RESHA WASHINGTON Operation Type: Family CC Home Case Number: Visit Date: 7/31/2024 Number Present: 5 Completed Date: 7/31/2024 Age: From 0 To 9 Total Minutes: 240 Time In: 10:15 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility has a Four Star Rated License issued February 25, 2020 and an eighteen month compliance history of 81% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the March 2024 FCCH Item Number Listing: supervision, capacity, staff/child ratios, adequate and approved space, criminal background checks, CPR, First Aid, special training, new staff records, storage of hazardous products, and storage of medication. Upon arrival I approached the side entrance of the home and was allowed entry by an unknown female where I was promptly greeted by Ms. M. McMichael, owner/operator. Ms. McMichael was present with three (3) enrolled preschool-aged children and two (2) enrolled school-aged children. There were also two additional children present with the unknown female. Ms. McMichael explained that the unknown female was her granddaughter, Ms. K. Kizer and the additional two children (one preschool-aged child and one school-age child) are her children (Ms. McMichael’s great grandchildren). There are a total of three (3) preschool-aged children and two (2) school-aged children enrolled on first shift and one (1) school-aged child currently enrolled on second shift. It was at that time that I explained the purpose of my visit and began to conduct a walk-through of the program. The child care room, kitchen, and bathroom were monitored. In the child care room four (4) enrolled children were observed eating breakfast at two tables located in the childcare space and a television stored on top of a cabinet was observed turned on and a children’s animated show was playing on the screen. I reminded Ms. McMichael that she had children under three years of age in her care and we had previously discussed that screen time is prohibited for children under three years of age. I also reminded her that when screen time is offered to children over three years of age it must be utilized for an educational purpose, as well as documented on either a screen time log or on the program’s lesson plan. Ms. McMichael stated that she understood, and the television was turned off. During the walk-through of the kitchen a container of Bleach and a container of Pine-Sol each labeled with the warning Keep Out of Reach of Children accompanied by additional warnings were observed being stored on the floor and accessible to children. There was also a basket observed being stored on the kitchen counter containing a bottle of ZEP stainless steel polish, a bottle of Clorox cleaning spray, a bottle of Bruce Hardwood Floor cleaner and a bottle of Rejuvenate Wood Floor Restorer each labeled with the warning Keep Out of Reach of Children accompanied by additional warnings. I reminded Ms. McMichael that we had previously discussed the importance of ensuring all cleaning agents and other items with the warning Keep Out of Reach of Children accompanied by additional warnings are kept under lock and key. She stated that she remembered. She then removed the accessible hazardous items and placed them in a secured area. In the child care space a colorful multi-storage bin display was observed placed on top of a wooden shelf. I informed Ms. McMichael that the placement of this storage unit on top of another storage unit creates a safety hazard, as it is not tethered in place and could easily topple if bumped or touched by children during active play. She shared that this had recently been placed temporarily and moved it to the ground level in a more stable location during the visit. During the walk through it was also observed that plastic shopping bags were being stored in both the child care space and bathroom on the floor. I brought this to Ms. McMichael’s attention and she shared that they were placed there for easy access when needed to either store a child’s soiled clothing or to wrap up a dirty diaper. I reminded her that that all plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age as they pose a safety hazard. I recommended either storing them in a child safe container on a shelf or another storage area that was over five feet from the ground to make them accessible to her but inaccessible to the children. The plastic bags were removed and placed in a secure area during the visit. While conducting the walk-through three (3) enrolled children (two school-aged children and one preschool-aged child) were observed going into the outdoor learning environment with Ms. Kizer while Ms. McMichael was still inside assisting the two other enrolled preschool-aged children. I inquired about Ms. Kizer’s role with the program and Ms. McMichael stated that she had recently moved into the home but she was not an additional caregiver. I reminded Ms. McMichael that only staff members that have current, qualifying Criminal Background checks and the other required, completed program documents on file may supervise children enrolled in the program. I also informed her that any individual over the age of 15, who resides in a family child care home or a center located in a residence on a permanent or temporary basis, or those who had their 16th birthday after the initial licensing of a family child care home; must complete the Criminal Background check process and submit the required forms within five business days. She stated that she was not aware of that requirement and had the enrolled children come back into the home under her direct supervision. She also stated that her granddaughter would be moving out by the end of the month but she would have her complete the process immediately. Ms. McMichael’s file was monitored and it was observed that she had current CPR, First Aid, SIDS training and a current Criminal Background Check (CBC) on file. Ms. McMichael shared that she is currently the only caregiver. Program records were monitored. It was observed that emergency drills (shelter in place and lockdown drills) were current and being conducted as required. It was also observed that the last fire drill and monthly outdoor inspection was conducted in April 2024. These had not been completed in either May 2024 or June 2024. The last sanitation drill was conducted on January 31,2024 receiving 5 demerits. There were eight (8) violations cited today. Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. In the child care room four (4) enrolled children were observed eating breakfast at two tables located in the childcare space and a television stored on top of a cabinet was observed turned on and a children’s animated show was playing on the screen. .1718(c) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. In the child care space a colorful multi-storage bin display was observed placed on top of a wooden shelf. .1719(a)(1)&(17) 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. Program records were monitored. It was observed that the last monthly outdoor inspection was conducted in April 2024. This had not been completed in either May 2024 or June 2024. 10A NCAC .1721(e)(5)(A-F) 720 Adequate supervision was not provided for children in the Family Child Care Home. While conducting the walk-through three (3) enrolled children (two school-aged children and one preschool-aged child) were observed going into the outdoor learning environment with Ms. Kizer while Ms. McMichael was still inside assisting the two other enrolled preschool-aged children. .1711(a) 1846 An individual over the age of 15, who resides in a family child care home or a center located in a residence on a permanent or temporary basis, or those who had their 16th birthday after the initial licensing of a family child care home; did not complete and submit required forms within five business days. During the visit Ms. McMichael shared that her granddaughter, an individual over the age of 15, currently resides in the home on either a permanent or temporary basis but she did not complete the Criminal Background check process and submit the required forms within five business days. G.S. 110-90.2 & .2703(q) 1853 The operator did not conduct a monthly fire drill. Program records were monitored. It was observed that the last fire drill was conducted in April 2024. This had not been completed in either May 2024 or June 2024. .1719(a)(15) & .1721( e)(2) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. During the walk through it was observed that plastic shopping bags were being stored in both the child care space and bathroom on the floor. .1719(a)(18) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. During the walk-through of the kitchen a container of Bleach and a container of Pine-Sol each labeled with the warning Keep Out of Reach of Children accompanied by additional warnings were observed being stored on the floor and accessible to children. There was also a basket observed being stored on the kitchen counter containing a bottle of ZEP stainless steel polish, a bottle of Clorox cleaning spray, a bottle of Bruce Hardwood Floor cleaner and a bottle of Rejuvenate Wood Floor Restorer each labeled with the warning Keep Out of Reach of Children accompanied by additional warnings. 10A NCAC 09 .1719(a)(7) Corrective Action: All violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Wednesday August 14, 2024 to the email listed below. Failure to correct the violation 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. Technical Assistance Provided and General Discussion: -Ms. McMichael and I discussed the importance of ensuring that children in her care or adequately supervised at all times and this includes but is not limited to ensuring that only staff members and additional caregivers meeting the requirements to supervise children be left alone with children. -Ms. McMichael and I discussed that it is the expectation that that any individual over the age of 15, who resides in a family child care home or a center located in a residence on a permanent or temporary basis, or those who had their 16th birthday after the initial licensing of a family child care home; must complete the Criminal Background check process and submit the required forms within five business days. -The administrator and I discussed the storage requirements for any unsafe materials, including but not limited to hazardous items that has multiple warnings and other materials that could pose safety concerns for children. - We discussed the importance of putting a system in place to ensure that all required monthly drills and program related inspections are completed in the required timeframe, as well as documented and readily accessible for review. We spoke specifically about the outdoor inspections and fire drills. -We discussed both the expectations and requirements for the use of screen time during today’s visit. -We also discussed that all indoor and outdoor areas used by the children should be kept clean, orderly, and free of items which are potentially hazardous to children. We spoke specifically about the importance of ensuring that all furnishing and equipment accessible to children are positioned so they do not create any risks or safety hazards. -Please continue visiting the Division’s website for the most up to date information, provider forms and expectations. -Please check your email regularly for updates from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. Thank you for your time and if you have any questions, please contact Resha K. Washington at 704-910-7947 or email resha.washington@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. 110-90 · Violation

Name of Operation: ANGEL TENDER LOVING CARE Facility ID: 60001902 Consultant: RESHA WASHINGTON Operation Type: Family CC Home Case Number: Visit Date: 7/31/2024 Number Present: 5 Completed Date: 7/31/2024 Age: From 0 To 9 Total Minutes: 240 Time In: 10:15 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a routine unannounced visit. The facility has a Four Star Rated License issued February 25, 2020 and an eighteen month compliance history of 81% prior to today’s visit. The license and NC child care law summary were posted. The following was monitored using the March 2024 FCCH Item Number Listing: supervision, capacity, staff/child ratios, adequate and approved space, criminal background checks, CPR, First Aid, special training, new staff records, storage of hazardous products, and storage of medication. Upon arrival I approached the side entrance of the home and was allowed entry by an unknown female where I was promptly greeted by Ms. M. McMichael, owner/operator. Ms. McMichael was present with three (3) enrolled preschool-aged children and two (2) enrolled school-aged children. There were also two additional children present with the unknown female. Ms. McMichael explained that the unknown female was her granddaughter, Ms. K. Kizer and the additional two children (one preschool-aged child and one school-age child) are her children (Ms. McMichael’s great grandchildren). There are a total of three (3) preschool-aged children and two (2) school-aged children enrolled on first shift and one (1) school-aged child currently enrolled on second shift. It was at that time that I explained the purpose of my visit and began to conduct a walk-through of the program. The child care room, kitchen, and bathroom were monitored. In the child care room four (4) enrolled children were observed eating breakfast at two tables located in the childcare space and a television stored on top of a cabinet was observed turned on and a children’s animated show was playing on the screen. I reminded Ms. McMichael that she had children under three years of age in her care and we had previously discussed that screen time is prohibited for children under three years of age. I also reminded her that when screen time is offered to children over three years of age it must be utilized for an educational purpose, as well as documented on either a screen time log or on the program’s lesson plan. Ms. McMichael stated that she understood, and the television was turned off. During the walk-through of the kitchen a container of Bleach and a container of Pine-Sol each labeled with the warning Keep Out of Reach of Children accompanied by additional warnings were observed being stored on the floor and accessible to children. There was also a basket observed being stored on the kitchen counter containing a bottle of ZEP stainless steel polish, a bottle of Clorox cleaning spray, a bottle of Bruce Hardwood Floor cleaner and a bottle of Rejuvenate Wood Floor Restorer each labeled with the warning Keep Out of Reach of Children accompanied by additional warnings. I reminded Ms. McMichael that we had previously discussed the importance of ensuring all cleaning agents and other items with the warning Keep Out of Reach of Children accompanied by additional warnings are kept under lock and key. She stated that she remembered. She then removed the accessible hazardous items and placed them in a secured area. In the child care space a colorful multi-storage bin display was observed placed on top of a wooden shelf. I informed Ms. McMichael that the placement of this storage unit on top of another storage unit creates a safety hazard, as it is not tethered in place and could easily topple if bumped or touched by children during active play. She shared that this had recently been placed temporarily and moved it to the ground level in a more stable location during the visit. During the walk through it was also observed that plastic shopping bags were being stored in both the child care space and bathroom on the floor. I brought this to Ms. McMichael’s attention and she shared that they were placed there for easy access when needed to either store a child’s soiled clothing or to wrap up a dirty diaper. I reminded her that that all plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age as they pose a safety hazard. I recommended either storing them in a child safe container on a shelf or another storage area that was over five feet from the ground to make them accessible to her but inaccessible to the children. The plastic bags were removed and placed in a secure area during the visit. While conducting the walk-through three (3) enrolled children (two school-aged children and one preschool-aged child) were observed going into the outdoor learning environment with Ms. Kizer while Ms. McMichael was still inside assisting the two other enrolled preschool-aged children. I inquired about Ms. Kizer’s role with the program and Ms. McMichael stated that she had recently moved into the home but she was not an additional caregiver. I reminded Ms. McMichael that only staff members that have current, qualifying Criminal Background checks and the other required, completed program documents on file may supervise children enrolled in the program. I also informed her that any individual over the age of 15, who resides in a family child care home or a center located in a residence on a permanent or temporary basis, or those who had their 16th birthday after the initial licensing of a family child care home; must complete the Criminal Background check process and submit the required forms within five business days. She stated that she was not aware of that requirement and had the enrolled children come back into the home under her direct supervision. She also stated that her granddaughter would be moving out by the end of the month but she would have her complete the process immediately. Ms. McMichael’s file was monitored and it was observed that she had current CPR, First Aid, SIDS training and a current Criminal Background Check (CBC) on file. Ms. McMichael shared that she is currently the only caregiver. Program records were monitored. It was observed that emergency drills (shelter in place and lockdown drills) were current and being conducted as required. It was also observed that the last fire drill and monthly outdoor inspection was conducted in April 2024. These had not been completed in either May 2024 or June 2024. The last sanitation drill was conducted on January 31,2024 receiving 5 demerits. There were eight (8) violations cited today. Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. In the child care room four (4) enrolled children were observed eating breakfast at two tables located in the childcare space and a television stored on top of a cabinet was observed turned on and a children’s animated show was playing on the screen. .1718(c) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. In the child care space a colorful multi-storage bin display was observed placed on top of a wooden shelf. .1719(a)(1)&(17) 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. Program records were monitored. It was observed that the last monthly outdoor inspection was conducted in April 2024. This had not been completed in either May 2024 or June 2024. 10A NCAC .1721(e)(5)(A-F) 720 Adequate supervision was not provided for children in the Family Child Care Home. While conducting the walk-through three (3) enrolled children (two school-aged children and one preschool-aged child) were observed going into the outdoor learning environment with Ms. Kizer while Ms. McMichael was still inside assisting the two other enrolled preschool-aged children. .1711(a) 1846 An individual over the age of 15, who resides in a family child care home or a center located in a residence on a permanent or temporary basis, or those who had their 16th birthday after the initial licensing of a family child care home; did not complete and submit required forms within five business days. During the visit Ms. McMichael shared that her granddaughter, an individual over the age of 15, currently resides in the home on either a permanent or temporary basis but she did not complete the Criminal Background check process and submit the required forms within five business days. G.S. 110-90.2 & .2703(q) 1853 The operator did not conduct a monthly fire drill. Program records were monitored. It was observed that the last fire drill was conducted in April 2024. This had not been completed in either May 2024 or June 2024. .1719(a)(15) & .1721( e)(2) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. During the walk through it was observed that plastic shopping bags were being stored in both the child care space and bathroom on the floor. .1719(a)(18) 2048 Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. During the walk-through of the kitchen a container of Bleach and a container of Pine-Sol each labeled with the warning Keep Out of Reach of Children accompanied by additional warnings were observed being stored on the floor and accessible to children. There was also a basket observed being stored on the kitchen counter containing a bottle of ZEP stainless steel polish, a bottle of Clorox cleaning spray, a bottle of Bruce Hardwood Floor cleaner and a bottle of Rejuvenate Wood Floor Restorer each labeled with the warning Keep Out of Reach of Children accompanied by additional warnings. 10A NCAC 09 .1719(a)(7) Corrective Action: All violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Wednesday August 14, 2024 to the email listed below. Failure to correct the violation 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. Technical Assistance Provided and General Discussion: -Ms. McMichael and I discussed the importance of ensuring that children in her care or adequately supervised at all times and this includes but is not limited to ensuring that only staff members and additional caregivers meeting the requirements to supervise children be left alone with children. -Ms. McMichael and I discussed that it is the expectation that that any individual over the age of 15, who resides in a family child care home or a center located in a residence on a permanent or temporary basis, or those who had their 16th birthday after the initial licensing of a family child care home; must complete the Criminal Background check process and submit the required forms within five business days. -The administrator and I discussed the storage requirements for any unsafe materials, including but not limited to hazardous items that has multiple warnings and other materials that could pose safety concerns for children. - We discussed the importance of putting a system in place to ensure that all required monthly drills and program related inspections are completed in the required timeframe, as well as documented and readily accessible for review. We spoke specifically about the outdoor inspections and fire drills. -We discussed both the expectations and requirements for the use of screen time during today’s visit. -We also discussed that all indoor and outdoor areas used by the children should be kept clean, orderly, and free of items which are potentially hazardous to children. We spoke specifically about the importance of ensuring that all furnishing and equipment accessible to children are positioned so they do not create any risks or safety hazards. -Please continue visiting the Division’s website for the most up to date information, provider forms and expectations. -Please check your email regularly for updates from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. Thank you for your time and if you have any questions, please contact Resha K. Washington at 704-910-7947 or email resha.washington@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 09.1721 · Violation

Name of Operation: ANGEL TENDER LOVING CARE Facility ID: 60001902 Consultant: RESHA WASHINGTON Operation Type: Family CC Home Case Number: Visit Date: 1/24/2024 Number Present: 5 Completed Date: 1/24/2024 Age: From 0 To 3 Total Minutes: 315 Time In: 10:15 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full Annual Compliance visit. The facility had a Four Star Rated License issued May 17, 2018 and an eighteen month compliance history of 83% prior to today’s visit. The August 2023 FCCH Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. A copy of the Annual Compliance Summary and Checklist were left with the operator. The license and NC Summary of the Law were prominently posted. Upon my arrival, I was greeted by the owner/operator, Ms. M. McMichael, and I explained the purpose of today’s visit and she allowed me entry into the home. Ms. McMichael was present with six (6) preschool children. The facility’s current license allows Ms. Michael to provide care for no more than five (5) preschool children at one time and no more than two (2) infants under the age of 12 months. There are currently (5) enrolled preschool children between the ages of six months of age and three years old. There are a total of five (5) preschool children and two (2) school-aged children enrolled on first shift and there are currently two (2) school-aged children enrolled on second shift. When asked about the sixth child in attendance Ms. McMichael shared that the child is her great granddaughter who is visiting from out of state. She also shared that her mother had stepped out to do an errand and would be back shortly. I reminded Ms. McMichael of the current restrictions of her license and that she is currently over capacity. The child's mother arrived shortly thereafter. Children were observed in free play activities, utilizing table toys, personal care routines, meal-time and napping. A walk through of the facility was completed. The childcare space, bathroom and kitchen were monitored. The outdoor learning area environment was not monitored due to inclement weather. Ms. McMichael provided adequate supervision and was observed interacting with the children during free play activities and when conducting a story time activity. During the walk through of the childcare space it was observed that the paint on the back wall adjacent to the bathroom and the windowsill of the window located on the left side of the room have begun to chip. I reminded Ms. McMichael that each of these poses a safety risk to children and these areas need to be either covered or made inaccessible to children until the issues are repaired. In the bathroom it was observed that there was a container of Vaseline with the warning Keep out of the Reach of Children printed on the label being stored on top of a cabinet and accessible to children. It was also observed there were two (2) aerosol cans of personal hygiene products being stored in the top drawer of a clear storage bin container. I reminded Ms. McMichael that items with the warning Keep out of the Reach of Children need to either be stored at least five (5) feet above the ground or in a secured locked area and anything housed in an aerosol can needs to be stored in a secured locked area. Daily attendance records were monitored, and it was observed that the daily attendance had not been completed for the day. I reviewed Ms. McMichael’s file. It was observed that the last annual healthcare questionnaire was completed on February 8, 2022 and expired on February 8, 2023. Specialized training was monitored, and it was observed that Ms. McMichael’s ITS-SIDS certification was current, but she did not renew both First Aid and CPR certification conducted by an approved trainer prior December 11, 2023 as required. It was also observed that she has a current CBC qualifying letter on file. Ms. McMichael is required to receive eight (8) in-service training hours annually. She currently has received ten (10). She can carry over two (2) for the next year. Ms. McMichael has a substitute caregiver, B. Campbell. Ms. McMichael stated that Ms. Campbell began working on November 1, 2023 and she works less than five (5) hours per week. Ms. Campbell is current with CPR/First Aid and ITS-SIDS. It was observed that Ms. Campbell did not have a copy of her current CBC qualifying letter available for review. However, I was able to verify through the ABCMS website that she is “Qualified for Employment”. It was also observed that Ms. Campbell did not have a staff file available for review. I reminded Ms. McMichael that it is a requirement that both the provider and additional staff have files easily accessible for review. Ms. McMichael has two (2) pet dogs. Their vaccination records were monitored and found to be current. Ms. McMichael had a file available for review for all enrolled children. I reviewed four (4) children’s files. It was observed that one (1) enrolled children did not have a medical assessment on file and three (3) children did not have current Pet Acknowledgement forms on file reflecting all animals on the premises. There are currently no medications administered in the facility. The center currently does not provide transportation. Program records were reviewed, and it was observed that quarterly emergency drills, monthly fire drills and monthly outdoor inspections were being completed as required. The incident log was reviewed and found to be in compliance. The last sanitation inspection was completed January 03, 2023, receiving six (6) demerits. The Emergency Preparedness and Response Plan (EPR) was not available for review. There were thirteen (13) violations cited during today’s visit. Violation Number Comment Rule 101 Number of children exceeded number allowed. Ms. McMichael was present with six (6) preschool children. The facility’s current license allows Ms. Michael to provide care for no more than five (5) preschool children at one time and no more than two (2) infants under the age of 12 months. GS 110-91(7)(b) & 110-86(3)(b) 410 Copy of the required information for an individual was not on file in the home available for review. It was also observed that Ms. Campbell did not have a staff file available for review. .1702(b)(1-9) 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. It was observed that the provider did not renew her First Aid certification conducted by an approved trainer prior December 11, 2023 as required. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. It was observed that the provider did not renew her CPR certification conducted by an approved trainer prior December 11, 2023 as required. .1703(a)(3) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. During the walk through of the childcare space it was observed that the paint on the back wall adjacent to the bathroom and the windowsill of the window located on the left side of the room have begun to chip. .1719(a)(1)&(17) 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. In the bathroom it was observed that there were two (2) aerosol cans of personal hygiene products being stored in the top drawer of a clear storage bin container. .1719 (a)(7) 908 Health questionnaire was not completed annually. It was observed that the last annual healthcare questionnaire Ms. McMichael completed was on February 8, 2022 and expired on February 8, 2023. .1703(a)(1) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. It was observed that one (1) enrolled children that started on October 09, 2023 did not have a medical assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Daily attendance records were monitored, and it was observed that the daily attendance had not been completed for the day. .1721(e)(6) 1741 Prior to enrollment of children in a Family Child Care Home, and before animals come into the Family Child Care Home, the operator did not obtain each parent's signature on a form acknowledging the type of animal located on the premises and where the animal will be kept during child care operating hours and /or the signed form was not maintained in the child's file. It was observed that three (3) enrolled children did not have a current Pet Acknowledgement forms on file reflecting all animals on the premises. 10 NCAC 09 .1719(b)(3) 1831 A valid qualification letter was not on file and available for review at the facility. It was observed that Ms. Campbell did not have a copy of her current CBC qualifying letter available for review. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. The Emergency Preparedness and Response Plan (EPR) was not available for review. .1714(c) 1889 Products that are labeled "keep out of reach of children" without any other warnings, were not stored on a shelf or in an unlocked cabinet that is five feet above the finished floor. In the bathroom it was observed that there was a container of Vaseline with the warning Keep out of the Reach of Children printed on the label being stored on top of a cabinet. .1719(a)(7) Corrective Action: All violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Wednesday February 07, 2024 to the email listed below. Failure to correct the violation 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. Technical Assistance Provided and General Discussion: -It was discussed that all required posted documentation should be always up to date, visible and completed as required. -We discussed the expectation that all program paperwork is completed accurately and in its entirety, to ensure all information is captured and is reflected correctly. -Ms. McMichael and I discussed that NC Child Care rules, laws and expectations change periodically to meet the diverse needs of the early childhood community including children, families, professionals and others so it is best practice to visit the Division’s website for the most up to date information, provider forms and expectations. -I reminded Ms. McMichael that it is required that both the family child care home operator and staff members have files available and easily accessible for review. -I reminded Ms. McMichael that it is required that the family child care home operator adheres to the restrictions and capacity of the facility’s current license at all times. -Please make sure you check your email regularly for any updates or correspondence from either myself or DCDEE. -Quality Everyday (QED) through CCRI is available and works with one (1), two (2), three (3), four (4), and five (5) Star facilities. Thank you for your time today and if you have any questions, please feel free to contact me, Resha K. Washington by phone at 704-910-7947 or via email at resha.washington@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. 110-90 · Violation

Name of Operation: ANGEL TENDER LOVING CARE Facility ID: 60001902 Consultant: RESHA WASHINGTON Operation Type: Family CC Home Case Number: Visit Date: 1/24/2024 Number Present: 5 Completed Date: 1/24/2024 Age: From 0 To 3 Total Minutes: 315 Time In: 10:15 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full Annual Compliance visit. The facility had a Four Star Rated License issued May 17, 2018 and an eighteen month compliance history of 83% prior to today’s visit. The August 2023 FCCH Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. A copy of the Annual Compliance Summary and Checklist were left with the operator. The license and NC Summary of the Law were prominently posted. Upon my arrival, I was greeted by the owner/operator, Ms. M. McMichael, and I explained the purpose of today’s visit and she allowed me entry into the home. Ms. McMichael was present with six (6) preschool children. The facility’s current license allows Ms. Michael to provide care for no more than five (5) preschool children at one time and no more than two (2) infants under the age of 12 months. There are currently (5) enrolled preschool children between the ages of six months of age and three years old. There are a total of five (5) preschool children and two (2) school-aged children enrolled on first shift and there are currently two (2) school-aged children enrolled on second shift. When asked about the sixth child in attendance Ms. McMichael shared that the child is her great granddaughter who is visiting from out of state. She also shared that her mother had stepped out to do an errand and would be back shortly. I reminded Ms. McMichael of the current restrictions of her license and that she is currently over capacity. The child's mother arrived shortly thereafter. Children were observed in free play activities, utilizing table toys, personal care routines, meal-time and napping. A walk through of the facility was completed. The childcare space, bathroom and kitchen were monitored. The outdoor learning area environment was not monitored due to inclement weather. Ms. McMichael provided adequate supervision and was observed interacting with the children during free play activities and when conducting a story time activity. During the walk through of the childcare space it was observed that the paint on the back wall adjacent to the bathroom and the windowsill of the window located on the left side of the room have begun to chip. I reminded Ms. McMichael that each of these poses a safety risk to children and these areas need to be either covered or made inaccessible to children until the issues are repaired. In the bathroom it was observed that there was a container of Vaseline with the warning Keep out of the Reach of Children printed on the label being stored on top of a cabinet and accessible to children. It was also observed there were two (2) aerosol cans of personal hygiene products being stored in the top drawer of a clear storage bin container. I reminded Ms. McMichael that items with the warning Keep out of the Reach of Children need to either be stored at least five (5) feet above the ground or in a secured locked area and anything housed in an aerosol can needs to be stored in a secured locked area. Daily attendance records were monitored, and it was observed that the daily attendance had not been completed for the day. I reviewed Ms. McMichael’s file. It was observed that the last annual healthcare questionnaire was completed on February 8, 2022 and expired on February 8, 2023. Specialized training was monitored, and it was observed that Ms. McMichael’s ITS-SIDS certification was current, but she did not renew both First Aid and CPR certification conducted by an approved trainer prior December 11, 2023 as required. It was also observed that she has a current CBC qualifying letter on file. Ms. McMichael is required to receive eight (8) in-service training hours annually. She currently has received ten (10). She can carry over two (2) for the next year. Ms. McMichael has a substitute caregiver, B. Campbell. Ms. McMichael stated that Ms. Campbell began working on November 1, 2023 and she works less than five (5) hours per week. Ms. Campbell is current with CPR/First Aid and ITS-SIDS. It was observed that Ms. Campbell did not have a copy of her current CBC qualifying letter available for review. However, I was able to verify through the ABCMS website that she is “Qualified for Employment”. It was also observed that Ms. Campbell did not have a staff file available for review. I reminded Ms. McMichael that it is a requirement that both the provider and additional staff have files easily accessible for review. Ms. McMichael has two (2) pet dogs. Their vaccination records were monitored and found to be current. Ms. McMichael had a file available for review for all enrolled children. I reviewed four (4) children’s files. It was observed that one (1) enrolled children did not have a medical assessment on file and three (3) children did not have current Pet Acknowledgement forms on file reflecting all animals on the premises. There are currently no medications administered in the facility. The center currently does not provide transportation. Program records were reviewed, and it was observed that quarterly emergency drills, monthly fire drills and monthly outdoor inspections were being completed as required. The incident log was reviewed and found to be in compliance. The last sanitation inspection was completed January 03, 2023, receiving six (6) demerits. The Emergency Preparedness and Response Plan (EPR) was not available for review. There were thirteen (13) violations cited during today’s visit. Violation Number Comment Rule 101 Number of children exceeded number allowed. Ms. McMichael was present with six (6) preschool children. The facility’s current license allows Ms. Michael to provide care for no more than five (5) preschool children at one time and no more than two (2) infants under the age of 12 months. GS 110-91(7)(b) & 110-86(3)(b) 410 Copy of the required information for an individual was not on file in the home available for review. It was also observed that Ms. Campbell did not have a staff file available for review. .1702(b)(1-9) 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. It was observed that the provider did not renew her First Aid certification conducted by an approved trainer prior December 11, 2023 as required. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. It was observed that the provider did not renew her CPR certification conducted by an approved trainer prior December 11, 2023 as required. .1703(a)(3) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. During the walk through of the childcare space it was observed that the paint on the back wall adjacent to the bathroom and the windowsill of the window located on the left side of the room have begun to chip. .1719(a)(1)&(17) 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. In the bathroom it was observed that there were two (2) aerosol cans of personal hygiene products being stored in the top drawer of a clear storage bin container. .1719 (a)(7) 908 Health questionnaire was not completed annually. It was observed that the last annual healthcare questionnaire Ms. McMichael completed was on February 8, 2022 and expired on February 8, 2023. .1703(a)(1) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. It was observed that one (1) enrolled children that started on October 09, 2023 did not have a medical assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Daily attendance records were monitored, and it was observed that the daily attendance had not been completed for the day. .1721(e)(6) 1741 Prior to enrollment of children in a Family Child Care Home, and before animals come into the Family Child Care Home, the operator did not obtain each parent's signature on a form acknowledging the type of animal located on the premises and where the animal will be kept during child care operating hours and /or the signed form was not maintained in the child's file. It was observed that three (3) enrolled children did not have a current Pet Acknowledgement forms on file reflecting all animals on the premises. 10 NCAC 09 .1719(b)(3) 1831 A valid qualification letter was not on file and available for review at the facility. It was observed that Ms. Campbell did not have a copy of her current CBC qualifying letter available for review. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. The Emergency Preparedness and Response Plan (EPR) was not available for review. .1714(c) 1889 Products that are labeled "keep out of reach of children" without any other warnings, were not stored on a shelf or in an unlocked cabinet that is five feet above the finished floor. In the bathroom it was observed that there was a container of Vaseline with the warning Keep out of the Reach of Children printed on the label being stored on top of a cabinet. .1719(a)(7) Corrective Action: All violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Wednesday February 07, 2024 to the email listed below. Failure to correct the violation 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. Technical Assistance Provided and General Discussion: -It was discussed that all required posted documentation should be always up to date, visible and completed as required. -We discussed the expectation that all program paperwork is completed accurately and in its entirety, to ensure all information is captured and is reflected correctly. -Ms. McMichael and I discussed that NC Child Care rules, laws and expectations change periodically to meet the diverse needs of the early childhood community including children, families, professionals and others so it is best practice to visit the Division’s website for the most up to date information, provider forms and expectations. -I reminded Ms. McMichael that it is required that both the family child care home operator and staff members have files available and easily accessible for review. -I reminded Ms. McMichael that it is required that the family child care home operator adheres to the restrictions and capacity of the facility’s current license at all times. -Please make sure you check your email regularly for any updates or correspondence from either myself or DCDEE. -Quality Everyday (QED) through CCRI is available and works with one (1), two (2), three (3), four (4), and five (5) Star facilities. Thank you for your time today and if you have any questions, please feel free to contact me, Resha K. Washington by phone at 704-910-7947 or via email at resha.washington@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: ANGEL TENDER LOVING CARE Facility ID: 60001902 Consultant: RESHA WASHINGTON Operation Type: Family CC Home Case Number: Visit Date: 1/24/2024 Number Present: 5 Completed Date: 1/24/2024 Age: From 0 To 3 Total Minutes: 315 Time In: 10:15 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full Annual Compliance visit. The facility had a Four Star Rated License issued May 17, 2018 and an eighteen month compliance history of 83% prior to today’s visit. The August 2023 FCCH Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. A copy of the Annual Compliance Summary and Checklist were left with the operator. The license and NC Summary of the Law were prominently posted. Upon my arrival, I was greeted by the owner/operator, Ms. M. McMichael, and I explained the purpose of today’s visit and she allowed me entry into the home. Ms. McMichael was present with six (6) preschool children. The facility’s current license allows Ms. Michael to provide care for no more than five (5) preschool children at one time and no more than two (2) infants under the age of 12 months. There are currently (5) enrolled preschool children between the ages of six months of age and three years old. There are a total of five (5) preschool children and two (2) school-aged children enrolled on first shift and there are currently two (2) school-aged children enrolled on second shift. When asked about the sixth child in attendance Ms. McMichael shared that the child is her great granddaughter who is visiting from out of state. She also shared that her mother had stepped out to do an errand and would be back shortly. I reminded Ms. McMichael of the current restrictions of her license and that she is currently over capacity. The child's mother arrived shortly thereafter. Children were observed in free play activities, utilizing table toys, personal care routines, meal-time and napping. A walk through of the facility was completed. The childcare space, bathroom and kitchen were monitored. The outdoor learning area environment was not monitored due to inclement weather. Ms. McMichael provided adequate supervision and was observed interacting with the children during free play activities and when conducting a story time activity. During the walk through of the childcare space it was observed that the paint on the back wall adjacent to the bathroom and the windowsill of the window located on the left side of the room have begun to chip. I reminded Ms. McMichael that each of these poses a safety risk to children and these areas need to be either covered or made inaccessible to children until the issues are repaired. In the bathroom it was observed that there was a container of Vaseline with the warning Keep out of the Reach of Children printed on the label being stored on top of a cabinet and accessible to children. It was also observed there were two (2) aerosol cans of personal hygiene products being stored in the top drawer of a clear storage bin container. I reminded Ms. McMichael that items with the warning Keep out of the Reach of Children need to either be stored at least five (5) feet above the ground or in a secured locked area and anything housed in an aerosol can needs to be stored in a secured locked area. Daily attendance records were monitored, and it was observed that the daily attendance had not been completed for the day. I reviewed Ms. McMichael’s file. It was observed that the last annual healthcare questionnaire was completed on February 8, 2022 and expired on February 8, 2023. Specialized training was monitored, and it was observed that Ms. McMichael’s ITS-SIDS certification was current, but she did not renew both First Aid and CPR certification conducted by an approved trainer prior December 11, 2023 as required. It was also observed that she has a current CBC qualifying letter on file. Ms. McMichael is required to receive eight (8) in-service training hours annually. She currently has received ten (10). She can carry over two (2) for the next year. Ms. McMichael has a substitute caregiver, B. Campbell. Ms. McMichael stated that Ms. Campbell began working on November 1, 2023 and she works less than five (5) hours per week. Ms. Campbell is current with CPR/First Aid and ITS-SIDS. It was observed that Ms. Campbell did not have a copy of her current CBC qualifying letter available for review. However, I was able to verify through the ABCMS website that she is “Qualified for Employment”. It was also observed that Ms. Campbell did not have a staff file available for review. I reminded Ms. McMichael that it is a requirement that both the provider and additional staff have files easily accessible for review. Ms. McMichael has two (2) pet dogs. Their vaccination records were monitored and found to be current. Ms. McMichael had a file available for review for all enrolled children. I reviewed four (4) children’s files. It was observed that one (1) enrolled children did not have a medical assessment on file and three (3) children did not have current Pet Acknowledgement forms on file reflecting all animals on the premises. There are currently no medications administered in the facility. The center currently does not provide transportation. Program records were reviewed, and it was observed that quarterly emergency drills, monthly fire drills and monthly outdoor inspections were being completed as required. The incident log was reviewed and found to be in compliance. The last sanitation inspection was completed January 03, 2023, receiving six (6) demerits. The Emergency Preparedness and Response Plan (EPR) was not available for review. There were thirteen (13) violations cited during today’s visit. Violation Number Comment Rule 101 Number of children exceeded number allowed. Ms. McMichael was present with six (6) preschool children. The facility’s current license allows Ms. Michael to provide care for no more than five (5) preschool children at one time and no more than two (2) infants under the age of 12 months. GS 110-91(7)(b) & 110-86(3)(b) 410 Copy of the required information for an individual was not on file in the home available for review. It was also observed that Ms. Campbell did not have a staff file available for review. .1702(b)(1-9) 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. It was observed that the provider did not renew her First Aid certification conducted by an approved trainer prior December 11, 2023 as required. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. It was observed that the provider did not renew her CPR certification conducted by an approved trainer prior December 11, 2023 as required. .1703(a)(3) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. During the walk through of the childcare space it was observed that the paint on the back wall adjacent to the bathroom and the windowsill of the window located on the left side of the room have begun to chip. .1719(a)(1)&(17) 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. In the bathroom it was observed that there were two (2) aerosol cans of personal hygiene products being stored in the top drawer of a clear storage bin container. .1719 (a)(7) 908 Health questionnaire was not completed annually. It was observed that the last annual healthcare questionnaire Ms. McMichael completed was on February 8, 2022 and expired on February 8, 2023. .1703(a)(1) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. It was observed that one (1) enrolled children that started on October 09, 2023 did not have a medical assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Daily attendance records were monitored, and it was observed that the daily attendance had not been completed for the day. .1721(e)(6) 1741 Prior to enrollment of children in a Family Child Care Home, and before animals come into the Family Child Care Home, the operator did not obtain each parent's signature on a form acknowledging the type of animal located on the premises and where the animal will be kept during child care operating hours and /or the signed form was not maintained in the child's file. It was observed that three (3) enrolled children did not have a current Pet Acknowledgement forms on file reflecting all animals on the premises. 10 NCAC 09 .1719(b)(3) 1831 A valid qualification letter was not on file and available for review at the facility. It was observed that Ms. Campbell did not have a copy of her current CBC qualifying letter available for review. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. The Emergency Preparedness and Response Plan (EPR) was not available for review. .1714(c) 1889 Products that are labeled "keep out of reach of children" without any other warnings, were not stored on a shelf or in an unlocked cabinet that is five feet above the finished floor. In the bathroom it was observed that there was a container of Vaseline with the warning Keep out of the Reach of Children printed on the label being stored on top of a cabinet. .1719(a)(7) Corrective Action: All violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Wednesday February 07, 2024 to the email listed below. Failure to correct the violation 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. Technical Assistance Provided and General Discussion: -It was discussed that all required posted documentation should be always up to date, visible and completed as required. -We discussed the expectation that all program paperwork is completed accurately and in its entirety, to ensure all information is captured and is reflected correctly. -Ms. McMichael and I discussed that NC Child Care rules, laws and expectations change periodically to meet the diverse needs of the early childhood community including children, families, professionals and others so it is best practice to visit the Division’s website for the most up to date information, provider forms and expectations. -I reminded Ms. McMichael that it is required that both the family child care home operator and staff members have files available and easily accessible for review. -I reminded Ms. McMichael that it is required that the family child care home operator adheres to the restrictions and capacity of the facility’s current license at all times. -Please make sure you check your email regularly for any updates or correspondence from either myself or DCDEE. -Quality Everyday (QED) through CCRI is available and works with one (1), two (2), three (3), four (4), and five (5) Star facilities. Thank you for your time today and if you have any questions, please feel free to contact me, Resha K. Washington by phone at 704-910-7947 or via email at resha.washington@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