10A NCAC 09 .0601 · Violation

Name of Operation: TOTS WORLD Facility ID: 60001744 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 8/6/2024 Number Present: 7 Completed Date: 8/6/2024 Age: From 2 To 5 Total Minutes: 360 Time In: 09:30 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 unannounced visit was to monitor the facility for all applicable child care requirements during an Annual Compliance visit. The facility has a Five Star Rated License issued December 18, 2017 and an eighteen month compliance history of 82% prior to today’s visit. The last Annual Compliance Visit was conducted August 11, 2023. The March 2023 Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing dated March 2024 was used to document compliance with child care rules. Upon arrival I was greeted at the front entrance of the facility by Ms. T. Curtis, teacher. I introduced myself and shared the purpose of today’s visit. Ms. Curtis was present with six (6) enrolled preschool-aged children and they were in the process of transitioning into the outdoor learning activities. I informed Ms. Curtis that I would join the group outdoors and conduct a walk-through of the outdoor learning after placing my personal items in the program’s office area. A walk through of the facility was conducted there were two (2) licensed childcare spaces, the kitchen, one (1) bathroom, the outdoor learning environment and spaces adjacent to these are monitored today. There were a total of eight (8) children on site, including the providers own children. Children were observed engaging in a variety of activities including free play, group activities, naptime, personal care routines, transitional activities and outdoor learning. In the outdoor learning environment, a large tree root was observed present and in the path of travel for children. I informed Ms. Curtis that this poses a tripping hazard and needs to be made in accessible to the children until it can either be removed, covered or painted a bright color to bring visual awareness to children playing in that area. It was also observed that the latching device on the chain linked fence surrounding the outdoor learning area did not close properly. I brought this to Ms. Curtis’ attention, as this creates a safety concern and she stated that she was unaware that the gate’s latching device did not work properly but would have it repaired immediately. Upon entering the facility a walk through of the indoor space was conducted and it was observed that lesson plans posted in both classrooms were dated May 2024. When asked about this Ms. Curtis shared that she had been having issues with the FunShine website and accessing the current lesson plans. I reminded Ms. Curtis in an event such as this one she should both reach out to customer service immediately for support and revise previously utilized lesson plans to meet the current educational need of the children enrolled in the program. She stated that she would reach out to customer service today for assistance and review prior lesson plans to see what she had on hand that met the learning needs for the children currently in her program. Arrival and departure times were monitored and it was observed that although seven (7) children were present only six (6) children had been signed in upon arrival, as required. This was corrected during today’s visit. Program records were monitored. It was observed that both fire and emergency drills were current and being conducted as required. Monthly outdoor inspections were also monitored and found to be in compliance. Four (2) children’s files were monitored and each was found to be in compliance. Three (3) staff files were monitored. It was observed that two (2) staff members had not completed annual health questionnaires, as required and all three (3) staff members had not completed annual emergency information forms, as required. It was also observed that all three (3) staff members did not have documentation on file of completing an annual professional development plan, an annual staff evaluation, an annual review of the facility’s Emergency Preparedness plan or the facility’s Emergency Medical Care Plan in the past year, as required. The facility’s Emergency Preparedness Plan and Ready to Go File were both monitored today. Each was observed not to contain the facility’s most current information and have been updated either annually or changes have occurred. The last Sanitation inspection was conducted on March 17, 2024 with no demerits cited and receiving a Superior. The last Fire Inspection was conducted and approved on October 13, 2023. Adequate supervision and capacity were observed in compliance today. There were ten (10) violations cited today. 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. Arrival and departure times were monitored and it was observed that although seven (7) children were present only six (6) children had been signed in upon arrival, as required. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. A walk through of the indoor space was conducted and it was observed that lesson plans posted in both classrooms were dated May 2024. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor learning environment, a large tree root was observed present and in the path of travel for children. It was also observed that the latching device on the chain linked fence surrounding the outdoor learning area did not close properly. 10A NCAC 09 .0601(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Three (3) staff files were monitored. It was observed that all three (3) staff members did not have documentation on file of completing an annual review of the facility’s Emergency Medical Care Plan in the past year, as required. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three (3) staff files were monitored. It was observed that two (2) staff members had not completed annual health questionnaires, as required. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff files were monitored. It was observed that all three (3) staff members had not completed annual emergency information forms, as required. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Three (3) staff files were monitored. It was observed that all three (3) staff members did not have documentation on file of completing an annual professional development plan and an annual staff evaluation on file in the past year, as required. 10A NCAC 09 .0514(f) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The facility’s Ready to Go File was monitored today. It was observed not to contain the facility’s most current information and have been updated either annually or changes have occurred. .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. The facility’s Emergency Preparedness Plan was monitored today. It was observed not to contain the facility’s most current information and have been updated either annually or changes have occurred. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Three (3) staff files were monitored. It was observed that all three (3) staff members did not have documentation on file of completing an annual review of the facility’s Emergency Preparedness plan in the past year, as required. .0607(f) 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 August 20, 2024 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: - It was discussed with both the Administrator and Teachers the importance of ensuring that staff members have the required forms, trainings, annual updates and paperwork complete and readily accessible. We spoke specifically about staff forms that are to be updated annually and revised as changes occur. -We discussed the importance of ensuring that the playgrounds are checked daily for hazards by staff and shared with the administrator immediately to ensure that repairs are documented and corrected. - We discussed the importance of reviewing posted program documentation, files, program evacuation plans and other emergency related materials to ensure they are up to date and always current. -We discussed reviewing required classroom documentation including attendance and sign-in/out logs to ensure information is always accurate. -Please check your email regularly for updates from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. 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: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: TOTS WORLD Facility ID: 60001744 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 8/6/2024 Number Present: 7 Completed Date: 8/6/2024 Age: From 2 To 5 Total Minutes: 360 Time In: 09:30 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 unannounced visit was to monitor the facility for all applicable child care requirements during an Annual Compliance visit. The facility has a Five Star Rated License issued December 18, 2017 and an eighteen month compliance history of 82% prior to today’s visit. The last Annual Compliance Visit was conducted August 11, 2023. The March 2023 Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing dated March 2024 was used to document compliance with child care rules. Upon arrival I was greeted at the front entrance of the facility by Ms. T. Curtis, teacher. I introduced myself and shared the purpose of today’s visit. Ms. Curtis was present with six (6) enrolled preschool-aged children and they were in the process of transitioning into the outdoor learning activities. I informed Ms. Curtis that I would join the group outdoors and conduct a walk-through of the outdoor learning after placing my personal items in the program’s office area. A walk through of the facility was conducted there were two (2) licensed childcare spaces, the kitchen, one (1) bathroom, the outdoor learning environment and spaces adjacent to these are monitored today. There were a total of eight (8) children on site, including the providers own children. Children were observed engaging in a variety of activities including free play, group activities, naptime, personal care routines, transitional activities and outdoor learning. In the outdoor learning environment, a large tree root was observed present and in the path of travel for children. I informed Ms. Curtis that this poses a tripping hazard and needs to be made in accessible to the children until it can either be removed, covered or painted a bright color to bring visual awareness to children playing in that area. It was also observed that the latching device on the chain linked fence surrounding the outdoor learning area did not close properly. I brought this to Ms. Curtis’ attention, as this creates a safety concern and she stated that she was unaware that the gate’s latching device did not work properly but would have it repaired immediately. Upon entering the facility a walk through of the indoor space was conducted and it was observed that lesson plans posted in both classrooms were dated May 2024. When asked about this Ms. Curtis shared that she had been having issues with the FunShine website and accessing the current lesson plans. I reminded Ms. Curtis in an event such as this one she should both reach out to customer service immediately for support and revise previously utilized lesson plans to meet the current educational need of the children enrolled in the program. She stated that she would reach out to customer service today for assistance and review prior lesson plans to see what she had on hand that met the learning needs for the children currently in her program. Arrival and departure times were monitored and it was observed that although seven (7) children were present only six (6) children had been signed in upon arrival, as required. This was corrected during today’s visit. Program records were monitored. It was observed that both fire and emergency drills were current and being conducted as required. Monthly outdoor inspections were also monitored and found to be in compliance. Four (2) children’s files were monitored and each was found to be in compliance. Three (3) staff files were monitored. It was observed that two (2) staff members had not completed annual health questionnaires, as required and all three (3) staff members had not completed annual emergency information forms, as required. It was also observed that all three (3) staff members did not have documentation on file of completing an annual professional development plan, an annual staff evaluation, an annual review of the facility’s Emergency Preparedness plan or the facility’s Emergency Medical Care Plan in the past year, as required. The facility’s Emergency Preparedness Plan and Ready to Go File were both monitored today. Each was observed not to contain the facility’s most current information and have been updated either annually or changes have occurred. The last Sanitation inspection was conducted on March 17, 2024 with no demerits cited and receiving a Superior. The last Fire Inspection was conducted and approved on October 13, 2023. Adequate supervision and capacity were observed in compliance today. There were ten (10) violations cited today. 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. Arrival and departure times were monitored and it was observed that although seven (7) children were present only six (6) children had been signed in upon arrival, as required. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. A walk through of the indoor space was conducted and it was observed that lesson plans posted in both classrooms were dated May 2024. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor learning environment, a large tree root was observed present and in the path of travel for children. It was also observed that the latching device on the chain linked fence surrounding the outdoor learning area did not close properly. 10A NCAC 09 .0601(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Three (3) staff files were monitored. It was observed that all three (3) staff members did not have documentation on file of completing an annual review of the facility’s Emergency Medical Care Plan in the past year, as required. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three (3) staff files were monitored. It was observed that two (2) staff members had not completed annual health questionnaires, as required. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff files were monitored. It was observed that all three (3) staff members had not completed annual emergency information forms, as required. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Three (3) staff files were monitored. It was observed that all three (3) staff members did not have documentation on file of completing an annual professional development plan and an annual staff evaluation on file in the past year, as required. 10A NCAC 09 .0514(f) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The facility’s Ready to Go File was monitored today. It was observed not to contain the facility’s most current information and have been updated either annually or changes have occurred. .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. The facility’s Emergency Preparedness Plan was monitored today. It was observed not to contain the facility’s most current information and have been updated either annually or changes have occurred. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Three (3) staff files were monitored. It was observed that all three (3) staff members did not have documentation on file of completing an annual review of the facility’s Emergency Preparedness plan in the past year, as required. .0607(f) 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 August 20, 2024 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: - It was discussed with both the Administrator and Teachers the importance of ensuring that staff members have the required forms, trainings, annual updates and paperwork complete and readily accessible. We spoke specifically about staff forms that are to be updated annually and revised as changes occur. -We discussed the importance of ensuring that the playgrounds are checked daily for hazards by staff and shared with the administrator immediately to ensure that repairs are documented and corrected. - We discussed the importance of reviewing posted program documentation, files, program evacuation plans and other emergency related materials to ensure they are up to date and always current. -We discussed reviewing required classroom documentation including attendance and sign-in/out logs to ensure information is always accurate. -Please check your email regularly for updates from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. 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

10A NCAC 09 .0514 · Violation

Name of Operation: TOTS WORLD Facility ID: 60001744 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 8/6/2024 Number Present: 7 Completed Date: 8/6/2024 Age: From 2 To 5 Total Minutes: 360 Time In: 09:30 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 unannounced visit was to monitor the facility for all applicable child care requirements during an Annual Compliance visit. The facility has a Five Star Rated License issued December 18, 2017 and an eighteen month compliance history of 82% prior to today’s visit. The last Annual Compliance Visit was conducted August 11, 2023. The March 2023 Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing dated March 2024 was used to document compliance with child care rules. Upon arrival I was greeted at the front entrance of the facility by Ms. T. Curtis, teacher. I introduced myself and shared the purpose of today’s visit. Ms. Curtis was present with six (6) enrolled preschool-aged children and they were in the process of transitioning into the outdoor learning activities. I informed Ms. Curtis that I would join the group outdoors and conduct a walk-through of the outdoor learning after placing my personal items in the program’s office area. A walk through of the facility was conducted there were two (2) licensed childcare spaces, the kitchen, one (1) bathroom, the outdoor learning environment and spaces adjacent to these are monitored today. There were a total of eight (8) children on site, including the providers own children. Children were observed engaging in a variety of activities including free play, group activities, naptime, personal care routines, transitional activities and outdoor learning. In the outdoor learning environment, a large tree root was observed present and in the path of travel for children. I informed Ms. Curtis that this poses a tripping hazard and needs to be made in accessible to the children until it can either be removed, covered or painted a bright color to bring visual awareness to children playing in that area. It was also observed that the latching device on the chain linked fence surrounding the outdoor learning area did not close properly. I brought this to Ms. Curtis’ attention, as this creates a safety concern and she stated that she was unaware that the gate’s latching device did not work properly but would have it repaired immediately. Upon entering the facility a walk through of the indoor space was conducted and it was observed that lesson plans posted in both classrooms were dated May 2024. When asked about this Ms. Curtis shared that she had been having issues with the FunShine website and accessing the current lesson plans. I reminded Ms. Curtis in an event such as this one she should both reach out to customer service immediately for support and revise previously utilized lesson plans to meet the current educational need of the children enrolled in the program. She stated that she would reach out to customer service today for assistance and review prior lesson plans to see what she had on hand that met the learning needs for the children currently in her program. Arrival and departure times were monitored and it was observed that although seven (7) children were present only six (6) children had been signed in upon arrival, as required. This was corrected during today’s visit. Program records were monitored. It was observed that both fire and emergency drills were current and being conducted as required. Monthly outdoor inspections were also monitored and found to be in compliance. Four (2) children’s files were monitored and each was found to be in compliance. Three (3) staff files were monitored. It was observed that two (2) staff members had not completed annual health questionnaires, as required and all three (3) staff members had not completed annual emergency information forms, as required. It was also observed that all three (3) staff members did not have documentation on file of completing an annual professional development plan, an annual staff evaluation, an annual review of the facility’s Emergency Preparedness plan or the facility’s Emergency Medical Care Plan in the past year, as required. The facility’s Emergency Preparedness Plan and Ready to Go File were both monitored today. Each was observed not to contain the facility’s most current information and have been updated either annually or changes have occurred. The last Sanitation inspection was conducted on March 17, 2024 with no demerits cited and receiving a Superior. The last Fire Inspection was conducted and approved on October 13, 2023. Adequate supervision and capacity were observed in compliance today. There were ten (10) violations cited today. 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. Arrival and departure times were monitored and it was observed that although seven (7) children were present only six (6) children had been signed in upon arrival, as required. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. A walk through of the indoor space was conducted and it was observed that lesson plans posted in both classrooms were dated May 2024. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor learning environment, a large tree root was observed present and in the path of travel for children. It was also observed that the latching device on the chain linked fence surrounding the outdoor learning area did not close properly. 10A NCAC 09 .0601(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Three (3) staff files were monitored. It was observed that all three (3) staff members did not have documentation on file of completing an annual review of the facility’s Emergency Medical Care Plan in the past year, as required. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three (3) staff files were monitored. It was observed that two (2) staff members had not completed annual health questionnaires, as required. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff files were monitored. It was observed that all three (3) staff members had not completed annual emergency information forms, as required. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Three (3) staff files were monitored. It was observed that all three (3) staff members did not have documentation on file of completing an annual professional development plan and an annual staff evaluation on file in the past year, as required. 10A NCAC 09 .0514(f) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The facility’s Ready to Go File was monitored today. It was observed not to contain the facility’s most current information and have been updated either annually or changes have occurred. .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. The facility’s Emergency Preparedness Plan was monitored today. It was observed not to contain the facility’s most current information and have been updated either annually or changes have occurred. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Three (3) staff files were monitored. It was observed that all three (3) staff members did not have documentation on file of completing an annual review of the facility’s Emergency Preparedness plan in the past year, as required. .0607(f) 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 August 20, 2024 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: - It was discussed with both the Administrator and Teachers the importance of ensuring that staff members have the required forms, trainings, annual updates and paperwork complete and readily accessible. We spoke specifically about staff forms that are to be updated annually and revised as changes occur. -We discussed the importance of ensuring that the playgrounds are checked daily for hazards by staff and shared with the administrator immediately to ensure that repairs are documented and corrected. - We discussed the importance of reviewing posted program documentation, files, program evacuation plans and other emergency related materials to ensure they are up to date and always current. -We discussed reviewing required classroom documentation including attendance and sign-in/out logs to ensure information is always accurate. -Please check your email regularly for updates from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. 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

10A NCAC 09 .0802 · Violation

Name of Operation: TOTS WORLD Facility ID: 60001744 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 8/6/2024 Number Present: 7 Completed Date: 8/6/2024 Age: From 2 To 5 Total Minutes: 360 Time In: 09:30 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 unannounced visit was to monitor the facility for all applicable child care requirements during an Annual Compliance visit. The facility has a Five Star Rated License issued December 18, 2017 and an eighteen month compliance history of 82% prior to today’s visit. The last Annual Compliance Visit was conducted August 11, 2023. The March 2023 Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing dated March 2024 was used to document compliance with child care rules. Upon arrival I was greeted at the front entrance of the facility by Ms. T. Curtis, teacher. I introduced myself and shared the purpose of today’s visit. Ms. Curtis was present with six (6) enrolled preschool-aged children and they were in the process of transitioning into the outdoor learning activities. I informed Ms. Curtis that I would join the group outdoors and conduct a walk-through of the outdoor learning after placing my personal items in the program’s office area. A walk through of the facility was conducted there were two (2) licensed childcare spaces, the kitchen, one (1) bathroom, the outdoor learning environment and spaces adjacent to these are monitored today. There were a total of eight (8) children on site, including the providers own children. Children were observed engaging in a variety of activities including free play, group activities, naptime, personal care routines, transitional activities and outdoor learning. In the outdoor learning environment, a large tree root was observed present and in the path of travel for children. I informed Ms. Curtis that this poses a tripping hazard and needs to be made in accessible to the children until it can either be removed, covered or painted a bright color to bring visual awareness to children playing in that area. It was also observed that the latching device on the chain linked fence surrounding the outdoor learning area did not close properly. I brought this to Ms. Curtis’ attention, as this creates a safety concern and she stated that she was unaware that the gate’s latching device did not work properly but would have it repaired immediately. Upon entering the facility a walk through of the indoor space was conducted and it was observed that lesson plans posted in both classrooms were dated May 2024. When asked about this Ms. Curtis shared that she had been having issues with the FunShine website and accessing the current lesson plans. I reminded Ms. Curtis in an event such as this one she should both reach out to customer service immediately for support and revise previously utilized lesson plans to meet the current educational need of the children enrolled in the program. She stated that she would reach out to customer service today for assistance and review prior lesson plans to see what she had on hand that met the learning needs for the children currently in her program. Arrival and departure times were monitored and it was observed that although seven (7) children were present only six (6) children had been signed in upon arrival, as required. This was corrected during today’s visit. Program records were monitored. It was observed that both fire and emergency drills were current and being conducted as required. Monthly outdoor inspections were also monitored and found to be in compliance. Four (2) children’s files were monitored and each was found to be in compliance. Three (3) staff files were monitored. It was observed that two (2) staff members had not completed annual health questionnaires, as required and all three (3) staff members had not completed annual emergency information forms, as required. It was also observed that all three (3) staff members did not have documentation on file of completing an annual professional development plan, an annual staff evaluation, an annual review of the facility’s Emergency Preparedness plan or the facility’s Emergency Medical Care Plan in the past year, as required. The facility’s Emergency Preparedness Plan and Ready to Go File were both monitored today. Each was observed not to contain the facility’s most current information and have been updated either annually or changes have occurred. The last Sanitation inspection was conducted on March 17, 2024 with no demerits cited and receiving a Superior. The last Fire Inspection was conducted and approved on October 13, 2023. Adequate supervision and capacity were observed in compliance today. There were ten (10) violations cited today. 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. Arrival and departure times were monitored and it was observed that although seven (7) children were present only six (6) children had been signed in upon arrival, as required. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. A walk through of the indoor space was conducted and it was observed that lesson plans posted in both classrooms were dated May 2024. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor learning environment, a large tree root was observed present and in the path of travel for children. It was also observed that the latching device on the chain linked fence surrounding the outdoor learning area did not close properly. 10A NCAC 09 .0601(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Three (3) staff files were monitored. It was observed that all three (3) staff members did not have documentation on file of completing an annual review of the facility’s Emergency Medical Care Plan in the past year, as required. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three (3) staff files were monitored. It was observed that two (2) staff members had not completed annual health questionnaires, as required. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff files were monitored. It was observed that all three (3) staff members had not completed annual emergency information forms, as required. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Three (3) staff files were monitored. It was observed that all three (3) staff members did not have documentation on file of completing an annual professional development plan and an annual staff evaluation on file in the past year, as required. 10A NCAC 09 .0514(f) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The facility’s Ready to Go File was monitored today. It was observed not to contain the facility’s most current information and have been updated either annually or changes have occurred. .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. The facility’s Emergency Preparedness Plan was monitored today. It was observed not to contain the facility’s most current information and have been updated either annually or changes have occurred. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Three (3) staff files were monitored. It was observed that all three (3) staff members did not have documentation on file of completing an annual review of the facility’s Emergency Preparedness plan in the past year, as required. .0607(f) 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 August 20, 2024 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: - It was discussed with both the Administrator and Teachers the importance of ensuring that staff members have the required forms, trainings, annual updates and paperwork complete and readily accessible. We spoke specifically about staff forms that are to be updated annually and revised as changes occur. -We discussed the importance of ensuring that the playgrounds are checked daily for hazards by staff and shared with the administrator immediately to ensure that repairs are documented and corrected. - We discussed the importance of reviewing posted program documentation, files, program evacuation plans and other emergency related materials to ensure they are up to date and always current. -We discussed reviewing required classroom documentation including attendance and sign-in/out logs to ensure information is always accurate. -Please check your email regularly for updates from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. 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

GS 110-91 · Violation

Name of Operation: TOTS WORLD Facility ID: 60001744 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 8/6/2024 Number Present: 7 Completed Date: 8/6/2024 Age: From 2 To 5 Total Minutes: 360 Time In: 09:30 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 unannounced visit was to monitor the facility for all applicable child care requirements during an Annual Compliance visit. The facility has a Five Star Rated License issued December 18, 2017 and an eighteen month compliance history of 82% prior to today’s visit. The last Annual Compliance Visit was conducted August 11, 2023. The March 2023 Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing dated March 2024 was used to document compliance with child care rules. Upon arrival I was greeted at the front entrance of the facility by Ms. T. Curtis, teacher. I introduced myself and shared the purpose of today’s visit. Ms. Curtis was present with six (6) enrolled preschool-aged children and they were in the process of transitioning into the outdoor learning activities. I informed Ms. Curtis that I would join the group outdoors and conduct a walk-through of the outdoor learning after placing my personal items in the program’s office area. A walk through of the facility was conducted there were two (2) licensed childcare spaces, the kitchen, one (1) bathroom, the outdoor learning environment and spaces adjacent to these are monitored today. There were a total of eight (8) children on site, including the providers own children. Children were observed engaging in a variety of activities including free play, group activities, naptime, personal care routines, transitional activities and outdoor learning. In the outdoor learning environment, a large tree root was observed present and in the path of travel for children. I informed Ms. Curtis that this poses a tripping hazard and needs to be made in accessible to the children until it can either be removed, covered or painted a bright color to bring visual awareness to children playing in that area. It was also observed that the latching device on the chain linked fence surrounding the outdoor learning area did not close properly. I brought this to Ms. Curtis’ attention, as this creates a safety concern and she stated that she was unaware that the gate’s latching device did not work properly but would have it repaired immediately. Upon entering the facility a walk through of the indoor space was conducted and it was observed that lesson plans posted in both classrooms were dated May 2024. When asked about this Ms. Curtis shared that she had been having issues with the FunShine website and accessing the current lesson plans. I reminded Ms. Curtis in an event such as this one she should both reach out to customer service immediately for support and revise previously utilized lesson plans to meet the current educational need of the children enrolled in the program. She stated that she would reach out to customer service today for assistance and review prior lesson plans to see what she had on hand that met the learning needs for the children currently in her program. Arrival and departure times were monitored and it was observed that although seven (7) children were present only six (6) children had been signed in upon arrival, as required. This was corrected during today’s visit. Program records were monitored. It was observed that both fire and emergency drills were current and being conducted as required. Monthly outdoor inspections were also monitored and found to be in compliance. Four (2) children’s files were monitored and each was found to be in compliance. Three (3) staff files were monitored. It was observed that two (2) staff members had not completed annual health questionnaires, as required and all three (3) staff members had not completed annual emergency information forms, as required. It was also observed that all three (3) staff members did not have documentation on file of completing an annual professional development plan, an annual staff evaluation, an annual review of the facility’s Emergency Preparedness plan or the facility’s Emergency Medical Care Plan in the past year, as required. The facility’s Emergency Preparedness Plan and Ready to Go File were both monitored today. Each was observed not to contain the facility’s most current information and have been updated either annually or changes have occurred. The last Sanitation inspection was conducted on March 17, 2024 with no demerits cited and receiving a Superior. The last Fire Inspection was conducted and approved on October 13, 2023. Adequate supervision and capacity were observed in compliance today. There were ten (10) violations cited today. 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. Arrival and departure times were monitored and it was observed that although seven (7) children were present only six (6) children had been signed in upon arrival, as required. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. A walk through of the indoor space was conducted and it was observed that lesson plans posted in both classrooms were dated May 2024. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor learning environment, a large tree root was observed present and in the path of travel for children. It was also observed that the latching device on the chain linked fence surrounding the outdoor learning area did not close properly. 10A NCAC 09 .0601(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Three (3) staff files were monitored. It was observed that all three (3) staff members did not have documentation on file of completing an annual review of the facility’s Emergency Medical Care Plan in the past year, as required. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three (3) staff files were monitored. It was observed that two (2) staff members had not completed annual health questionnaires, as required. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff files were monitored. It was observed that all three (3) staff members had not completed annual emergency information forms, as required. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Three (3) staff files were monitored. It was observed that all three (3) staff members did not have documentation on file of completing an annual professional development plan and an annual staff evaluation on file in the past year, as required. 10A NCAC 09 .0514(f) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The facility’s Ready to Go File was monitored today. It was observed not to contain the facility’s most current information and have been updated either annually or changes have occurred. .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. The facility’s Emergency Preparedness Plan was monitored today. It was observed not to contain the facility’s most current information and have been updated either annually or changes have occurred. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Three (3) staff files were monitored. It was observed that all three (3) staff members did not have documentation on file of completing an annual review of the facility’s Emergency Preparedness plan in the past year, as required. .0607(f) 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 August 20, 2024 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: - It was discussed with both the Administrator and Teachers the importance of ensuring that staff members have the required forms, trainings, annual updates and paperwork complete and readily accessible. We spoke specifically about staff forms that are to be updated annually and revised as changes occur. -We discussed the importance of ensuring that the playgrounds are checked daily for hazards by staff and shared with the administrator immediately to ensure that repairs are documented and corrected. - We discussed the importance of reviewing posted program documentation, files, program evacuation plans and other emergency related materials to ensure they are up to date and always current. -We discussed reviewing required classroom documentation including attendance and sign-in/out logs to ensure information is always accurate. -Please check your email regularly for updates from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. 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

10A NCAC 09 .0302 · Violation

Name of Operation: TOTS WORLD Facility ID: 60001744 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 5/14/2024 Number Present: 9 Completed Date: 5/14/2024 Age: From 1 To 3 Total Minutes: 330 Time In: 10:00 AM Time Out: 03:30 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 applicable child care rules and laws during a routine unannounced visit. The facility has a Five Star Rated License issued December 18, 2017 and an eighteen month compliance history of 86% prior to today’s visit. The following was monitored using the August 2023 Childcare Center Item Number Listing: supervision, capacity, staff/child ratios, adequate and approved space, criminal background checks, CPR, First Aid, special training, new staff records, storage of hazardous products, and storage of medication. Upon arrival I was greeted by Ms. T. Smith, staff member, and I explained the purpose of my visit. Ms. Smith was present with one additional caregiver, Ms. S. Shaw. Seven (7) enrolled preschool children were present but only five (5) enrolled preschool children were observed documented on the program’s daily sign-in sheet. This was brought to the provider’s attention and was corrected. Two (2) additional enrolled preschool children arrived during today’s visit. There are a total of twelve (12) preschool children enrolled on first shift. There are currently four (4) children enrolled on second shift. Children were observed engaging in a variety of activities including free play, a group learning activity, personal care routines and mealtime. The childcare space, areas adjacent to the childcare space, bathroom and kitchen were monitored. During the walk through it was observed that five (5) foam blocks located in the bottom compartment of a storage shelf in the child care space had visible teeth impressions. I brought this to Ms. Smith’s attention and reminded her that all toys that are visibly worn or in poor repair need to be removed immediately and made inaccessible to children, as they present a hazard. The blocks were removed from the shelf and discarded during the visit. It was also observed in the childcare space that there was no lesson plan posted or available for review. I reminded the provider that the program shall have both a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. This was printed out and posted during the visit. In the bathroom it was observed that there was a First Aid kit containing ointments and a bottle of rubbing alcohol each with the warning ‘Keep out the reach of children’ accompanied by other warnings being stored on a shelf in an unlocked cabinet. I shared this with the providers and reminded them that any substance with the multiple warnings and which may be hazardous to a child if ingested, inhaled, or handled were must be stored in a locked room or cabinet. These were removed and placed in a secure area during the visit. During the visit all caregivers were observed supervising and engaging in activities with the children. Program records were monitored. It was observed that fire drills were current and being conducted as required. It was also observed that two (2) emergency drills had occurred at 120 day intervals instead of the required 90 days. I discussed this with the providers and suggested that they set a reminder to ensure this does not happen in the future and the program remains compliant. This was considered corrected during the visit, as other drills had been conducted and documented, as required. The monthly outdoor inspections were monitored for the past twelve months and there was not one available fort he month of April 2024 for review. This was considered corrected during the visit, as an outdoor inspection had been conducted and documented, as required. The last Sanitation inspection was conducted on March 13, 2024 with no demerits cited and receiving a Superior. The last Fire Inspection was conducted and approved on October 13, 2023. Adequate supervision and capacity were observed in compliance today. There were seven (7) violations cited today. 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. Seven (7) enrolled preschool children were present but only five (5) enrolled preschool children were observed documented on the program’s daily sign-in sheet. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. It was observed in the childcare space that there was no lesson plan posted or available for review. GS 110-91(12); .0508(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. During the walk through it was observed that five (5) foam blocks located in the bottom compartment of a storage shelf in the child care space had visible teeth impressions. .0601(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the bathroom it was observed that there was a First Aid kit containing ointments and a bottle of rubbing alcohol each with the warning ‘Keep out the reach of children’ accompanied by other warnings being stored on a shelf in an unlocked cabinet. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The monthly outdoor inspections were monitored for the past twelve months and there was not one available for the month of April 2024 for review. .0605(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Program records were monitored and it was observed that two (2) emergency drills had occurred at 120 day intervals instead of the required 90 days. .0604(u);.0302(d)(8) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Three (3) staff files were reviewed, and it was observed that one (1) staff member was due to recertify her ITS-SIDS training by January 12, 2024 but that did not occur. .01102 (f) 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 May 28, 2024 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: -It was discussed to conduct regular checks of the licensed child care spaces and areas adjacent to the spaces utilized by children to ensure there are no hazards or potential safety issues present. We spoke specifically about broken toys and items in poor repair. -We discussed the importance of ensuring all required program documentation and paperwork is completed in its entirety. We spoke specifically about the attendance, emergency drills and playground inspections. - We discussed putting a system in place to ensure all required paperwork, training hours, annual forms and documentation are completed by staff as required to stay in compliance. We spoke specifically about specialized training. -Please check your email regularly for updates from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -Quality Everyday (QED) through CCRI is available and works with one (1), two (2), three (3), four (4), and five (5) Star facilities. 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: supervision. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: TOTS WORLD Facility ID: 60001744 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 5/14/2024 Number Present: 9 Completed Date: 5/14/2024 Age: From 1 To 3 Total Minutes: 330 Time In: 10:00 AM Time Out: 03:30 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 applicable child care rules and laws during a routine unannounced visit. The facility has a Five Star Rated License issued December 18, 2017 and an eighteen month compliance history of 86% prior to today’s visit. The following was monitored using the August 2023 Childcare Center Item Number Listing: supervision, capacity, staff/child ratios, adequate and approved space, criminal background checks, CPR, First Aid, special training, new staff records, storage of hazardous products, and storage of medication. Upon arrival I was greeted by Ms. T. Smith, staff member, and I explained the purpose of my visit. Ms. Smith was present with one additional caregiver, Ms. S. Shaw. Seven (7) enrolled preschool children were present but only five (5) enrolled preschool children were observed documented on the program’s daily sign-in sheet. This was brought to the provider’s attention and was corrected. Two (2) additional enrolled preschool children arrived during today’s visit. There are a total of twelve (12) preschool children enrolled on first shift. There are currently four (4) children enrolled on second shift. Children were observed engaging in a variety of activities including free play, a group learning activity, personal care routines and mealtime. The childcare space, areas adjacent to the childcare space, bathroom and kitchen were monitored. During the walk through it was observed that five (5) foam blocks located in the bottom compartment of a storage shelf in the child care space had visible teeth impressions. I brought this to Ms. Smith’s attention and reminded her that all toys that are visibly worn or in poor repair need to be removed immediately and made inaccessible to children, as they present a hazard. The blocks were removed from the shelf and discarded during the visit. It was also observed in the childcare space that there was no lesson plan posted or available for review. I reminded the provider that the program shall have both a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. This was printed out and posted during the visit. In the bathroom it was observed that there was a First Aid kit containing ointments and a bottle of rubbing alcohol each with the warning ‘Keep out the reach of children’ accompanied by other warnings being stored on a shelf in an unlocked cabinet. I shared this with the providers and reminded them that any substance with the multiple warnings and which may be hazardous to a child if ingested, inhaled, or handled were must be stored in a locked room or cabinet. These were removed and placed in a secure area during the visit. During the visit all caregivers were observed supervising and engaging in activities with the children. Program records were monitored. It was observed that fire drills were current and being conducted as required. It was also observed that two (2) emergency drills had occurred at 120 day intervals instead of the required 90 days. I discussed this with the providers and suggested that they set a reminder to ensure this does not happen in the future and the program remains compliant. This was considered corrected during the visit, as other drills had been conducted and documented, as required. The monthly outdoor inspections were monitored for the past twelve months and there was not one available fort he month of April 2024 for review. This was considered corrected during the visit, as an outdoor inspection had been conducted and documented, as required. The last Sanitation inspection was conducted on March 13, 2024 with no demerits cited and receiving a Superior. The last Fire Inspection was conducted and approved on October 13, 2023. Adequate supervision and capacity were observed in compliance today. There were seven (7) violations cited today. 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. Seven (7) enrolled preschool children were present but only five (5) enrolled preschool children were observed documented on the program’s daily sign-in sheet. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. It was observed in the childcare space that there was no lesson plan posted or available for review. GS 110-91(12); .0508(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. During the walk through it was observed that five (5) foam blocks located in the bottom compartment of a storage shelf in the child care space had visible teeth impressions. .0601(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the bathroom it was observed that there was a First Aid kit containing ointments and a bottle of rubbing alcohol each with the warning ‘Keep out the reach of children’ accompanied by other warnings being stored on a shelf in an unlocked cabinet. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The monthly outdoor inspections were monitored for the past twelve months and there was not one available for the month of April 2024 for review. .0605(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Program records were monitored and it was observed that two (2) emergency drills had occurred at 120 day intervals instead of the required 90 days. .0604(u);.0302(d)(8) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Three (3) staff files were reviewed, and it was observed that one (1) staff member was due to recertify her ITS-SIDS training by January 12, 2024 but that did not occur. .01102 (f) 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 May 28, 2024 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: -It was discussed to conduct regular checks of the licensed child care spaces and areas adjacent to the spaces utilized by children to ensure there are no hazards or potential safety issues present. We spoke specifically about broken toys and items in poor repair. -We discussed the importance of ensuring all required program documentation and paperwork is completed in its entirety. We spoke specifically about the attendance, emergency drills and playground inspections. - We discussed putting a system in place to ensure all required paperwork, training hours, annual forms and documentation are completed by staff as required to stay in compliance. We spoke specifically about specialized training. -Please check your email regularly for updates from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -Quality Everyday (QED) through CCRI is available and works with one (1), two (2), three (3), four (4), and five (5) Star facilities. 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

10A NCAC 09 .0514 · Violation

Name of Operation: TOTS WORLD Facility ID: 60001744 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 8/11/2023 Number Present: 12 Completed Date: 8/11/2023 Age: From 0 To 6 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 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 an Annual Compliance visit. The last annual compliance visit was conducted on 08/16/22. The facility is currently operating with a Five Star Rated License issued on 12/18/17 and had an eighteen (18) month compliance history score of 84 % prior to today’s visit. The June 2022 Child Care Center Item Number Listing and the March 2023 Annual Compliance Checklist were used to monitor today. Upon arrival I was greeted in the driveway by Ms. S. Shaw, Program Administrator. She explained that she was finishing up a call and that Ms. T. Curtis, Assistant Director, was inside and would be able to assist me. She would join us shortly. Upon ringing the doorbell Ms. Curtis answered and I explained the purpose of my visit. Ms. Shaw then joined us and shared that the center had recently closed temporarily due to a sewer issue that resulted in the downstairs bathroom and adjacent areas being flooded. She stated that the program had closed on the afternoon of Thursday, July 25th and did not reopen until Monday, July 31st. She stated that there were still some repairs that were not complete but that the work would be completed between August 16th and August 25th. The program was already scheduled to be closed for an annual vacation time. I asked if she had reached out to environmental health to share this information and she stated that she had not. We discussed the importance of contacting both her Child Care Consultant and Environmental Health anytime there is an issue with the facility’s heating or cooling system, water and electricity. I also shared with both Ms. Shaw and Ms. Curtis that if the facility was open and children were present the expectation is that all licensed areas are fully functional and compliant. We then began a walk-through the facility. During the visit I observed children engaged in personal care routines, free play activities, meal-time, transitional activities and naptime routines. Teachers provided nurturing interactions and the facility was found in compliance with supervision, staff/child ratio, capacity and group size. It was observed that the facility’s license, NC Summary of Law, Emergency Medical Care Plan and First Aid poster were not posted in a visible area. When this was shared with Ms. Curtis, she was able to locate them on two bulletin boards stored behind a white dry erase board leaning against a wall in the entryway. Ms. Curtis shared that these had been taken down during construction and had not yet been put back up. She was able to place them on top of the cubbies, in a more visible location during the walk-through. In Space #1 it was observed that the facility’s current sleep policy was not posted. Ms. Curtis stated that she had this item on file in the office and would make a copy to post during the visit. I was able to verify this document, and this was completed during the walk-through. It was also observed there were no lesson plans, daily schedules or allergy listings posted in either classroom. The kitchen was monitored for compliance, and it was observed that the sink used for handwashing had been removed. I asked Ms. Shaw how are children washing their hands at mealtimes during this time. She shared that the children are currently washing their hands for mealtimes in the downstairs bathroom adjacent to the classroom. She also shared that this sink is being disinfected between uses. It was also observed there was no current allergy listing posted in the kitchen. Ms. Shaw shared that this had been removed during the renovation process. She was able to locate the most up to date allergy listing in a binder in the office and placed copies in each classroom and the kitchen. Five (5) staff files were monitored today. It was observed that one new staff member hired on August 7th, 2023 did not have a medical statement on file that had been signed by a health care professional that indicates that the person is emotionally and physically fit to care for children, the required Health Questionnaire or the required Emergency Information form on file on or before the first day of work. It was also observed that the new staff member did not have a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. She completed both the Health Questionnaire and the required Emergency Information form during the visit. Five (5) children’s files were monitored today. It was observed that one child did not have a medical exam or health assessment record on file before or within 30 days after admission, two children did not include all required information and one child did not have a current written statement on file giving standing permission for participation in off premise activities. It was also observed that there was no daily attendance record available for the week of July 31st thru August 04th, 2023. There are currently no medications being stored on site. The facility does not provide transportation but there is a vehicle onsite for emergency use. The last annual Sanitation Inspection was conducted on 02/17/23 with a rating of Superior and 4 demerits. The last annual Fire Inspection was conducted on 12/07/22. The outdoor learning environment was monitored and found to be in compliance. The center’s incident logs and copies of the incident reports were monitored in each applicable child’s file. Monthly playground inspections were not available to be monitored for the past twelve months. Monthly fire drills were monitored documented and current. Emergency drills were monitored and were found to be conducted and documented as required. The Emergency Response Plan was reviewed and found to have been updated annually as required. The Ready to Go File was monitored and found to have been updated as required. There were 16 violations cited during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. It was observed that the center's license was not posted in a prominent place. G.S. 110-99(a1) 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. It was observed a summary of the NC Child Care Law was not posted in a prominent place in the center. G.S. 110-102 415 A current schedule was not posted for each group of children for reference. It was observed there were no lesson plans posted in either classroom. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. It was observed there were no lesson plans posted in either classroom. GS 110-91(12); .0508(a) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. It was observed there was no allergy listings posted in either classrooms or the kitchen. .0901(g) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. It was observed a First Aid information sheet was not posted in a place for referral. .0802(h) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly playgound inspections were not available to be monitored for the past twelve months. .0605(q) 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. In Space #1 it was observed that the facility’s current sleep policy was not posted. .0606(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. It was observed that one staff member did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. It was observed that one staff member did not have the required Health Questionnaire on file on or before the first day of work. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. It was observed that one staff member did not have the required Emergency Information form on file on or before the first day of work. .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. It was observed that one staff member's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. 10A NCAC 09 .0514(g) 1301 Center did not maintain a record of daily attendance. It was observed that there was no daily attendance record available for the week of July 31st thru August 04th, 2023. GS 110-91(9) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. It was observed that one child did not have a Medical exam or health assessment record on file before or within 30 days after admission. GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. It was observed that one child did not have a current written statement on file giving standing permission for participation in off premise activities. .1005(b)(4) 1329 Application for enrollment did not include all required information. It was observed that two children's applications for enrollment did not include all required information. .0801(a)(1-7) Corrective Action: 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 Friday August 25, 2023 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: -We discussed the importance of contacting both your Child Care Consultant and Environmental Health immediately if there are any issues with Water, Electricity, Property Damage or Heating and Cooling Systems. Both agencies will work together to guide the operator and administrator regarding possible warranted modifications or closure until issues are resolved satisfactorily. -I reminded both administrators that all required signage and required written documentation should be visible and posted in a prominent location at all times. -We discussed the importance of ensuring that all required forms and paperwork are updated as needed and that teachers are aware of any changes and have access to these forms as necessary. -We discussed the importance of ensuring all documentation and forms required in classrooms are written legibly and free of errors. -We discussed the importance of putting a system in place for the review of all required paperwork for both children and staff files. It was highly recommended to make a list of annual update requirements to ensure this is consistently being done. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. - The center’s LLC is listed as current-active with the NC Secretary of State’s office. 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: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: TOTS WORLD Facility ID: 60001744 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 8/11/2023 Number Present: 12 Completed Date: 8/11/2023 Age: From 0 To 6 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 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 an Annual Compliance visit. The last annual compliance visit was conducted on 08/16/22. The facility is currently operating with a Five Star Rated License issued on 12/18/17 and had an eighteen (18) month compliance history score of 84 % prior to today’s visit. The June 2022 Child Care Center Item Number Listing and the March 2023 Annual Compliance Checklist were used to monitor today. Upon arrival I was greeted in the driveway by Ms. S. Shaw, Program Administrator. She explained that she was finishing up a call and that Ms. T. Curtis, Assistant Director, was inside and would be able to assist me. She would join us shortly. Upon ringing the doorbell Ms. Curtis answered and I explained the purpose of my visit. Ms. Shaw then joined us and shared that the center had recently closed temporarily due to a sewer issue that resulted in the downstairs bathroom and adjacent areas being flooded. She stated that the program had closed on the afternoon of Thursday, July 25th and did not reopen until Monday, July 31st. She stated that there were still some repairs that were not complete but that the work would be completed between August 16th and August 25th. The program was already scheduled to be closed for an annual vacation time. I asked if she had reached out to environmental health to share this information and she stated that she had not. We discussed the importance of contacting both her Child Care Consultant and Environmental Health anytime there is an issue with the facility’s heating or cooling system, water and electricity. I also shared with both Ms. Shaw and Ms. Curtis that if the facility was open and children were present the expectation is that all licensed areas are fully functional and compliant. We then began a walk-through the facility. During the visit I observed children engaged in personal care routines, free play activities, meal-time, transitional activities and naptime routines. Teachers provided nurturing interactions and the facility was found in compliance with supervision, staff/child ratio, capacity and group size. It was observed that the facility’s license, NC Summary of Law, Emergency Medical Care Plan and First Aid poster were not posted in a visible area. When this was shared with Ms. Curtis, she was able to locate them on two bulletin boards stored behind a white dry erase board leaning against a wall in the entryway. Ms. Curtis shared that these had been taken down during construction and had not yet been put back up. She was able to place them on top of the cubbies, in a more visible location during the walk-through. In Space #1 it was observed that the facility’s current sleep policy was not posted. Ms. Curtis stated that she had this item on file in the office and would make a copy to post during the visit. I was able to verify this document, and this was completed during the walk-through. It was also observed there were no lesson plans, daily schedules or allergy listings posted in either classroom. The kitchen was monitored for compliance, and it was observed that the sink used for handwashing had been removed. I asked Ms. Shaw how are children washing their hands at mealtimes during this time. She shared that the children are currently washing their hands for mealtimes in the downstairs bathroom adjacent to the classroom. She also shared that this sink is being disinfected between uses. It was also observed there was no current allergy listing posted in the kitchen. Ms. Shaw shared that this had been removed during the renovation process. She was able to locate the most up to date allergy listing in a binder in the office and placed copies in each classroom and the kitchen. Five (5) staff files were monitored today. It was observed that one new staff member hired on August 7th, 2023 did not have a medical statement on file that had been signed by a health care professional that indicates that the person is emotionally and physically fit to care for children, the required Health Questionnaire or the required Emergency Information form on file on or before the first day of work. It was also observed that the new staff member did not have a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. She completed both the Health Questionnaire and the required Emergency Information form during the visit. Five (5) children’s files were monitored today. It was observed that one child did not have a medical exam or health assessment record on file before or within 30 days after admission, two children did not include all required information and one child did not have a current written statement on file giving standing permission for participation in off premise activities. It was also observed that there was no daily attendance record available for the week of July 31st thru August 04th, 2023. There are currently no medications being stored on site. The facility does not provide transportation but there is a vehicle onsite for emergency use. The last annual Sanitation Inspection was conducted on 02/17/23 with a rating of Superior and 4 demerits. The last annual Fire Inspection was conducted on 12/07/22. The outdoor learning environment was monitored and found to be in compliance. The center’s incident logs and copies of the incident reports were monitored in each applicable child’s file. Monthly playground inspections were not available to be monitored for the past twelve months. Monthly fire drills were monitored documented and current. Emergency drills were monitored and were found to be conducted and documented as required. The Emergency Response Plan was reviewed and found to have been updated annually as required. The Ready to Go File was monitored and found to have been updated as required. There were 16 violations cited during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. It was observed that the center's license was not posted in a prominent place. G.S. 110-99(a1) 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. It was observed a summary of the NC Child Care Law was not posted in a prominent place in the center. G.S. 110-102 415 A current schedule was not posted for each group of children for reference. It was observed there were no lesson plans posted in either classroom. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. It was observed there were no lesson plans posted in either classroom. GS 110-91(12); .0508(a) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. It was observed there was no allergy listings posted in either classrooms or the kitchen. .0901(g) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. It was observed a First Aid information sheet was not posted in a place for referral. .0802(h) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly playgound inspections were not available to be monitored for the past twelve months. .0605(q) 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. In Space #1 it was observed that the facility’s current sleep policy was not posted. .0606(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. It was observed that one staff member did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. It was observed that one staff member did not have the required Health Questionnaire on file on or before the first day of work. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. It was observed that one staff member did not have the required Emergency Information form on file on or before the first day of work. .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. It was observed that one staff member's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. 10A NCAC 09 .0514(g) 1301 Center did not maintain a record of daily attendance. It was observed that there was no daily attendance record available for the week of July 31st thru August 04th, 2023. GS 110-91(9) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. It was observed that one child did not have a Medical exam or health assessment record on file before or within 30 days after admission. GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. It was observed that one child did not have a current written statement on file giving standing permission for participation in off premise activities. .1005(b)(4) 1329 Application for enrollment did not include all required information. It was observed that two children's applications for enrollment did not include all required information. .0801(a)(1-7) Corrective Action: 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 Friday August 25, 2023 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: -We discussed the importance of contacting both your Child Care Consultant and Environmental Health immediately if there are any issues with Water, Electricity, Property Damage or Heating and Cooling Systems. Both agencies will work together to guide the operator and administrator regarding possible warranted modifications or closure until issues are resolved satisfactorily. -I reminded both administrators that all required signage and required written documentation should be visible and posted in a prominent location at all times. -We discussed the importance of ensuring that all required forms and paperwork are updated as needed and that teachers are aware of any changes and have access to these forms as necessary. -We discussed the importance of ensuring all documentation and forms required in classrooms are written legibly and free of errors. -We discussed the importance of putting a system in place for the review of all required paperwork for both children and staff files. It was highly recommended to make a list of annual update requirements to ensure this is consistently being done. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. - The center’s LLC is listed as current-active with the NC Secretary of State’s office. 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

G.S. 110-102 · Violation

Name of Operation: TOTS WORLD Facility ID: 60001744 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 8/11/2023 Number Present: 12 Completed Date: 8/11/2023 Age: From 0 To 6 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 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 an Annual Compliance visit. The last annual compliance visit was conducted on 08/16/22. The facility is currently operating with a Five Star Rated License issued on 12/18/17 and had an eighteen (18) month compliance history score of 84 % prior to today’s visit. The June 2022 Child Care Center Item Number Listing and the March 2023 Annual Compliance Checklist were used to monitor today. Upon arrival I was greeted in the driveway by Ms. S. Shaw, Program Administrator. She explained that she was finishing up a call and that Ms. T. Curtis, Assistant Director, was inside and would be able to assist me. She would join us shortly. Upon ringing the doorbell Ms. Curtis answered and I explained the purpose of my visit. Ms. Shaw then joined us and shared that the center had recently closed temporarily due to a sewer issue that resulted in the downstairs bathroom and adjacent areas being flooded. She stated that the program had closed on the afternoon of Thursday, July 25th and did not reopen until Monday, July 31st. She stated that there were still some repairs that were not complete but that the work would be completed between August 16th and August 25th. The program was already scheduled to be closed for an annual vacation time. I asked if she had reached out to environmental health to share this information and she stated that she had not. We discussed the importance of contacting both her Child Care Consultant and Environmental Health anytime there is an issue with the facility’s heating or cooling system, water and electricity. I also shared with both Ms. Shaw and Ms. Curtis that if the facility was open and children were present the expectation is that all licensed areas are fully functional and compliant. We then began a walk-through the facility. During the visit I observed children engaged in personal care routines, free play activities, meal-time, transitional activities and naptime routines. Teachers provided nurturing interactions and the facility was found in compliance with supervision, staff/child ratio, capacity and group size. It was observed that the facility’s license, NC Summary of Law, Emergency Medical Care Plan and First Aid poster were not posted in a visible area. When this was shared with Ms. Curtis, she was able to locate them on two bulletin boards stored behind a white dry erase board leaning against a wall in the entryway. Ms. Curtis shared that these had been taken down during construction and had not yet been put back up. She was able to place them on top of the cubbies, in a more visible location during the walk-through. In Space #1 it was observed that the facility’s current sleep policy was not posted. Ms. Curtis stated that she had this item on file in the office and would make a copy to post during the visit. I was able to verify this document, and this was completed during the walk-through. It was also observed there were no lesson plans, daily schedules or allergy listings posted in either classroom. The kitchen was monitored for compliance, and it was observed that the sink used for handwashing had been removed. I asked Ms. Shaw how are children washing their hands at mealtimes during this time. She shared that the children are currently washing their hands for mealtimes in the downstairs bathroom adjacent to the classroom. She also shared that this sink is being disinfected between uses. It was also observed there was no current allergy listing posted in the kitchen. Ms. Shaw shared that this had been removed during the renovation process. She was able to locate the most up to date allergy listing in a binder in the office and placed copies in each classroom and the kitchen. Five (5) staff files were monitored today. It was observed that one new staff member hired on August 7th, 2023 did not have a medical statement on file that had been signed by a health care professional that indicates that the person is emotionally and physically fit to care for children, the required Health Questionnaire or the required Emergency Information form on file on or before the first day of work. It was also observed that the new staff member did not have a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. She completed both the Health Questionnaire and the required Emergency Information form during the visit. Five (5) children’s files were monitored today. It was observed that one child did not have a medical exam or health assessment record on file before or within 30 days after admission, two children did not include all required information and one child did not have a current written statement on file giving standing permission for participation in off premise activities. It was also observed that there was no daily attendance record available for the week of July 31st thru August 04th, 2023. There are currently no medications being stored on site. The facility does not provide transportation but there is a vehicle onsite for emergency use. The last annual Sanitation Inspection was conducted on 02/17/23 with a rating of Superior and 4 demerits. The last annual Fire Inspection was conducted on 12/07/22. The outdoor learning environment was monitored and found to be in compliance. The center’s incident logs and copies of the incident reports were monitored in each applicable child’s file. Monthly playground inspections were not available to be monitored for the past twelve months. Monthly fire drills were monitored documented and current. Emergency drills were monitored and were found to be conducted and documented as required. The Emergency Response Plan was reviewed and found to have been updated annually as required. The Ready to Go File was monitored and found to have been updated as required. There were 16 violations cited during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. It was observed that the center's license was not posted in a prominent place. G.S. 110-99(a1) 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. It was observed a summary of the NC Child Care Law was not posted in a prominent place in the center. G.S. 110-102 415 A current schedule was not posted for each group of children for reference. It was observed there were no lesson plans posted in either classroom. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. It was observed there were no lesson plans posted in either classroom. GS 110-91(12); .0508(a) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. It was observed there was no allergy listings posted in either classrooms or the kitchen. .0901(g) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. It was observed a First Aid information sheet was not posted in a place for referral. .0802(h) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly playgound inspections were not available to be monitored for the past twelve months. .0605(q) 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. In Space #1 it was observed that the facility’s current sleep policy was not posted. .0606(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. It was observed that one staff member did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. It was observed that one staff member did not have the required Health Questionnaire on file on or before the first day of work. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. It was observed that one staff member did not have the required Emergency Information form on file on or before the first day of work. .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. It was observed that one staff member's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. 10A NCAC 09 .0514(g) 1301 Center did not maintain a record of daily attendance. It was observed that there was no daily attendance record available for the week of July 31st thru August 04th, 2023. GS 110-91(9) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. It was observed that one child did not have a Medical exam or health assessment record on file before or within 30 days after admission. GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. It was observed that one child did not have a current written statement on file giving standing permission for participation in off premise activities. .1005(b)(4) 1329 Application for enrollment did not include all required information. It was observed that two children's applications for enrollment did not include all required information. .0801(a)(1-7) Corrective Action: 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 Friday August 25, 2023 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: -We discussed the importance of contacting both your Child Care Consultant and Environmental Health immediately if there are any issues with Water, Electricity, Property Damage or Heating and Cooling Systems. Both agencies will work together to guide the operator and administrator regarding possible warranted modifications or closure until issues are resolved satisfactorily. -I reminded both administrators that all required signage and required written documentation should be visible and posted in a prominent location at all times. -We discussed the importance of ensuring that all required forms and paperwork are updated as needed and that teachers are aware of any changes and have access to these forms as necessary. -We discussed the importance of ensuring all documentation and forms required in classrooms are written legibly and free of errors. -We discussed the importance of putting a system in place for the review of all required paperwork for both children and staff files. It was highly recommended to make a list of annual update requirements to ensure this is consistently being done. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. - The center’s LLC is listed as current-active with the NC Secretary of State’s office. 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

G.S. 110-99 · Violation

Name of Operation: TOTS WORLD Facility ID: 60001744 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 8/11/2023 Number Present: 12 Completed Date: 8/11/2023 Age: From 0 To 6 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 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 an Annual Compliance visit. The last annual compliance visit was conducted on 08/16/22. The facility is currently operating with a Five Star Rated License issued on 12/18/17 and had an eighteen (18) month compliance history score of 84 % prior to today’s visit. The June 2022 Child Care Center Item Number Listing and the March 2023 Annual Compliance Checklist were used to monitor today. Upon arrival I was greeted in the driveway by Ms. S. Shaw, Program Administrator. She explained that she was finishing up a call and that Ms. T. Curtis, Assistant Director, was inside and would be able to assist me. She would join us shortly. Upon ringing the doorbell Ms. Curtis answered and I explained the purpose of my visit. Ms. Shaw then joined us and shared that the center had recently closed temporarily due to a sewer issue that resulted in the downstairs bathroom and adjacent areas being flooded. She stated that the program had closed on the afternoon of Thursday, July 25th and did not reopen until Monday, July 31st. She stated that there were still some repairs that were not complete but that the work would be completed between August 16th and August 25th. The program was already scheduled to be closed for an annual vacation time. I asked if she had reached out to environmental health to share this information and she stated that she had not. We discussed the importance of contacting both her Child Care Consultant and Environmental Health anytime there is an issue with the facility’s heating or cooling system, water and electricity. I also shared with both Ms. Shaw and Ms. Curtis that if the facility was open and children were present the expectation is that all licensed areas are fully functional and compliant. We then began a walk-through the facility. During the visit I observed children engaged in personal care routines, free play activities, meal-time, transitional activities and naptime routines. Teachers provided nurturing interactions and the facility was found in compliance with supervision, staff/child ratio, capacity and group size. It was observed that the facility’s license, NC Summary of Law, Emergency Medical Care Plan and First Aid poster were not posted in a visible area. When this was shared with Ms. Curtis, she was able to locate them on two bulletin boards stored behind a white dry erase board leaning against a wall in the entryway. Ms. Curtis shared that these had been taken down during construction and had not yet been put back up. She was able to place them on top of the cubbies, in a more visible location during the walk-through. In Space #1 it was observed that the facility’s current sleep policy was not posted. Ms. Curtis stated that she had this item on file in the office and would make a copy to post during the visit. I was able to verify this document, and this was completed during the walk-through. It was also observed there were no lesson plans, daily schedules or allergy listings posted in either classroom. The kitchen was monitored for compliance, and it was observed that the sink used for handwashing had been removed. I asked Ms. Shaw how are children washing their hands at mealtimes during this time. She shared that the children are currently washing their hands for mealtimes in the downstairs bathroom adjacent to the classroom. She also shared that this sink is being disinfected between uses. It was also observed there was no current allergy listing posted in the kitchen. Ms. Shaw shared that this had been removed during the renovation process. She was able to locate the most up to date allergy listing in a binder in the office and placed copies in each classroom and the kitchen. Five (5) staff files were monitored today. It was observed that one new staff member hired on August 7th, 2023 did not have a medical statement on file that had been signed by a health care professional that indicates that the person is emotionally and physically fit to care for children, the required Health Questionnaire or the required Emergency Information form on file on or before the first day of work. It was also observed that the new staff member did not have a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. She completed both the Health Questionnaire and the required Emergency Information form during the visit. Five (5) children’s files were monitored today. It was observed that one child did not have a medical exam or health assessment record on file before or within 30 days after admission, two children did not include all required information and one child did not have a current written statement on file giving standing permission for participation in off premise activities. It was also observed that there was no daily attendance record available for the week of July 31st thru August 04th, 2023. There are currently no medications being stored on site. The facility does not provide transportation but there is a vehicle onsite for emergency use. The last annual Sanitation Inspection was conducted on 02/17/23 with a rating of Superior and 4 demerits. The last annual Fire Inspection was conducted on 12/07/22. The outdoor learning environment was monitored and found to be in compliance. The center’s incident logs and copies of the incident reports were monitored in each applicable child’s file. Monthly playground inspections were not available to be monitored for the past twelve months. Monthly fire drills were monitored documented and current. Emergency drills were monitored and were found to be conducted and documented as required. The Emergency Response Plan was reviewed and found to have been updated annually as required. The Ready to Go File was monitored and found to have been updated as required. There were 16 violations cited during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. It was observed that the center's license was not posted in a prominent place. G.S. 110-99(a1) 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. It was observed a summary of the NC Child Care Law was not posted in a prominent place in the center. G.S. 110-102 415 A current schedule was not posted for each group of children for reference. It was observed there were no lesson plans posted in either classroom. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. It was observed there were no lesson plans posted in either classroom. GS 110-91(12); .0508(a) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. It was observed there was no allergy listings posted in either classrooms or the kitchen. .0901(g) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. It was observed a First Aid information sheet was not posted in a place for referral. .0802(h) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly playgound inspections were not available to be monitored for the past twelve months. .0605(q) 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. In Space #1 it was observed that the facility’s current sleep policy was not posted. .0606(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. It was observed that one staff member did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. It was observed that one staff member did not have the required Health Questionnaire on file on or before the first day of work. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. It was observed that one staff member did not have the required Emergency Information form on file on or before the first day of work. .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. It was observed that one staff member's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. 10A NCAC 09 .0514(g) 1301 Center did not maintain a record of daily attendance. It was observed that there was no daily attendance record available for the week of July 31st thru August 04th, 2023. GS 110-91(9) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. It was observed that one child did not have a Medical exam or health assessment record on file before or within 30 days after admission. GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. It was observed that one child did not have a current written statement on file giving standing permission for participation in off premise activities. .1005(b)(4) 1329 Application for enrollment did not include all required information. It was observed that two children's applications for enrollment did not include all required information. .0801(a)(1-7) Corrective Action: 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 Friday August 25, 2023 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: -We discussed the importance of contacting both your Child Care Consultant and Environmental Health immediately if there are any issues with Water, Electricity, Property Damage or Heating and Cooling Systems. Both agencies will work together to guide the operator and administrator regarding possible warranted modifications or closure until issues are resolved satisfactorily. -I reminded both administrators that all required signage and required written documentation should be visible and posted in a prominent location at all times. -We discussed the importance of ensuring that all required forms and paperwork are updated as needed and that teachers are aware of any changes and have access to these forms as necessary. -We discussed the importance of ensuring all documentation and forms required in classrooms are written legibly and free of errors. -We discussed the importance of putting a system in place for the review of all required paperwork for both children and staff files. It was highly recommended to make a list of annual update requirements to ensure this is consistently being done. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. - The center’s LLC is listed as current-active with the NC Secretary of State’s office. 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

GS 110-91 · Violation

Name of Operation: TOTS WORLD Facility ID: 60001744 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 8/11/2023 Number Present: 12 Completed Date: 8/11/2023 Age: From 0 To 6 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 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 an Annual Compliance visit. The last annual compliance visit was conducted on 08/16/22. The facility is currently operating with a Five Star Rated License issued on 12/18/17 and had an eighteen (18) month compliance history score of 84 % prior to today’s visit. The June 2022 Child Care Center Item Number Listing and the March 2023 Annual Compliance Checklist were used to monitor today. Upon arrival I was greeted in the driveway by Ms. S. Shaw, Program Administrator. She explained that she was finishing up a call and that Ms. T. Curtis, Assistant Director, was inside and would be able to assist me. She would join us shortly. Upon ringing the doorbell Ms. Curtis answered and I explained the purpose of my visit. Ms. Shaw then joined us and shared that the center had recently closed temporarily due to a sewer issue that resulted in the downstairs bathroom and adjacent areas being flooded. She stated that the program had closed on the afternoon of Thursday, July 25th and did not reopen until Monday, July 31st. She stated that there were still some repairs that were not complete but that the work would be completed between August 16th and August 25th. The program was already scheduled to be closed for an annual vacation time. I asked if she had reached out to environmental health to share this information and she stated that she had not. We discussed the importance of contacting both her Child Care Consultant and Environmental Health anytime there is an issue with the facility’s heating or cooling system, water and electricity. I also shared with both Ms. Shaw and Ms. Curtis that if the facility was open and children were present the expectation is that all licensed areas are fully functional and compliant. We then began a walk-through the facility. During the visit I observed children engaged in personal care routines, free play activities, meal-time, transitional activities and naptime routines. Teachers provided nurturing interactions and the facility was found in compliance with supervision, staff/child ratio, capacity and group size. It was observed that the facility’s license, NC Summary of Law, Emergency Medical Care Plan and First Aid poster were not posted in a visible area. When this was shared with Ms. Curtis, she was able to locate them on two bulletin boards stored behind a white dry erase board leaning against a wall in the entryway. Ms. Curtis shared that these had been taken down during construction and had not yet been put back up. She was able to place them on top of the cubbies, in a more visible location during the walk-through. In Space #1 it was observed that the facility’s current sleep policy was not posted. Ms. Curtis stated that she had this item on file in the office and would make a copy to post during the visit. I was able to verify this document, and this was completed during the walk-through. It was also observed there were no lesson plans, daily schedules or allergy listings posted in either classroom. The kitchen was monitored for compliance, and it was observed that the sink used for handwashing had been removed. I asked Ms. Shaw how are children washing their hands at mealtimes during this time. She shared that the children are currently washing their hands for mealtimes in the downstairs bathroom adjacent to the classroom. She also shared that this sink is being disinfected between uses. It was also observed there was no current allergy listing posted in the kitchen. Ms. Shaw shared that this had been removed during the renovation process. She was able to locate the most up to date allergy listing in a binder in the office and placed copies in each classroom and the kitchen. Five (5) staff files were monitored today. It was observed that one new staff member hired on August 7th, 2023 did not have a medical statement on file that had been signed by a health care professional that indicates that the person is emotionally and physically fit to care for children, the required Health Questionnaire or the required Emergency Information form on file on or before the first day of work. It was also observed that the new staff member did not have a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. She completed both the Health Questionnaire and the required Emergency Information form during the visit. Five (5) children’s files were monitored today. It was observed that one child did not have a medical exam or health assessment record on file before or within 30 days after admission, two children did not include all required information and one child did not have a current written statement on file giving standing permission for participation in off premise activities. It was also observed that there was no daily attendance record available for the week of July 31st thru August 04th, 2023. There are currently no medications being stored on site. The facility does not provide transportation but there is a vehicle onsite for emergency use. The last annual Sanitation Inspection was conducted on 02/17/23 with a rating of Superior and 4 demerits. The last annual Fire Inspection was conducted on 12/07/22. The outdoor learning environment was monitored and found to be in compliance. The center’s incident logs and copies of the incident reports were monitored in each applicable child’s file. Monthly playground inspections were not available to be monitored for the past twelve months. Monthly fire drills were monitored documented and current. Emergency drills were monitored and were found to be conducted and documented as required. The Emergency Response Plan was reviewed and found to have been updated annually as required. The Ready to Go File was monitored and found to have been updated as required. There were 16 violations cited during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. It was observed that the center's license was not posted in a prominent place. G.S. 110-99(a1) 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. It was observed a summary of the NC Child Care Law was not posted in a prominent place in the center. G.S. 110-102 415 A current schedule was not posted for each group of children for reference. It was observed there were no lesson plans posted in either classroom. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. It was observed there were no lesson plans posted in either classroom. GS 110-91(12); .0508(a) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. It was observed there was no allergy listings posted in either classrooms or the kitchen. .0901(g) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. It was observed a First Aid information sheet was not posted in a place for referral. .0802(h) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly playgound inspections were not available to be monitored for the past twelve months. .0605(q) 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. In Space #1 it was observed that the facility’s current sleep policy was not posted. .0606(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. It was observed that one staff member did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. It was observed that one staff member did not have the required Health Questionnaire on file on or before the first day of work. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. It was observed that one staff member did not have the required Emergency Information form on file on or before the first day of work. .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. It was observed that one staff member's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. 10A NCAC 09 .0514(g) 1301 Center did not maintain a record of daily attendance. It was observed that there was no daily attendance record available for the week of July 31st thru August 04th, 2023. GS 110-91(9) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. It was observed that one child did not have a Medical exam or health assessment record on file before or within 30 days after admission. GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. It was observed that one child did not have a current written statement on file giving standing permission for participation in off premise activities. .1005(b)(4) 1329 Application for enrollment did not include all required information. It was observed that two children's applications for enrollment did not include all required information. .0801(a)(1-7) Corrective Action: 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 Friday August 25, 2023 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: -We discussed the importance of contacting both your Child Care Consultant and Environmental Health immediately if there are any issues with Water, Electricity, Property Damage or Heating and Cooling Systems. Both agencies will work together to guide the operator and administrator regarding possible warranted modifications or closure until issues are resolved satisfactorily. -I reminded both administrators that all required signage and required written documentation should be visible and posted in a prominent location at all times. -We discussed the importance of ensuring that all required forms and paperwork are updated as needed and that teachers are aware of any changes and have access to these forms as necessary. -We discussed the importance of ensuring all documentation and forms required in classrooms are written legibly and free of errors. -We discussed the importance of putting a system in place for the review of all required paperwork for both children and staff files. It was highly recommended to make a list of annual update requirements to ensure this is consistently being done. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. - The center’s LLC is listed as current-active with the NC Secretary of State’s office. 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

GS110-91 · Violation

Name of Operation: TOTS WORLD Facility ID: 60001744 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 8/11/2023 Number Present: 12 Completed Date: 8/11/2023 Age: From 0 To 6 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 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 an Annual Compliance visit. The last annual compliance visit was conducted on 08/16/22. The facility is currently operating with a Five Star Rated License issued on 12/18/17 and had an eighteen (18) month compliance history score of 84 % prior to today’s visit. The June 2022 Child Care Center Item Number Listing and the March 2023 Annual Compliance Checklist were used to monitor today. Upon arrival I was greeted in the driveway by Ms. S. Shaw, Program Administrator. She explained that she was finishing up a call and that Ms. T. Curtis, Assistant Director, was inside and would be able to assist me. She would join us shortly. Upon ringing the doorbell Ms. Curtis answered and I explained the purpose of my visit. Ms. Shaw then joined us and shared that the center had recently closed temporarily due to a sewer issue that resulted in the downstairs bathroom and adjacent areas being flooded. She stated that the program had closed on the afternoon of Thursday, July 25th and did not reopen until Monday, July 31st. She stated that there were still some repairs that were not complete but that the work would be completed between August 16th and August 25th. The program was already scheduled to be closed for an annual vacation time. I asked if she had reached out to environmental health to share this information and she stated that she had not. We discussed the importance of contacting both her Child Care Consultant and Environmental Health anytime there is an issue with the facility’s heating or cooling system, water and electricity. I also shared with both Ms. Shaw and Ms. Curtis that if the facility was open and children were present the expectation is that all licensed areas are fully functional and compliant. We then began a walk-through the facility. During the visit I observed children engaged in personal care routines, free play activities, meal-time, transitional activities and naptime routines. Teachers provided nurturing interactions and the facility was found in compliance with supervision, staff/child ratio, capacity and group size. It was observed that the facility’s license, NC Summary of Law, Emergency Medical Care Plan and First Aid poster were not posted in a visible area. When this was shared with Ms. Curtis, she was able to locate them on two bulletin boards stored behind a white dry erase board leaning against a wall in the entryway. Ms. Curtis shared that these had been taken down during construction and had not yet been put back up. She was able to place them on top of the cubbies, in a more visible location during the walk-through. In Space #1 it was observed that the facility’s current sleep policy was not posted. Ms. Curtis stated that she had this item on file in the office and would make a copy to post during the visit. I was able to verify this document, and this was completed during the walk-through. It was also observed there were no lesson plans, daily schedules or allergy listings posted in either classroom. The kitchen was monitored for compliance, and it was observed that the sink used for handwashing had been removed. I asked Ms. Shaw how are children washing their hands at mealtimes during this time. She shared that the children are currently washing their hands for mealtimes in the downstairs bathroom adjacent to the classroom. She also shared that this sink is being disinfected between uses. It was also observed there was no current allergy listing posted in the kitchen. Ms. Shaw shared that this had been removed during the renovation process. She was able to locate the most up to date allergy listing in a binder in the office and placed copies in each classroom and the kitchen. Five (5) staff files were monitored today. It was observed that one new staff member hired on August 7th, 2023 did not have a medical statement on file that had been signed by a health care professional that indicates that the person is emotionally and physically fit to care for children, the required Health Questionnaire or the required Emergency Information form on file on or before the first day of work. It was also observed that the new staff member did not have a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. She completed both the Health Questionnaire and the required Emergency Information form during the visit. Five (5) children’s files were monitored today. It was observed that one child did not have a medical exam or health assessment record on file before or within 30 days after admission, two children did not include all required information and one child did not have a current written statement on file giving standing permission for participation in off premise activities. It was also observed that there was no daily attendance record available for the week of July 31st thru August 04th, 2023. There are currently no medications being stored on site. The facility does not provide transportation but there is a vehicle onsite for emergency use. The last annual Sanitation Inspection was conducted on 02/17/23 with a rating of Superior and 4 demerits. The last annual Fire Inspection was conducted on 12/07/22. The outdoor learning environment was monitored and found to be in compliance. The center’s incident logs and copies of the incident reports were monitored in each applicable child’s file. Monthly playground inspections were not available to be monitored for the past twelve months. Monthly fire drills were monitored documented and current. Emergency drills were monitored and were found to be conducted and documented as required. The Emergency Response Plan was reviewed and found to have been updated annually as required. The Ready to Go File was monitored and found to have been updated as required. There were 16 violations cited during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. It was observed that the center's license was not posted in a prominent place. G.S. 110-99(a1) 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. It was observed a summary of the NC Child Care Law was not posted in a prominent place in the center. G.S. 110-102 415 A current schedule was not posted for each group of children for reference. It was observed there were no lesson plans posted in either classroom. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. It was observed there were no lesson plans posted in either classroom. GS 110-91(12); .0508(a) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. It was observed there was no allergy listings posted in either classrooms or the kitchen. .0901(g) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. It was observed a First Aid information sheet was not posted in a place for referral. .0802(h) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly playgound inspections were not available to be monitored for the past twelve months. .0605(q) 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. In Space #1 it was observed that the facility’s current sleep policy was not posted. .0606(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. It was observed that one staff member did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. It was observed that one staff member did not have the required Health Questionnaire on file on or before the first day of work. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. It was observed that one staff member did not have the required Emergency Information form on file on or before the first day of work. .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. It was observed that one staff member's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. 10A NCAC 09 .0514(g) 1301 Center did not maintain a record of daily attendance. It was observed that there was no daily attendance record available for the week of July 31st thru August 04th, 2023. GS 110-91(9) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. It was observed that one child did not have a Medical exam or health assessment record on file before or within 30 days after admission. GS110-91(1) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. It was observed that one child did not have a current written statement on file giving standing permission for participation in off premise activities. .1005(b)(4) 1329 Application for enrollment did not include all required information. It was observed that two children's applications for enrollment did not include all required information. .0801(a)(1-7) Corrective Action: 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 Friday August 25, 2023 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: -We discussed the importance of contacting both your Child Care Consultant and Environmental Health immediately if there are any issues with Water, Electricity, Property Damage or Heating and Cooling Systems. Both agencies will work together to guide the operator and administrator regarding possible warranted modifications or closure until issues are resolved satisfactorily. -I reminded both administrators that all required signage and required written documentation should be visible and posted in a prominent location at all times. -We discussed the importance of ensuring that all required forms and paperwork are updated as needed and that teachers are aware of any changes and have access to these forms as necessary. -We discussed the importance of ensuring all documentation and forms required in classrooms are written legibly and free of errors. -We discussed the importance of putting a system in place for the review of all required paperwork for both children and staff files. It was highly recommended to make a list of annual update requirements to ensure this is consistently being done. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. - The center’s LLC is listed as current-active with the NC Secretary of State’s office. 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