10A NCAC 09 .0604 · Violation

Name of Operation: TUTOR TIME STEELE CREEK Facility ID: 60003274 Consultant: DENISE WATSON Operation Type: Center Case Number: Visit Date: 11/17/2025 Number Present: 70 Completed Date: 11/17/2025 Age: From 0 To 4 Total Minutes: 105 Time In: 09:45 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit is to monitor all applicable requirements during an Unannounced Follow Up visit. The April 2025 version of Child Care Center Master Item Number Listing, DCD-0357 was used to complete monitoring today. I was let into the facility by administrator Lisa Norvilus. Pam Dickey accompanied me on the walk through. Children were observed having free play indoors/outdoors, teacher directed activities, and routine needs met. Bathrooms used by children were monitored. Supervision, Staff Child Ratio, First Aid, Special Training, Storage of Hazardous Substances, Approved Space, Program Records, License Posted, and Permit Restrictions were monitored today. One (1) new staff file was monitored today. The following violations were cited during today's visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three (3) outlets in space five (5) and two (2) in the Stem room did not have safety plugs in them. 10A NCAC 09 .0604(c) Compliance -Violations cited today must be corrected immediately. Failure to maintain compliance with all applicable requirements may result in an Administrative Action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Because complaint allegations were substantiated during a visit on 10/21/25, an administrative action could be taken against this facility. During today's visit I observed red dots on the cubbies of children with allergies in each classroom as a reminder and easy reference for staff to be aware and take necessary precautions. Classrooms of children with allergies also have a sign on the door alerting that children in that classroom have allergies. The cook labels the cups of children with special milk and announces it when it is served in the classrooms. Please continue to check the DCDEE website weekly for updates as well as email updates from me. Please do not hesitate to contact me if you have any questions or concerns. Denise Watson 345 Nance Rd Charlotte N.C. 28214 (704) 564-1092 denise.watson@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 .1003 · Violation

Name of Operation: TUTOR TIME STEELE CREEK Facility ID: 60003274 Consultant: DENISE WATSON Operation Type: Center Case Number: Visit Date: 5/28/2025 Number Present: 90 Completed Date: 5/28/2025 Age: From 0 To 5 Total Minutes: 220 Time In: 10:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit is to monitor all applicable child care requirements during an Annual Compliance visit. The last Annual Compliance visit was made on 6/12/2025. The current 4 star license was issued on 07/12/2023. The April 2025 version of Child Care Center Master Item Number Listing, DCD-0357 and a checklist was used to complete monitoring today. This facility has a compliance history of 88% as of today. I was let into the facility by assistant administrator Ms. Burt. I was greeted by administrator Ms. Taylor. She accompanied me on the walk through of the facility. Facility files were made accessible to me. Ten (10) classrooms were monitored on today for: Sign in/out, allergy list, medical action plans (if applicable), menu, schedule, activity plan, and staff/child ratio chart. Storage of medication and permission to administer was monitored. Supervision, and storage of hazardous products was monitored. Children were observed having indoor free play, teacher directed activities, and having routine needs met. There were toys available. The following was observed posted: current license, Summary of Law, Safe Arrival and Departure procedures, Menu, Emergency Care Plan, and no smoking signage. A Sanitation inspection was conducted on 1/30/2025. A Fire inspection was conducted on 3/11/2025. Monthly Fire Drills, Playground Inspections, and EPR Drills were monitored. A sample of staff files including four (4) new staff file was monitored today for Criminal Qualifying Letters, Medical Statement, TB Test, Health Questionnaire/Emergency Information, Annual on-going Training Hours, and Special Trainings. A sample of children's files were monitored for Application, Emergency Care authorization, Summary of Law, Medical/Immunization, Discipline Statement, No smoking statement, Safe Sleep Policy, Infant Feeding Schedule and Shaken Baby Syndrome Policy (if applicable). Transportation requirements were monitored. The following violations were cited during today's visit: Violation Number Comment Rule 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Emergency and identifying information, including the child's photograph was not in the vehicle for each child being transported. 10A NCAC 09 .1003(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Emergency medical care information was not updated annually for two (2) children. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical exam was not on file before or within 30 days after admission for one (1) child. GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Signed and dated statement by parent that discipline policy received and explained at enrollment was not in one (1) child's file. .1804(c) Compliance -Violations cited today must be corrected immediately. Please send me a letter documenting how violations cited today were corrected by June 11, 2025. Failure to maintain compliance with all applicable requirements may result in an Administrative Action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Please do not hesitate to contact me if you have any questions or concerns. Denise Watson 345 Nance Rd. Charlotte N.C. 28214 (704) 564-1092 denise.watson@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.

GS110-91 · Violation

Name of Operation: TUTOR TIME STEELE CREEK Facility ID: 60003274 Consultant: DENISE WATSON Operation Type: Center Case Number: Visit Date: 5/28/2025 Number Present: 90 Completed Date: 5/28/2025 Age: From 0 To 5 Total Minutes: 220 Time In: 10:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit is to monitor all applicable child care requirements during an Annual Compliance visit. The last Annual Compliance visit was made on 6/12/2025. The current 4 star license was issued on 07/12/2023. The April 2025 version of Child Care Center Master Item Number Listing, DCD-0357 and a checklist was used to complete monitoring today. This facility has a compliance history of 88% as of today. I was let into the facility by assistant administrator Ms. Burt. I was greeted by administrator Ms. Taylor. She accompanied me on the walk through of the facility. Facility files were made accessible to me. Ten (10) classrooms were monitored on today for: Sign in/out, allergy list, medical action plans (if applicable), menu, schedule, activity plan, and staff/child ratio chart. Storage of medication and permission to administer was monitored. Supervision, and storage of hazardous products was monitored. Children were observed having indoor free play, teacher directed activities, and having routine needs met. There were toys available. The following was observed posted: current license, Summary of Law, Safe Arrival and Departure procedures, Menu, Emergency Care Plan, and no smoking signage. A Sanitation inspection was conducted on 1/30/2025. A Fire inspection was conducted on 3/11/2025. Monthly Fire Drills, Playground Inspections, and EPR Drills were monitored. A sample of staff files including four (4) new staff file was monitored today for Criminal Qualifying Letters, Medical Statement, TB Test, Health Questionnaire/Emergency Information, Annual on-going Training Hours, and Special Trainings. A sample of children's files were monitored for Application, Emergency Care authorization, Summary of Law, Medical/Immunization, Discipline Statement, No smoking statement, Safe Sleep Policy, Infant Feeding Schedule and Shaken Baby Syndrome Policy (if applicable). Transportation requirements were monitored. The following violations were cited during today's visit: Violation Number Comment Rule 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Emergency and identifying information, including the child's photograph was not in the vehicle for each child being transported. 10A NCAC 09 .1003(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Emergency medical care information was not updated annually for two (2) children. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical exam was not on file before or within 30 days after admission for one (1) child. GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Signed and dated statement by parent that discipline policy received and explained at enrollment was not in one (1) child's file. .1804(c) Compliance -Violations cited today must be corrected immediately. Please send me a letter documenting how violations cited today were corrected by June 11, 2025. Failure to maintain compliance with all applicable requirements may result in an Administrative Action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Please do not hesitate to contact me if you have any questions or concerns. Denise Watson 345 Nance Rd. Charlotte N.C. 28214 (704) 564-1092 denise.watson@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: TUTOR TIME STEELE CREEK Facility ID: 60003274 Consultant: LORI HERRICK Operation Type: Center Case Number: 0125-097A Visit Date: 1/14/2025 Number Present: 84 Completed Date: 1/14/2025 Age: From 0 To 5 Total Minutes: 185 Time In: 10:55 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. I conducted the visit today on behalf of Leigh Broome, Investigations Consultant. Sonya Burt, associate director, was on site. Ms. Burt accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Burt and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs.Two staff members did not handle a four year old child in an appropriate manner while leading the child from the bathroom and placing the child on a cot, a violation of North Carolina General Statute 110-91(10) regarding the care and treatment of children. G.S. 110-91(10) You may contact Ms. Broome at Leigh Broome, Investigations Consultant, 704-507-0822, leigh.broome@dhhs.nc.gov. or Veronica Grant, Veronica.Grant@dhhs.nc.gov Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: TUTOR TIME STEELE CREEK Facility ID: 60003274 Consultant: DENISE WATSON Operation Type: Center Case Number: Visit Date: 12/4/2024 Number Present: 75 Completed Date: 12/4/2024 Age: From 0 To 5 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit is to monitor all applicable requirements during a Routine Unannounced visit. The March 2024 version of Child Care Center Master Item Number Listing, DCD-0357 was used to complete monitoring today. I was let into the facility by associate director, Sonya Burt. Team lead, Pam Dickey accompanied me on a walk through of the facility. Ms. Burt joined us later. Director, Lisa Taylor arrived during the visit. Program records and staff records were made available to me. Supervision, Staff Child Ratio, First Aid, Special Training, Storage of Hazardous Substances and Medication, Approved Space, one (1) new staff file, Program Records, License Posted, and Permit Restrictions were monitored today. The outdoor play area, bathrooms used by children, and thermometers in the refrigerator's were monitored today. The following violations were cited during today's visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space five (5) for reference. GS 110-91(12); .0508(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The depth of the mulch under the climbing structure on the older children's playground does not meet requirements. .0605(j) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Electrical outlets which were located in space six (6) and seven (7) used by children were not covered with safety plugs and not located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604(c) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Prior to the expiration date of the qualification letter, one (1) child care provider did not complete and submit required forms to complete a criminal background check. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member's first aid training was renewed after its expiration date. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member's CPR was renewed after its expiration date. .1102(d) Compliance -Violations cited today must be corrected immediately. Please send me a letter documenting how violations cited today were corrected by Dcember 18, 2024. Failure to maintain compliance with all applicable requirements may result in an Administrative Action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance -Toys and materials for Space 1B was discussed during today's visit. Please refer to the materials list under provider documents on the DCDEE website and ITERS materials list for reference. Please continue to check the DCDEE website weekly for updates as well as email updates from me. -Concerns about a child enrolled in the early preschool class were discussed today. Communicating with parents is always the first thing to do. Partner with them on developmentally and age appropriate activities that will best serve the child. Document all efforts and make sure all possibilities are exhausted before trying other options. Please do not hesitate to contact me if you have any questions or concerns. Denise Watson P.O. Box 241561 Charlotte N.C. 28224 (704) 564-1092 denise.watson@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.

G.S. 110-90 · Violation

Name of Operation: TUTOR TIME STEELE CREEK Facility ID: 60003274 Consultant: DENISE WATSON Operation Type: Center Case Number: Visit Date: 12/4/2024 Number Present: 75 Completed Date: 12/4/2024 Age: From 0 To 5 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit is to monitor all applicable requirements during a Routine Unannounced visit. The March 2024 version of Child Care Center Master Item Number Listing, DCD-0357 was used to complete monitoring today. I was let into the facility by associate director, Sonya Burt. Team lead, Pam Dickey accompanied me on a walk through of the facility. Ms. Burt joined us later. Director, Lisa Taylor arrived during the visit. Program records and staff records were made available to me. Supervision, Staff Child Ratio, First Aid, Special Training, Storage of Hazardous Substances and Medication, Approved Space, one (1) new staff file, Program Records, License Posted, and Permit Restrictions were monitored today. The outdoor play area, bathrooms used by children, and thermometers in the refrigerator's were monitored today. The following violations were cited during today's visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space five (5) for reference. GS 110-91(12); .0508(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The depth of the mulch under the climbing structure on the older children's playground does not meet requirements. .0605(j) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Electrical outlets which were located in space six (6) and seven (7) used by children were not covered with safety plugs and not located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604(c) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Prior to the expiration date of the qualification letter, one (1) child care provider did not complete and submit required forms to complete a criminal background check. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member's first aid training was renewed after its expiration date. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member's CPR was renewed after its expiration date. .1102(d) Compliance -Violations cited today must be corrected immediately. Please send me a letter documenting how violations cited today were corrected by Dcember 18, 2024. Failure to maintain compliance with all applicable requirements may result in an Administrative Action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance -Toys and materials for Space 1B was discussed during today's visit. Please refer to the materials list under provider documents on the DCDEE website and ITERS materials list for reference. Please continue to check the DCDEE website weekly for updates as well as email updates from me. -Concerns about a child enrolled in the early preschool class were discussed today. Communicating with parents is always the first thing to do. Partner with them on developmentally and age appropriate activities that will best serve the child. Document all efforts and make sure all possibilities are exhausted before trying other options. Please do not hesitate to contact me if you have any questions or concerns. Denise Watson P.O. Box 241561 Charlotte N.C. 28224 (704) 564-1092 denise.watson@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: TUTOR TIME STEELE CREEK Facility ID: 60003274 Consultant: DENISE WATSON Operation Type: Center Case Number: Visit Date: 12/4/2024 Number Present: 75 Completed Date: 12/4/2024 Age: From 0 To 5 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit is to monitor all applicable requirements during a Routine Unannounced visit. The March 2024 version of Child Care Center Master Item Number Listing, DCD-0357 was used to complete monitoring today. I was let into the facility by associate director, Sonya Burt. Team lead, Pam Dickey accompanied me on a walk through of the facility. Ms. Burt joined us later. Director, Lisa Taylor arrived during the visit. Program records and staff records were made available to me. Supervision, Staff Child Ratio, First Aid, Special Training, Storage of Hazardous Substances and Medication, Approved Space, one (1) new staff file, Program Records, License Posted, and Permit Restrictions were monitored today. The outdoor play area, bathrooms used by children, and thermometers in the refrigerator's were monitored today. The following violations were cited during today's visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space five (5) for reference. GS 110-91(12); .0508(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The depth of the mulch under the climbing structure on the older children's playground does not meet requirements. .0605(j) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Electrical outlets which were located in space six (6) and seven (7) used by children were not covered with safety plugs and not located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604(c) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Prior to the expiration date of the qualification letter, one (1) child care provider did not complete and submit required forms to complete a criminal background check. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member's first aid training was renewed after its expiration date. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member's CPR was renewed after its expiration date. .1102(d) Compliance -Violations cited today must be corrected immediately. Please send me a letter documenting how violations cited today were corrected by Dcember 18, 2024. Failure to maintain compliance with all applicable requirements may result in an Administrative Action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance -Toys and materials for Space 1B was discussed during today's visit. Please refer to the materials list under provider documents on the DCDEE website and ITERS materials list for reference. Please continue to check the DCDEE website weekly for updates as well as email updates from me. -Concerns about a child enrolled in the early preschool class were discussed today. Communicating with parents is always the first thing to do. Partner with them on developmentally and age appropriate activities that will best serve the child. Document all efforts and make sure all possibilities are exhausted before trying other options. Please do not hesitate to contact me if you have any questions or concerns. Denise Watson P.O. Box 241561 Charlotte N.C. 28224 (704) 564-1092 denise.watson@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 .2818 · Violation

Name of Operation: TUTOR TIME STEELE CREEK Facility ID: 60003274 Consultant: MIRANDA GARTNER Operation Type: Center Case Number: 0924-154A Visit Date: 9/17/2024 Number Present: 62 Completed Date: 9/17/2024 Age: From 0 To 4 Total Minutes: 168 Time In: 10:32 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of childcare requirements at this child care facility. Abigail Rowe, Investigations Consultant, was also present during the visit. Lisa Taylor, administrator, accompanied us during a walk-through of the facility. During the visit, we discussed the allegations with Ms. Taylor and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. On more than on occasion staff/child ratios were not met. The time out of ratio ranged from minutes up to fifteen minutes. 10A NCAC 09 .2818 Violations must be corrected immediately. Within one week, 09/24/2024, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified childcare requirements to me at Miranda Gartner, 336-247-5428, Miranda.gartner@dhhs.nc.gov. You may contact me at Miranda Gartner, 336-247-5428, Miranda.gartner@dhhs.nc.gov or Veronica Grant, South Central Investigations Team Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time. 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 .0514 · Violation

Name of Operation: TUTOR TIME STEELE CREEK Facility ID: 60003274 Consultant: DENISE WATSON Operation Type: Center Case Number: Visit Date: 6/12/2024 Number Present: 102 Completed Date: 6/12/2024 Age: From 0 To 9 Total Minutes: 245 Time In: 09:25 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit is to monitor all applicable child care requirements during an Annual Compliance visit. The last Annual Compliance visit was made on 06/22/23. The current 4 star license was issued on 07/12/2023. The March 2024 version of Child Care Center Master Item Number Listing, DCD-0357 and a checklist was used to complete monitoring today. This facility has a compliance history of 94% as of today. I was let into the facility by a parent dropping off a child. I was greeted by teacher, Ms. Dickey. She stated that director Ms. Evans would be in shortly. Associated director, Ms. Burt arrived shortly during the visit. I explained the purpose of my visit. She assisted me with the acknowledgment of staff until Ms. Evans arrived. Ms. Evans accompanied me on the walk through of the facility. Nine (9) classrooms were monitored on today for: Sign in/out, allergy list, medical action plans (if applicable), menu, schedule, activity plan, and staff/child ratio chart. Storage of medication and permission to administer was monitored. Supervision, and storage of hazardous products was monitored. Children were observed having indoor and outdoor free play, teacher directed activities and having routine needs met. There were ample toys and activities available. The following was observed posted: current license, Summary of Law, Safe Arrival and Departure procedures, Menu, Emergency Care Plan, and no smoking signage. A Sanitation inspection was conducted on 12/21/2023 . A Fire inspection was conducted on 3/11/2024. Monthly Fire Drills, Playground Inspections, and EPR Drills were monitored. A sample of staff files were monitored today for Criminal Qualifying Letters, Medical Statement, TB Test, Health Questionnaire/Emergency Information, Annual on-going Training Hours, and Special Trainings. A sample of children's files were monitored for Application, Emergency Care authorization, Summary of Law, Medical/Immunization, Discipline Statement, No smoking statement, Safe Sleep Policy, Infant Feeding Schedule and Shaken Baby Syndrome Policy (if applicable). This facility does not provide transportation. The following violations were cited during today's visit: Violation Number Comment Rule 825 Before staff members walked children off premises for play or outings, the center did not obtain written permission from the parent of each child. Written permission from the parent of one (1) enrolled child was not updated annually. .1005(b)(3) 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. One (1) child care provider did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. On or before the first day of work, two (2) staff's results indicating that they were free of active TB and/or TB test or screening was not on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. There was no documentation that two (2) new staff, who had contact with children , received at least 16 hrs orientation. .1101(a) 1054 Documentation of staff's on-going training was not on file and/or was not current . Documentation of three (3) staff's on-going training was not on file. 10A NCAC 09 .1106(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Documentation of receipt of operational policies was not on file for one (1) enrolled child. 10A NCAC 09 .0514(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A McDonald's cup was located on the counter in space six (6). .0901(i) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not signed by the parent of one (1) enrolled child. .0608(b) Compliance -Violations cited today must be corrected immediately. Please send me a letter documenting how violations cited today were corrected by June 26, 2024. Failure to maintain compliance with all applicable requirements may result in an Administrative Action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance The mulch on the back playground under the climbing structure needs to be tilled and fluffed to ensure that the proper fall zone depth is maintained. Emergency information and permission to go outside the fenced area for children must be updated annually. Please continue to check the DCDEE website weekly for updates as well as email updates from me. Please do not hesitate to contact me if you have any questions or concerns. Denise Watson P.O. Box 241561 Charlotte N.C. 28224 (704) 564-1092 denise.watson@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: TUTOR TIME STEELE CREEK Facility ID: 60003274 Consultant: DENISE WATSON Operation Type: Center Case Number: Visit Date: 6/12/2024 Number Present: 102 Completed Date: 6/12/2024 Age: From 0 To 9 Total Minutes: 245 Time In: 09:25 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit is to monitor all applicable child care requirements during an Annual Compliance visit. The last Annual Compliance visit was made on 06/22/23. The current 4 star license was issued on 07/12/2023. The March 2024 version of Child Care Center Master Item Number Listing, DCD-0357 and a checklist was used to complete monitoring today. This facility has a compliance history of 94% as of today. I was let into the facility by a parent dropping off a child. I was greeted by teacher, Ms. Dickey. She stated that director Ms. Evans would be in shortly. Associated director, Ms. Burt arrived shortly during the visit. I explained the purpose of my visit. She assisted me with the acknowledgment of staff until Ms. Evans arrived. Ms. Evans accompanied me on the walk through of the facility. Nine (9) classrooms were monitored on today for: Sign in/out, allergy list, medical action plans (if applicable), menu, schedule, activity plan, and staff/child ratio chart. Storage of medication and permission to administer was monitored. Supervision, and storage of hazardous products was monitored. Children were observed having indoor and outdoor free play, teacher directed activities and having routine needs met. There were ample toys and activities available. The following was observed posted: current license, Summary of Law, Safe Arrival and Departure procedures, Menu, Emergency Care Plan, and no smoking signage. A Sanitation inspection was conducted on 12/21/2023 . A Fire inspection was conducted on 3/11/2024. Monthly Fire Drills, Playground Inspections, and EPR Drills were monitored. A sample of staff files were monitored today for Criminal Qualifying Letters, Medical Statement, TB Test, Health Questionnaire/Emergency Information, Annual on-going Training Hours, and Special Trainings. A sample of children's files were monitored for Application, Emergency Care authorization, Summary of Law, Medical/Immunization, Discipline Statement, No smoking statement, Safe Sleep Policy, Infant Feeding Schedule and Shaken Baby Syndrome Policy (if applicable). This facility does not provide transportation. The following violations were cited during today's visit: Violation Number Comment Rule 825 Before staff members walked children off premises for play or outings, the center did not obtain written permission from the parent of each child. Written permission from the parent of one (1) enrolled child was not updated annually. .1005(b)(3) 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. One (1) child care provider did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. On or before the first day of work, two (2) staff's results indicating that they were free of active TB and/or TB test or screening was not on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. There was no documentation that two (2) new staff, who had contact with children , received at least 16 hrs orientation. .1101(a) 1054 Documentation of staff's on-going training was not on file and/or was not current . Documentation of three (3) staff's on-going training was not on file. 10A NCAC 09 .1106(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Documentation of receipt of operational policies was not on file for one (1) enrolled child. 10A NCAC 09 .0514(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A McDonald's cup was located on the counter in space six (6). .0901(i) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not signed by the parent of one (1) enrolled child. .0608(b) Compliance -Violations cited today must be corrected immediately. Please send me a letter documenting how violations cited today were corrected by June 26, 2024. Failure to maintain compliance with all applicable requirements may result in an Administrative Action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance The mulch on the back playground under the climbing structure needs to be tilled and fluffed to ensure that the proper fall zone depth is maintained. Emergency information and permission to go outside the fenced area for children must be updated annually. Please continue to check the DCDEE website weekly for updates as well as email updates from me. Please do not hesitate to contact me if you have any questions or concerns. Denise Watson P.O. Box 241561 Charlotte N.C. 28224 (704) 564-1092 denise.watson@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 .1106 · Violation

Name of Operation: TUTOR TIME STEELE CREEK Facility ID: 60003274 Consultant: DENISE WATSON Operation Type: Center Case Number: Visit Date: 6/12/2024 Number Present: 102 Completed Date: 6/12/2024 Age: From 0 To 9 Total Minutes: 245 Time In: 09:25 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit is to monitor all applicable child care requirements during an Annual Compliance visit. The last Annual Compliance visit was made on 06/22/23. The current 4 star license was issued on 07/12/2023. The March 2024 version of Child Care Center Master Item Number Listing, DCD-0357 and a checklist was used to complete monitoring today. This facility has a compliance history of 94% as of today. I was let into the facility by a parent dropping off a child. I was greeted by teacher, Ms. Dickey. She stated that director Ms. Evans would be in shortly. Associated director, Ms. Burt arrived shortly during the visit. I explained the purpose of my visit. She assisted me with the acknowledgment of staff until Ms. Evans arrived. Ms. Evans accompanied me on the walk through of the facility. Nine (9) classrooms were monitored on today for: Sign in/out, allergy list, medical action plans (if applicable), menu, schedule, activity plan, and staff/child ratio chart. Storage of medication and permission to administer was monitored. Supervision, and storage of hazardous products was monitored. Children were observed having indoor and outdoor free play, teacher directed activities and having routine needs met. There were ample toys and activities available. The following was observed posted: current license, Summary of Law, Safe Arrival and Departure procedures, Menu, Emergency Care Plan, and no smoking signage. A Sanitation inspection was conducted on 12/21/2023 . A Fire inspection was conducted on 3/11/2024. Monthly Fire Drills, Playground Inspections, and EPR Drills were monitored. A sample of staff files were monitored today for Criminal Qualifying Letters, Medical Statement, TB Test, Health Questionnaire/Emergency Information, Annual on-going Training Hours, and Special Trainings. A sample of children's files were monitored for Application, Emergency Care authorization, Summary of Law, Medical/Immunization, Discipline Statement, No smoking statement, Safe Sleep Policy, Infant Feeding Schedule and Shaken Baby Syndrome Policy (if applicable). This facility does not provide transportation. The following violations were cited during today's visit: Violation Number Comment Rule 825 Before staff members walked children off premises for play or outings, the center did not obtain written permission from the parent of each child. Written permission from the parent of one (1) enrolled child was not updated annually. .1005(b)(3) 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. One (1) child care provider did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. On or before the first day of work, two (2) staff's results indicating that they were free of active TB and/or TB test or screening was not on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. There was no documentation that two (2) new staff, who had contact with children , received at least 16 hrs orientation. .1101(a) 1054 Documentation of staff's on-going training was not on file and/or was not current . Documentation of three (3) staff's on-going training was not on file. 10A NCAC 09 .1106(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Documentation of receipt of operational policies was not on file for one (1) enrolled child. 10A NCAC 09 .0514(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A McDonald's cup was located on the counter in space six (6). .0901(i) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not signed by the parent of one (1) enrolled child. .0608(b) Compliance -Violations cited today must be corrected immediately. Please send me a letter documenting how violations cited today were corrected by June 26, 2024. Failure to maintain compliance with all applicable requirements may result in an Administrative Action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Technical Assistance The mulch on the back playground under the climbing structure needs to be tilled and fluffed to ensure that the proper fall zone depth is maintained. Emergency information and permission to go outside the fenced area for children must be updated annually. Please continue to check the DCDEE website weekly for updates as well as email updates from me. Please do not hesitate to contact me if you have any questions or concerns. Denise Watson P.O. Box 241561 Charlotte N.C. 28224 (704) 564-1092 denise.watson@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 .0803 · Violation

Name of Operation: TUTOR TIME STEELE CREEK Facility ID: 60003274 Consultant: DENISE WATSON Operation Type: Center Case Number: 0524-290L Visit Date: 5/29/2024 Number Present: 96 Completed Date: 5/29/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 09:35 AM Time Out: 01:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of violations of child care requirements. I ranged the doorbell of the facility and was not let in. No one was present at the front desk. A parent leaving out of the facility after dropping off a child let me into the facility. I entered Space one (1) and asked Ms. Urena was the director Ms. Evans present. She stated that she was not but associate director Ms. Burt should be at the front. I entered Space nine (9) and asked was Ms. Burt present. Ms. Trevino stated that she would call her for me. I waited in the lobby until Ms. Burt arrived. She stated that the outside doorbell doesn't work, she had been in a classroom, and that Ms. Evans wasn't present today. The allegations were shared with Ms. Burt. There are concerns that: Soiled diapers are not changed as required. Children are not adequately supervised. (injury incidents) Inappropriate sanitation practices are used. Example: A teacher used a tissue to wipe a child's nose and use the same tissue to wipe the table. Ms. Burt stated that based on the allegations she thinks she's aware of specific events that has taken place lately with an enrolled child and their family. She stated that the family had brought their concern to the director Ms. Evans about the soiled diapers. Ms. Evans has spoken with the family about that over the phone. Ms. Burt was not present for that conversation. Ms. Evans shared the concern with Ms. Burt about a teacher using a tissue to wipe a child's nose and using the same tissue to wipe the table. Both she and Ms. Evans spoke with the teacher about this concern. The teacher stated that they were multitasking. They wiped the child's nose with one hand and cleaned the table with the other during the same setting. They explained to her about washing hands in between uses of gloves and in between cleaning activities. Ms. Burt stated that a parent brought a rash on their child to her attention one afternoon about a week ago. Ms. Burt said that she apologized to the parent and stated that she understood their concerns, but assured them that the teachers are following all diapering protocols and explained that rashes can come from different sources. She also stated to the parent that Ms. Evans was also aware of the concern about soiled diapers and had already spoken with the family. Teacher one (1) was interviewed. When asked how soiled diapers are handled, they stated that diapers are changed every two (2) hours or as needed. If children have diaper cream present, it is used as needed. Diaper changes are documented in the "Sprout About" app used by this facility. Parents have access to the app. When asked about adequate supervision, teacher one (1) stated that children are supervised at all times. They stated that toddlers do fall and push and shove, but they are watched and checked to make sure there are no bruises or bumps. Teacher one (1) stated that they are not aware of any time a teacher used a tissue to wipe a child's nose and used the same tissue to wipe the table. Teacher two (2) was interviewed. When asked how soiled diapers are handled, they stated that diapers are changed every one (1)-two (2) hours or as needed. They stated that diaper changes are documented in the "Sprout About" app. Diaper changes are also documented on a white board in the classroom daily stating whether the child was wet, dry, or had a bowel movement. When asked about adequate supervision, teacher two (2) stated that they are with the children and watching them at all times. They stated that toddlers do fall occasionally and they check them to make sure they're not hurt. If a child gets hurt, they try to document it in the app but they definitely complete an incident report and turn it in at the end of the day and call the parent when it happens. Teacher two (2) stated that they are the teacher accused of using a tissue to wipe a child's nose and using the same tissue to wipe the table. They stated that they were wearing gloves. They did wipe a child's nose with one (1) hand but did not remove the gloves or washed their hands before cleaning a table with a wipe with their other hand. They stated that this concern was shared with them by the director and associate director. Attendance logs were monitored. Incident logs were monitored. Documentation of diaper changes, storage of diaper cream, and permission to administer diaper creams were monitored. Based on staff interviews and observation of documentation, the allegation of soiled diapers are not changed as required was found UNSUBSTANTIATED. Based on staff interviews and observation of incident reports, the allegation of children are not adequately supervised was found UNSUBSTANTIATED. Based on staff interviews, the allegation inappropriate sanitation practices are used was found SUBSTANTIATED. Limited monitoring of child care requirements occurred during today’s visit. The following violation was cited during today's visit: Violation Number Comment Rule 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. One (1) staff did not wash their hands thoroughly after cleaning a child's nose, before cleaning a table. 15A NCAC 18A .2803(a) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. Corn starch to be administered was not in an original container. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. Medication authorization for Aquaphor and Corn starch did not include how much to administer, and how often to administer. 10A NCAC 09 .0803(4)(6-9) Compliance -Violations cited today must be corrected immediately. Please send me a letter documenting how violations cited today were corrected by June 12, 2024. Failure to maintain compliance with all applicable requirements may result in an Administrative Action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Because an allegation was substantiated during today's visit, an Administrative Action could be taken against this facility. Technical Assistance Please ensure that you are using the correct permission to administer medication form for all children. Please continue to document diaper changes. I recommend documenting any time a diaper rash or any type of redness or soreness is noticed and the use of diaper creams. I also recommend documenting any time a bruise, knot, or scratch is noticed on a child during morning health checks. Complete multiple health checks during the day as well because toddlers are at the age where they are falling, pushing, shoving, and bumping around, may not cry out. Document anything noticed. Remember that gloves must be changed and hands must be washed between multiple uses and cleaning events. Please continue to check the DCDEE website weekly for updates as well as email updates from me. Please do not hesitate to contact me if you have any questions or concerns. Denise Watson P.O. Box 241561 Charlotte N.C. 28224 (704) 564-1092 denise.watson@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 .0803 · Violation

Name of Operation: TUTOR TIME STEELE CREEK Facility ID: 60003274 Consultant: DENISE WATSON Operation Type: Center Case Number: 0524-290L Visit Date: 5/29/2024 Number Present: 96 Completed Date: 5/29/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 09:35 AM Time Out: 01:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of violations of child care requirements. I ranged the doorbell of the facility and was not let in. No one was present at the front desk. A parent leaving out of the facility after dropping off a child let me into the facility. I entered Space one (1) and asked Ms. Urena was the director Ms. Evans present. She stated that she was not but associate director Ms. Burt should be at the front. I entered Space nine (9) and asked was Ms. Burt present. Ms. Trevino stated that she would call her for me. I waited in the lobby until Ms. Burt arrived. She stated that the outside doorbell doesn't work, she had been in a classroom, and that Ms. Evans wasn't present today. The allegations were shared with Ms. Burt. There are concerns that: Soiled diapers are not changed as required. Children are not adequately supervised. (injury incidents) Inappropriate sanitation practices are used. Example: A teacher used a tissue to wipe a child's nose and use the same tissue to wipe the table. Ms. Burt stated that based on the allegations she thinks she's aware of specific events that has taken place lately with an enrolled child and their family. She stated that the family had brought their concern to the director Ms. Evans about the soiled diapers. Ms. Evans has spoken with the family about that over the phone. Ms. Burt was not present for that conversation. Ms. Evans shared the concern with Ms. Burt about a teacher using a tissue to wipe a child's nose and using the same tissue to wipe the table. Both she and Ms. Evans spoke with the teacher about this concern. The teacher stated that they were multitasking. They wiped the child's nose with one hand and cleaned the table with the other during the same setting. They explained to her about washing hands in between uses of gloves and in between cleaning activities. Ms. Burt stated that a parent brought a rash on their child to her attention one afternoon about a week ago. Ms. Burt said that she apologized to the parent and stated that she understood their concerns, but assured them that the teachers are following all diapering protocols and explained that rashes can come from different sources. She also stated to the parent that Ms. Evans was also aware of the concern about soiled diapers and had already spoken with the family. Teacher one (1) was interviewed. When asked how soiled diapers are handled, they stated that diapers are changed every two (2) hours or as needed. If children have diaper cream present, it is used as needed. Diaper changes are documented in the "Sprout About" app used by this facility. Parents have access to the app. When asked about adequate supervision, teacher one (1) stated that children are supervised at all times. They stated that toddlers do fall and push and shove, but they are watched and checked to make sure there are no bruises or bumps. Teacher one (1) stated that they are not aware of any time a teacher used a tissue to wipe a child's nose and used the same tissue to wipe the table. Teacher two (2) was interviewed. When asked how soiled diapers are handled, they stated that diapers are changed every one (1)-two (2) hours or as needed. They stated that diaper changes are documented in the "Sprout About" app. Diaper changes are also documented on a white board in the classroom daily stating whether the child was wet, dry, or had a bowel movement. When asked about adequate supervision, teacher two (2) stated that they are with the children and watching them at all times. They stated that toddlers do fall occasionally and they check them to make sure they're not hurt. If a child gets hurt, they try to document it in the app but they definitely complete an incident report and turn it in at the end of the day and call the parent when it happens. Teacher two (2) stated that they are the teacher accused of using a tissue to wipe a child's nose and using the same tissue to wipe the table. They stated that they were wearing gloves. They did wipe a child's nose with one (1) hand but did not remove the gloves or washed their hands before cleaning a table with a wipe with their other hand. They stated that this concern was shared with them by the director and associate director. Attendance logs were monitored. Incident logs were monitored. Documentation of diaper changes, storage of diaper cream, and permission to administer diaper creams were monitored. Based on staff interviews and observation of documentation, the allegation of soiled diapers are not changed as required was found UNSUBSTANTIATED. Based on staff interviews and observation of incident reports, the allegation of children are not adequately supervised was found UNSUBSTANTIATED. Based on staff interviews, the allegation inappropriate sanitation practices are used was found SUBSTANTIATED. Limited monitoring of child care requirements occurred during today’s visit. The following violation was cited during today's visit: Violation Number Comment Rule 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. One (1) staff did not wash their hands thoroughly after cleaning a child's nose, before cleaning a table. 15A NCAC 18A .2803(a) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. Corn starch to be administered was not in an original container. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. Medication authorization for Aquaphor and Corn starch did not include how much to administer, and how often to administer. 10A NCAC 09 .0803(4)(6-9) Compliance -Violations cited today must be corrected immediately. Please send me a letter documenting how violations cited today were corrected by June 12, 2024. Failure to maintain compliance with all applicable requirements may result in an Administrative Action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Because an allegation was substantiated during today's visit, an Administrative Action could be taken against this facility. Technical Assistance Please ensure that you are using the correct permission to administer medication form for all children. Please continue to document diaper changes. I recommend documenting any time a diaper rash or any type of redness or soreness is noticed and the use of diaper creams. I also recommend documenting any time a bruise, knot, or scratch is noticed on a child during morning health checks. Complete multiple health checks during the day as well because toddlers are at the age where they are falling, pushing, shoving, and bumping around, may not cry out. Document anything noticed. Remember that gloves must be changed and hands must be washed between multiple uses and cleaning events. Please continue to check the DCDEE website weekly for updates as well as email updates from me. Please do not hesitate to contact me if you have any questions or concerns. Denise Watson P.O. Box 241561 Charlotte N.C. 28224 (704) 564-1092 denise.watson@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 .0509 · Violation

Name of Operation: TUTOR TIME STEELE CREEK Facility ID: 60003274 Consultant: DENISE WATSON Operation Type: Center Case Number: 0124-097L Visit Date: 1/23/2024 Number Present: 88 Completed Date: 1/23/2024 Age: From 0 To 5 Total Minutes: 75 Time In: 09:35 AM Time Out: 10:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of violations of child care requirements. I was let into the facility by associate, Ms. Burt. She stated that she would get the director, Ms. Evans for me. The allegations were shared with Ms. Evans. There are concerns that: the toddler playground is unsafe. Ms. Evans stated that the equipment on the toddler playground is fairly new and no toddler had been injured as far as she knew. Incident reports for the toddler classrooms were monitored. There was one incident for a child that received a scratch from a leaf on the playground but none pertaining to unsafe equipment. Outdoor playground inspections were complete. The toddler playground was monitored. There are no woodchips on the playground. The climbing structure is not made of wood. It is made of steele and is installed over resilient surfacing (padded artificial turf). A slight dip was observed at the stairs of the sliding board but no other wear and tear. Balls were observed on the playground. When asked if teachers have additional materials they provide, Ms. Evans stated yes. Staff in Space (2) caring for toddlers were asked to show me what materials get taken out onto the playground. Bins of fine motor toys were shown. I asked if they had any ride on toys, or toys that can be pushed and pulled. They stated no. They had gotten damaged, thrown away, and not replaced yet. Based on staff interviews, observation of classrooms, the outdoor play area, and monitoring of incident reports, and playground inspections, the allegation the toddler playground is unsafe was found UNSUBSTANTIATED. Limited monitoring of child care requirements occurred during today’s visit. The following violation was cited during today's visit: Violation Number Comment Rule 438 Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development. There was not a sufficient amount of available toys to provide activities for vigorous play and large muscle development on the toddler playground. 10A NCAC 09 .0509(4) Compliance -Violations cited today must be corrected immediately. Please send me a letter documenting how violations cited today were corrected by February 6, 2024. Failure to maintain compliance with all applicable requirements may result in an Administrative Action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. During the Routine Unannounced visit on December 21, 2023, appropriate materials was discussed. The following was shared: Activity Areas When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division -Make sure all toys are made accessible daily and rotated periodically based on interest, age, and developmentally appropriateness. Even though the allegation was found unsubstantiated, a violation was cited due to not enough gross motor materials being offered. Please be reminded that: 10A NCAC 09 .0509 LEARNING ENVIRONMENT The learning environment consists of the indoor and outdoor area which encourages child initiated and teacher supported activities as follows: (1) each center shall have developmentally appropriate equipment and materials accessible on a daily basis; (2) the materials and equipment indoors and outdoors shall be sufficient to provide a variety of play experiences that promote the children's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development; (3) teacher-made and home-made equipment and materials may be used. Materials and equipment that are accessible to children shall not be coated or treated with, nor shall they contain, toxic materials such as creosote, pentacholorphenol, tributyl tin oxide, dislodgeable arsenic, or and any finishes that contain pesticides; and (4) developmentally appropriate equipment and materials shall be provided for a variety of outdoor activities that allow for active play and large muscle development. The center shall provide space and time for active indoor activities when children cannot play outdoors. Also, a daily gross motor activity (indoor or outdoor) should be listed on the activity plan. Please continue to check the DCDEE website weekly for updates as well as email updates from me. Please do not hesitate to contact me if you have any questions or concerns. Denise Watson P.O. Box 241561 Charlotte N.C. 28224 (704) 564-1092 denise.watson@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.