10A NCAC 09.1721 · Violation

Name of Operation: GINA'S LEARN-N-PLAY HOME DAY CARE Facility ID: 60000898 Consultant: DENISE WATSON Operation Type: Family CC Home Case Number: Visit Date: 7/30/2024 Number Present: 5 Completed Date: 7/30/2024 Age: From 0 To 5 Total Minutes: 120 Time In: 11:15 AM Time Out: 01:15 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 visit is to monitor all applicable childcare requirements during an Annual Compliance visit. The last Annual Compliance visit was made on 08/14/2022. The 4 Star Rated License was issued on 2/14/2020. I was let into the facility by operator Alethea Sinclair. She was present with five (5) children. The March 2024 version of the Family Child Care Home Master Item Number Listing and a checklist was used to note the requirements I monitored today. This facility has a compliance percentage of 98% as of today. Children were observed having routine needs met and free play. There were ample toys and activities available. Attendance was monitored. Current Activity plan, schedule, summary of law, first aid sheet, and emergency numbers were posted. The facility's ready to go file, and professional development plan was monitored. Safe sleep checks were monitored. Monthly Fire Drills, Emergency Preparedness Drills, and Playground inspections were monitored. A sanitation inspection was completed in 06/07/2024. Children's files were monitored for Application, Emergency Care Authorization, Medical/Immunization, Discipline Statement, Summary of Law, No smoking statement, Shaken Baby Syndrome policy, and Outside fence permission. The provider's file was monitored for Criminal Qualifying Letters, First Aid and CPR coverage, Health and Safety Trainings, Shaken Baby Syndrome Policy, Special Trainings, On-going Training hours, and Annual Health Questionnaire. This facility does not provide transportation. There are no children enrolled with allergies or medication present. The outdoor play area was monitored. The bathroom and kitchen area was monitored. The following violations were cited during today's visit: Violation Number Comment Rule 908 Health questionnaire was not completed annually. The provider's health questionnaire was not completed annually. .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. Copy of one (1) child's health assessment was not on file within 30 days of enrollment. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. Copy of one (1) child's immunization record was not on file. GS 110-91(1); .1721(a)(2) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The operator's ITS-SIDS training had expired as of 6/17/24. .1703(a)(4) 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. Recognizing and Responding to Child Maltreatment was not completed as part of the health and safety training topic areas within five years. .1703(d)(2) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. A professional development plan was not on file. .1703(i) Compliance -Violations cited today must be corrected immediately. Please send me a letter documenting how violations cited today were corrected by August 13, 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. Please continue to check the DCDEE website weekly as new information is added as well as emails from me. Please do not hesitate to contact me if you have any questions or concerns. Denise Watson P.O. Box 241561 Charlotte NC 28224 denise.watson@dhhs.nc.gov (704) 564-2910 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: GINA'S LEARN-N-PLAY HOME DAY CARE Facility ID: 60000898 Consultant: DENISE WATSON Operation Type: Family CC Home Case Number: Visit Date: 7/30/2024 Number Present: 5 Completed Date: 7/30/2024 Age: From 0 To 5 Total Minutes: 120 Time In: 11:15 AM Time Out: 01:15 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 visit is to monitor all applicable childcare requirements during an Annual Compliance visit. The last Annual Compliance visit was made on 08/14/2022. The 4 Star Rated License was issued on 2/14/2020. I was let into the facility by operator Alethea Sinclair. She was present with five (5) children. The March 2024 version of the Family Child Care Home Master Item Number Listing and a checklist was used to note the requirements I monitored today. This facility has a compliance percentage of 98% as of today. Children were observed having routine needs met and free play. There were ample toys and activities available. Attendance was monitored. Current Activity plan, schedule, summary of law, first aid sheet, and emergency numbers were posted. The facility's ready to go file, and professional development plan was monitored. Safe sleep checks were monitored. Monthly Fire Drills, Emergency Preparedness Drills, and Playground inspections were monitored. A sanitation inspection was completed in 06/07/2024. Children's files were monitored for Application, Emergency Care Authorization, Medical/Immunization, Discipline Statement, Summary of Law, No smoking statement, Shaken Baby Syndrome policy, and Outside fence permission. The provider's file was monitored for Criminal Qualifying Letters, First Aid and CPR coverage, Health and Safety Trainings, Shaken Baby Syndrome Policy, Special Trainings, On-going Training hours, and Annual Health Questionnaire. This facility does not provide transportation. There are no children enrolled with allergies or medication present. The outdoor play area was monitored. The bathroom and kitchen area was monitored. The following violations were cited during today's visit: Violation Number Comment Rule 908 Health questionnaire was not completed annually. The provider's health questionnaire was not completed annually. .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. Copy of one (1) child's health assessment was not on file within 30 days of enrollment. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. Copy of one (1) child's immunization record was not on file. GS 110-91(1); .1721(a)(2) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The operator's ITS-SIDS training had expired as of 6/17/24. .1703(a)(4) 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. Recognizing and Responding to Child Maltreatment was not completed as part of the health and safety training topic areas within five years. .1703(d)(2) 2025 Operator and/or staff members did not complete a professional development plan within one year of employment. A professional development plan was not on file. .1703(i) Compliance -Violations cited today must be corrected immediately. Please send me a letter documenting how violations cited today were corrected by August 13, 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. Please continue to check the DCDEE website weekly as new information is added as well as emails from me. Please do not hesitate to contact me if you have any questions or concerns. Denise Watson P.O. Box 241561 Charlotte NC 28224 denise.watson@dhhs.nc.gov (704) 564-2910 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: GINA'S LEARN-N-PLAY HOME DAY CARE Facility ID: 60000898 Consultant: DEANNA MATTHEWS Operation Type: Family CC Home Case Number: Visit Date: 8/14/2023 Number Present: 1 Completed Date: 8/14/2023 Age: From 3 To 3 Total Minutes: 180 Time In: 08:40 AM Time Out: 11:40 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance during an annual compliance visit. I was greeted by owner/operator Mrs. Alethea Sinclair. No one else was present in the home during the visit. One (1) child was present during the visit. I observed the child having supervised independent play, in which Mrs. Sinclair interacted with the child. The Family Child Care Home Monitoring Checklist was used to monitor today's visit. The Compliance Monitoring Checklist for Family Child Care Homes and the Family Child Care Home Item Number Listing was used to monitor the facility. The following was observed posted: Current License, NC Summary of Child Care Law, Schedule, Activity Plan, and Emergency Numbers. Monthly Fire Drills, Playground Inspections, the Emergency Medical Care Plan, Safe Sleep Poster, Incident Log, and the Emergency Preparedness and Response (EPR) Plan were observed; compliance was met. Mrs. Sinclair is using an approved curriculum, Mother Goose. The daily attendance and arrival and departure times were reviewed and met compliance. The child care facility, including the bathroom, child care room, kitchen, and outdoor play area was monitored during the visit; compliance was met. Soap and toilet paper were available in the bathroom for use, and there were no hazardous materials observed. There were no hazards in the child care room and the toys were in good repair. In the kitchen, there was a working fire extinguisher, working thermometer in the refrigerator, and smoke detectors. The outdoor play area was clean and the toys were in good repair. There is adequate mulch around the play structures. Mrs. Sinclair's file was monitored and observed for Health Questionnaire, Emergency Information, First Aid and CPR, and Criminal Qualifying Letters; Mrs. Sinclair has a current CBC letter on file, and Mr. Sinclair has a CBC letter on file. Mrs. Sinclair did not maintain a record of ongoing training, and a violation was cited. The children’s files were monitored. Two (2) children did not have a medical assessment on file, and a violation was cited. A child's application did not include the name and number of a physician, and a violation was cited. Two (2) children did not have a signed Written Plan of Care on file, and a violation was cited. One (1) child did not have a signed authorization to seek medical care in the parent's absence, and a violation was cited. Mrs. Sinclair does not have any pets. There are not children with medications; no medications stored. The Sanitation Inspection was completed June 6, 2023 with six (6) demerits. The following violations were cited: Violation Number Comment Rule 906 Authorization to seek medical care in the parent's absence was not available. Authorization to seek medical care in the parent's absence was not available on child's application (K.G.). .1721(a)(3)(I) 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. A child (K.G.) and (A.K.) did not have a medical assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 916 Operator did not maintain a record of on-going training in which he/she has participated. 10A NCAC 09 .1705(b)(4)(C) 1718 The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home. Parents did not sign a statement acknowledging the receipt and explanation of the plan. Parents did not give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. Two children's file did not have a signed written plan of care; (A.K.) and (K.G.). .1712(e )(6) 2041 Application did not include the names and the phone numbers of the child's physician and the persons to be contacted in an emergency situation. A child's (A.K.) application did not include the name and number of a physician. 10A NCAC 09 .1721(a)(3)(G)(H) Corrective Action The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter explaining how she corrected each of today’s violations and the steps she put in place to ensure on going compliance to me on or before Monday, August 28, 2023 to Deanna.Matthews@dhhs.nc.gov, or to the address listed below: Deanna Matthews P.O. Box 756 Gastonia, NC 28053-0756 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. The following Technical Assistance (TA) was provided: -Continue to check/review emails from the Division of Child Development and Early Education (DCDEE), and from your assigned child care consultant. -On June 12th Governor Cooper signed Senate Bill 291, extending the Child Care Hole Harmless legislation until June 30, 2024. -Stabilization Grant Funds paid for Quarters 1-6 must be spent by September 30, 2023. -Health and Safety Training was completed February 2023, and is due to be completed February 2028; must be completed every five years. -NC is collaborating to modernize NC's Child Care Quality Rating and Improvement System (QRIS), commonly known as the Star Rated License. We are collecting information from parents, teachers, administrators, operators, and partners. A Survey link will be emailed. Please contact Child Care Consultant, Deanna Matthews, at Deanna.Matthews@dhhs.nc.gov., or at 704-962-7854. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1721 · Violation

Name of Operation: GINA'S LEARN-N-PLAY HOME DAY CARE Facility ID: 60000898 Consultant: DEANNA MATTHEWS Operation Type: Family CC Home Case Number: Visit Date: 8/14/2023 Number Present: 1 Completed Date: 8/14/2023 Age: From 3 To 3 Total Minutes: 180 Time In: 08:40 AM Time Out: 11:40 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance during an annual compliance visit. I was greeted by owner/operator Mrs. Alethea Sinclair. No one else was present in the home during the visit. One (1) child was present during the visit. I observed the child having supervised independent play, in which Mrs. Sinclair interacted with the child. The Family Child Care Home Monitoring Checklist was used to monitor today's visit. The Compliance Monitoring Checklist for Family Child Care Homes and the Family Child Care Home Item Number Listing was used to monitor the facility. The following was observed posted: Current License, NC Summary of Child Care Law, Schedule, Activity Plan, and Emergency Numbers. Monthly Fire Drills, Playground Inspections, the Emergency Medical Care Plan, Safe Sleep Poster, Incident Log, and the Emergency Preparedness and Response (EPR) Plan were observed; compliance was met. Mrs. Sinclair is using an approved curriculum, Mother Goose. The daily attendance and arrival and departure times were reviewed and met compliance. The child care facility, including the bathroom, child care room, kitchen, and outdoor play area was monitored during the visit; compliance was met. Soap and toilet paper were available in the bathroom for use, and there were no hazardous materials observed. There were no hazards in the child care room and the toys were in good repair. In the kitchen, there was a working fire extinguisher, working thermometer in the refrigerator, and smoke detectors. The outdoor play area was clean and the toys were in good repair. There is adequate mulch around the play structures. Mrs. Sinclair's file was monitored and observed for Health Questionnaire, Emergency Information, First Aid and CPR, and Criminal Qualifying Letters; Mrs. Sinclair has a current CBC letter on file, and Mr. Sinclair has a CBC letter on file. Mrs. Sinclair did not maintain a record of ongoing training, and a violation was cited. The children’s files were monitored. Two (2) children did not have a medical assessment on file, and a violation was cited. A child's application did not include the name and number of a physician, and a violation was cited. Two (2) children did not have a signed Written Plan of Care on file, and a violation was cited. One (1) child did not have a signed authorization to seek medical care in the parent's absence, and a violation was cited. Mrs. Sinclair does not have any pets. There are not children with medications; no medications stored. The Sanitation Inspection was completed June 6, 2023 with six (6) demerits. The following violations were cited: Violation Number Comment Rule 906 Authorization to seek medical care in the parent's absence was not available. Authorization to seek medical care in the parent's absence was not available on child's application (K.G.). .1721(a)(3)(I) 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. A child (K.G.) and (A.K.) did not have a medical assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 916 Operator did not maintain a record of on-going training in which he/she has participated. 10A NCAC 09 .1705(b)(4)(C) 1718 The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home. Parents did not sign a statement acknowledging the receipt and explanation of the plan. Parents did not give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. Two children's file did not have a signed written plan of care; (A.K.) and (K.G.). .1712(e )(6) 2041 Application did not include the names and the phone numbers of the child's physician and the persons to be contacted in an emergency situation. A child's (A.K.) application did not include the name and number of a physician. 10A NCAC 09 .1721(a)(3)(G)(H) Corrective Action The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter explaining how she corrected each of today’s violations and the steps she put in place to ensure on going compliance to me on or before Monday, August 28, 2023 to Deanna.Matthews@dhhs.nc.gov, or to the address listed below: Deanna Matthews P.O. Box 756 Gastonia, NC 28053-0756 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. The following Technical Assistance (TA) was provided: -Continue to check/review emails from the Division of Child Development and Early Education (DCDEE), and from your assigned child care consultant. -On June 12th Governor Cooper signed Senate Bill 291, extending the Child Care Hole Harmless legislation until June 30, 2024. -Stabilization Grant Funds paid for Quarters 1-6 must be spent by September 30, 2023. -Health and Safety Training was completed February 2023, and is due to be completed February 2028; must be completed every five years. -NC is collaborating to modernize NC's Child Care Quality Rating and Improvement System (QRIS), commonly known as the Star Rated License. We are collecting information from parents, teachers, administrators, operators, and partners. A Survey link will be emailed. Please contact Child Care Consultant, Deanna Matthews, at Deanna.Matthews@dhhs.nc.gov., or at 704-962-7854. 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: GINA'S LEARN-N-PLAY HOME DAY CARE Facility ID: 60000898 Consultant: DEANNA MATTHEWS Operation Type: Family CC Home Case Number: Visit Date: 8/14/2023 Number Present: 1 Completed Date: 8/14/2023 Age: From 3 To 3 Total Minutes: 180 Time In: 08:40 AM Time Out: 11:40 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance during an annual compliance visit. I was greeted by owner/operator Mrs. Alethea Sinclair. No one else was present in the home during the visit. One (1) child was present during the visit. I observed the child having supervised independent play, in which Mrs. Sinclair interacted with the child. The Family Child Care Home Monitoring Checklist was used to monitor today's visit. The Compliance Monitoring Checklist for Family Child Care Homes and the Family Child Care Home Item Number Listing was used to monitor the facility. The following was observed posted: Current License, NC Summary of Child Care Law, Schedule, Activity Plan, and Emergency Numbers. Monthly Fire Drills, Playground Inspections, the Emergency Medical Care Plan, Safe Sleep Poster, Incident Log, and the Emergency Preparedness and Response (EPR) Plan were observed; compliance was met. Mrs. Sinclair is using an approved curriculum, Mother Goose. The daily attendance and arrival and departure times were reviewed and met compliance. The child care facility, including the bathroom, child care room, kitchen, and outdoor play area was monitored during the visit; compliance was met. Soap and toilet paper were available in the bathroom for use, and there were no hazardous materials observed. There were no hazards in the child care room and the toys were in good repair. In the kitchen, there was a working fire extinguisher, working thermometer in the refrigerator, and smoke detectors. The outdoor play area was clean and the toys were in good repair. There is adequate mulch around the play structures. Mrs. Sinclair's file was monitored and observed for Health Questionnaire, Emergency Information, First Aid and CPR, and Criminal Qualifying Letters; Mrs. Sinclair has a current CBC letter on file, and Mr. Sinclair has a CBC letter on file. Mrs. Sinclair did not maintain a record of ongoing training, and a violation was cited. The children’s files were monitored. Two (2) children did not have a medical assessment on file, and a violation was cited. A child's application did not include the name and number of a physician, and a violation was cited. Two (2) children did not have a signed Written Plan of Care on file, and a violation was cited. One (1) child did not have a signed authorization to seek medical care in the parent's absence, and a violation was cited. Mrs. Sinclair does not have any pets. There are not children with medications; no medications stored. The Sanitation Inspection was completed June 6, 2023 with six (6) demerits. The following violations were cited: Violation Number Comment Rule 906 Authorization to seek medical care in the parent's absence was not available. Authorization to seek medical care in the parent's absence was not available on child's application (K.G.). .1721(a)(3)(I) 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. A child (K.G.) and (A.K.) did not have a medical assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 916 Operator did not maintain a record of on-going training in which he/she has participated. 10A NCAC 09 .1705(b)(4)(C) 1718 The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home. Parents did not sign a statement acknowledging the receipt and explanation of the plan. Parents did not give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. Two children's file did not have a signed written plan of care; (A.K.) and (K.G.). .1712(e )(6) 2041 Application did not include the names and the phone numbers of the child's physician and the persons to be contacted in an emergency situation. A child's (A.K.) application did not include the name and number of a physician. 10A NCAC 09 .1721(a)(3)(G)(H) Corrective Action The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter explaining how she corrected each of today’s violations and the steps she put in place to ensure on going compliance to me on or before Monday, August 28, 2023 to Deanna.Matthews@dhhs.nc.gov, or to the address listed below: Deanna Matthews P.O. Box 756 Gastonia, NC 28053-0756 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. The following Technical Assistance (TA) was provided: -Continue to check/review emails from the Division of Child Development and Early Education (DCDEE), and from your assigned child care consultant. -On June 12th Governor Cooper signed Senate Bill 291, extending the Child Care Hole Harmless legislation until June 30, 2024. -Stabilization Grant Funds paid for Quarters 1-6 must be spent by September 30, 2023. -Health and Safety Training was completed February 2023, and is due to be completed February 2028; must be completed every five years. -NC is collaborating to modernize NC's Child Care Quality Rating and Improvement System (QRIS), commonly known as the Star Rated License. We are collecting information from parents, teachers, administrators, operators, and partners. A Survey link will be emailed. Please contact Child Care Consultant, Deanna Matthews, at Deanna.Matthews@dhhs.nc.gov., or at 704-962-7854. 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: GINA'S LEARN-N-PLAY HOME DAY CARE Facility ID: 60000898 Consultant: DEANNA MATTHEWS Operation Type: Family CC Home Case Number: Visit Date: 8/14/2023 Number Present: 1 Completed Date: 8/14/2023 Age: From 3 To 3 Total Minutes: 180 Time In: 08:40 AM Time Out: 11:40 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance during an annual compliance visit. I was greeted by owner/operator Mrs. Alethea Sinclair. No one else was present in the home during the visit. One (1) child was present during the visit. I observed the child having supervised independent play, in which Mrs. Sinclair interacted with the child. The Family Child Care Home Monitoring Checklist was used to monitor today's visit. The Compliance Monitoring Checklist for Family Child Care Homes and the Family Child Care Home Item Number Listing was used to monitor the facility. The following was observed posted: Current License, NC Summary of Child Care Law, Schedule, Activity Plan, and Emergency Numbers. Monthly Fire Drills, Playground Inspections, the Emergency Medical Care Plan, Safe Sleep Poster, Incident Log, and the Emergency Preparedness and Response (EPR) Plan were observed; compliance was met. Mrs. Sinclair is using an approved curriculum, Mother Goose. The daily attendance and arrival and departure times were reviewed and met compliance. The child care facility, including the bathroom, child care room, kitchen, and outdoor play area was monitored during the visit; compliance was met. Soap and toilet paper were available in the bathroom for use, and there were no hazardous materials observed. There were no hazards in the child care room and the toys were in good repair. In the kitchen, there was a working fire extinguisher, working thermometer in the refrigerator, and smoke detectors. The outdoor play area was clean and the toys were in good repair. There is adequate mulch around the play structures. Mrs. Sinclair's file was monitored and observed for Health Questionnaire, Emergency Information, First Aid and CPR, and Criminal Qualifying Letters; Mrs. Sinclair has a current CBC letter on file, and Mr. Sinclair has a CBC letter on file. Mrs. Sinclair did not maintain a record of ongoing training, and a violation was cited. The children’s files were monitored. Two (2) children did not have a medical assessment on file, and a violation was cited. A child's application did not include the name and number of a physician, and a violation was cited. Two (2) children did not have a signed Written Plan of Care on file, and a violation was cited. One (1) child did not have a signed authorization to seek medical care in the parent's absence, and a violation was cited. Mrs. Sinclair does not have any pets. There are not children with medications; no medications stored. The Sanitation Inspection was completed June 6, 2023 with six (6) demerits. The following violations were cited: Violation Number Comment Rule 906 Authorization to seek medical care in the parent's absence was not available. Authorization to seek medical care in the parent's absence was not available on child's application (K.G.). .1721(a)(3)(I) 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. A child (K.G.) and (A.K.) did not have a medical assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 916 Operator did not maintain a record of on-going training in which he/she has participated. 10A NCAC 09 .1705(b)(4)(C) 1718 The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home. Parents did not sign a statement acknowledging the receipt and explanation of the plan. Parents did not give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. Two children's file did not have a signed written plan of care; (A.K.) and (K.G.). .1712(e )(6) 2041 Application did not include the names and the phone numbers of the child's physician and the persons to be contacted in an emergency situation. A child's (A.K.) application did not include the name and number of a physician. 10A NCAC 09 .1721(a)(3)(G)(H) Corrective Action The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter explaining how she corrected each of today’s violations and the steps she put in place to ensure on going compliance to me on or before Monday, August 28, 2023 to Deanna.Matthews@dhhs.nc.gov, or to the address listed below: Deanna Matthews P.O. Box 756 Gastonia, NC 28053-0756 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. The following Technical Assistance (TA) was provided: -Continue to check/review emails from the Division of Child Development and Early Education (DCDEE), and from your assigned child care consultant. -On June 12th Governor Cooper signed Senate Bill 291, extending the Child Care Hole Harmless legislation until June 30, 2024. -Stabilization Grant Funds paid for Quarters 1-6 must be spent by September 30, 2023. -Health and Safety Training was completed February 2023, and is due to be completed February 2028; must be completed every five years. -NC is collaborating to modernize NC's Child Care Quality Rating and Improvement System (QRIS), commonly known as the Star Rated License. We are collecting information from parents, teachers, administrators, operators, and partners. A Survey link will be emailed. Please contact Child Care Consultant, Deanna Matthews, at Deanna.Matthews@dhhs.nc.gov., or at 704-962-7854. 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