10A NCAC 09 .1703 · Violation

Name of Operation: LITTLE SMILE HOME DAY CARE Facility ID: 60003800 Consultant: DEANNA MATTHEWS Operation Type: Family CC Home Case Number: Visit Date: 5/12/2025 Number Present: 5 Completed Date: 5/12/2025 Age: From 1 To 4 Total Minutes: 110 Time In: 11:00 AM Time Out: 12:50 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. I was greeted by Mrs. Blanca Padilla, and I explained the purpose of the visit. Mrs. Padilla's mother, Ms. Sonia Zea, was present in the home for the holiday weekend. Mrs. Padilla's cousin, Ms. Katie Sarmiento, was in the home visiting for the holiday. The facility had a One-Star License issued February 15, 2017, and has an eighteen-month compliance history score of ninety-six (96) percent prior to today’s visit. The Annual Compliance visit was completed on November 21, 2024. I observed Mrs. Padilla present with five (5) children. The children were observed having were observed having group time with Mrs. Padilla. The following child care requirements were monitored and observed today using the Family Child Care Home Checklist and the 2025 Master Family Child Care Home Item Number Listing: Supervision: The children were adequately supervised. Nurturing tones were heard when Mrs. Padilla spoke with the children. Staff/Child Ratio: The staff/child ratio was maintained during today’s visit. CPR: Mrs. Padilla is current with CPR. First Aid: Mrs. Padilla is current First Aid. Special Training: Mrs. Padilla is continuing to complete ongoing in-service training. CBC Qualification: Mrs. Padilla has a current criminal background check (CBC) letter on file. Mrs. Padilla's husband has a current CBC on file. ITS-SIDS: There are no infants enrolled at this time. Mrs. Padilla is current with ITS-SIDS training. The Infant Safe Sleep Poster and Policy were posted. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: There is one (1) child that has an emergency medication; compliance was met. Storage of Hazardous Substances: I did not observe any hazardous substances accessible to children. Storage of Medication: The medication was properly stored. General Safety: There are no safety concerns. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: The children present during the visit were observed in licensed approved space. Program Records: I reviewed all information required to be posted. The monthly fire drill was complete and up to date, and the quarterly drill (shelter-in-place/lock drills) were up to date. The playground inspections were up-to-date. License Posted: The license was observed posted. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed July 29, 2024 with a demerit score of fifteen (15). The water has not been tested, and a violation was cited. The Emergency Preparedness Plan is on file and was reviewed; compliance was met. One (1) violation was cited. 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 May 27, 2025, 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The compliance letter due date is May 27, 2025, because May 26th is a Holiday. Reminder: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -Session Law 2024-34 Extension of Hold Harmless provisions: Star rated license reassessments for licensed child care providers will be conducted by provider request only, until the QRIS rulemaking process has been completed. The following Technical Assistance (TA) was provided: -Continue to review the Emergency Preparedness and Response Plan (EPR) annually, and include the revision date if changes are made (Child Care Rule 10A NCAC 09 .1714(d)(8)). -The facility's water must be tested every three (3) years. Mrs. Padilla stated that she completed the required training for Clean Classrooms for Carolina Kids. The family child care home operator must collect and submit samples of water from each outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health (Child Care Rule 10A NCAC 09 .1725(a)(2)). -Your CPR/First Aid will expire August 2025. The training must be completed by an approved CPR/First Aid agency (Child Care Rule 10A NCAC 09 .1703(a)(3); .1703(a)(2)). -Your ITS-SIDS training will expire in August 2025. You must complete ITS-SIDS training every three (3) years (Child Care Rule 10A NCAC 09 .1703(a)(4)). -Authorization for up to six (6) months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions must be in writing and contain information required by Child Care Rule 10 NCAC 09 .1720(c)(6)(A-I), such as the length of time the authorization is valid. Please be reminded that a child's medication authorization expires May 22, 2025. Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -Mrs. Padilla has completed the training, however, she has not been able to complete the facility's roster. -Ms. Padilla stated that she is going to have her mother complete background checks/finger printing, to obtain Criminal Qualifying letters, because the mother visits during the holidays. -NCID Password Rule to Change If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. There is no action you need to take on or before February 23rd. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. 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 .1714 · Violation

Name of Operation: LITTLE SMILE HOME DAY CARE Facility ID: 60003800 Consultant: DEANNA MATTHEWS Operation Type: Family CC Home Case Number: Visit Date: 5/12/2025 Number Present: 5 Completed Date: 5/12/2025 Age: From 1 To 4 Total Minutes: 110 Time In: 11:00 AM Time Out: 12:50 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. I was greeted by Mrs. Blanca Padilla, and I explained the purpose of the visit. Mrs. Padilla's mother, Ms. Sonia Zea, was present in the home for the holiday weekend. Mrs. Padilla's cousin, Ms. Katie Sarmiento, was in the home visiting for the holiday. The facility had a One-Star License issued February 15, 2017, and has an eighteen-month compliance history score of ninety-six (96) percent prior to today’s visit. The Annual Compliance visit was completed on November 21, 2024. I observed Mrs. Padilla present with five (5) children. The children were observed having were observed having group time with Mrs. Padilla. The following child care requirements were monitored and observed today using the Family Child Care Home Checklist and the 2025 Master Family Child Care Home Item Number Listing: Supervision: The children were adequately supervised. Nurturing tones were heard when Mrs. Padilla spoke with the children. Staff/Child Ratio: The staff/child ratio was maintained during today’s visit. CPR: Mrs. Padilla is current with CPR. First Aid: Mrs. Padilla is current First Aid. Special Training: Mrs. Padilla is continuing to complete ongoing in-service training. CBC Qualification: Mrs. Padilla has a current criminal background check (CBC) letter on file. Mrs. Padilla's husband has a current CBC on file. ITS-SIDS: There are no infants enrolled at this time. Mrs. Padilla is current with ITS-SIDS training. The Infant Safe Sleep Poster and Policy were posted. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: There is one (1) child that has an emergency medication; compliance was met. Storage of Hazardous Substances: I did not observe any hazardous substances accessible to children. Storage of Medication: The medication was properly stored. General Safety: There are no safety concerns. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: The children present during the visit were observed in licensed approved space. Program Records: I reviewed all information required to be posted. The monthly fire drill was complete and up to date, and the quarterly drill (shelter-in-place/lock drills) were up to date. The playground inspections were up-to-date. License Posted: The license was observed posted. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed July 29, 2024 with a demerit score of fifteen (15). The water has not been tested, and a violation was cited. The Emergency Preparedness Plan is on file and was reviewed; compliance was met. One (1) violation was cited. 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 May 27, 2025, 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The compliance letter due date is May 27, 2025, because May 26th is a Holiday. Reminder: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -Session Law 2024-34 Extension of Hold Harmless provisions: Star rated license reassessments for licensed child care providers will be conducted by provider request only, until the QRIS rulemaking process has been completed. The following Technical Assistance (TA) was provided: -Continue to review the Emergency Preparedness and Response Plan (EPR) annually, and include the revision date if changes are made (Child Care Rule 10A NCAC 09 .1714(d)(8)). -The facility's water must be tested every three (3) years. Mrs. Padilla stated that she completed the required training for Clean Classrooms for Carolina Kids. The family child care home operator must collect and submit samples of water from each outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health (Child Care Rule 10A NCAC 09 .1725(a)(2)). -Your CPR/First Aid will expire August 2025. The training must be completed by an approved CPR/First Aid agency (Child Care Rule 10A NCAC 09 .1703(a)(3); .1703(a)(2)). -Your ITS-SIDS training will expire in August 2025. You must complete ITS-SIDS training every three (3) years (Child Care Rule 10A NCAC 09 .1703(a)(4)). -Authorization for up to six (6) months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions must be in writing and contain information required by Child Care Rule 10 NCAC 09 .1720(c)(6)(A-I), such as the length of time the authorization is valid. Please be reminded that a child's medication authorization expires May 22, 2025. Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -Mrs. Padilla has completed the training, however, she has not been able to complete the facility's roster. -Ms. Padilla stated that she is going to have her mother complete background checks/finger printing, to obtain Criminal Qualifying letters, because the mother visits during the holidays. -NCID Password Rule to Change If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. There is no action you need to take on or before February 23rd. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. 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 .1725 · Violation

Name of Operation: LITTLE SMILE HOME DAY CARE Facility ID: 60003800 Consultant: DEANNA MATTHEWS Operation Type: Family CC Home Case Number: Visit Date: 5/12/2025 Number Present: 5 Completed Date: 5/12/2025 Age: From 1 To 4 Total Minutes: 110 Time In: 11:00 AM Time Out: 12:50 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. I was greeted by Mrs. Blanca Padilla, and I explained the purpose of the visit. Mrs. Padilla's mother, Ms. Sonia Zea, was present in the home for the holiday weekend. Mrs. Padilla's cousin, Ms. Katie Sarmiento, was in the home visiting for the holiday. The facility had a One-Star License issued February 15, 2017, and has an eighteen-month compliance history score of ninety-six (96) percent prior to today’s visit. The Annual Compliance visit was completed on November 21, 2024. I observed Mrs. Padilla present with five (5) children. The children were observed having were observed having group time with Mrs. Padilla. The following child care requirements were monitored and observed today using the Family Child Care Home Checklist and the 2025 Master Family Child Care Home Item Number Listing: Supervision: The children were adequately supervised. Nurturing tones were heard when Mrs. Padilla spoke with the children. Staff/Child Ratio: The staff/child ratio was maintained during today’s visit. CPR: Mrs. Padilla is current with CPR. First Aid: Mrs. Padilla is current First Aid. Special Training: Mrs. Padilla is continuing to complete ongoing in-service training. CBC Qualification: Mrs. Padilla has a current criminal background check (CBC) letter on file. Mrs. Padilla's husband has a current CBC on file. ITS-SIDS: There are no infants enrolled at this time. Mrs. Padilla is current with ITS-SIDS training. The Infant Safe Sleep Poster and Policy were posted. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: There is one (1) child that has an emergency medication; compliance was met. Storage of Hazardous Substances: I did not observe any hazardous substances accessible to children. Storage of Medication: The medication was properly stored. General Safety: There are no safety concerns. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: The children present during the visit were observed in licensed approved space. Program Records: I reviewed all information required to be posted. The monthly fire drill was complete and up to date, and the quarterly drill (shelter-in-place/lock drills) were up to date. The playground inspections were up-to-date. License Posted: The license was observed posted. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed July 29, 2024 with a demerit score of fifteen (15). The water has not been tested, and a violation was cited. The Emergency Preparedness Plan is on file and was reviewed; compliance was met. One (1) violation was cited. 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 May 27, 2025, 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The compliance letter due date is May 27, 2025, because May 26th is a Holiday. Reminder: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -Session Law 2024-34 Extension of Hold Harmless provisions: Star rated license reassessments for licensed child care providers will be conducted by provider request only, until the QRIS rulemaking process has been completed. The following Technical Assistance (TA) was provided: -Continue to review the Emergency Preparedness and Response Plan (EPR) annually, and include the revision date if changes are made (Child Care Rule 10A NCAC 09 .1714(d)(8)). -The facility's water must be tested every three (3) years. Mrs. Padilla stated that she completed the required training for Clean Classrooms for Carolina Kids. The family child care home operator must collect and submit samples of water from each outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health (Child Care Rule 10A NCAC 09 .1725(a)(2)). -Your CPR/First Aid will expire August 2025. The training must be completed by an approved CPR/First Aid agency (Child Care Rule 10A NCAC 09 .1703(a)(3); .1703(a)(2)). -Your ITS-SIDS training will expire in August 2025. You must complete ITS-SIDS training every three (3) years (Child Care Rule 10A NCAC 09 .1703(a)(4)). -Authorization for up to six (6) months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions must be in writing and contain information required by Child Care Rule 10 NCAC 09 .1720(c)(6)(A-I), such as the length of time the authorization is valid. Please be reminded that a child's medication authorization expires May 22, 2025. Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -Mrs. Padilla has completed the training, however, she has not been able to complete the facility's roster. -Ms. Padilla stated that she is going to have her mother complete background checks/finger printing, to obtain Criminal Qualifying letters, because the mother visits during the holidays. -NCID Password Rule to Change If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. There is no action you need to take on or before February 23rd. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. 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: LITTLE SMILE HOME DAY CARE Facility ID: 60003800 Consultant: DEANNA MATTHEWS Operation Type: Family CC Home Case Number: Visit Date: 5/12/2025 Number Present: 5 Completed Date: 5/12/2025 Age: From 1 To 4 Total Minutes: 110 Time In: 11:00 AM Time Out: 12:50 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. I was greeted by Mrs. Blanca Padilla, and I explained the purpose of the visit. Mrs. Padilla's mother, Ms. Sonia Zea, was present in the home for the holiday weekend. Mrs. Padilla's cousin, Ms. Katie Sarmiento, was in the home visiting for the holiday. The facility had a One-Star License issued February 15, 2017, and has an eighteen-month compliance history score of ninety-six (96) percent prior to today’s visit. The Annual Compliance visit was completed on November 21, 2024. I observed Mrs. Padilla present with five (5) children. The children were observed having were observed having group time with Mrs. Padilla. The following child care requirements were monitored and observed today using the Family Child Care Home Checklist and the 2025 Master Family Child Care Home Item Number Listing: Supervision: The children were adequately supervised. Nurturing tones were heard when Mrs. Padilla spoke with the children. Staff/Child Ratio: The staff/child ratio was maintained during today’s visit. CPR: Mrs. Padilla is current with CPR. First Aid: Mrs. Padilla is current First Aid. Special Training: Mrs. Padilla is continuing to complete ongoing in-service training. CBC Qualification: Mrs. Padilla has a current criminal background check (CBC) letter on file. Mrs. Padilla's husband has a current CBC on file. ITS-SIDS: There are no infants enrolled at this time. Mrs. Padilla is current with ITS-SIDS training. The Infant Safe Sleep Poster and Policy were posted. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: There is one (1) child that has an emergency medication; compliance was met. Storage of Hazardous Substances: I did not observe any hazardous substances accessible to children. Storage of Medication: The medication was properly stored. General Safety: There are no safety concerns. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: The children present during the visit were observed in licensed approved space. Program Records: I reviewed all information required to be posted. The monthly fire drill was complete and up to date, and the quarterly drill (shelter-in-place/lock drills) were up to date. The playground inspections were up-to-date. License Posted: The license was observed posted. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed July 29, 2024 with a demerit score of fifteen (15). The water has not been tested, and a violation was cited. The Emergency Preparedness Plan is on file and was reviewed; compliance was met. One (1) violation was cited. 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 May 27, 2025, 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The compliance letter due date is May 27, 2025, because May 26th is a Holiday. Reminder: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -Session Law 2024-34 Extension of Hold Harmless provisions: Star rated license reassessments for licensed child care providers will be conducted by provider request only, until the QRIS rulemaking process has been completed. The following Technical Assistance (TA) was provided: -Continue to review the Emergency Preparedness and Response Plan (EPR) annually, and include the revision date if changes are made (Child Care Rule 10A NCAC 09 .1714(d)(8)). -The facility's water must be tested every three (3) years. Mrs. Padilla stated that she completed the required training for Clean Classrooms for Carolina Kids. The family child care home operator must collect and submit samples of water from each outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health (Child Care Rule 10A NCAC 09 .1725(a)(2)). -Your CPR/First Aid will expire August 2025. The training must be completed by an approved CPR/First Aid agency (Child Care Rule 10A NCAC 09 .1703(a)(3); .1703(a)(2)). -Your ITS-SIDS training will expire in August 2025. You must complete ITS-SIDS training every three (3) years (Child Care Rule 10A NCAC 09 .1703(a)(4)). -Authorization for up to six (6) months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions must be in writing and contain information required by Child Care Rule 10 NCAC 09 .1720(c)(6)(A-I), such as the length of time the authorization is valid. Please be reminded that a child's medication authorization expires May 22, 2025. Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -Mrs. Padilla has completed the training, however, she has not been able to complete the facility's roster. -Ms. Padilla stated that she is going to have her mother complete background checks/finger printing, to obtain Criminal Qualifying letters, because the mother visits during the holidays. -NCID Password Rule to Change If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. There is no action you need to take on or before February 23rd. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. 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: LITTLE SMILE HOME DAY CARE Facility ID: 60003800 Consultant: DEANNA MATTHEWS Operation Type: Family CC Home Case Number: Visit Date: 5/12/2025 Number Present: 5 Completed Date: 5/12/2025 Age: From 1 To 4 Total Minutes: 110 Time In: 11:00 AM Time Out: 12:50 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. I was greeted by Mrs. Blanca Padilla, and I explained the purpose of the visit. Mrs. Padilla's mother, Ms. Sonia Zea, was present in the home for the holiday weekend. Mrs. Padilla's cousin, Ms. Katie Sarmiento, was in the home visiting for the holiday. The facility had a One-Star License issued February 15, 2017, and has an eighteen-month compliance history score of ninety-six (96) percent prior to today’s visit. The Annual Compliance visit was completed on November 21, 2024. I observed Mrs. Padilla present with five (5) children. The children were observed having were observed having group time with Mrs. Padilla. The following child care requirements were monitored and observed today using the Family Child Care Home Checklist and the 2025 Master Family Child Care Home Item Number Listing: Supervision: The children were adequately supervised. Nurturing tones were heard when Mrs. Padilla spoke with the children. Staff/Child Ratio: The staff/child ratio was maintained during today’s visit. CPR: Mrs. Padilla is current with CPR. First Aid: Mrs. Padilla is current First Aid. Special Training: Mrs. Padilla is continuing to complete ongoing in-service training. CBC Qualification: Mrs. Padilla has a current criminal background check (CBC) letter on file. Mrs. Padilla's husband has a current CBC on file. ITS-SIDS: There are no infants enrolled at this time. Mrs. Padilla is current with ITS-SIDS training. The Infant Safe Sleep Poster and Policy were posted. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: There is one (1) child that has an emergency medication; compliance was met. Storage of Hazardous Substances: I did not observe any hazardous substances accessible to children. Storage of Medication: The medication was properly stored. General Safety: There are no safety concerns. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: The children present during the visit were observed in licensed approved space. Program Records: I reviewed all information required to be posted. The monthly fire drill was complete and up to date, and the quarterly drill (shelter-in-place/lock drills) were up to date. The playground inspections were up-to-date. License Posted: The license was observed posted. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed July 29, 2024 with a demerit score of fifteen (15). The water has not been tested, and a violation was cited. The Emergency Preparedness Plan is on file and was reviewed; compliance was met. One (1) violation was cited. 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 May 27, 2025, 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The compliance letter due date is May 27, 2025, because May 26th is a Holiday. Reminder: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -Session Law 2024-34 Extension of Hold Harmless provisions: Star rated license reassessments for licensed child care providers will be conducted by provider request only, until the QRIS rulemaking process has been completed. The following Technical Assistance (TA) was provided: -Continue to review the Emergency Preparedness and Response Plan (EPR) annually, and include the revision date if changes are made (Child Care Rule 10A NCAC 09 .1714(d)(8)). -The facility's water must be tested every three (3) years. Mrs. Padilla stated that she completed the required training for Clean Classrooms for Carolina Kids. The family child care home operator must collect and submit samples of water from each outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health (Child Care Rule 10A NCAC 09 .1725(a)(2)). -Your CPR/First Aid will expire August 2025. The training must be completed by an approved CPR/First Aid agency (Child Care Rule 10A NCAC 09 .1703(a)(3); .1703(a)(2)). -Your ITS-SIDS training will expire in August 2025. You must complete ITS-SIDS training every three (3) years (Child Care Rule 10A NCAC 09 .1703(a)(4)). -Authorization for up to six (6) months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions must be in writing and contain information required by Child Care Rule 10 NCAC 09 .1720(c)(6)(A-I), such as the length of time the authorization is valid. Please be reminded that a child's medication authorization expires May 22, 2025. Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -Mrs. Padilla has completed the training, however, she has not been able to complete the facility's roster. -Ms. Padilla stated that she is going to have her mother complete background checks/finger printing, to obtain Criminal Qualifying letters, because the mother visits during the holidays. -NCID Password Rule to Change If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. There is no action you need to take on or before February 23rd. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. 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: LITTLE SMILE HOME DAY CARE Facility ID: 60003800 Consultant: DEANNA MATTHEWS Operation Type: Family CC Home Case Number: Visit Date: 5/9/2024 Number Present: 4 Completed Date: 5/9/2024 Age: From 1 To 4 Total Minutes: 136 Time In: 11:29 AM Time Out: 01:45 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. I was greeted by Mrs. Blanca Padilla, and I explained the purpose of the visit. Mrs. Padilla's mother, Ms. Sonia Zea, was present in the home for the holiday weekend. Ms. Zea was visiting, and Ms. Zea does not reside in the home. Mrs. Padilla's mother-in-law, Zoila Zea, was present visiting in the home; was visiting for the holiday weekend. The facility had a One-Star License issued February 15, 2017, and has an eighteen-month compliance history score of ninety-two (92) percent prior to today’s visit. The Annual Compliance visit was completed on December 1, 2023. I observed Mrs. Padilla present with four (4) children. The children were observed having supervised independent play. After play time, the children were observed having group time with Mrs. Padilla. The following child care requirements were monitored and observed today using the Family Child Care Home Checklist and the Master Family Child Care Home Item Number Listing: Supervision: The children were adequately supervised. Nurturing tones were heard when Mrs. Padilla spoke with the children. Staff/Child Ratio: The staff/child ratio was maintained during today’s visit. CPR: Mrs. Padilla is current with CPR. First Aid: Mrs. Padilla is current First Aid. Special Training: Mrs. Padilla is continuing to complete ongoing in-service training. CBC Qualification: Mrs. Padilla has a current criminal background check (CBC) letter on file. Mrs. Padilla's husband has a current CBC on file. ITS-SIDS: There are no infants enrolled at this time. Mrs. Padilla is current with ITS-SIDS training. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: There is one (1) child that has an emergency medication; a violation was cited for the Action Plan and Permission to Administer Medication forms. Allergies were posted. Storage of Hazardous Substances: I did not observe and hazardous substances accessible to children. Storage of Medication: The medication was properly stored. General Safety: There are no safety concerns. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: The children present during the visit were observed in licensed approved space. Program Records: I reviewed all information required to be posted. The monthly fire drill was complete and up to date, and the quarterly drill (shelter-in-place/lock drill) were up to date. The playground inspections were up-to-date. License Posted: The license was observed posted. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed July 25, 2023 with a demerit score of zero (0). Two (2) violations were cited. Violation Number Comment Rule 1406 Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions was not in writing and did not contain information required by rule 10 NCAC 09 .1720(c)(6)(A-I). An authorization for up to 6 months to administer for allergic reactions (epi-pen) was not on file. 10A NCAC 09 .1720(b)(4) 1897 Application did not have an a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not on file for child (A.H.). .1721 (a )(4) 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 May 23, 2024, 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -Your facility has been assigned to Cohort 1. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. -On behalf of all Mecklenburg County Child Care Consultants you are invited to join us and other FCCH providers from the area on Thursday, May 23, 2024, from 6:30 pm – 8:30 pm at Child Care Resources 200-B Regency Executive Park Charlotte, NC 28217 for a “Community Chat” style meeting. Doors will open at 6 pm to allow time for sign-in and a few minutes of fellowship before the meeting promptly begins at 6:30pm. You must register by May 17, 2024. Please RSVP/Register by emailing: resha.washington@dhhs.nc.gov, 704-910-7947. The following Technical Assistance (TA) was provided: - You must have a Medical Action Plan on file for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Refer to Child Care Rule 10A NCAC 09 .1721(a)(4) -Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions must be in writing and contain information required by rule. Refer to Child Care Rule 10A NCAC 09 .1720(b)(6)(A-I). -Provider documents are accessible on the Divisions website under "Provider Documents." -Operator must maintain a record of on-going training in which he/she has participated. Refer to Child Care Rule 10A NCAC 09 .1703(j) -If a visiting family member(s) or individuals visiting the home, residing in the home for more than five (5) days, or visits the home on a routine basis more than two (2) times per week must have a Criminal Background Check (CBC) and have a qualifying letter on file. -If a family member is visiting from another country and setting up residency in the US and resides in the home more than 5 days or visits the home on a routine basis for more than two (2) times a week, the family member must complete a Criminal Background Check (CBC) and have a qualifying letter on file. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. 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 .1703 · Violation

Name of Operation: LITTLE SMILE HOME DAY CARE Facility ID: 60003800 Consultant: DEANNA MATTHEWS Operation Type: Family CC Home Case Number: Visit Date: 5/9/2024 Number Present: 4 Completed Date: 5/9/2024 Age: From 1 To 4 Total Minutes: 136 Time In: 11:29 AM Time Out: 01:45 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. I was greeted by Mrs. Blanca Padilla, and I explained the purpose of the visit. Mrs. Padilla's mother, Ms. Sonia Zea, was present in the home for the holiday weekend. Ms. Zea was visiting, and Ms. Zea does not reside in the home. Mrs. Padilla's mother-in-law, Zoila Zea, was present visiting in the home; was visiting for the holiday weekend. The facility had a One-Star License issued February 15, 2017, and has an eighteen-month compliance history score of ninety-two (92) percent prior to today’s visit. The Annual Compliance visit was completed on December 1, 2023. I observed Mrs. Padilla present with four (4) children. The children were observed having supervised independent play. After play time, the children were observed having group time with Mrs. Padilla. The following child care requirements were monitored and observed today using the Family Child Care Home Checklist and the Master Family Child Care Home Item Number Listing: Supervision: The children were adequately supervised. Nurturing tones were heard when Mrs. Padilla spoke with the children. Staff/Child Ratio: The staff/child ratio was maintained during today’s visit. CPR: Mrs. Padilla is current with CPR. First Aid: Mrs. Padilla is current First Aid. Special Training: Mrs. Padilla is continuing to complete ongoing in-service training. CBC Qualification: Mrs. Padilla has a current criminal background check (CBC) letter on file. Mrs. Padilla's husband has a current CBC on file. ITS-SIDS: There are no infants enrolled at this time. Mrs. Padilla is current with ITS-SIDS training. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: There is one (1) child that has an emergency medication; a violation was cited for the Action Plan and Permission to Administer Medication forms. Allergies were posted. Storage of Hazardous Substances: I did not observe and hazardous substances accessible to children. Storage of Medication: The medication was properly stored. General Safety: There are no safety concerns. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: The children present during the visit were observed in licensed approved space. Program Records: I reviewed all information required to be posted. The monthly fire drill was complete and up to date, and the quarterly drill (shelter-in-place/lock drill) were up to date. The playground inspections were up-to-date. License Posted: The license was observed posted. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed July 25, 2023 with a demerit score of zero (0). Two (2) violations were cited. Violation Number Comment Rule 1406 Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions was not in writing and did not contain information required by rule 10 NCAC 09 .1720(c)(6)(A-I). An authorization for up to 6 months to administer for allergic reactions (epi-pen) was not on file. 10A NCAC 09 .1720(b)(4) 1897 Application did not have an a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not on file for child (A.H.). .1721 (a )(4) 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 May 23, 2024, 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -Your facility has been assigned to Cohort 1. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. -On behalf of all Mecklenburg County Child Care Consultants you are invited to join us and other FCCH providers from the area on Thursday, May 23, 2024, from 6:30 pm – 8:30 pm at Child Care Resources 200-B Regency Executive Park Charlotte, NC 28217 for a “Community Chat” style meeting. Doors will open at 6 pm to allow time for sign-in and a few minutes of fellowship before the meeting promptly begins at 6:30pm. You must register by May 17, 2024. Please RSVP/Register by emailing: resha.washington@dhhs.nc.gov, 704-910-7947. The following Technical Assistance (TA) was provided: - You must have a Medical Action Plan on file for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Refer to Child Care Rule 10A NCAC 09 .1721(a)(4) -Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions must be in writing and contain information required by rule. Refer to Child Care Rule 10A NCAC 09 .1720(b)(6)(A-I). -Provider documents are accessible on the Divisions website under "Provider Documents." -Operator must maintain a record of on-going training in which he/she has participated. Refer to Child Care Rule 10A NCAC 09 .1703(j) -If a visiting family member(s) or individuals visiting the home, residing in the home for more than five (5) days, or visits the home on a routine basis more than two (2) times per week must have a Criminal Background Check (CBC) and have a qualifying letter on file. -If a family member is visiting from another country and setting up residency in the US and resides in the home more than 5 days or visits the home on a routine basis for more than two (2) times a week, the family member must complete a Criminal Background Check (CBC) and have a qualifying letter on file. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. 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 .1720 · Violation

Name of Operation: LITTLE SMILE HOME DAY CARE Facility ID: 60003800 Consultant: DEANNA MATTHEWS Operation Type: Family CC Home Case Number: Visit Date: 5/9/2024 Number Present: 4 Completed Date: 5/9/2024 Age: From 1 To 4 Total Minutes: 136 Time In: 11:29 AM Time Out: 01:45 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. I was greeted by Mrs. Blanca Padilla, and I explained the purpose of the visit. Mrs. Padilla's mother, Ms. Sonia Zea, was present in the home for the holiday weekend. Ms. Zea was visiting, and Ms. Zea does not reside in the home. Mrs. Padilla's mother-in-law, Zoila Zea, was present visiting in the home; was visiting for the holiday weekend. The facility had a One-Star License issued February 15, 2017, and has an eighteen-month compliance history score of ninety-two (92) percent prior to today’s visit. The Annual Compliance visit was completed on December 1, 2023. I observed Mrs. Padilla present with four (4) children. The children were observed having supervised independent play. After play time, the children were observed having group time with Mrs. Padilla. The following child care requirements were monitored and observed today using the Family Child Care Home Checklist and the Master Family Child Care Home Item Number Listing: Supervision: The children were adequately supervised. Nurturing tones were heard when Mrs. Padilla spoke with the children. Staff/Child Ratio: The staff/child ratio was maintained during today’s visit. CPR: Mrs. Padilla is current with CPR. First Aid: Mrs. Padilla is current First Aid. Special Training: Mrs. Padilla is continuing to complete ongoing in-service training. CBC Qualification: Mrs. Padilla has a current criminal background check (CBC) letter on file. Mrs. Padilla's husband has a current CBC on file. ITS-SIDS: There are no infants enrolled at this time. Mrs. Padilla is current with ITS-SIDS training. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: There is one (1) child that has an emergency medication; a violation was cited for the Action Plan and Permission to Administer Medication forms. Allergies were posted. Storage of Hazardous Substances: I did not observe and hazardous substances accessible to children. Storage of Medication: The medication was properly stored. General Safety: There are no safety concerns. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: The children present during the visit were observed in licensed approved space. Program Records: I reviewed all information required to be posted. The monthly fire drill was complete and up to date, and the quarterly drill (shelter-in-place/lock drill) were up to date. The playground inspections were up-to-date. License Posted: The license was observed posted. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed July 25, 2023 with a demerit score of zero (0). Two (2) violations were cited. Violation Number Comment Rule 1406 Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions was not in writing and did not contain information required by rule 10 NCAC 09 .1720(c)(6)(A-I). An authorization for up to 6 months to administer for allergic reactions (epi-pen) was not on file. 10A NCAC 09 .1720(b)(4) 1897 Application did not have an a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not on file for child (A.H.). .1721 (a )(4) 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 May 23, 2024, 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -Your facility has been assigned to Cohort 1. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. -On behalf of all Mecklenburg County Child Care Consultants you are invited to join us and other FCCH providers from the area on Thursday, May 23, 2024, from 6:30 pm – 8:30 pm at Child Care Resources 200-B Regency Executive Park Charlotte, NC 28217 for a “Community Chat” style meeting. Doors will open at 6 pm to allow time for sign-in and a few minutes of fellowship before the meeting promptly begins at 6:30pm. You must register by May 17, 2024. Please RSVP/Register by emailing: resha.washington@dhhs.nc.gov, 704-910-7947. The following Technical Assistance (TA) was provided: - You must have a Medical Action Plan on file for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Refer to Child Care Rule 10A NCAC 09 .1721(a)(4) -Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions must be in writing and contain information required by rule. Refer to Child Care Rule 10A NCAC 09 .1720(b)(6)(A-I). -Provider documents are accessible on the Divisions website under "Provider Documents." -Operator must maintain a record of on-going training in which he/she has participated. Refer to Child Care Rule 10A NCAC 09 .1703(j) -If a visiting family member(s) or individuals visiting the home, residing in the home for more than five (5) days, or visits the home on a routine basis more than two (2) times per week must have a Criminal Background Check (CBC) and have a qualifying letter on file. -If a family member is visiting from another country and setting up residency in the US and resides in the home more than 5 days or visits the home on a routine basis for more than two (2) times a week, the family member must complete a Criminal Background Check (CBC) and have a qualifying letter on file. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. 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: LITTLE SMILE HOME DAY CARE Facility ID: 60003800 Consultant: DEANNA MATTHEWS Operation Type: Family CC Home Case Number: Visit Date: 5/9/2024 Number Present: 4 Completed Date: 5/9/2024 Age: From 1 To 4 Total Minutes: 136 Time In: 11:29 AM Time Out: 01:45 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. I was greeted by Mrs. Blanca Padilla, and I explained the purpose of the visit. Mrs. Padilla's mother, Ms. Sonia Zea, was present in the home for the holiday weekend. Ms. Zea was visiting, and Ms. Zea does not reside in the home. Mrs. Padilla's mother-in-law, Zoila Zea, was present visiting in the home; was visiting for the holiday weekend. The facility had a One-Star License issued February 15, 2017, and has an eighteen-month compliance history score of ninety-two (92) percent prior to today’s visit. The Annual Compliance visit was completed on December 1, 2023. I observed Mrs. Padilla present with four (4) children. The children were observed having supervised independent play. After play time, the children were observed having group time with Mrs. Padilla. The following child care requirements were monitored and observed today using the Family Child Care Home Checklist and the Master Family Child Care Home Item Number Listing: Supervision: The children were adequately supervised. Nurturing tones were heard when Mrs. Padilla spoke with the children. Staff/Child Ratio: The staff/child ratio was maintained during today’s visit. CPR: Mrs. Padilla is current with CPR. First Aid: Mrs. Padilla is current First Aid. Special Training: Mrs. Padilla is continuing to complete ongoing in-service training. CBC Qualification: Mrs. Padilla has a current criminal background check (CBC) letter on file. Mrs. Padilla's husband has a current CBC on file. ITS-SIDS: There are no infants enrolled at this time. Mrs. Padilla is current with ITS-SIDS training. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: There is one (1) child that has an emergency medication; a violation was cited for the Action Plan and Permission to Administer Medication forms. Allergies were posted. Storage of Hazardous Substances: I did not observe and hazardous substances accessible to children. Storage of Medication: The medication was properly stored. General Safety: There are no safety concerns. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: The children present during the visit were observed in licensed approved space. Program Records: I reviewed all information required to be posted. The monthly fire drill was complete and up to date, and the quarterly drill (shelter-in-place/lock drill) were up to date. The playground inspections were up-to-date. License Posted: The license was observed posted. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed July 25, 2023 with a demerit score of zero (0). Two (2) violations were cited. Violation Number Comment Rule 1406 Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions was not in writing and did not contain information required by rule 10 NCAC 09 .1720(c)(6)(A-I). An authorization for up to 6 months to administer for allergic reactions (epi-pen) was not on file. 10A NCAC 09 .1720(b)(4) 1897 Application did not have an a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not on file for child (A.H.). .1721 (a )(4) 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 May 23, 2024, 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -Your facility has been assigned to Cohort 1. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. -On behalf of all Mecklenburg County Child Care Consultants you are invited to join us and other FCCH providers from the area on Thursday, May 23, 2024, from 6:30 pm – 8:30 pm at Child Care Resources 200-B Regency Executive Park Charlotte, NC 28217 for a “Community Chat” style meeting. Doors will open at 6 pm to allow time for sign-in and a few minutes of fellowship before the meeting promptly begins at 6:30pm. You must register by May 17, 2024. Please RSVP/Register by emailing: resha.washington@dhhs.nc.gov, 704-910-7947. The following Technical Assistance (TA) was provided: - You must have a Medical Action Plan on file for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Refer to Child Care Rule 10A NCAC 09 .1721(a)(4) -Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions must be in writing and contain information required by rule. Refer to Child Care Rule 10A NCAC 09 .1720(b)(6)(A-I). -Provider documents are accessible on the Divisions website under "Provider Documents." -Operator must maintain a record of on-going training in which he/she has participated. Refer to Child Care Rule 10A NCAC 09 .1703(j) -If a visiting family member(s) or individuals visiting the home, residing in the home for more than five (5) days, or visits the home on a routine basis more than two (2) times per week must have a Criminal Background Check (CBC) and have a qualifying letter on file. -If a family member is visiting from another country and setting up residency in the US and resides in the home more than 5 days or visits the home on a routine basis for more than two (2) times a week, the family member must complete a Criminal Background Check (CBC) and have a qualifying letter on file. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. 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 .1713 · Violation

Name of Operation: LITTLE SMILE HOME DAY CARE Facility ID: 60003800 Consultant: DEANNA MATTHEWS Operation Type: Family CC Home Case Number: Visit Date: 12/1/2023 Number Present: 5 Completed Date: 12/1/2023 Age: From 1 To 3 Total Minutes: 205 Time In: 09:15 AM Time Out: 12:40 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 was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Owner/operator, Mrs. Blanca Padilla, and I explained the purpose of the visit. Mrs. Padilla's mother, Ms. Sonia Zea, was present in the home. Ms. Zea was visiting, and Ms. Zea does not reside in the home. The program currently operates with a one-star license, issued February 15, 2017. The last annual compliance visit was conducted December 5, 2022. The sanitation inspection was completed July 25, 2023 with a zero (0) demerit score. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of November 30, 2023. I observed five (5) children eating breakfast upon arrival. Breakfast was observed and consisted of waffles, bananas, and milk. After breakfast, I observed Mrs. Padilla and the children washing their hands. I observed circle time, and I observed the children having supervised independent play. Nurturing tones were heard when Mrs. Padilla spoke with the children. The children were observed in license approved space. The program was monitored with the Family Child Care Home Item Number Listing, and the Annual Compliance Monitoring Checklist for Family Child Care Homes. A copy of the monitoring checklist was provided to Mrs. Padilla after the visit. The following was observed posted: Current License, NC Summary of Child Care Law, Schedule, Activity Plan, and Emergency Numbers. Monthly Fire Drills, Shelter-In-Place/Lockdown Drills, Playground Inspections, Safe Sleep Poster/Policy, Incident log, and the Emergency Preparedness and Response (EPR) Plan was observed; compliance was met. The Emergency Medical Care Plan was not complete and posted, and a violation was cited. There are no infants currently enrolled and Mrs. Padilla is current with Infant Toddler Safe Sleep (ITS-SIDS) training. 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. Soap and toilet paper were available in the bathroom for use. The toys and equipment were in good repair. In the kitchen, there was working thermometer in the refrigerator, and working smoke detectors; there was a working fire extinguisher. The outdoor play area was clean and the toys were in good repair. There were tools in the outdoor play area, and a violation was cited. Mrs. Padilla's file was monitored and observed for Health Questionnaire, Emergency Information, First Aid and CPR, and Criminal Background Check (CBC), Qualifying Letters; Mr. Padilla has a current CBC letter on file. Mrs. Padilla's thirteen year-old daughter resides in the home. The required number of on-going training hours were met for Mrs. Padilla. The children's records were reviewed and compliance was met. Mrs. Padilla has a dog, and the Pet Acknowledgement forms were complete for each child enrolled. The Rabies vaccination expired November 27, 2023, and a violation was cited. There are no children enrolled with allergies, and there are no children on medication or emergency medication. The Written Plan of Care was verified. Mrs. Padilla does not provide transportation, however, she does have a vehicle in case of an emergency. Three (3) violations were cited. Violation Number Comment Rule 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. A wrench, toolkit, and trench machine was accessible to children in the outdoor play area. .1719 (a) (1) 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. The emergency medical care plan was incomplete and available for review. .1713 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. Padillo's dog's Rabies vaccination expired November 27, 2023. .1719(b)(1) 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 December 15, 2023, 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -Your facility has been assigned to Cohort 1: Prep year 7/1/23-6/30/24, Reassessment year 7/1/24-6/30/25. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -EPR Portal instructions were emailed to the provider. -Complete and post the Emergency Medical Care Plan. Refer to Child Care Rule: 10A NCAC 09 .1713 EMERGENCY MEDICAL CARE: The family child care home operator (operator) shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care receives appropriate medical attention. The operator shall be responsible for: (1) ensuring appropriate medical care is given, and determining which of the following is needed: (a) First Aid for an injury or illness needing only minimal attention; or (b) calling 911 in accordance with CPR or First Aid training recommendations. (2) ensuring that the signed authorization described in 10A NCAC 09 .1721(a)(3) is taken with the ill or injured child to the medical facility; (3) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; and (4) obtaining substitute providers, if needed, to maintain adequate supervision of children who remain in care. This plan shall be reviewed with all additional caregivers and substitute providers prior to caring for children and whenever the plan is revised. The plan shall be available for review by the Division during the Family Child Care Home’s operating hours. -Make sure that tools are not stored in the outdoor play area. Refer to Child Care Rule 10A NCAC 09 .1719 (a)(1): REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT: (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (1) keep all areas used by the children, both indoors and outdoors, clean and orderly and free of items that are potentially hazardous to children. Potentially hazardous items including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene whether or not intended for use by children, shall be stored in locked areas, removed from the premises, or otherwise inaccessible to children. This includes the removal of items that a child can swallow. In addition, loose nails or screws and splinters shall be removed on inside and outside equipment; -Pet vaccinations are required to be up-to-date. Refer to Child Care Rule 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT: (b) When animals are on the premises, the following shall apply: (1) all household pets shall be vaccinated with up-to-date vaccinations as required by North Carolina law and local ordinances. Rabies vaccinations are required for cats and dogs; At the completion of the visit, this visit summary was reviewed, and a copy was emailed to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. 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 .1719 · Violation

Name of Operation: LITTLE SMILE HOME DAY CARE Facility ID: 60003800 Consultant: DEANNA MATTHEWS Operation Type: Family CC Home Case Number: Visit Date: 12/1/2023 Number Present: 5 Completed Date: 12/1/2023 Age: From 1 To 3 Total Minutes: 205 Time In: 09:15 AM Time Out: 12:40 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 was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Owner/operator, Mrs. Blanca Padilla, and I explained the purpose of the visit. Mrs. Padilla's mother, Ms. Sonia Zea, was present in the home. Ms. Zea was visiting, and Ms. Zea does not reside in the home. The program currently operates with a one-star license, issued February 15, 2017. The last annual compliance visit was conducted December 5, 2022. The sanitation inspection was completed July 25, 2023 with a zero (0) demerit score. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of November 30, 2023. I observed five (5) children eating breakfast upon arrival. Breakfast was observed and consisted of waffles, bananas, and milk. After breakfast, I observed Mrs. Padilla and the children washing their hands. I observed circle time, and I observed the children having supervised independent play. Nurturing tones were heard when Mrs. Padilla spoke with the children. The children were observed in license approved space. The program was monitored with the Family Child Care Home Item Number Listing, and the Annual Compliance Monitoring Checklist for Family Child Care Homes. A copy of the monitoring checklist was provided to Mrs. Padilla after the visit. The following was observed posted: Current License, NC Summary of Child Care Law, Schedule, Activity Plan, and Emergency Numbers. Monthly Fire Drills, Shelter-In-Place/Lockdown Drills, Playground Inspections, Safe Sleep Poster/Policy, Incident log, and the Emergency Preparedness and Response (EPR) Plan was observed; compliance was met. The Emergency Medical Care Plan was not complete and posted, and a violation was cited. There are no infants currently enrolled and Mrs. Padilla is current with Infant Toddler Safe Sleep (ITS-SIDS) training. 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. Soap and toilet paper were available in the bathroom for use. The toys and equipment were in good repair. In the kitchen, there was working thermometer in the refrigerator, and working smoke detectors; there was a working fire extinguisher. The outdoor play area was clean and the toys were in good repair. There were tools in the outdoor play area, and a violation was cited. Mrs. Padilla's file was monitored and observed for Health Questionnaire, Emergency Information, First Aid and CPR, and Criminal Background Check (CBC), Qualifying Letters; Mr. Padilla has a current CBC letter on file. Mrs. Padilla's thirteen year-old daughter resides in the home. The required number of on-going training hours were met for Mrs. Padilla. The children's records were reviewed and compliance was met. Mrs. Padilla has a dog, and the Pet Acknowledgement forms were complete for each child enrolled. The Rabies vaccination expired November 27, 2023, and a violation was cited. There are no children enrolled with allergies, and there are no children on medication or emergency medication. The Written Plan of Care was verified. Mrs. Padilla does not provide transportation, however, she does have a vehicle in case of an emergency. Three (3) violations were cited. Violation Number Comment Rule 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. A wrench, toolkit, and trench machine was accessible to children in the outdoor play area. .1719 (a) (1) 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. The emergency medical care plan was incomplete and available for review. .1713 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. Padillo's dog's Rabies vaccination expired November 27, 2023. .1719(b)(1) 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 December 15, 2023, 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -Your facility has been assigned to Cohort 1: Prep year 7/1/23-6/30/24, Reassessment year 7/1/24-6/30/25. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -EPR Portal instructions were emailed to the provider. -Complete and post the Emergency Medical Care Plan. Refer to Child Care Rule: 10A NCAC 09 .1713 EMERGENCY MEDICAL CARE: The family child care home operator (operator) shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care receives appropriate medical attention. The operator shall be responsible for: (1) ensuring appropriate medical care is given, and determining which of the following is needed: (a) First Aid for an injury or illness needing only minimal attention; or (b) calling 911 in accordance with CPR or First Aid training recommendations. (2) ensuring that the signed authorization described in 10A NCAC 09 .1721(a)(3) is taken with the ill or injured child to the medical facility; (3) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; and (4) obtaining substitute providers, if needed, to maintain adequate supervision of children who remain in care. This plan shall be reviewed with all additional caregivers and substitute providers prior to caring for children and whenever the plan is revised. The plan shall be available for review by the Division during the Family Child Care Home’s operating hours. -Make sure that tools are not stored in the outdoor play area. Refer to Child Care Rule 10A NCAC 09 .1719 (a)(1): REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT: (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (1) keep all areas used by the children, both indoors and outdoors, clean and orderly and free of items that are potentially hazardous to children. Potentially hazardous items including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene whether or not intended for use by children, shall be stored in locked areas, removed from the premises, or otherwise inaccessible to children. This includes the removal of items that a child can swallow. In addition, loose nails or screws and splinters shall be removed on inside and outside equipment; -Pet vaccinations are required to be up-to-date. Refer to Child Care Rule 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT: (b) When animals are on the premises, the following shall apply: (1) all household pets shall be vaccinated with up-to-date vaccinations as required by North Carolina law and local ordinances. Rabies vaccinations are required for cats and dogs; At the completion of the visit, this visit summary was reviewed, and a copy was emailed to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. 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: LITTLE SMILE HOME DAY CARE Facility ID: 60003800 Consultant: DEANNA MATTHEWS Operation Type: Family CC Home Case Number: Visit Date: 12/1/2023 Number Present: 5 Completed Date: 12/1/2023 Age: From 1 To 3 Total Minutes: 205 Time In: 09:15 AM Time Out: 12:40 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 was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Owner/operator, Mrs. Blanca Padilla, and I explained the purpose of the visit. Mrs. Padilla's mother, Ms. Sonia Zea, was present in the home. Ms. Zea was visiting, and Ms. Zea does not reside in the home. The program currently operates with a one-star license, issued February 15, 2017. The last annual compliance visit was conducted December 5, 2022. The sanitation inspection was completed July 25, 2023 with a zero (0) demerit score. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of November 30, 2023. I observed five (5) children eating breakfast upon arrival. Breakfast was observed and consisted of waffles, bananas, and milk. After breakfast, I observed Mrs. Padilla and the children washing their hands. I observed circle time, and I observed the children having supervised independent play. Nurturing tones were heard when Mrs. Padilla spoke with the children. The children were observed in license approved space. The program was monitored with the Family Child Care Home Item Number Listing, and the Annual Compliance Monitoring Checklist for Family Child Care Homes. A copy of the monitoring checklist was provided to Mrs. Padilla after the visit. The following was observed posted: Current License, NC Summary of Child Care Law, Schedule, Activity Plan, and Emergency Numbers. Monthly Fire Drills, Shelter-In-Place/Lockdown Drills, Playground Inspections, Safe Sleep Poster/Policy, Incident log, and the Emergency Preparedness and Response (EPR) Plan was observed; compliance was met. The Emergency Medical Care Plan was not complete and posted, and a violation was cited. There are no infants currently enrolled and Mrs. Padilla is current with Infant Toddler Safe Sleep (ITS-SIDS) training. 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. Soap and toilet paper were available in the bathroom for use. The toys and equipment were in good repair. In the kitchen, there was working thermometer in the refrigerator, and working smoke detectors; there was a working fire extinguisher. The outdoor play area was clean and the toys were in good repair. There were tools in the outdoor play area, and a violation was cited. Mrs. Padilla's file was monitored and observed for Health Questionnaire, Emergency Information, First Aid and CPR, and Criminal Background Check (CBC), Qualifying Letters; Mr. Padilla has a current CBC letter on file. Mrs. Padilla's thirteen year-old daughter resides in the home. The required number of on-going training hours were met for Mrs. Padilla. The children's records were reviewed and compliance was met. Mrs. Padilla has a dog, and the Pet Acknowledgement forms were complete for each child enrolled. The Rabies vaccination expired November 27, 2023, and a violation was cited. There are no children enrolled with allergies, and there are no children on medication or emergency medication. The Written Plan of Care was verified. Mrs. Padilla does not provide transportation, however, she does have a vehicle in case of an emergency. Three (3) violations were cited. Violation Number Comment Rule 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. A wrench, toolkit, and trench machine was accessible to children in the outdoor play area. .1719 (a) (1) 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. The emergency medical care plan was incomplete and available for review. .1713 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. Padillo's dog's Rabies vaccination expired November 27, 2023. .1719(b)(1) 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 December 15, 2023, 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -Your facility has been assigned to Cohort 1: Prep year 7/1/23-6/30/24, Reassessment year 7/1/24-6/30/25. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -EPR Portal instructions were emailed to the provider. -Complete and post the Emergency Medical Care Plan. Refer to Child Care Rule: 10A NCAC 09 .1713 EMERGENCY MEDICAL CARE: The family child care home operator (operator) shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care receives appropriate medical attention. The operator shall be responsible for: (1) ensuring appropriate medical care is given, and determining which of the following is needed: (a) First Aid for an injury or illness needing only minimal attention; or (b) calling 911 in accordance with CPR or First Aid training recommendations. (2) ensuring that the signed authorization described in 10A NCAC 09 .1721(a)(3) is taken with the ill or injured child to the medical facility; (3) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; and (4) obtaining substitute providers, if needed, to maintain adequate supervision of children who remain in care. This plan shall be reviewed with all additional caregivers and substitute providers prior to caring for children and whenever the plan is revised. The plan shall be available for review by the Division during the Family Child Care Home’s operating hours. -Make sure that tools are not stored in the outdoor play area. Refer to Child Care Rule 10A NCAC 09 .1719 (a)(1): REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT: (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (1) keep all areas used by the children, both indoors and outdoors, clean and orderly and free of items that are potentially hazardous to children. Potentially hazardous items including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene whether or not intended for use by children, shall be stored in locked areas, removed from the premises, or otherwise inaccessible to children. This includes the removal of items that a child can swallow. In addition, loose nails or screws and splinters shall be removed on inside and outside equipment; -Pet vaccinations are required to be up-to-date. Refer to Child Care Rule 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT: (b) When animals are on the premises, the following shall apply: (1) all household pets shall be vaccinated with up-to-date vaccinations as required by North Carolina law and local ordinances. Rabies vaccinations are required for cats and dogs; At the completion of the visit, this visit summary was reviewed, and a copy was emailed to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. 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: LITTLE SMILE HOME DAY CARE Facility ID: 60003800 Consultant: DEANNA MATTHEWS Operation Type: Family CC Home Case Number: Visit Date: 12/1/2023 Number Present: 5 Completed Date: 12/1/2023 Age: From 1 To 3 Total Minutes: 205 Time In: 09:15 AM Time Out: 12:40 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 was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Owner/operator, Mrs. Blanca Padilla, and I explained the purpose of the visit. Mrs. Padilla's mother, Ms. Sonia Zea, was present in the home. Ms. Zea was visiting, and Ms. Zea does not reside in the home. The program currently operates with a one-star license, issued February 15, 2017. The last annual compliance visit was conducted December 5, 2022. The sanitation inspection was completed July 25, 2023 with a zero (0) demerit score. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of November 30, 2023. I observed five (5) children eating breakfast upon arrival. Breakfast was observed and consisted of waffles, bananas, and milk. After breakfast, I observed Mrs. Padilla and the children washing their hands. I observed circle time, and I observed the children having supervised independent play. Nurturing tones were heard when Mrs. Padilla spoke with the children. The children were observed in license approved space. The program was monitored with the Family Child Care Home Item Number Listing, and the Annual Compliance Monitoring Checklist for Family Child Care Homes. A copy of the monitoring checklist was provided to Mrs. Padilla after the visit. The following was observed posted: Current License, NC Summary of Child Care Law, Schedule, Activity Plan, and Emergency Numbers. Monthly Fire Drills, Shelter-In-Place/Lockdown Drills, Playground Inspections, Safe Sleep Poster/Policy, Incident log, and the Emergency Preparedness and Response (EPR) Plan was observed; compliance was met. The Emergency Medical Care Plan was not complete and posted, and a violation was cited. There are no infants currently enrolled and Mrs. Padilla is current with Infant Toddler Safe Sleep (ITS-SIDS) training. 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. Soap and toilet paper were available in the bathroom for use. The toys and equipment were in good repair. In the kitchen, there was working thermometer in the refrigerator, and working smoke detectors; there was a working fire extinguisher. The outdoor play area was clean and the toys were in good repair. There were tools in the outdoor play area, and a violation was cited. Mrs. Padilla's file was monitored and observed for Health Questionnaire, Emergency Information, First Aid and CPR, and Criminal Background Check (CBC), Qualifying Letters; Mr. Padilla has a current CBC letter on file. Mrs. Padilla's thirteen year-old daughter resides in the home. The required number of on-going training hours were met for Mrs. Padilla. The children's records were reviewed and compliance was met. Mrs. Padilla has a dog, and the Pet Acknowledgement forms were complete for each child enrolled. The Rabies vaccination expired November 27, 2023, and a violation was cited. There are no children enrolled with allergies, and there are no children on medication or emergency medication. The Written Plan of Care was verified. Mrs. Padilla does not provide transportation, however, she does have a vehicle in case of an emergency. Three (3) violations were cited. Violation Number Comment Rule 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. A wrench, toolkit, and trench machine was accessible to children in the outdoor play area. .1719 (a) (1) 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. The emergency medical care plan was incomplete and available for review. .1713 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. Padillo's dog's Rabies vaccination expired November 27, 2023. .1719(b)(1) 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 December 15, 2023, 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: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -Your facility has been assigned to Cohort 1: Prep year 7/1/23-6/30/24, Reassessment year 7/1/24-6/30/25. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. -EPR Portal instructions were emailed to the provider. -Complete and post the Emergency Medical Care Plan. Refer to Child Care Rule: 10A NCAC 09 .1713 EMERGENCY MEDICAL CARE: The family child care home operator (operator) shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care receives appropriate medical attention. The operator shall be responsible for: (1) ensuring appropriate medical care is given, and determining which of the following is needed: (a) First Aid for an injury or illness needing only minimal attention; or (b) calling 911 in accordance with CPR or First Aid training recommendations. (2) ensuring that the signed authorization described in 10A NCAC 09 .1721(a)(3) is taken with the ill or injured child to the medical facility; (3) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; and (4) obtaining substitute providers, if needed, to maintain adequate supervision of children who remain in care. This plan shall be reviewed with all additional caregivers and substitute providers prior to caring for children and whenever the plan is revised. The plan shall be available for review by the Division during the Family Child Care Home’s operating hours. -Make sure that tools are not stored in the outdoor play area. Refer to Child Care Rule 10A NCAC 09 .1719 (a)(1): REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT: (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (1) keep all areas used by the children, both indoors and outdoors, clean and orderly and free of items that are potentially hazardous to children. Potentially hazardous items including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene whether or not intended for use by children, shall be stored in locked areas, removed from the premises, or otherwise inaccessible to children. This includes the removal of items that a child can swallow. In addition, loose nails or screws and splinters shall be removed on inside and outside equipment; -Pet vaccinations are required to be up-to-date. Refer to Child Care Rule 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT: (b) When animals are on the premises, the following shall apply: (1) all household pets shall be vaccinated with up-to-date vaccinations as required by North Carolina law and local ordinances. Rabies vaccinations are required for cats and dogs; At the completion of the visit, this visit summary was reviewed, and a copy was emailed to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. 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