Marcia Playmate

G.S. 110-90 · Violation

Name of Operation: MARCIA PLAYMATE Facility ID: 60002543 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 6/11/2026 Number Present: 3 Completed Date: 6/11/2026 Age: From 0 To 4 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for compliance with applicable child care requirements during a Routine Unannounced Visit. The CLAIR continued to operate a four-star rated licensed center meeting enhanced ratios and space. Upon arrival, the operator was present with three children, ranging in age from nine months to four years of age. Ms. Kromah and children were outside in the backyard. The child care item number listing dated May 2026 was used to identify and determine non-compliance. The following sections were monitored for compliance: A1, B1, C4, C5, C6, E1, E2, F3, G1, G3, G4 and G5. A walk through of spaces 1-3, kitchen and outdoor learning environment were monitored for compliance. Transportation was not provided to enrolled children. An emergency vehicle was monitored on site. Children were monitored engaged in outdoor play, group reading time, eating lunch and toileting routines. The children were served sliced corn dogs, sliced oranges, mixed vegetable salad and milk. No prescribed and over the counter medications were required or on site. We discussed the ABCMS portal and the required process. A roster report was run prior to the visit. The operator was not linked to the ABCMS. Only the operator’s daughter was listed. Her daughter no longer resides in the residence and no longer assists her mother as a back up caregiver. Ms. Kromah was reminded that her daughter’s CBC had expired. It was recommended to maintain her daughter’s CBC qualification. Monthly outdoor inspections, incident log, monthly fire drills and quarterly safety drills were monitored for compliance. There was not a monthly fire drill documented for June 2025. The last quarterly safety drill was noted as March 6, 2025. The CLAIR’s EPR plan and Ready to Go File were monitored for compliance. The EPR plan was annually reviewed in the portal system. However, the printed EPR plan was in “Draft” mode. The EPR/Ready to Go file was not current. The RTGF checklist was emailed to Ms. Kromah during the visit. Time must be spent ensuring the EPR plan is printed from the portal system, not in draft mode and filed with all required components of the RTGF checklist. None of the RTGF requirements were monitored on file in the EPR/RTGF. The CLAIR staff and training worksheet had not been updated since the last AC visit in October 2025. The worksheet will be updated and emailed to me by the end of the week. The verification form was monitored and updated for the operator/lead teacher during the visit. The center utilizes Teaching Strategies for our four-year-old children. Ms. Kromah will need to obtain training in the Teaching Strategies curriculum and formative assessment. The last sanitation inspection was completed March 24, 2026, with six (6) demerits cited and a Superior classification issued. The last annual fire inspection was completed on September 2, 2025. It was highly recommended to begin the annual fire inspection process four to six weeks prior to expiration. The current fire inspector’s contact information was emailed to Ms. Kromah during the visit. Three (3) violations were monitored and reviewed with Ms. Kromah prior to my departure. Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator/lead teacher was not linked to the facility in the ABCMS. G.S. 110-90.2 & .2703(r) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The printed EPR plan provided was dated November 2024 and in "Draft" mode. .0607(c) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. None if the required components of the RTGF were monitored maintained. (allergy list, blank incident reports, area map, children's nutritional requirements and children's emergency contact information). .0607(d)(10) Technical Assistance Provided and General Discussion: We discussed Pathway #1 and Pathway #2. The operator originally selected Pathway #1. Today, Pathway #2 requirements were reviewed and discussed with Ms. Kromah. A desk top file was created on Ms. Kromah’s computer and the following Pathway #2 documents were downloaded to a file titled QRIS on Ms. Kromah’s desk top file. The application, Center CQI and Individual CQI, Family and Community Engagement (four additional options required with verifiable proof), and Staff Educational Standards worksheet. We discussed that the next visit in the fall (AC visit) that the documents we discussed in addition to the following must be completed: Training on the approved and implemented curriculum and formative assessments and five hours of annual coaching and mentoring. The five hours of annual coaching and mentoring annual requirement will not be due before the reassessment is completed this pending fall. The training on the curriculum and formative assessments must be completed before the fall AC/RLA visit. 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 on 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. It was recommended to Ms. Kromah to retake the ABCMS training before she tried to link herself to the facility in the system. 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 June 25, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that 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: Mara Brinton, Child Care Consultant 3687 Stallings Road Harrisburg, NC 28075 mara.brinton@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 If you have any questions or concerns, you may contact Mara Brinton at 704-594-0140 or by email at mara.brinton@dhhs.nc.gov. You may also contact my supervisor, Amy Italiano at 704-936-6065 or by email at amy.italiano@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MARCIA PLAYMATE Facility ID: 60002543 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 6/11/2026 Number Present: 3 Completed Date: 6/11/2026 Age: From 0 To 4 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for compliance with applicable child care requirements during a Routine Unannounced Visit. The CLAIR continued to operate a four-star rated licensed center meeting enhanced ratios and space. Upon arrival, the operator was present with three children, ranging in age from nine months to four years of age. Ms. Kromah and children were outside in the backyard. The child care item number listing dated May 2026 was used to identify and determine non-compliance. The following sections were monitored for compliance: A1, B1, C4, C5, C6, E1, E2, F3, G1, G3, G4 and G5. A walk through of spaces 1-3, kitchen and outdoor learning environment were monitored for compliance. Transportation was not provided to enrolled children. An emergency vehicle was monitored on site. Children were monitored engaged in outdoor play, group reading time, eating lunch and toileting routines. The children were served sliced corn dogs, sliced oranges, mixed vegetable salad and milk. No prescribed and over the counter medications were required or on site. We discussed the ABCMS portal and the required process. A roster report was run prior to the visit. The operator was not linked to the ABCMS. Only the operator’s daughter was listed. Her daughter no longer resides in the residence and no longer assists her mother as a back up caregiver. Ms. Kromah was reminded that her daughter’s CBC had expired. It was recommended to maintain her daughter’s CBC qualification. Monthly outdoor inspections, incident log, monthly fire drills and quarterly safety drills were monitored for compliance. There was not a monthly fire drill documented for June 2025. The last quarterly safety drill was noted as March 6, 2025. The CLAIR’s EPR plan and Ready to Go File were monitored for compliance. The EPR plan was annually reviewed in the portal system. However, the printed EPR plan was in “Draft” mode. The EPR/Ready to Go file was not current. The RTGF checklist was emailed to Ms. Kromah during the visit. Time must be spent ensuring the EPR plan is printed from the portal system, not in draft mode and filed with all required components of the RTGF checklist. None of the RTGF requirements were monitored on file in the EPR/RTGF. The CLAIR staff and training worksheet had not been updated since the last AC visit in October 2025. The worksheet will be updated and emailed to me by the end of the week. The verification form was monitored and updated for the operator/lead teacher during the visit. The center utilizes Teaching Strategies for our four-year-old children. Ms. Kromah will need to obtain training in the Teaching Strategies curriculum and formative assessment. The last sanitation inspection was completed March 24, 2026, with six (6) demerits cited and a Superior classification issued. The last annual fire inspection was completed on September 2, 2025. It was highly recommended to begin the annual fire inspection process four to six weeks prior to expiration. The current fire inspector’s contact information was emailed to Ms. Kromah during the visit. Three (3) violations were monitored and reviewed with Ms. Kromah prior to my departure. Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator/lead teacher was not linked to the facility in the ABCMS. G.S. 110-90.2 & .2703(r) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The printed EPR plan provided was dated November 2024 and in "Draft" mode. .0607(c) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. None if the required components of the RTGF were monitored maintained. (allergy list, blank incident reports, area map, children's nutritional requirements and children's emergency contact information). .0607(d)(10) Technical Assistance Provided and General Discussion: We discussed Pathway #1 and Pathway #2. The operator originally selected Pathway #1. Today, Pathway #2 requirements were reviewed and discussed with Ms. Kromah. A desk top file was created on Ms. Kromah’s computer and the following Pathway #2 documents were downloaded to a file titled QRIS on Ms. Kromah’s desk top file. The application, Center CQI and Individual CQI, Family and Community Engagement (four additional options required with verifiable proof), and Staff Educational Standards worksheet. We discussed that the next visit in the fall (AC visit) that the documents we discussed in addition to the following must be completed: Training on the approved and implemented curriculum and formative assessments and five hours of annual coaching and mentoring. The five hours of annual coaching and mentoring annual requirement will not be due before the reassessment is completed this pending fall. The training on the curriculum and formative assessments must be completed before the fall AC/RLA visit. 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 on 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. It was recommended to Ms. Kromah to retake the ABCMS training before she tried to link herself to the facility in the system. 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 June 25, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that 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: Mara Brinton, Child Care Consultant 3687 Stallings Road Harrisburg, NC 28075 mara.brinton@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 If you have any questions or concerns, you may contact Mara Brinton at 704-594-0140 or by email at mara.brinton@dhhs.nc.gov. You may also contact my supervisor, Amy Italiano at 704-936-6065 or by email at amy.italiano@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1003 · Violation

Name of Operation: MARCIA PLAYMATE Facility ID: 60002543 Consultant: MARA BRINTON Operation Type: Center Case Number: 1125-240L Visit Date: 12/8/2025 Number Present: 3 Completed Date: 12/8/2025 Age: From 3 To 4 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate allegations of violations of child care requirements during a complaint visit. Upon arrival, I was greeted at the front door by the operator Ms. Amy Kromah. There were three children present, ranging in age from three to four years of age. Two additional children arrived shortly after my arrival. The reporter alleged Ms. Kromah did not have written permission to transport children and was not notified in advance. Today, three children’s records were monitored for written permission to transport. One child did not have written permission on file until December 2, 2025, and two other children’s written permission was determined expired. On November 24, 2025, the operator, Ms. Kromah, contacted the assigned licensing consultant who was on holiday vacation. Ms. Kromah reported that she was in a vehicle accident on November 20, 2025, with two preschool children after the program closed for the day. A parent was late picking up one of the three children present that afternoon. Ms. Kromah called the parent and directly spoke with the parent, who was late for pick up, and informed the parent to meet her across the street in five minutes because she needed to take the sick child home. Ms. Kromah stated she left the center located within a residence to transport a sick child home, with three children ranging from three to four years of age. When the accident occurred, there were two children in the vehicle and one of the children was the operator’s granddaughter. No child was injured in the accident and both children were taken to a medical professional after the accident. No incident report was submitted to the licensing consultant within seven days of the incident. Today, the following was monitored: Three children’s files related to written annual transportation written permission. At the time of the accident, November 20, 2025, none of three children had current written permission to transport. Two written permissions to transport had expired and one child did not obtain written permission until December 2, 2025. The only routinely transported child was the operator’s granddaughter. Ms. Kromah had photographs of each child, but they were not printed, only maintained on the operator’s cell phone. Current registration, plates and insurance were monitored for compliance with the vehicle approved for use of transportation. A police report was provided and dated November 20, 2025. The police report was monitored. One incident report was monitored and dated November 20, 2025, signed but not dated by the parent. The incident report was not emailed to me within seven calendar days. The center’s incident log was monitored with one incident report. I explained although her granddaughter was enrolled and transported regularly, an incident report should also be completed and logged onto the center’s incident log. Ms. Kromah was asked to provide the CLAIRS written policies regarding transportation. She replied it was on the computer and she would have to search for the printed version. She did not have time to search and provide the requested documentation. Ms. Kromah was asked to email me her written policies for review. Ms. Kromah was asked about two adults who were listed with either the current address of the center or formerly used the address. Today, a walk-through of the interior property was completed. There were not any contents or indications that any male is residing at the residence. Ms. Kromah was asked about the two listed individuals. Ms. Kromah replied none of the two individuals listed have ever lived at her residence. Both individuals were identified by Ms. Kromah as her nephews. Ms. Kromah was encouraged to attempt to get in contact with her sibling’s children who were identified and inform them to cease use of her business and personal address. Based on my observations and discussions with Ms. Kromah, one child was transported without written permission was CONFIRMED. Three children’s records were monitored for compliance regarding written permission to transport. Ms. Kromah stated she called the parent and informed the parent to meet her because she needed to take a sick child home. The parent was running late for daily pick up. Two additional children were transported with expired written annual permission. Written permission was obtained and monitored on file dated December 2, 2025, for one child. Two expired permission slips have not been updated as of today, December 8, 2025. Ms. Kromah stated she would no longer provide emergency sick transportation to a child to assist a parent who didn't have transportation. She stated parents would have to obtain their own means of transportation to pick up their child. Ms. Kromah stated she would develop and add this revised written policy to her parent handbook. Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. A vehicle accident occurred November 20, 2025, with two children in the vehicle who sought medical professional attention after the incident. One report did not have the date the parent signed the report. One report the for the operator's granddaughter was not completed. .0802 (e) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Three children were transported without a photograph printed and maintained in the vehicle for each child being transported. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Written permission was not on file for three children transported on November 20, 2025. .1003(i)(j) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. Two incident reports were not submitted to DCDEE within seven days of an incident and medical treatment was provided. .0802(f) 1952 A copy of the incident report was not given to the parent. One child (operator's daughter) was not given a completed incident report for her granddaughter. .0802(e) Technical Assistance Provided and General Discussion: 1. Transportation requirements section .1000 was printed and reviewed with Ms. Kromah during the visit. Ms. Kromah was asked to review the CLAIRS current written policies regarding transportation of children; and ensure there is a statement for parents whose children are not routinely transported; and in the event of a parent being late for pick up or an emergency, what should occur and by what means. 2. Although the operator’s granddaughters’ written permission slip to transport had expired, Ms. Kromah was instructed to also complete an incident report for her grandchild and to log it onto the CLAIRS incident log. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Monday, December 22, 2025. You may email me with your letter of correction. Mail documentation to Mara Brinton, 3687 Stallings Road, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: MARCIA PLAYMATE Facility ID: 60002543 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 10/1/2025 Number Present: 5 Completed Date: 10/1/2025 Age: From 1 To 4 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during the Annual Compliance Visit. Upon arrival at the four-star rated center located within a residence, Ms. Amy Kromah greeted me and escorted me inside to begin the visit. The center maintained a four-star rated license and continued to meet enhanced space. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated April 2025 were used to document compliance. Spaces # 1-3, kitchen, outdoor learning environment and one 2019 Dodge Caravan were monitored for compliance. Children were monitored in group time, reading, engaged in free play, eating lunch of corn dogs, mixed vegetables, apple slices and milk, and daily outside play. No infants were enrolled. Ms. Kromah’s daughter no longer serves as the backup substitute. The Creative Curriculum was monitored implemented for the four-year-old child enrolled and present. Ms. Kromah stated the first quarter evaluation for the new program year will be completed by the end of month. Staff and Training worksheets were printed and provided during the visit by Ms. Kromah. The DCDEE CLAIR form was also completed. The center’s ABCMS roster report was run prior to the visit. Ms. Kromah was reminded that if a new staff member is hired, she will have five days to link the new employee to the facility in the ABCMS. The center’s current EPR plan was not provided for review. Only a “Draft” plan dated 2024 was monitored printed and maintained in a binder. The EPR Ready to Go File was monitored missing required components. Children’s emergency contact information, an area map, blank incident reports, center allergy list items were not maintained in the required file/binder. The checklist of requirements related to the RTGF was monitored, printed and maintained in the EPR binder presented. There were seven (7) children enrolled, ranging in age from one year to nine years of age. Seven children’s files were monitored for compliance and were found to meet child care requirements. The center’s EPR plan and Ready to Go File were monitored for compliance. and found to meet child care requirements. There was a printed map of Charlotte maintained in the Ready to Go File. It was recommended to purchase an area map with Charlotte streets visibly listed. We discussed if there were to be a major emergency like a 9/11, cell phone satellites will be turn off and navigation or map systems will not work. Documentation for quarterly safety drills, monthly fire drills, playground inspections and center incident log were monitored. The daily attendance with children’s arrival and departure times were monitored and maintained on a clip board, documented and current for the week. A current lesson plan was monitored, posted, current and developmentally appropriate. The vehicle used to provide transportation was monitored for compliance with current inspections, registration and State Farm Insurance. The last sanitation inspection was conducted on September 26, 2025, (5) five demerits cited, and a Superior Classification issued. The last annual fire inspection was completed on September 2, 2025. Violation Number Comment Rule 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The CLAIR did not maintain the required information related to the RTGF. Children's emergency/application, center allergy list, area map was not maintained in the EPR/RTGF as required by child care rule. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. There was not a current printed EPR plan for 2025. .0607(e) Technical Assistance Provided and General Discussion: 1. We discussed the center self-study (NCRLAP) and the CQI quality improvement plans and family engagement components. The four-star requirements for Pathway #1 and Pathway #2 were reviewed with the operator. As of today, Ms. Kromah is planning for Pathway #1. It was recommended to complete the three-month self-study by the end of January 2026. The FDCERS-3 will need to be requested no later than March 30, 2026. The Pathways to the Stars Form was completed with Ms. Kromah during the visit. 2. The center administrators have and know how to link employees and print the roster report from the ABCMS. The administrative staff are still working to link the staff applicants within the ABCMS. 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 on 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. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Wednesday, October 14, 2025. You may email me with your letter of correction. Mail documentation to Mara Brinton, 3687 Stallings Road, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: MARCIA PLAYMATE Facility ID: 60002543 Consultant: MARA BRINTON Operation Type: Center Case Number: 0524-356L Visit Date: 7/2/2024 Number Present: 9 Completed Date: 7/2/2024 Age: From 0 To 8 Total Minutes: 105 Time In: 11:00 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care requirements during an Unannounced Follow Up visit. Upon arrival to the Center Located Within a Residence, the operator, Ms. A. Kromah answered the front door. Ms. Kromah and her daughter, M. Kromah, were present with nine children, ranging in age from nine months to six years of age. The CLAIR was monitored in compliance with maintaining required staff to child ratios. Children were observed seated at two separate tables eating lunch. Space #1 is an “L” shaped room. The kitchen entrance is at the base of the “L.” Ms. M. Kromah went into the kitchen to get a cup of water for a child and went into the kitchen, leaving the children eating at a table and no adult within arm’s reach of the children. The infant was monitored in a crib drinking a bottle and then throwing the bottle on floor directly outside of the crib. There was one bottle and at least two sippy cups identified as brought from home that were not labeled or dated. There were two older children seated around the corner at another table. I encouraged the children to be seated at the same location of the room. This practice would help both caregivers to be able to provide optimal supervision of children during a high-risk activity of eating and drinking. A posted ITS-SIDS policy was monitored posted next to the one crib present in space #1. The policy was monitored customized. Documented safe sleep checks were monitored for the day. Ms. Kromah initialed every line on the entire sleep chart for the day, but failed to document time, or position. Ms. M. Kromah stated the infant had not slept yet. I explained to Ms. Kromah the proper way to complete the safe sleep check documentation is to only key in the required data, immediately after checking on a sleeping infant. Signatures should not be pre-listed on the entire form when a check has not been completed. Daily records of children’s arrival and departure times were monitored for compliance. Today, there were two children who were not documented with an arrival time. One child only remained in care for one hour, according to M. Kromah, the child’s departure time was not listed. I reviewed with Ms. Kromah what was not accurately tracked on the documentation tool. Required staff to child ratios were monitored in compliance with child care rule. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Two children were monitored without arrival times and one child was monitored without a departure time listed on the CLAIR tracking tool. 10A NCAC 09 .0302(d)(4) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. One infant bottle and two sippy cups sent from home were monitored not labeled or dated. 15A NCAC 18A .2804(d) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The operator initialed each line on the tracking tool. No other information related to checking on a sleeping infant was documented (position and time checked). The operator pre-initialed each line. The operator's daughter stated the infant present had not slept yet today. .0606(g) Technical Assistance Provided and General Discussion: 1. We discussed adequate supervision of children in the one approved “L” shaped room. We discussed strategic methods of grouping and completing routine tasks when two caregivers were present. It was recommended to have two small tables near the kitchen so children can eat together and not separate the two caregivers to be able to provide adequate supervision. 2. It was recommended to hang the ITS-SIDS tracking tool on the office door, next to the infant crib to help staff to have immediate access and to document when they check on a sleeping infant. Currently, the tracking tool is on a clip board maintained in the office. 3. We discussed how children arrive and who is responsible for documenting children’s arrival times. It was recommended to document at the 9:00 am arrival cut-off time to ensure the tracking tool is current. As children depart for the day to document their departure times immediately upon departure for the day. 4. We discussed adequate supervision of children during transitions. SECTION .1800 - STAFF/CHILD INTERACTIONS AND BEHAVIOR MANAGEMENT 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Tuesday, July 16, 2024. You may email me your letter of correction. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: MARCIA PLAYMATE Facility ID: 60002543 Consultant: MARA BRINTON Operation Type: Center Case Number: 0524-356L Visit Date: 7/2/2024 Number Present: 9 Completed Date: 7/2/2024 Age: From 0 To 8 Total Minutes: 105 Time In: 11:00 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care requirements during an Unannounced Follow Up visit. Upon arrival to the Center Located Within a Residence, the operator, Ms. A. Kromah answered the front door. Ms. Kromah and her daughter, M. Kromah, were present with nine children, ranging in age from nine months to six years of age. The CLAIR was monitored in compliance with maintaining required staff to child ratios. Children were observed seated at two separate tables eating lunch. Space #1 is an “L” shaped room. The kitchen entrance is at the base of the “L.” Ms. M. Kromah went into the kitchen to get a cup of water for a child and went into the kitchen, leaving the children eating at a table and no adult within arm’s reach of the children. The infant was monitored in a crib drinking a bottle and then throwing the bottle on floor directly outside of the crib. There was one bottle and at least two sippy cups identified as brought from home that were not labeled or dated. There were two older children seated around the corner at another table. I encouraged the children to be seated at the same location of the room. This practice would help both caregivers to be able to provide optimal supervision of children during a high-risk activity of eating and drinking. A posted ITS-SIDS policy was monitored posted next to the one crib present in space #1. The policy was monitored customized. Documented safe sleep checks were monitored for the day. Ms. Kromah initialed every line on the entire sleep chart for the day, but failed to document time, or position. Ms. M. Kromah stated the infant had not slept yet. I explained to Ms. Kromah the proper way to complete the safe sleep check documentation is to only key in the required data, immediately after checking on a sleeping infant. Signatures should not be pre-listed on the entire form when a check has not been completed. Daily records of children’s arrival and departure times were monitored for compliance. Today, there were two children who were not documented with an arrival time. One child only remained in care for one hour, according to M. Kromah, the child’s departure time was not listed. I reviewed with Ms. Kromah what was not accurately tracked on the documentation tool. Required staff to child ratios were monitored in compliance with child care rule. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Two children were monitored without arrival times and one child was monitored without a departure time listed on the CLAIR tracking tool. 10A NCAC 09 .0302(d)(4) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. One infant bottle and two sippy cups sent from home were monitored not labeled or dated. 15A NCAC 18A .2804(d) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The operator initialed each line on the tracking tool. No other information related to checking on a sleeping infant was documented (position and time checked). The operator pre-initialed each line. The operator's daughter stated the infant present had not slept yet today. .0606(g) Technical Assistance Provided and General Discussion: 1. We discussed adequate supervision of children in the one approved “L” shaped room. We discussed strategic methods of grouping and completing routine tasks when two caregivers were present. It was recommended to have two small tables near the kitchen so children can eat together and not separate the two caregivers to be able to provide adequate supervision. 2. It was recommended to hang the ITS-SIDS tracking tool on the office door, next to the infant crib to help staff to have immediate access and to document when they check on a sleeping infant. Currently, the tracking tool is on a clip board maintained in the office. 3. We discussed how children arrive and who is responsible for documenting children’s arrival times. It was recommended to document at the 9:00 am arrival cut-off time to ensure the tracking tool is current. As children depart for the day to document their departure times immediately upon departure for the day. 4. We discussed adequate supervision of children during transitions. SECTION .1800 - STAFF/CHILD INTERACTIONS AND BEHAVIOR MANAGEMENT 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Tuesday, July 16, 2024. You may email me your letter of correction. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: MARCIA PLAYMATE Facility ID: 60002543 Consultant: MARA BRINTON Operation Type: Center Case Number: 0524-356L Visit Date: 6/18/2024 Number Present: 7 Completed Date: 6/18/2024 Age: From 1 To 6 Total Minutes: 90 Time In: 03:00 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for compliance with applicable child care requirements during a complaint follow up visit. A complaint visit was conducted June 4, 2024, with seven cited violations and two of the allegations were substantiated. Upon arrival at the CLAIR, the operator’s daughter and approved caregiver, M. Kromah, was present with seven children ranging in age from one year to six years of age. The children were monitored sleeping on mats with linen. Ms. Kromah stated her mother was at a doctor’s appointment. I explained to Ms. Kromah based on required staff to child ratios, she should only be with six children by herself. The youngest age of a child present was one. The following previously cited violations were monitored for compliance: #125-Daily tracking of children’s arrival and departure times were monitored. One child who was present and left early was not documented with an arrival or departure time. Ms. Kromah helped me review the tracking tool and the children who were present on my arrival. #301-staff to child ratios were not maintained. Today, there was one caregiver present with seven children, ranging in age from one to six years of age. The required ratios were 1 to 6. #887-There were not any infants present today. However, Ms. Kromah stated the enrolled infant was present yesterday, Monday, June 17, 2024. I monitored the Safe Sleep Tracking tool and June 17, 2024, was handwritten on the worksheet but nothing was documented. #892-There was not a posted or customized center ITS-SIDS policy posted in the sleeping area for infants. Today, there were not any infants present. #1041-The operator’s nephew, Bobby Briggs was not on site and Ms. Kromah stated he would not conduct any work on site or maintain ratios with any children. #1043-A file for someone who was left alone with a group of children does not work with the children and a staff file is not required. Ms. A. Kromah stated her son, David Kromah, is in the process of getting his CBC, medical and TB screening. Mr. Kromah may not begin working until all requirements are completed and on file. #1757-There is no longer a need for Mr. Bobby to obtain a CBC and qualification letter based on Ms. Kromah’s statement he will not be working on site during operation hours, nor will he be responsible for any enrolled children. Ms. Kromah returned to the center after her doctor’s appointment. I explained to Ms. Kromah if she knew she had a scheduled doctor’s appointment, why were not parents contacted to ensure staff to child ratios were maintained. Only one child needed to go home to maintain the required ratios. The worst-case scenario could have been for Ms. Kromah to have taken her granddaughter with her to the doctor’s appointment. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. A review of the tracking tool for arrival and departure times. One child who was present and left early today did not have arrival or departure times listed for day. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. the required staff to child ratios was 1:6. Today, one caregiver was present with seven children ranging in age from one year to six years of age. The operator returned and the center was in compliance upon my departure. GS 110-91(7);.0713(a-d) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. No infants were present today. However, an infant was present yesterday. Documentation showed the date of 6/17, but nothing was documented for a sleeping infant. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. There was not a center's ITS-SIDS policy posted in the sleeping area for infants. .0606(b) Technical Assistance Provided and General Discussion: 1. We discussed maintaining compliance with required staff to child ratios. I suggested rescheduling any appointments until the center obtains one more qualified person. 2. It was recommended to be transparent with enrolled parents indicating working on getting additional qualified staff but in the transitional time, parents need to know their child may not be able to attend for the day or during the times of day when the operator must go to her doctor’s appointments. 3. We discussed the operator’s plan of staff. Ms. Kromah stated her son, David and a neighbor, Ms. Linda who used to work for her. 4. A call was made to discuss compliance with the licensing supervisor during the visit. A written warning will be proposed. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Tuesday, July 2, 2024. You may email me your letter of correction. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: MARCIA PLAYMATE Facility ID: 60002543 Consultant: MARA BRINTON Operation Type: Center Case Number: 0524-356L Visit Date: 6/18/2024 Number Present: 7 Completed Date: 6/18/2024 Age: From 1 To 6 Total Minutes: 90 Time In: 03:00 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for compliance with applicable child care requirements during a complaint follow up visit. A complaint visit was conducted June 4, 2024, with seven cited violations and two of the allegations were substantiated. Upon arrival at the CLAIR, the operator’s daughter and approved caregiver, M. Kromah, was present with seven children ranging in age from one year to six years of age. The children were monitored sleeping on mats with linen. Ms. Kromah stated her mother was at a doctor’s appointment. I explained to Ms. Kromah based on required staff to child ratios, she should only be with six children by herself. The youngest age of a child present was one. The following previously cited violations were monitored for compliance: #125-Daily tracking of children’s arrival and departure times were monitored. One child who was present and left early was not documented with an arrival or departure time. Ms. Kromah helped me review the tracking tool and the children who were present on my arrival. #301-staff to child ratios were not maintained. Today, there was one caregiver present with seven children, ranging in age from one to six years of age. The required ratios were 1 to 6. #887-There were not any infants present today. However, Ms. Kromah stated the enrolled infant was present yesterday, Monday, June 17, 2024. I monitored the Safe Sleep Tracking tool and June 17, 2024, was handwritten on the worksheet but nothing was documented. #892-There was not a posted or customized center ITS-SIDS policy posted in the sleeping area for infants. Today, there were not any infants present. #1041-The operator’s nephew, Bobby Briggs was not on site and Ms. Kromah stated he would not conduct any work on site or maintain ratios with any children. #1043-A file for someone who was left alone with a group of children does not work with the children and a staff file is not required. Ms. A. Kromah stated her son, David Kromah, is in the process of getting his CBC, medical and TB screening. Mr. Kromah may not begin working until all requirements are completed and on file. #1757-There is no longer a need for Mr. Bobby to obtain a CBC and qualification letter based on Ms. Kromah’s statement he will not be working on site during operation hours, nor will he be responsible for any enrolled children. Ms. Kromah returned to the center after her doctor’s appointment. I explained to Ms. Kromah if she knew she had a scheduled doctor’s appointment, why were not parents contacted to ensure staff to child ratios were maintained. Only one child needed to go home to maintain the required ratios. The worst-case scenario could have been for Ms. Kromah to have taken her granddaughter with her to the doctor’s appointment. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. A review of the tracking tool for arrival and departure times. One child who was present and left early today did not have arrival or departure times listed for day. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. the required staff to child ratios was 1:6. Today, one caregiver was present with seven children ranging in age from one year to six years of age. The operator returned and the center was in compliance upon my departure. GS 110-91(7);.0713(a-d) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. No infants were present today. However, an infant was present yesterday. Documentation showed the date of 6/17, but nothing was documented for a sleeping infant. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. There was not a center's ITS-SIDS policy posted in the sleeping area for infants. .0606(b) Technical Assistance Provided and General Discussion: 1. We discussed maintaining compliance with required staff to child ratios. I suggested rescheduling any appointments until the center obtains one more qualified person. 2. It was recommended to be transparent with enrolled parents indicating working on getting additional qualified staff but in the transitional time, parents need to know their child may not be able to attend for the day or during the times of day when the operator must go to her doctor’s appointments. 3. We discussed the operator’s plan of staff. Ms. Kromah stated her son, David and a neighbor, Ms. Linda who used to work for her. 4. A call was made to discuss compliance with the licensing supervisor during the visit. A written warning will be proposed. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Tuesday, July 2, 2024. You may email me your letter of correction. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: MARCIA PLAYMATE Facility ID: 60002543 Consultant: MARA BRINTON Operation Type: Center Case Number: 0524-356L Visit Date: 6/4/2024 Number Present: 6 Completed Date: 6/14/2024 Age: From 0 To 4 Total Minutes: 240 Time In: 10:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of violations of child care requirements during a complaint visit. Upon arrival to the center no one answered the front door, so I walked around to the back and observed Ms. Kromah and Mr. Bobby (Ms. Kromah’s nephew) were present outside with five children. Mr. Bobby was observed spraying bug spray around the outside of the house. The printed allegations were read aloud as followed: There is a concern that staff did not respond to the emotional or physical needs of an infant in care at their earliest opportunity. There is a concern that infant feeding schedules are not being followed. There is a concern that diapers are not being charged when soiled. There is concern that staff/child ratios are not being followed during all hours of operation. There is a concern regarding staff qualifications. After Ms. Kromah was observed immediately washing the children’s hands and diapering the infant after returning from outside she began to explain how she tried to help new parents with their infant but the family disenrolled after her attempts to communicate what she needed from them. Ms. Kromah stated she sent a video of the infant crying and after throwing up to the mother of the infant. Ms. Kromah stated she explained to the parent their infant cried constantly if not held. Ms. Kromah also explained the parent brought in cereal to be added to the formula. Ms. Kromah stated she did not alter the nipple of the bottle at any time, but expressed concern to the parent the child would throw up at any time for unknown reasons. The infant feeding schedule was monitored and stated feedings were every three to four hours. Ms. Kromah stated trying to work with the parents to ensure the infants needs were met. Ms. Kromah also stated trying to figure out why the infant cried so frequently. She explained communicating with the parents by text, in person and the video. Ms. Kromah communicated to the parent she felt the child cried due to how much the parents were holding the infant and communicated the need for the parents to work with her. Concerns were communicated to the parents that they may need to take the infant to the doctor because Ms. Kromah began to question if the formula was contributing to the constant throwing up. It was shared the parent stated the infant throws up all the time. The video was sent to the parents to show the child’s needs were met and the child continued to cry and throw up the formula/cereal bottle served to the infant. While conducting the investigation, a three-year-old child arrived at the center. I explained to Ms. Kromah the child should not come inside because she would be out of ratio if she allowed the child to come inside. Ms. Kromah stated Mr. Bobby could take her grandchild to her daughter. I began asking questions about Mr. Bobby and how he was utilized at the center. The last visit completed, it was reported to me, Mr. Bobby was outside with his own child. A violation was not cited then but will be cited today because Mr. Bobby was used to maintain required staff to child ratios and was left alone with a child. Shortly after a call was made to discuss the allegations, Ms. Kromah’s daughter arrived. Ms. Chelesa Kromah is qualified and assists her mother. There was not a file for Mr. Bobby. Based on my observations and discussions with the operator and daughter the allegation of a concern that staff did not respond to the emotional and physical needs of an infant in care was UNSUBSTANTIATED. Ms. Kromah was observed responding to all needs of the children present. She was observed interacting with each of the children in a developmentally appropriate manner. She was observed taking care of basic care needs of infants, toddlers, and preschoolers. She described what she did and said to parents to help their infant better transition into child care. Based on my observations and discussions with the operator and daughter the allegation of concern that infant feeding schedules are not being followed was UNSUBSTANTITATED. There was one infant present today. The feeding schedule was monitored, and the operator followed the feeding schedule. The operator previously had an infant enrolled who was having transitional issues and formula related health issues. There were times if the infant were crying, she tried to see if the child would take a bottle, but that was done to meet the infant’s individual needs, not willful actions of not following the infant feeding schedule. Based on my observations and discussions with the operator and daughter the allegation of concern that diapers are not being changed when soiled was UNSUBSTANTIATED. Today, diapering was monitored after appropriate transitions, before nap time and after nap time. Diapers were monitored changed when soiled or wet or after any applicable transition. Based on my observations and discussions with the operator and daughter the allegation of concern that staff/child ratios are not being followed during all operation hours was SUBSTANTIATED. Today, a sixth child arrived after the established cut off time. Ms. Kromah permitted the child to enter after she knew she would be out of compliance. There were six children present with one caregiver. The youngest child was eight months of age. The center did return to compliance after Ms. Kromah’s daughter arrived. The last visit in October 2023, Mr. Bobby was present with one enrolled child, and he was not qualified. Mr. Bobby stated the child present was his child. Today, Ms. Kromah explained the child was not Mr. Bobby’s but an enrolled child at the time. Ms. Kromah explained, she was in route to return to the center and the parent left the child with Mr. Bobby. Mr. Bobby was not qualified to maintain staff to child ratios. Based on my observations and discussions with the operator and daughter the allegation of concern regarding staff qualifications was SUBSTANTIATED. Mr. Bobby has been on the premises during operating hours as a paid vendor and has been left alone with a child. There was not any paperwork to show, Mr. Bobby was qualified to be around children. There was not a posted ITS-SIDS policy in the sleeping area for infants. The ITS policy monitored on file for two infants was not customized and the sample policy only. Children’s arrival and departure times were monitored for the last two weeks. Children’s departure times were not documented for June 3, 2024. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. There were not departure times of children for June 3, 2024. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. The required ratio was 1:5. Today, the operator was present with six children, ranging in age from eight months to four years of age. The violation was corrected when Ms. Kromah's daughter arrived. GS 110-91(7);.0713(a-d) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. An infant's safe sleep checks were not documented for June 3, 2024. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. .0606(b) 1041 Prior to employment a Criminal Background Check was not completed. A DCDEE CBC qualification was not obtained prior to being left alone with a child. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A family member who was left alone with a child, October 13, 2023, did not have a file. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. A current DCDEE CBC qualification letter was not on file for one employee, the operator's nephew, Mr. Bobby. G.S. 110-90.2(b) & (d) & .2703(e) Technical Assistance Provided and General Discussion: 1. We discussed either disenrolling children to serve children two years and older only or work to get Mr. Bobby and the operator’s son qualified to work at the center. Ms. Kromah also discussed contacting a neighbor who used to work for her. 2. We discussed communications methods with parents. It was recommended to use the remind me application to communicate with all parents at once. 3. We discussed an administrative action may be issued for substantiating any allegations during a complaint investigation. A return visit will be conducting within the next two weeks to monitor for compliance. 4. We discussed developing a probationary period for enrolling families. We discussed enrollment questions. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Tuesday, June 18, 2024. You may email me your letter of correction. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: MARCIA PLAYMATE Facility ID: 60002543 Consultant: MARA BRINTON Operation Type: Center Case Number: 0524-356L Visit Date: 6/4/2024 Number Present: 6 Completed Date: 6/14/2024 Age: From 0 To 4 Total Minutes: 240 Time In: 10:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of violations of child care requirements during a complaint visit. Upon arrival to the center no one answered the front door, so I walked around to the back and observed Ms. Kromah and Mr. Bobby (Ms. Kromah’s nephew) were present outside with five children. Mr. Bobby was observed spraying bug spray around the outside of the house. The printed allegations were read aloud as followed: There is a concern that staff did not respond to the emotional or physical needs of an infant in care at their earliest opportunity. There is a concern that infant feeding schedules are not being followed. There is a concern that diapers are not being charged when soiled. There is concern that staff/child ratios are not being followed during all hours of operation. There is a concern regarding staff qualifications. After Ms. Kromah was observed immediately washing the children’s hands and diapering the infant after returning from outside she began to explain how she tried to help new parents with their infant but the family disenrolled after her attempts to communicate what she needed from them. Ms. Kromah stated she sent a video of the infant crying and after throwing up to the mother of the infant. Ms. Kromah stated she explained to the parent their infant cried constantly if not held. Ms. Kromah also explained the parent brought in cereal to be added to the formula. Ms. Kromah stated she did not alter the nipple of the bottle at any time, but expressed concern to the parent the child would throw up at any time for unknown reasons. The infant feeding schedule was monitored and stated feedings were every three to four hours. Ms. Kromah stated trying to work with the parents to ensure the infants needs were met. Ms. Kromah also stated trying to figure out why the infant cried so frequently. She explained communicating with the parents by text, in person and the video. Ms. Kromah communicated to the parent she felt the child cried due to how much the parents were holding the infant and communicated the need for the parents to work with her. Concerns were communicated to the parents that they may need to take the infant to the doctor because Ms. Kromah began to question if the formula was contributing to the constant throwing up. It was shared the parent stated the infant throws up all the time. The video was sent to the parents to show the child’s needs were met and the child continued to cry and throw up the formula/cereal bottle served to the infant. While conducting the investigation, a three-year-old child arrived at the center. I explained to Ms. Kromah the child should not come inside because she would be out of ratio if she allowed the child to come inside. Ms. Kromah stated Mr. Bobby could take her grandchild to her daughter. I began asking questions about Mr. Bobby and how he was utilized at the center. The last visit completed, it was reported to me, Mr. Bobby was outside with his own child. A violation was not cited then but will be cited today because Mr. Bobby was used to maintain required staff to child ratios and was left alone with a child. Shortly after a call was made to discuss the allegations, Ms. Kromah’s daughter arrived. Ms. Chelesa Kromah is qualified and assists her mother. There was not a file for Mr. Bobby. Based on my observations and discussions with the operator and daughter the allegation of a concern that staff did not respond to the emotional and physical needs of an infant in care was UNSUBSTANTIATED. Ms. Kromah was observed responding to all needs of the children present. She was observed interacting with each of the children in a developmentally appropriate manner. She was observed taking care of basic care needs of infants, toddlers, and preschoolers. She described what she did and said to parents to help their infant better transition into child care. Based on my observations and discussions with the operator and daughter the allegation of concern that infant feeding schedules are not being followed was UNSUBSTANTITATED. There was one infant present today. The feeding schedule was monitored, and the operator followed the feeding schedule. The operator previously had an infant enrolled who was having transitional issues and formula related health issues. There were times if the infant were crying, she tried to see if the child would take a bottle, but that was done to meet the infant’s individual needs, not willful actions of not following the infant feeding schedule. Based on my observations and discussions with the operator and daughter the allegation of concern that diapers are not being changed when soiled was UNSUBSTANTIATED. Today, diapering was monitored after appropriate transitions, before nap time and after nap time. Diapers were monitored changed when soiled or wet or after any applicable transition. Based on my observations and discussions with the operator and daughter the allegation of concern that staff/child ratios are not being followed during all operation hours was SUBSTANTIATED. Today, a sixth child arrived after the established cut off time. Ms. Kromah permitted the child to enter after she knew she would be out of compliance. There were six children present with one caregiver. The youngest child was eight months of age. The center did return to compliance after Ms. Kromah’s daughter arrived. The last visit in October 2023, Mr. Bobby was present with one enrolled child, and he was not qualified. Mr. Bobby stated the child present was his child. Today, Ms. Kromah explained the child was not Mr. Bobby’s but an enrolled child at the time. Ms. Kromah explained, she was in route to return to the center and the parent left the child with Mr. Bobby. Mr. Bobby was not qualified to maintain staff to child ratios. Based on my observations and discussions with the operator and daughter the allegation of concern regarding staff qualifications was SUBSTANTIATED. Mr. Bobby has been on the premises during operating hours as a paid vendor and has been left alone with a child. There was not any paperwork to show, Mr. Bobby was qualified to be around children. There was not a posted ITS-SIDS policy in the sleeping area for infants. The ITS policy monitored on file for two infants was not customized and the sample policy only. Children’s arrival and departure times were monitored for the last two weeks. Children’s departure times were not documented for June 3, 2024. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. There were not departure times of children for June 3, 2024. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. The required ratio was 1:5. Today, the operator was present with six children, ranging in age from eight months to four years of age. The violation was corrected when Ms. Kromah's daughter arrived. GS 110-91(7);.0713(a-d) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. An infant's safe sleep checks were not documented for June 3, 2024. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. .0606(b) 1041 Prior to employment a Criminal Background Check was not completed. A DCDEE CBC qualification was not obtained prior to being left alone with a child. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A family member who was left alone with a child, October 13, 2023, did not have a file. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. A current DCDEE CBC qualification letter was not on file for one employee, the operator's nephew, Mr. Bobby. G.S. 110-90.2(b) & (d) & .2703(e) Technical Assistance Provided and General Discussion: 1. We discussed either disenrolling children to serve children two years and older only or work to get Mr. Bobby and the operator’s son qualified to work at the center. Ms. Kromah also discussed contacting a neighbor who used to work for her. 2. We discussed communications methods with parents. It was recommended to use the remind me application to communicate with all parents at once. 3. We discussed an administrative action may be issued for substantiating any allegations during a complaint investigation. A return visit will be conducting within the next two weeks to monitor for compliance. 4. We discussed developing a probationary period for enrolling families. We discussed enrollment questions. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Tuesday, June 18, 2024. You may email me your letter of correction. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: MARCIA PLAYMATE Facility ID: 60002543 Consultant: MARA BRINTON Operation Type: Center Case Number: 0524-356L Visit Date: 6/4/2024 Number Present: 6 Completed Date: 6/14/2024 Age: From 0 To 4 Total Minutes: 240 Time In: 10:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of violations of child care requirements during a complaint visit. Upon arrival to the center no one answered the front door, so I walked around to the back and observed Ms. Kromah and Mr. Bobby (Ms. Kromah’s nephew) were present outside with five children. Mr. Bobby was observed spraying bug spray around the outside of the house. The printed allegations were read aloud as followed: There is a concern that staff did not respond to the emotional or physical needs of an infant in care at their earliest opportunity. There is a concern that infant feeding schedules are not being followed. There is a concern that diapers are not being charged when soiled. There is concern that staff/child ratios are not being followed during all hours of operation. There is a concern regarding staff qualifications. After Ms. Kromah was observed immediately washing the children’s hands and diapering the infant after returning from outside she began to explain how she tried to help new parents with their infant but the family disenrolled after her attempts to communicate what she needed from them. Ms. Kromah stated she sent a video of the infant crying and after throwing up to the mother of the infant. Ms. Kromah stated she explained to the parent their infant cried constantly if not held. Ms. Kromah also explained the parent brought in cereal to be added to the formula. Ms. Kromah stated she did not alter the nipple of the bottle at any time, but expressed concern to the parent the child would throw up at any time for unknown reasons. The infant feeding schedule was monitored and stated feedings were every three to four hours. Ms. Kromah stated trying to work with the parents to ensure the infants needs were met. Ms. Kromah also stated trying to figure out why the infant cried so frequently. She explained communicating with the parents by text, in person and the video. Ms. Kromah communicated to the parent she felt the child cried due to how much the parents were holding the infant and communicated the need for the parents to work with her. Concerns were communicated to the parents that they may need to take the infant to the doctor because Ms. Kromah began to question if the formula was contributing to the constant throwing up. It was shared the parent stated the infant throws up all the time. The video was sent to the parents to show the child’s needs were met and the child continued to cry and throw up the formula/cereal bottle served to the infant. While conducting the investigation, a three-year-old child arrived at the center. I explained to Ms. Kromah the child should not come inside because she would be out of ratio if she allowed the child to come inside. Ms. Kromah stated Mr. Bobby could take her grandchild to her daughter. I began asking questions about Mr. Bobby and how he was utilized at the center. The last visit completed, it was reported to me, Mr. Bobby was outside with his own child. A violation was not cited then but will be cited today because Mr. Bobby was used to maintain required staff to child ratios and was left alone with a child. Shortly after a call was made to discuss the allegations, Ms. Kromah’s daughter arrived. Ms. Chelesa Kromah is qualified and assists her mother. There was not a file for Mr. Bobby. Based on my observations and discussions with the operator and daughter the allegation of a concern that staff did not respond to the emotional and physical needs of an infant in care was UNSUBSTANTIATED. Ms. Kromah was observed responding to all needs of the children present. She was observed interacting with each of the children in a developmentally appropriate manner. She was observed taking care of basic care needs of infants, toddlers, and preschoolers. She described what she did and said to parents to help their infant better transition into child care. Based on my observations and discussions with the operator and daughter the allegation of concern that infant feeding schedules are not being followed was UNSUBSTANTITATED. There was one infant present today. The feeding schedule was monitored, and the operator followed the feeding schedule. The operator previously had an infant enrolled who was having transitional issues and formula related health issues. There were times if the infant were crying, she tried to see if the child would take a bottle, but that was done to meet the infant’s individual needs, not willful actions of not following the infant feeding schedule. Based on my observations and discussions with the operator and daughter the allegation of concern that diapers are not being changed when soiled was UNSUBSTANTIATED. Today, diapering was monitored after appropriate transitions, before nap time and after nap time. Diapers were monitored changed when soiled or wet or after any applicable transition. Based on my observations and discussions with the operator and daughter the allegation of concern that staff/child ratios are not being followed during all operation hours was SUBSTANTIATED. Today, a sixth child arrived after the established cut off time. Ms. Kromah permitted the child to enter after she knew she would be out of compliance. There were six children present with one caregiver. The youngest child was eight months of age. The center did return to compliance after Ms. Kromah’s daughter arrived. The last visit in October 2023, Mr. Bobby was present with one enrolled child, and he was not qualified. Mr. Bobby stated the child present was his child. Today, Ms. Kromah explained the child was not Mr. Bobby’s but an enrolled child at the time. Ms. Kromah explained, she was in route to return to the center and the parent left the child with Mr. Bobby. Mr. Bobby was not qualified to maintain staff to child ratios. Based on my observations and discussions with the operator and daughter the allegation of concern regarding staff qualifications was SUBSTANTIATED. Mr. Bobby has been on the premises during operating hours as a paid vendor and has been left alone with a child. There was not any paperwork to show, Mr. Bobby was qualified to be around children. There was not a posted ITS-SIDS policy in the sleeping area for infants. The ITS policy monitored on file for two infants was not customized and the sample policy only. Children’s arrival and departure times were monitored for the last two weeks. Children’s departure times were not documented for June 3, 2024. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. There were not departure times of children for June 3, 2024. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. The required ratio was 1:5. Today, the operator was present with six children, ranging in age from eight months to four years of age. The violation was corrected when Ms. Kromah's daughter arrived. GS 110-91(7);.0713(a-d) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. An infant's safe sleep checks were not documented for June 3, 2024. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. .0606(b) 1041 Prior to employment a Criminal Background Check was not completed. A DCDEE CBC qualification was not obtained prior to being left alone with a child. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A family member who was left alone with a child, October 13, 2023, did not have a file. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. A current DCDEE CBC qualification letter was not on file for one employee, the operator's nephew, Mr. Bobby. G.S. 110-90.2(b) & (d) & .2703(e) Technical Assistance Provided and General Discussion: 1. We discussed either disenrolling children to serve children two years and older only or work to get Mr. Bobby and the operator’s son qualified to work at the center. Ms. Kromah also discussed contacting a neighbor who used to work for her. 2. We discussed communications methods with parents. It was recommended to use the remind me application to communicate with all parents at once. 3. We discussed an administrative action may be issued for substantiating any allegations during a complaint investigation. A return visit will be conducting within the next two weeks to monitor for compliance. 4. We discussed developing a probationary period for enrolling families. We discussed enrollment questions. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Tuesday, June 18, 2024. You may email me your letter of correction. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: MARCIA PLAYMATE Facility ID: 60002543 Consultant: MARA BRINTON Operation Type: Center Case Number: 0524-356L Visit Date: 6/4/2024 Number Present: 6 Completed Date: 6/14/2024 Age: From 0 To 4 Total Minutes: 240 Time In: 10:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of violations of child care requirements during a complaint visit. Upon arrival to the center no one answered the front door, so I walked around to the back and observed Ms. Kromah and Mr. Bobby (Ms. Kromah’s nephew) were present outside with five children. Mr. Bobby was observed spraying bug spray around the outside of the house. The printed allegations were read aloud as followed: There is a concern that staff did not respond to the emotional or physical needs of an infant in care at their earliest opportunity. There is a concern that infant feeding schedules are not being followed. There is a concern that diapers are not being charged when soiled. There is concern that staff/child ratios are not being followed during all hours of operation. There is a concern regarding staff qualifications. After Ms. Kromah was observed immediately washing the children’s hands and diapering the infant after returning from outside she began to explain how she tried to help new parents with their infant but the family disenrolled after her attempts to communicate what she needed from them. Ms. Kromah stated she sent a video of the infant crying and after throwing up to the mother of the infant. Ms. Kromah stated she explained to the parent their infant cried constantly if not held. Ms. Kromah also explained the parent brought in cereal to be added to the formula. Ms. Kromah stated she did not alter the nipple of the bottle at any time, but expressed concern to the parent the child would throw up at any time for unknown reasons. The infant feeding schedule was monitored and stated feedings were every three to four hours. Ms. Kromah stated trying to work with the parents to ensure the infants needs were met. Ms. Kromah also stated trying to figure out why the infant cried so frequently. She explained communicating with the parents by text, in person and the video. Ms. Kromah communicated to the parent she felt the child cried due to how much the parents were holding the infant and communicated the need for the parents to work with her. Concerns were communicated to the parents that they may need to take the infant to the doctor because Ms. Kromah began to question if the formula was contributing to the constant throwing up. It was shared the parent stated the infant throws up all the time. The video was sent to the parents to show the child’s needs were met and the child continued to cry and throw up the formula/cereal bottle served to the infant. While conducting the investigation, a three-year-old child arrived at the center. I explained to Ms. Kromah the child should not come inside because she would be out of ratio if she allowed the child to come inside. Ms. Kromah stated Mr. Bobby could take her grandchild to her daughter. I began asking questions about Mr. Bobby and how he was utilized at the center. The last visit completed, it was reported to me, Mr. Bobby was outside with his own child. A violation was not cited then but will be cited today because Mr. Bobby was used to maintain required staff to child ratios and was left alone with a child. Shortly after a call was made to discuss the allegations, Ms. Kromah’s daughter arrived. Ms. Chelesa Kromah is qualified and assists her mother. There was not a file for Mr. Bobby. Based on my observations and discussions with the operator and daughter the allegation of a concern that staff did not respond to the emotional and physical needs of an infant in care was UNSUBSTANTIATED. Ms. Kromah was observed responding to all needs of the children present. She was observed interacting with each of the children in a developmentally appropriate manner. She was observed taking care of basic care needs of infants, toddlers, and preschoolers. She described what she did and said to parents to help their infant better transition into child care. Based on my observations and discussions with the operator and daughter the allegation of concern that infant feeding schedules are not being followed was UNSUBSTANTITATED. There was one infant present today. The feeding schedule was monitored, and the operator followed the feeding schedule. The operator previously had an infant enrolled who was having transitional issues and formula related health issues. There were times if the infant were crying, she tried to see if the child would take a bottle, but that was done to meet the infant’s individual needs, not willful actions of not following the infant feeding schedule. Based on my observations and discussions with the operator and daughter the allegation of concern that diapers are not being changed when soiled was UNSUBSTANTIATED. Today, diapering was monitored after appropriate transitions, before nap time and after nap time. Diapers were monitored changed when soiled or wet or after any applicable transition. Based on my observations and discussions with the operator and daughter the allegation of concern that staff/child ratios are not being followed during all operation hours was SUBSTANTIATED. Today, a sixth child arrived after the established cut off time. Ms. Kromah permitted the child to enter after she knew she would be out of compliance. There were six children present with one caregiver. The youngest child was eight months of age. The center did return to compliance after Ms. Kromah’s daughter arrived. The last visit in October 2023, Mr. Bobby was present with one enrolled child, and he was not qualified. Mr. Bobby stated the child present was his child. Today, Ms. Kromah explained the child was not Mr. Bobby’s but an enrolled child at the time. Ms. Kromah explained, she was in route to return to the center and the parent left the child with Mr. Bobby. Mr. Bobby was not qualified to maintain staff to child ratios. Based on my observations and discussions with the operator and daughter the allegation of concern regarding staff qualifications was SUBSTANTIATED. Mr. Bobby has been on the premises during operating hours as a paid vendor and has been left alone with a child. There was not any paperwork to show, Mr. Bobby was qualified to be around children. There was not a posted ITS-SIDS policy in the sleeping area for infants. The ITS policy monitored on file for two infants was not customized and the sample policy only. Children’s arrival and departure times were monitored for the last two weeks. Children’s departure times were not documented for June 3, 2024. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. There were not departure times of children for June 3, 2024. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. The required ratio was 1:5. Today, the operator was present with six children, ranging in age from eight months to four years of age. The violation was corrected when Ms. Kromah's daughter arrived. GS 110-91(7);.0713(a-d) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. An infant's safe sleep checks were not documented for June 3, 2024. .0606(g) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. .0606(b) 1041 Prior to employment a Criminal Background Check was not completed. A DCDEE CBC qualification was not obtained prior to being left alone with a child. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. A family member who was left alone with a child, October 13, 2023, did not have a file. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. A current DCDEE CBC qualification letter was not on file for one employee, the operator's nephew, Mr. Bobby. G.S. 110-90.2(b) & (d) & .2703(e) Technical Assistance Provided and General Discussion: 1. We discussed either disenrolling children to serve children two years and older only or work to get Mr. Bobby and the operator’s son qualified to work at the center. Ms. Kromah also discussed contacting a neighbor who used to work for her. 2. We discussed communications methods with parents. It was recommended to use the remind me application to communicate with all parents at once. 3. We discussed an administrative action may be issued for substantiating any allegations during a complaint investigation. A return visit will be conducting within the next two weeks to monitor for compliance. 4. We discussed developing a probationary period for enrolling families. We discussed enrollment questions. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Tuesday, June 18, 2024. You may email me your letter of correction. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: MARCIA PLAYMATE Facility ID: 60002543 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 10/13/2023 Number Present: 4 Completed Date: 10/13/2023 Age: From 2 To 4 Total Minutes: 255 Time In: 12:30 PM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care requirements during the Annual Compliance Visit. Upon arrival at the center, I rang the front door bell, and no one came to the door. A man came from the back and stated Ms. Kromah was not present and he was blowing the leaves from the back. I small child was observed in the same area with unknown man. He stated the child belonged to him. I requested he, contact Ms. Kromah and inform her that her licensing consultant was on site. He tried calling and texting Ms. Kromah with no response. I returned to my vehicle to discuss the situation with my supervisor. While in my vehicle, the man came to my vehicle window and state Ms. Kromah was at the fire department. I asked the man if children were with her, and he replied three children left with her. After waiting approximately forty-five minutes, I left the CLAIR and returned after lunch to determine if Ms. Kromah returned with the children. Four children were present with the operator. The child and man who left with the lawn care man were both related to the operator. The center located within a residence maintains a four-star rated license and continues to meet enhanced space and ratios. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. One space, the kitchen and outdoor learning environment were monitored for compliance. The program continues to provide transportation to children. Transportation requirements were monitored for compliance and found to meet child care requirements. One child’s file was monitored for compliance. A medical report was not on file nor permission for children to play outside the fenced area. The center implemented the Creative Curriculum and was able to provide the teacher’s manual. I requested the center’s current Staff and Training worksheet. The worksheets were not completed or maintained by Ms. Kromah. I recommended she maintain the worksheets electronically for better record keeping. The operator obtained five hours of annual in-service training instead of a total of eight hours. The operator was due to obtain her annual hours by September of every year. The center’s EPR plan and RTGF were not available for review. The operator stated completing the training in 2017 but was unable to produce the EPR plan or the Ready to Go File. The operator was reminded her health and safety training will be due for the five-year renewal by December 2023. I reminded Ms. Kromah that Recognizing and Responding to Child Maltreatment will also be required to be renewed by December 2023. The outdoor learning environment was monitored for compliance. The wooden steps attached to the outdoor storage unit were monitored deteriorated. Monthly inspections were monitored and found to meet requirements. It was recommended to conduct at least one drill with misty rain and at the end of nap time. Documentation for quarterly safety drills and monthly fire drills were monitored for compliance. The operator didn’t complete the required drill at least once every three months (September 24, 2023). The kitchen was monitored for compliance with food stored properly and a posted current menu. The operator stated there were not any children enrolled with noted allergies. I asked Ms. Kromah to post a sign indicating no children enrolled with allergies. The last sanitation inspection was conducted August 23, 2023, with twelve (12) demerits cited, and a Superior Classification issued. The last annual fire inspection was completed October 20, 2022. It was recommended to begin the annual fire inspection process four to six weeks prior to expiration. The center continues to meet four-star requirements and a three-year reassessment will be required no later than December 2025. The CLAIR does not participate in ERS. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Daily tracking of children's arrival and departure times were not documented. There was not any documentation for 10/12 or 10/13. 10A NCAC 09 .0302(d)(4) 721 All equipment and furnishings were not in good repair. Wooden steps attached to outdoor storage unit were monitored in poor repair. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. One child's file was monitored for compliance. There was not any documentation on file showing the required procedures were communicated to the parents. There was not anything posted either. .1003(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A current annual health questionnaire was not on file. .0701(a) 1043 All staff records, except financial records, were not made available for review. The operator stated her daughter helps to provide transportation to children. A file was not provided for review. G.S. 110-91( 9) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. The operator was past due two hours of annual in-service training for the 2023 year. .1103(a) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Three children were transported without written permission on file. .1003(i)(j) 1757 A valid qualification letter was not on file and available to review at the facility. The operator did not have her current CBC letter printed and available for review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Either drill was not completed at least once every three months. The last drill completed was June 24, 2023. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The RTGF was not provided for review. .0607(d)(10) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. The center's EPR plan was not available for review. .0607(b) Technical Assistance Provided and General Discussion: 1. A CPR chart was posted instead of a FA poster. It was recommended to Google a FA chart and post it. 2. We discussed the required steps to update the center’s EPR plan in the electronic system. Access the link from DCDEE’S website. The health consultant and child care consultant’s information should be updated. The revised plan printed and reviewed with each existing member of staff. 3. The Moodle system instructions were emailed to the operator to assist with training. 4. It was recommended to purchase foam kick plates underneath the swings. Mulch will soon need to be raked. 5. We discussed removal of acorns from the playground. The lawncare service blows the fallen ones from the ground and removes them from the environment. 6. The operator stated she was incorporated but the child care license was not issued to the incorporation. I explained she would be required to go onto a temporary license for six months (have two visits during the temp. time period) before the star rating would be issued. The paperwork will be emailed to the operator after the visit. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Friday, October 27, 2023. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: MARCIA PLAYMATE Facility ID: 60002543 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 10/13/2023 Number Present: 4 Completed Date: 10/13/2023 Age: From 2 To 4 Total Minutes: 255 Time In: 12:30 PM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care requirements during the Annual Compliance Visit. Upon arrival at the center, I rang the front door bell, and no one came to the door. A man came from the back and stated Ms. Kromah was not present and he was blowing the leaves from the back. I small child was observed in the same area with unknown man. He stated the child belonged to him. I requested he, contact Ms. Kromah and inform her that her licensing consultant was on site. He tried calling and texting Ms. Kromah with no response. I returned to my vehicle to discuss the situation with my supervisor. While in my vehicle, the man came to my vehicle window and state Ms. Kromah was at the fire department. I asked the man if children were with her, and he replied three children left with her. After waiting approximately forty-five minutes, I left the CLAIR and returned after lunch to determine if Ms. Kromah returned with the children. Four children were present with the operator. The child and man who left with the lawn care man were both related to the operator. The center located within a residence maintains a four-star rated license and continues to meet enhanced space and ratios. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. One space, the kitchen and outdoor learning environment were monitored for compliance. The program continues to provide transportation to children. Transportation requirements were monitored for compliance and found to meet child care requirements. One child’s file was monitored for compliance. A medical report was not on file nor permission for children to play outside the fenced area. The center implemented the Creative Curriculum and was able to provide the teacher’s manual. I requested the center’s current Staff and Training worksheet. The worksheets were not completed or maintained by Ms. Kromah. I recommended she maintain the worksheets electronically for better record keeping. The operator obtained five hours of annual in-service training instead of a total of eight hours. The operator was due to obtain her annual hours by September of every year. The center’s EPR plan and RTGF were not available for review. The operator stated completing the training in 2017 but was unable to produce the EPR plan or the Ready to Go File. The operator was reminded her health and safety training will be due for the five-year renewal by December 2023. I reminded Ms. Kromah that Recognizing and Responding to Child Maltreatment will also be required to be renewed by December 2023. The outdoor learning environment was monitored for compliance. The wooden steps attached to the outdoor storage unit were monitored deteriorated. Monthly inspections were monitored and found to meet requirements. It was recommended to conduct at least one drill with misty rain and at the end of nap time. Documentation for quarterly safety drills and monthly fire drills were monitored for compliance. The operator didn’t complete the required drill at least once every three months (September 24, 2023). The kitchen was monitored for compliance with food stored properly and a posted current menu. The operator stated there were not any children enrolled with noted allergies. I asked Ms. Kromah to post a sign indicating no children enrolled with allergies. The last sanitation inspection was conducted August 23, 2023, with twelve (12) demerits cited, and a Superior Classification issued. The last annual fire inspection was completed October 20, 2022. It was recommended to begin the annual fire inspection process four to six weeks prior to expiration. The center continues to meet four-star requirements and a three-year reassessment will be required no later than December 2025. The CLAIR does not participate in ERS. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Daily tracking of children's arrival and departure times were not documented. There was not any documentation for 10/12 or 10/13. 10A NCAC 09 .0302(d)(4) 721 All equipment and furnishings were not in good repair. Wooden steps attached to outdoor storage unit were monitored in poor repair. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. One child's file was monitored for compliance. There was not any documentation on file showing the required procedures were communicated to the parents. There was not anything posted either. .1003(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A current annual health questionnaire was not on file. .0701(a) 1043 All staff records, except financial records, were not made available for review. The operator stated her daughter helps to provide transportation to children. A file was not provided for review. G.S. 110-91( 9) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. The operator was past due two hours of annual in-service training for the 2023 year. .1103(a) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Three children were transported without written permission on file. .1003(i)(j) 1757 A valid qualification letter was not on file and available to review at the facility. The operator did not have her current CBC letter printed and available for review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Either drill was not completed at least once every three months. The last drill completed was June 24, 2023. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The RTGF was not provided for review. .0607(d)(10) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. The center's EPR plan was not available for review. .0607(b) Technical Assistance Provided and General Discussion: 1. A CPR chart was posted instead of a FA poster. It was recommended to Google a FA chart and post it. 2. We discussed the required steps to update the center’s EPR plan in the electronic system. Access the link from DCDEE’S website. The health consultant and child care consultant’s information should be updated. The revised plan printed and reviewed with each existing member of staff. 3. The Moodle system instructions were emailed to the operator to assist with training. 4. It was recommended to purchase foam kick plates underneath the swings. Mulch will soon need to be raked. 5. We discussed removal of acorns from the playground. The lawncare service blows the fallen ones from the ground and removes them from the environment. 6. The operator stated she was incorporated but the child care license was not issued to the incorporation. I explained she would be required to go onto a temporary license for six months (have two visits during the temp. time period) before the star rating would be issued. The paperwork will be emailed to the operator after the visit. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Friday, October 27, 2023. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: MARCIA PLAYMATE Facility ID: 60002543 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 10/13/2023 Number Present: 4 Completed Date: 10/13/2023 Age: From 2 To 4 Total Minutes: 255 Time In: 12:30 PM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care requirements during the Annual Compliance Visit. Upon arrival at the center, I rang the front door bell, and no one came to the door. A man came from the back and stated Ms. Kromah was not present and he was blowing the leaves from the back. I small child was observed in the same area with unknown man. He stated the child belonged to him. I requested he, contact Ms. Kromah and inform her that her licensing consultant was on site. He tried calling and texting Ms. Kromah with no response. I returned to my vehicle to discuss the situation with my supervisor. While in my vehicle, the man came to my vehicle window and state Ms. Kromah was at the fire department. I asked the man if children were with her, and he replied three children left with her. After waiting approximately forty-five minutes, I left the CLAIR and returned after lunch to determine if Ms. Kromah returned with the children. Four children were present with the operator. The child and man who left with the lawn care man were both related to the operator. The center located within a residence maintains a four-star rated license and continues to meet enhanced space and ratios. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. One space, the kitchen and outdoor learning environment were monitored for compliance. The program continues to provide transportation to children. Transportation requirements were monitored for compliance and found to meet child care requirements. One child’s file was monitored for compliance. A medical report was not on file nor permission for children to play outside the fenced area. The center implemented the Creative Curriculum and was able to provide the teacher’s manual. I requested the center’s current Staff and Training worksheet. The worksheets were not completed or maintained by Ms. Kromah. I recommended she maintain the worksheets electronically for better record keeping. The operator obtained five hours of annual in-service training instead of a total of eight hours. The operator was due to obtain her annual hours by September of every year. The center’s EPR plan and RTGF were not available for review. The operator stated completing the training in 2017 but was unable to produce the EPR plan or the Ready to Go File. The operator was reminded her health and safety training will be due for the five-year renewal by December 2023. I reminded Ms. Kromah that Recognizing and Responding to Child Maltreatment will also be required to be renewed by December 2023. The outdoor learning environment was monitored for compliance. The wooden steps attached to the outdoor storage unit were monitored deteriorated. Monthly inspections were monitored and found to meet requirements. It was recommended to conduct at least one drill with misty rain and at the end of nap time. Documentation for quarterly safety drills and monthly fire drills were monitored for compliance. The operator didn’t complete the required drill at least once every three months (September 24, 2023). The kitchen was monitored for compliance with food stored properly and a posted current menu. The operator stated there were not any children enrolled with noted allergies. I asked Ms. Kromah to post a sign indicating no children enrolled with allergies. The last sanitation inspection was conducted August 23, 2023, with twelve (12) demerits cited, and a Superior Classification issued. The last annual fire inspection was completed October 20, 2022. It was recommended to begin the annual fire inspection process four to six weeks prior to expiration. The center continues to meet four-star requirements and a three-year reassessment will be required no later than December 2025. The CLAIR does not participate in ERS. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Daily tracking of children's arrival and departure times were not documented. There was not any documentation for 10/12 or 10/13. 10A NCAC 09 .0302(d)(4) 721 All equipment and furnishings were not in good repair. Wooden steps attached to outdoor storage unit were monitored in poor repair. G.S. 110-91(6); .0601(b) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. One child's file was monitored for compliance. There was not any documentation on file showing the required procedures were communicated to the parents. There was not anything posted either. .1003(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A current annual health questionnaire was not on file. .0701(a) 1043 All staff records, except financial records, were not made available for review. The operator stated her daughter helps to provide transportation to children. A file was not provided for review. G.S. 110-91( 9) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. The operator was past due two hours of annual in-service training for the 2023 year. .1103(a) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Three children were transported without written permission on file. .1003(i)(j) 1757 A valid qualification letter was not on file and available to review at the facility. The operator did not have her current CBC letter printed and available for review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Either drill was not completed at least once every three months. The last drill completed was June 24, 2023. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The RTGF was not provided for review. .0607(d)(10) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. The center's EPR plan was not available for review. .0607(b) Technical Assistance Provided and General Discussion: 1. A CPR chart was posted instead of a FA poster. It was recommended to Google a FA chart and post it. 2. We discussed the required steps to update the center’s EPR plan in the electronic system. Access the link from DCDEE’S website. The health consultant and child care consultant’s information should be updated. The revised plan printed and reviewed with each existing member of staff. 3. The Moodle system instructions were emailed to the operator to assist with training. 4. It was recommended to purchase foam kick plates underneath the swings. Mulch will soon need to be raked. 5. We discussed removal of acorns from the playground. The lawncare service blows the fallen ones from the ground and removes them from the environment. 6. The operator stated she was incorporated but the child care license was not issued to the incorporation. I explained she would be required to go onto a temporary license for six months (have two visits during the temp. time period) before the star rating would be issued. The paperwork will be emailed to the operator after the visit. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Friday, October 27, 2023. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: MARCIA PLAYMATE Facility ID: 60002543 Consultant: KAYE DUNLAP Operation Type: Center Case Number: 0723-163L Visit Date: 8/1/2023 Number Present: 8 Completed Date: 8/1/2023 Age: From 1 To 5 Total Minutes: 105 Time In: 10:00 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced Allegation: There are concerns that an injury occurred while in care. Purpose of Visit and Observations: The purpose of today’s visit was to investigate the allegation regarding an injury that occurred while in care. Upon arrival, I was greeted by Teacher, C. McClain. I introduced myself and asked if the Lead Teacher, A. Kromah was present. She stated that Ms. Kromah was outside with the children. I stated to the Teacher that I would let Ms. Kromah know I was present. I walked outside and was greeted by Ms. Kromah. I stated the reason for the visit. I read the allegation to her and allowed her to respond. She stated that on July 25th, 2023 an infant eight months of age tried to stand up in his crib after waking up from nap and fell backwards and bumped his head on the rail. She stated that she placed ice on the bump and approximately fifteen minutes after the incident occurred the infant’s adult brother arrived to pick him up. She reported that she had not called the mom yet to notify her because she was caring for the other children at the time. She reported that she explained to the brother what happened and asked him to let his mom know and to call her if she had questions. She also stated that she told him that she would be completing an incident report for his mom. Ms. Kromah stated that she spoke with the mom several times by phone on that evening and the morning of July 26th to explain the incident. She reported that based on her interactions with the mom, she told her that she could no longer care for her infant. During the visit, I reviewed documentation completed by Ms. Kromah and the incident report. I also reviewed the facility’s emergency medical care plan. Additional information received indicated that the infant was taken to the emergency room on July 26th to be examined and was found to be fine. Based on discussions with Ms. Kromah and documentation provided, it was determined that a child bumped his head on the side of a crib however, no violations were cited in regard to the incident because the facility followed procedures therefore, the allegation is deemed unsubstantiated. There was one violation cited and corrected during the visit. Violation Number Comment Rule 853 Incident logs were not completed and maintained as required. Incident log was not completed for an incident that occurred July 25, 2023. .0802(g)(1-6) Technical Assistance: Although an incident report was completed the incident log had not been completed. A conversation was held with Ms. Kromah regarding requirements for completing the incident log with incident reports. Below is the rule reference for the violation. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/incident_log_i.pdf?ver=2017-05-16-105723-723. Thank you for your time today. If you have questions or concerns, please feel free to contact me at 704-594-0152 or by email at Kaye.Dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times