10A NCAC 09 .0601 · Violation

Name of Operation: TINY TREASURES CHILD DEVELOPMENT CENTER Facility ID: 60001730 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 7/10/2025 Number Present: 57 Completed Date: 7/10/2025 Age: From 0 To 10 Total Minutes: 300 Time In: 09:45 AM Time Out: 02:45 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 the facility for all applicable child care requirements during the full annual compliance visit. The facility was currently operating with a Five Star Permit issued January 3, 2020. The program earned 6 points in the education component, 6 points in the program standards component, and 1 quality point because the administrator has at least 10 years of documented child care administration work experience in a licensed program. The facility had an eighteen (18) month compliance history score of 99% prior to today’s visit. The April 2025 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. The license and NC Summary of the Law were prominently posted. Upon arrival I was greeted by Ms. Melinda Moore, Director, and I explained the purpose of the visit. Ms. Moore accompanied me on the walkthrough. In Space 3 for infant care I observed safe sleep checks completed and maintained as required. Bottles were dated and labeled and each infant had an assigned crib. Materials were observed in good condition and teachers were observed engaged with children. Feeding schedules were posted. Toddlers and preschool aged children were observed participating in free play activities indoors and on the playground. Teachers were engaged with children as they played. Evidence of the curriculum being implemented was observed. Gross motor materials and equipment were available for children outdoors. All outdoor learning environments were monitored. I observed metal pegs sticking out above the wood barriers on the infant playground that posed a hazard. Ms. Moore stated she would have the pegs hammered down to flush against the wood. Transportation requirements were monitored. The facility transported school-age children on off-site activities. Field trips were scheduled and posted in the classroom. I observed current insurance and registration. The posted emergency medical care plan (EMC) was current and at least one (1) of the individuals listed on the plan was present. Individuals listed on the plan also attended all filed trips. Emergency medications were monitored. All medications were stored in the office. We discussed that emergency medications were required to be stored in the child’s classroom and follow children when they go outside and/or on field trips. One (1) child’s medical action plan (MAP) stated Benadryl in addition to the Epi pen however the Benadryl was not onsite. The parent stated Benadryl should not be on the MAP as the allergy was severe and the Epi should only be given. She completed a new MAP today. A sampling of children’s files was monitored. A sampling of veteran staff files and five (5) new staff files were monitored. The staff and training worksheet was completed by Ms. Moore. The EPR plan was reviewed in the Risk Management portal by Ms. Moore on 2/24/25. A consultant change was made in April 2025 and the change should be made in the portal. Fire and emergency drills were completed and documented as required. Playground inspections were completed. The last sanitation inspection was completed on 1/9/25 and received a superior rating. The last fire inspection was completed on 1/28/25. The ABCMS facility roster was reviewed today and was complete. The Secretary of State website was reviewed today and Tiny Treasures Child Development Center Inc, owner of the facility, was listed current-active. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Metal pegs were observed sticking out above the wood barriers on the infant playground that posed a hazard. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Emergency medications were not stored in the classroom with children. Emergency medications were stored in the office. 10A NCAC 09 .0601(a) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. be received by me on or before Thursday, July 23, 2025 to the email address listed below. 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. Technical Assistance/General Comments: Star Rated License Reassessment Update: SB 425 extended hold harmless until the new Quality Rating Improvement System (QRIS) is revised and implemented. Facilities are not required to proceed with the rated license assessment at this time unless they voluntarily choose to proceed. Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. Current “Frequently Asked Questions” can be found at the bottom of the information page. – QRIS update: Get ready for the 3s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. The following was discussed: - I recommended attaching a shepherds hook to the fence posts to hang outdoor bags with emergency medication above 5 feet. - New staff should submit all official transcripts to WORKS for evaluation in preparation for the new QRIS assessments expected to roll out this summer. Thank you for your time today. Please contact me with questions and concerns at jennifer.stansfield@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.

10A NCAC 09 .1003 · Violation

Name of Operation: TINY TREASURES CHILD DEVELOPMENT CENTER Facility ID: 60001730 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 8/7/2023 Number Present: 58 Completed Date: 8/7/2023 Age: From 0 To 12 Total Minutes: 375 Time In: 09:15 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Five Star License issued January 3, 2020 and had a compliance history score of 100% prior to today’s visit. The facility’s last Annual Compliance Visit was August 15, 2022. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. I was greeted by Assistant Director, Ms. Ashley Moore, and I explained the purpose of the visit. The Center Director, Mrs. Melinda Moore, was not present during the visit; out for the day. A walkthrough of the indoor and outdoor space was completed with Ms. Ashley Moore. I observed an Occupation Therapist, Michelle Boles, working with a child independently. A current criminal qualifying letter was on file with the center. In Space 1., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. In Space 2., Space 3., Space 4., Space 5., and Space 6., the children were observed having supervised independent play time, and I observed nurturing tones used with the children. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, August 2023 Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in- Place and/or Lockdown Drills, Playground Inspection Forms, Emergency Medical Care Plan, and the Safe Sleep Policy/Safe Sleep Poster. All required posted items met compliance. The program uses an approved curriculum as required, Creative Curriculum. Nine (9) children’s files were selected and reviewed; files met compliance. The staff and training worksheet was used to review staff files. Three (3) new staff files were reviewed, and ten (10) percent of old staff files were reviewed. One (1) staff's file did not have ongoing in-service training log, and a violation was cited. Children with medications were reviewed and children with emergency medications and action plans were reviewed. Compliance was met for medications. Children with allergies were posted. The outdoor area and equipment were clean and found in good repair. There was an unlocked shed with potentially hazardous equipment, in the outdoor play area for two (2) and three (3) year old children, and a violation was cited. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), Child Safety Restraints and Seat Belts, Vehicle Safety Inspection and Liability Insurance, First Aid Kit in Vehicle, Emergency Information on Children. Staff/Child Ratios Maintained During Transportation according to the vehicle log. The vehicle has a current vehicle license tag and registration. A violation was cited, because the fire extinguisher was not mounted. The sanitation inspection was completed July 17, 2023, with a “Superior” classification and five (5) demerits. The last fire inspection was conducted and approved January 5, 2023. The Emergency Preparedness and Response Plan (EPR) was reviewed; the plan was last updated May 11, 2023. Three (3) violations were cited during today’s visit. Violation Number Comment Rule 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. A shovel, outdoor rake, and a broom, were in an unlocked storage shed in the outdoor play area for two (2) and three (3) year old children. .0604(a) 1054 Documentation of staff's on-going training was not on file and/or was not current . Staff (B.W.) ongoing documentation log was not complete. 10A NCAC 09 .1106(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The fire extinguisher in the van used to transport children fire extinguisher was not mounted. 10A NCAC 09 .1003(c) Corrective Action The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter explaining how she corrected each of today’s violations and the steps she put in place to ensure on going compliance to me on or before Monday, August 21, 2023 to Deanna.Matthews@dhhs.nc.gov, or to the address listed below: Deanna Matthews P.O. Box 756 Gastonia, NC 28053-0756 Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. The following Technical Assistance (TA) was provided: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -House Bill 103: Effective July 11, 2022, individuals have five years to renew their criminal record check instead of every three (3) years. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. -NCDHHS Children’s Environmental Health will be conducting a series of virtual trainings on the recently re-adopted Child Care Sanitation Rules, effective July 1, 2023. The rules have been approved but have not yet been updated in the Administrative Code. Once updated, notification will be sent out via listserv. -The North Carolina Child Care Commission and the North Carolina Department of Health and Human Services Division of Child Development and Early Education are collaborating to modernize NC’s child care quality rating and improvement system (QRIS), commonly known as the Star Rated License. We are developing a plan that will be reviewed by the legislature in Spring 2024. During the next few months, we are collecting information from parents, teachers, administrators, operators, and partners to consider in the plan. -If you are unable to attend these sessions, you may also complete an online survey or write to DCDEE_QRIS@dhhs.nc.gov. -Stabilization Grant Funds paid for Quarters 1-6 must be spent by September 30, 2023. -Continue to rake mulch. Please contact Child Care Consultant, Deanna Matthews, at Deanna.Matthews@dhhs.nc.gov, or 704-962-7854, for questions or concerns, regarding today's visit. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1106 · Violation

Name of Operation: TINY TREASURES CHILD DEVELOPMENT CENTER Facility ID: 60001730 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 8/7/2023 Number Present: 58 Completed Date: 8/7/2023 Age: From 0 To 12 Total Minutes: 375 Time In: 09:15 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to conduct an Annual Compliance/Unannounced visit to monitor child care requirements. The facility currently holds a Five Star License issued January 3, 2020 and had a compliance history score of 100% prior to today’s visit. The facility’s last Annual Compliance Visit was August 15, 2022. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. I was greeted by Assistant Director, Ms. Ashley Moore, and I explained the purpose of the visit. The Center Director, Mrs. Melinda Moore, was not present during the visit; out for the day. A walkthrough of the indoor and outdoor space was completed with Ms. Ashley Moore. I observed an Occupation Therapist, Michelle Boles, working with a child independently. A current criminal qualifying letter was on file with the center. In Space 1., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. In Space 2., Space 3., Space 4., Space 5., and Space 6., the children were observed having supervised independent play time, and I observed nurturing tones used with the children. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, August 2023 Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in- Place and/or Lockdown Drills, Playground Inspection Forms, Emergency Medical Care Plan, and the Safe Sleep Policy/Safe Sleep Poster. All required posted items met compliance. The program uses an approved curriculum as required, Creative Curriculum. Nine (9) children’s files were selected and reviewed; files met compliance. The staff and training worksheet was used to review staff files. Three (3) new staff files were reviewed, and ten (10) percent of old staff files were reviewed. One (1) staff's file did not have ongoing in-service training log, and a violation was cited. Children with medications were reviewed and children with emergency medications and action plans were reviewed. Compliance was met for medications. Children with allergies were posted. The outdoor area and equipment were clean and found in good repair. There was an unlocked shed with potentially hazardous equipment, in the outdoor play area for two (2) and three (3) year old children, and a violation was cited. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted), Child Safety Restraints and Seat Belts, Vehicle Safety Inspection and Liability Insurance, First Aid Kit in Vehicle, Emergency Information on Children. Staff/Child Ratios Maintained During Transportation according to the vehicle log. The vehicle has a current vehicle license tag and registration. A violation was cited, because the fire extinguisher was not mounted. The sanitation inspection was completed July 17, 2023, with a “Superior” classification and five (5) demerits. The last fire inspection was conducted and approved January 5, 2023. The Emergency Preparedness and Response Plan (EPR) was reviewed; the plan was last updated May 11, 2023. Three (3) violations were cited during today’s visit. Violation Number Comment Rule 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. A shovel, outdoor rake, and a broom, were in an unlocked storage shed in the outdoor play area for two (2) and three (3) year old children. .0604(a) 1054 Documentation of staff's on-going training was not on file and/or was not current . Staff (B.W.) ongoing documentation log was not complete. 10A NCAC 09 .1106(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The fire extinguisher in the van used to transport children fire extinguisher was not mounted. 10A NCAC 09 .1003(c) Corrective Action The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter explaining how she corrected each of today’s violations and the steps she put in place to ensure on going compliance to me on or before Monday, August 21, 2023 to Deanna.Matthews@dhhs.nc.gov, or to the address listed below: Deanna Matthews P.O. Box 756 Gastonia, NC 28053-0756 Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. The following Technical Assistance (TA) was provided: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -House Bill 103: Effective July 11, 2022, individuals have five years to renew their criminal record check instead of every three (3) years. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. -NCDHHS Children’s Environmental Health will be conducting a series of virtual trainings on the recently re-adopted Child Care Sanitation Rules, effective July 1, 2023. The rules have been approved but have not yet been updated in the Administrative Code. Once updated, notification will be sent out via listserv. -The North Carolina Child Care Commission and the North Carolina Department of Health and Human Services Division of Child Development and Early Education are collaborating to modernize NC’s child care quality rating and improvement system (QRIS), commonly known as the Star Rated License. We are developing a plan that will be reviewed by the legislature in Spring 2024. During the next few months, we are collecting information from parents, teachers, administrators, operators, and partners to consider in the plan. -If you are unable to attend these sessions, you may also complete an online survey or write to DCDEE_QRIS@dhhs.nc.gov. -Stabilization Grant Funds paid for Quarters 1-6 must be spent by September 30, 2023. -Continue to rake mulch. Please contact Child Care Consultant, Deanna Matthews, at Deanna.Matthews@dhhs.nc.gov, or 704-962-7854, for questions or concerns, regarding today's visit. 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