Carolyn'S Large DAY Care Home

10A NCAC 09 .0701 · Violation

Name of Operation: CAROLYN'S LARGE DAY CARE HOME Facility ID: 60000097 Consultant: DENISE WATSON Operation Type: Center Case Number: Visit Date: 8/27/2025 Number Present: 8 Completed Date: 8/27/2025 Age: From 0 To 3 Total Minutes: 110 Time In: 09:40 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit is to monitor all applicable child care requirements during an Annual Compliance visit. The last Annual Compliance visit was made on 9/5/2024. The current 1 star license was issued on 2/9/17. The April 2025 version of Child Care Center Master Item Number Listing, DCD-0357 and a checklist was used to complete monitoring today. This facility has a current compliance history of 97%. This facility's space was monitored for: Sign in/out, menu, schedule, activity plan, and staff/child ratio chart. A Sanitation inspection was conducted on 6/12/2025. A Fire inspection was conducted on 12/9/2024. The following was observed posted: current license, Summary of Law, Safe Arrival and Departure procedures, Emergency Care Plan, and no smoking signage. The bathroom, and outdoor area was monitored today. There was tissue and paper towels available and a working thermometer in the kitchen refrigerator. Facility files were monitored for Monthly Fire Drills, Playground Inspections, and EPR Drills. Children were observed having teacher directed and free play activities. Children's files were monitored for Application, Emergency Care authorization, Summary of Law, Immunization, Discipline Statement, No smoking statement, and Shaken Baby Syndrome Policy (if applicable). Staff files were monitored today for Criminal Qualifying Letters, Medical Statement, TB Test, Health Questionnaire/Emergency Information, Annual on-going Training Hours, and Special Trainings. Medication storage and requirements were monitored. Feeding plans and nutritional requirements were monitored. This facility does not provide transportation. The following violations were cited during today's visit: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) child care provider did not have a medical report on file prior to employment that was signed by a health care professional. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff did not have an annual health questionnaire on file following the initial medical statement. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) child care provider did not have the required Emergency Information Form on file on or before the first day of work. .0701(a) Compliance -Violations cited today must be corrected immediately. Please send me a letter documenting how violations cited today were corrected by September 10, 2025. Failure to maintain compliance with all applicable requirements may result in an Administrative Action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Please make sure that the new staff receives first aid, cpr, recognizing and responding to child maltreatment training within 90 days of hire date. They cannot be left alone with infants until they have completed Its SIDS training. Within one year please ensure that a professional development plan is on file, health and safety trainings are completed, and a staff evaluation is done. Please document on the orientation form, supervision, emergency preparedness, and emergency medical care plan. If you have any questions, please do not hesitate to contact me. Denise Watson 345 Nance Rd. Charlotte N.C. 28214 (704) 564-2910 denise.watson@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: CAROLYN'S LARGE DAY CARE HOME Facility ID: 60000097 Consultant: DENISE WATSON Operation Type: Center Case Number: Visit Date: 3/18/2025 Number Present: 9 Completed Date: 3/18/2025 Age: From 0 To 3 Total Minutes: 95 Time In: 09:45 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit is to monitor all applicable requirements during a Routine Unannounced visit. The November 2024 Master Center Item Number Listing was used to complete today’s visit. I was greeted by teacher Haley Hayes. She was taking a group of six (6) children for outdoor play. She accompanied me back into the facility and made staff and facility files available to me. Owner Carolyn Lane was providing routine care for (3) children and supervised tummy time. Lunch was served during the visit. Interactions were positive and encouraging. Supervision, Staff Child Ratio, First Aid, Special Training, Storage of Hazardous Substances and Medication, Approved Space, Staff Records, Program Records, License Posted, and Permit Restrictions were monitored today. The following violations was cited during today's visit: Violation Number Comment Rule 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Prior to the expiration date of the qualification letter, one (1) household member did not complete and submit required forms to complete a criminal background check. G.S. 110-90.2(b) & .2703(n)&(o) Compliance -Violations cited today must be corrected immediately. Failure to maintain compliance with all applicable requirements may result in an Administrative Action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance -Continue to utilize the File Checklist located on the DCDEE website to ensure that staff, children, and facility files remain in compliance. -Remember that Staff Evaluations should be completed annually. Professional Development Plans, Emergency Medical Care Plan, and Emergency Preparedness Plan should be reviewed annually. -File Retention Rules will be made available to you via email. -Due to the rain and wind, mulch under the climbing structures outside will need to be fluffed. Please continue to check the DCDEE website as well as emails from me. If you have any questions, please do not hesitate to contact me. Denise Watson 345 Nance Rd. Charlotte N.C. 28214 (704) 564-2910 denise.watson@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: CAROLYN'S LARGE DAY CARE HOME Facility ID: 60000097 Consultant: DENISE WATSON Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 6 Completed Date: 9/5/2024 Age: From 0 To 2 Total Minutes: 115 Time In: 09:35 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit is to monitor all applicable child care requirements during an Annual Compliance visit. The last Annual Compliance visit was made on 9/14/2023. The current 1 star license was issued on 2/9/17. The March 2024 version of Child Care Center Master Item Number Listing, DCD-0357 and a checklist was used to complete monitoring today. This facility has a current compliance history of 99%. This facility's space was monitored for: Sign in/out, menu, schedule, activity plan, and staff/child ratio chart. A Sanitation inspection was conducted on 5/28/2024. A Fire inspection was conducted on 1/3/2024. The following was observed posted: current license, Summary of Law, Safe Arrival and Departure procedures, Emergency Care Plan, and no smoking signage. The bathroom, and outdoor area was monitored today. There was tissue and paper towels available and a working thermometer in the kitchen refrigerator. Facility files were monitored for Monthly Fire Drills, Playground Inspections, and EPR Drills. Children were observed having teacher directed and free play activities. Children's files were monitored for Application, Emergency Care authorization, Summary of Law, Immunization, Discipline Statement, No smoking statement, and Shaken Baby Syndrome Policy (if applicable). Staff files were monitored today for Criminal Qualifying Letters, Medical Statement, TB Test, Health Questionnaire/Emergency Information, Annual on-going Training Hours, and Special Trainings. Medication storage and requirements were monitored. Feeding plans and nutritional requirements were monitored. This facility does not provide transportation. The following violations were cited during today's visit: Violation Number Comment Rule 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available for two (2) children. .1005(b)(4) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file and available to review at the facility for one (1) caregiver. G.S. 110-90.2(b) & (d) & .2703(e) Compliance -Violations cited today must be corrected immediately. Please send me a letter documenting how violations cited today were corrected by September 19, 2024. Failure to maintain compliance with all applicable requirements may result in an Administrative Action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. If you have any questions, please do not hesitate to contact me. Denise Watson P.O. Box 241561 Charlotte N.C. 28224 (704) 564-2910 denise.watson@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 .0601 · Violation

Name of Operation: CAROLYN'S LARGE DAY CARE HOME Facility ID: 60000097 Consultant: DENISE WATSON Operation Type: Center Case Number: Visit Date: 4/10/2024 Number Present: 10 Completed Date: 4/10/2024 Age: From 0 To 2 Total Minutes: 90 Time In: 11:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit is to monitor all applicable requirements during a Routine Unannounced visit. The March 2024 Master Center Item Number Listing was used to complete today’s visit. I was greeted by owner Carolyn Lane. She and additional caregiver Hailey Hayes were present with ten (10) children. Children were observed completing lunch and transitioning to free play activities. Interactions were positive and encouraging. Supervision, Staff Child Ratio, First Aid, Special Training, Storage of Hazardous Substances and Medication, Approved Space, Staff Records, Program Records, License Posted, and Permit Restrictions were monitored today. The following violations were cited during today's visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Two pack and plays were located at the entrance of the facility blocking the door. 10A NCAC 09 .0601(a) Compliance -Violations cited today must be corrected immediately. Failure to maintain compliance with all applicable requirements may result in an Administrative Action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance -Even though infants can roll over and may do so when they're placed down on their backs to sleep, staff should be documenting (B) for "back to sleep" once the child is placed down. Even if they immediately change their sleep position, the new sleep position should be documented at the fifteen minute safe sleep check, (B) back, (T) tummy, (S) side. -Remember music should be played in fifteen (15) minute intervals unless played for a purpose such as music and movement or quiet music for rest or transition time. -Bouncy seats, "excersaucers", and other seating apparatus' should be used at a minimum as well. Children under the age of twelve (12) months should be given supervised tummy time when awake. If you have any questions, please do not hesitate to contact me. Denise Watson P.O. Box 241561 Charlotte N.C. 28224 (704) 564-2910 denise.watson@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