10A NCAC 09.1721 · Violation

Name of Operation: QUALITY DAY CARE Facility ID: 60002574 Consultant: RESHA WASHINGTON Operation Type: Family CC Home Case Number: Visit Date: 9/23/2025 Number Present: 3 Completed Date: 9/23/2025 Age: From 1 To 4 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full Annual Compliance. The facility is currently operating with a Three Star Rated License issued on December 23, 2019, and had an eighteen (18) month compliance history score of 100% prior to today’s visit. The April 2025 FCCH Item Number Listing and the March 2023 Annual Compliance Checklist were used to monitor today. A copy of the Annual Compliance Checklist was left with the operator. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. M. Horton, owner/operator, at the primary entrance of the home where I explained the purpose of today’s visit. Ms. Horton was present with three (3) enrolled preschool children upon my arrival. There are a total of four (4) preschool children and three (3) school-aged child enrolled on first shift. There are currently no children enrolled on second shift. Children were observed in free play, transitional activities and conducting personal care routines during today’s visit. A walk-through of the facility was conducted. One (1) licensed child care space, the program’s bathroom, the home’s kitchen, the outdoor learning environment and all areas adjacent to these spaces along the path of travel were monitored. In the licensed child care space an aerosol can of disinfecting spray was observed being stored on a shelf affixed to the wall. The provider was reminded that all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products stored under pressure in an aerosol dispenser as well as any substance that may be hazardous to a child if ingested, inhaled, or handled must be kept in locked storage when children were in care. She stated that she was aware and then placed the aerosol can of disinfecting spray in locked storage. The program’s daily attendance/sign-in and out log was reviewed. It was observed that although there were three (3) child present this had not been documented. This provider acknowledged that she had not documented the children’s arrival yet and updated this form during the visit. Medication was monitored. Ms. Horton stated that there are currently no enrolled children that require medication and there is no emergency medication being stored onsite for any enrolled child at this time. Program records were monitored. It was observed that monthly Fire drills, quarterly Emergency drills and monthly Outdoor Inspections are all being both conducted and documented, as required. The program’s Emergency Preparedness and Response plan was reviewed. It was observed to have been last updated in July 2025, as required. The program’s Ready to Go File was monitored and was observed to not contain all required information. This information was discussed with the provider, and she stated that she would begin working on this immediately. The program’s incident log was monitored during today’s visit, and it was shared by the provider that there have been no recent incidents to report or document. The provider’s personnel file and other staffing information was reviewed. It was observed that all specialized trainings were up to date. It was also observed that Ms. Horton is required to receive eight (8) in-service training hours annually and she has currently received six (6) in-service hours, including one (1) in-service hour brought over from the previous year. She was informed that she will need to complete two (2) additional in-service hours by her anniversary date October 24th to remain compliant. Criminal background checks and qualifying letters were monitored for both Ms. Horton and all other household members. It was observed that each had current CBC qualifying letters on file. The program’s ABCMS Criminal Background Check Roster was also monitored. It was observed that the roster had been created but the information had not been linked correctly. The provider was made aware of this and encouraged to reach out to the CBC Unit for further technical assistance to resolve the issue. Ms. Horton had a file available for review for all enrolled children. Four (4) children’s files were reviewed during today’s visit. It was observed that two (2) children had applications on file that did not include all required information including any allergies, including symptoms and the type of response required, and any fears or behavior characteristics a child has. It was also observed that one (1) child that had been enrolled for more than thirty days did not have a completed health assessment on file. Ms. Horton stated she does not provide transportation, but a vehicle was observed onsite for emergencies. The last sanitation inspection was completed August 12, 2025 and received no demerits. There was five (5) violations cited today. Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. In the licensed child care space an aerosol can of disinfecting spray was observed being stored on a shelf affixed to the wall. .1719 (a)(7) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. Four (4) children’s files were reviewed during today’s visit. It was observed that one (1) child that had been enrolled for more than thirty days did not have a health assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. The program’s daily attendance/sign-in and out log was reviewed. It was observed that although there were three (3) child present this had not been documented. .1721(e)(6) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The program’s Ready to Go File was monitored and was observed to not contain all required information. .1714(d)(10) 1893 Application did not include all required information including, but not limited to: child's full name, named to be called, child’s date of birth, any allergies, including symptoms and the type of response required, and any fears or behavior characteristics a child has. Four (4) children’s files were reviewed during today’s visit. It was observed that two (2) children had applications on file that did not include all required information including any allergies, including symptoms and the type of response required, and any fears or behavior characteristics a child has. 10A NCAC 09 .1721 (a)(3)(A)(B)(C)(E) Corrective Action: All violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Tuesday October 07, 2025 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: - During today’s visit the provider was reminded that all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products stored under pressure in an aerosol dispenser as well as any substance that may be hazardous to a child if ingested, inhaled, or handled must be kept in locked storage when children were in care. -During today’s visit the provider was reminded of the importance of ensuring that all program related documentation included but not limited to daily attendance records, children’s files and the program’s Ready to Go file are updated, completed and maintained as required. I also reiterated the importance of of reviewing any required paperwork when received from a parent or other caregiver to ensure that all sections are completed and there no areas omitted, overlooked, or left blank. -The provider was reminded that her current CPR and First Aid certifications will expire in December 2025. I encouraged her to reach out to a DCDEE approved trainer within the next four to six weeks to register for an upcoming training to ensure there is no lapse in compliance. -The provider and I discussed the current status of the QRIS Modernization process. I reminded the provider that there had been Provider webinars hosted in August 2025 and in person trainings that took place earlier in the month week. The provider stated that she had attended a virtual session but was not able to attend either of the two (2) in person trainings for FCCH providers. I informed her that the Hold Harmless period is over and that it is goal of the Division to complete all reassessments by the end of 2026. I also shared the three Pathways to Stars with her and some pertinent information about each. I did a brief overview of the current timeline and encouraged her to visit the Division’s website to review all the resources available to assist with this transition and aid her in deciding which pathway would best suit her program. She stated that she is currently considering either Pathway One or Pathway Two. -Please continue to check your email on a regular basis for updates and resources shared from both your consultant and the NC Division of Child Development and Early Education. Thank you for your time and if you have any questions, please contact Resha K. Washington at 704-910-7947 or email resha.washington@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: QUALITY DAY CARE Facility ID: 60002574 Consultant: RESHA WASHINGTON Operation Type: Family CC Home Case Number: Visit Date: 9/23/2025 Number Present: 3 Completed Date: 9/23/2025 Age: From 1 To 4 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full Annual Compliance. The facility is currently operating with a Three Star Rated License issued on December 23, 2019, and had an eighteen (18) month compliance history score of 100% prior to today’s visit. The April 2025 FCCH Item Number Listing and the March 2023 Annual Compliance Checklist were used to monitor today. A copy of the Annual Compliance Checklist was left with the operator. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. M. Horton, owner/operator, at the primary entrance of the home where I explained the purpose of today’s visit. Ms. Horton was present with three (3) enrolled preschool children upon my arrival. There are a total of four (4) preschool children and three (3) school-aged child enrolled on first shift. There are currently no children enrolled on second shift. Children were observed in free play, transitional activities and conducting personal care routines during today’s visit. A walk-through of the facility was conducted. One (1) licensed child care space, the program’s bathroom, the home’s kitchen, the outdoor learning environment and all areas adjacent to these spaces along the path of travel were monitored. In the licensed child care space an aerosol can of disinfecting spray was observed being stored on a shelf affixed to the wall. The provider was reminded that all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products stored under pressure in an aerosol dispenser as well as any substance that may be hazardous to a child if ingested, inhaled, or handled must be kept in locked storage when children were in care. She stated that she was aware and then placed the aerosol can of disinfecting spray in locked storage. The program’s daily attendance/sign-in and out log was reviewed. It was observed that although there were three (3) child present this had not been documented. This provider acknowledged that she had not documented the children’s arrival yet and updated this form during the visit. Medication was monitored. Ms. Horton stated that there are currently no enrolled children that require medication and there is no emergency medication being stored onsite for any enrolled child at this time. Program records were monitored. It was observed that monthly Fire drills, quarterly Emergency drills and monthly Outdoor Inspections are all being both conducted and documented, as required. The program’s Emergency Preparedness and Response plan was reviewed. It was observed to have been last updated in July 2025, as required. The program’s Ready to Go File was monitored and was observed to not contain all required information. This information was discussed with the provider, and she stated that she would begin working on this immediately. The program’s incident log was monitored during today’s visit, and it was shared by the provider that there have been no recent incidents to report or document. The provider’s personnel file and other staffing information was reviewed. It was observed that all specialized trainings were up to date. It was also observed that Ms. Horton is required to receive eight (8) in-service training hours annually and she has currently received six (6) in-service hours, including one (1) in-service hour brought over from the previous year. She was informed that she will need to complete two (2) additional in-service hours by her anniversary date October 24th to remain compliant. Criminal background checks and qualifying letters were monitored for both Ms. Horton and all other household members. It was observed that each had current CBC qualifying letters on file. The program’s ABCMS Criminal Background Check Roster was also monitored. It was observed that the roster had been created but the information had not been linked correctly. The provider was made aware of this and encouraged to reach out to the CBC Unit for further technical assistance to resolve the issue. Ms. Horton had a file available for review for all enrolled children. Four (4) children’s files were reviewed during today’s visit. It was observed that two (2) children had applications on file that did not include all required information including any allergies, including symptoms and the type of response required, and any fears or behavior characteristics a child has. It was also observed that one (1) child that had been enrolled for more than thirty days did not have a completed health assessment on file. Ms. Horton stated she does not provide transportation, but a vehicle was observed onsite for emergencies. The last sanitation inspection was completed August 12, 2025 and received no demerits. There was five (5) violations cited today. Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. In the licensed child care space an aerosol can of disinfecting spray was observed being stored on a shelf affixed to the wall. .1719 (a)(7) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. Four (4) children’s files were reviewed during today’s visit. It was observed that one (1) child that had been enrolled for more than thirty days did not have a health assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. The program’s daily attendance/sign-in and out log was reviewed. It was observed that although there were three (3) child present this had not been documented. .1721(e)(6) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The program’s Ready to Go File was monitored and was observed to not contain all required information. .1714(d)(10) 1893 Application did not include all required information including, but not limited to: child's full name, named to be called, child’s date of birth, any allergies, including symptoms and the type of response required, and any fears or behavior characteristics a child has. Four (4) children’s files were reviewed during today’s visit. It was observed that two (2) children had applications on file that did not include all required information including any allergies, including symptoms and the type of response required, and any fears or behavior characteristics a child has. 10A NCAC 09 .1721 (a)(3)(A)(B)(C)(E) Corrective Action: All violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Tuesday October 07, 2025 to the email listed below. Failure to correct the violation and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance Provided and General Discussion: - During today’s visit the provider was reminded that all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products stored under pressure in an aerosol dispenser as well as any substance that may be hazardous to a child if ingested, inhaled, or handled must be kept in locked storage when children were in care. -During today’s visit the provider was reminded of the importance of ensuring that all program related documentation included but not limited to daily attendance records, children’s files and the program’s Ready to Go file are updated, completed and maintained as required. I also reiterated the importance of of reviewing any required paperwork when received from a parent or other caregiver to ensure that all sections are completed and there no areas omitted, overlooked, or left blank. -The provider was reminded that her current CPR and First Aid certifications will expire in December 2025. I encouraged her to reach out to a DCDEE approved trainer within the next four to six weeks to register for an upcoming training to ensure there is no lapse in compliance. -The provider and I discussed the current status of the QRIS Modernization process. I reminded the provider that there had been Provider webinars hosted in August 2025 and in person trainings that took place earlier in the month week. The provider stated that she had attended a virtual session but was not able to attend either of the two (2) in person trainings for FCCH providers. I informed her that the Hold Harmless period is over and that it is goal of the Division to complete all reassessments by the end of 2026. I also shared the three Pathways to Stars with her and some pertinent information about each. I did a brief overview of the current timeline and encouraged her to visit the Division’s website to review all the resources available to assist with this transition and aid her in deciding which pathway would best suit her program. She stated that she is currently considering either Pathway One or Pathway Two. -Please continue to check your email on a regular basis for updates and resources shared from both your consultant and the NC Division of Child Development and Early Education. Thank you for your time and if you have any questions, please contact Resha K. Washington at 704-910-7947 or email resha.washington@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.