Little Dolphins Child Care Center

G.S. 110-90 · Violation

Name of Operation: LITTLE DOLPHINS CHILD CARE CENTER Facility ID: 82000151 Consultant: CARLA HANCHEY-EDWARDS Operation Type: Center Case Number: Visit Date: 5/20/2025 Number Present: 22 Completed Date: 5/20/2025 Age: From 0 To 4 Total Minutes: 85 Time In: 10:55 AM Time Out: 12:20 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 compliance with applicable child care requirements during a routine unannounced visit. During today’s visit I completed a walk-through of the facility with Ms. Williams/ Administrator who also assisted with today’s visit. Prior to today’s visit I reviewed the Secretary of State website, and your corporation status was current-active. The group size, supervision, ratio, capacity and approved space were in compliance. The restrictions, license and emergency care plan were posted. First Aid/CPR, storage of hazardous materials and the NC Child Care Summary of the Law were posted. I monitored the program requirements, furnishings and equipment, outdoor area, and medications. The infants and toddlers were observed playing outside upon arrival. The preschool children were also observed playing outside and later were observed preparing for lunch. The theme of the lesson plans was on the Zoo. The lunch menu for today was in compliance with meal patterns. The program currently operates with a three-star license issued March 14, 2024. During the visit I reminded you to make sure all staff have sent their education to WORKS to be evaluated. The hold harmless has been extended until further notice at this time. Today you had hired a new staff member since my last visit. The staff training worksheet was completed and in compliance with child care requirements. Your last fire drill was completed 5/12/25, and your last monthly outdoor playground inspection was dated 5/9/25. Your last EPR drill was a shelter-in-place completed 2/13/25. I reminded you that an EPR drill must be completed every three months. Please keep all documentation on file for review. A violation was documented and corrected during the visit. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. One sippy cup was labeled with a name but was not dated. 15A NCAC 18A .2804(d) Childcare licensing requirements are established to ensure a safe and healthy childcare environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the childcare law and rules. Technical assistance regarding the following items were reviewed with you today. All flexibilities expired, except for the flexibilities related to the star rated license. Today you stated you were in the process of hiring two more staff and I reviewed the staff and training worksheet with you on the information needed prior to employment a completed medical assessment, a negative TB test both less than one year old, and a criminal background check qualifying letter. I reminded you that the health and safety training courses have been relocated from Pro-Solutions to Moodle on the DCDEE website and they are free of charge. I discussed various other training resources, including those online and in-person. Remember continuing professional development training provides you and your staff with the knowledge and skills needed to provide a quality child care program. Please be reminded that the health and safety training courses are required to be completed every five years. CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Clean Classrooms for Carolina Kids is a program designed to identify and eliminate exposure to lead and asbestos hazards in buildings. By May 31, 2025 all facilities must enroll for lead in paint, and water, and asbestos at www.cleanwaterforuskids.org/carolina. Additional information and sign up is available on the website www.cleanwaterforuskids.org/carolina. During today’s visit I reminded you must be enrolled by May 31, 2025. Additional information and resources for Pathways to the Stars regarding the proposed QRIS rules are available at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization . For the most up to date information, copies of sample forms, and copies of the child care requirements, you were encouraged to periodically visit the Division's website and click on the What’s New tab at www.ncchildcare.nc.gov Please contact me at 910-824-0500 or email at carla.hanchey-edwards@dhhs.nc.gov if I may be of assistance. 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 .0701 · Violation

Name of Operation: LITTLE DOLPHINS CHILD CARE CENTER Facility ID: 82000151 Consultant: CARLA HANCHEY-EDWARDS Operation Type: Center Case Number: Visit Date: 1/28/2025 Number Present: 26 Completed Date: 1/28/2025 Age: From 0 To 4 Total Minutes: 195 Time In: 09:00 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during your annual compliance visit. A checklist was used to note the requirements I monitored today. Today Ms. Williams Administrator, accompanied me on the walk through and assisted with today’s visit. Prior to today’s visit I reviewed your corporation status was current-active on the Secretary of State website. This program currently operates with a three-star license issued March 14, 2024. Please be reminded to have all the staff’s education sent to WORKS to be evaluated. The hold harmless has been extended until further notice. I monitored the indoor and outdoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival, and departure procedures, first aid chart, menus, activity plans, daily schedules, emergency care plan, emergency telephone numbers, staff records, and summary of NC Child Care Law, were posted at the time of the visit. The storage of medication and hazardous products was also monitored for compliance. Prior to the visit I received your staff and training worksheets. Your signature on these forms will serve as verification that the information provided is accurate. A random selection of children’s files and staff files were reviewed, and the children’s record worksheet was completed. The infants and toddlers were observed playing with toys with 2 staff members in their classroom. The older group of toddlers were observed playing outside on the playground. The preschool children were observed playing in activity areas inside their classroom. The school-aged children were not present during the time of the visit. The theme in the lesson plans were valentines’ activities, snow and ice, colors, and numbers. The lunch menu for today consisted of Bolonga with cheese, wheat bread, green beans, peaches, and milk. Your last fire drill was completed 1/17/25 and your monthly playground inspection was dated 1/17/25. Your last EPR drill was a lockdown completed 11/14/24. You stated you have another EPR drill scheduled for February 2025. I reminded you an EPR drill must be completed every three months and to keep all documentation on file for review. Your last fire inspection was dated 5/11/24. Your last sanitation inspection was completed 12/17/24. Please contact Environmental Health and your local fire inspector within 30 days of the due date to request an inspection to be completed. Once your inspections have been completed mail or email them to me. I recommend that you place your due dates on a calendar or spreadsheet to help you maintain compliance. Today three violations were documented and corrected during the visit. Violation Number Comment Rule 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 staff member with a hire date of 7/5/24 did not have a medical report on file until 7/9/24. 10A NCAC 09 .0701(a) 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 staff member with a hire date of 7/5/24 had not completed the first aid training until 12/30/24. .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 staff member with a hire date of 7/5/24 had not completed CPR training until 12/30/24. .1102(d) Childcare licensing requirements are established to ensure a safe and healthy childcare environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the childcare law and rules. Technical assistance regarding the following items were reviewed with you today. All flexibilities expired, except for the flexibilities related to the star rated license. I reminded you that the health and safety trainings have been relocated from Pro-Solutions to Moodle on the DCDEE website and they are free of charge. I discussed various other training resources, including those online and in-person. Remember continuing professional development training provides you and your staff with the knowledge and skills needed to provide a quality child care program. Please be reminded the health and safety training courses are required to be completed every five years. I reviewed with you the required medical report that should be on file prior to a new employee beginning to work. I discussed with you CPR and First Aid must be completed within 90 days of employment for a new staff member. Today three violations were documented CPR, First Aid, and medical report for a new employee and all have been corrected. You stated you understand what a new employee needs to have prior to employment and the 90-day timeframe to complete CPR and First Aid training. CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. For the most up to date information, copies of sample forms, and copies of the child care requirements, you were encouraged to periodically visit the Division's website and click on the What’s New tab at www.ncchildcare.nc.gov Please contact me at 910-824-0500 or email at carla.hanchey-edwards@dhhs.nc.gov if I may be of assistance. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: LITTLE DOLPHINS CHILD CARE CENTER Facility ID: 82000151 Consultant: CARLA HANCHEY-EDWARDS Operation Type: Center Case Number: Visit Date: 1/28/2025 Number Present: 26 Completed Date: 1/28/2025 Age: From 0 To 4 Total Minutes: 195 Time In: 09:00 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during your annual compliance visit. A checklist was used to note the requirements I monitored today. Today Ms. Williams Administrator, accompanied me on the walk through and assisted with today’s visit. Prior to today’s visit I reviewed your corporation status was current-active on the Secretary of State website. This program currently operates with a three-star license issued March 14, 2024. Please be reminded to have all the staff’s education sent to WORKS to be evaluated. The hold harmless has been extended until further notice. I monitored the indoor and outdoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival, and departure procedures, first aid chart, menus, activity plans, daily schedules, emergency care plan, emergency telephone numbers, staff records, and summary of NC Child Care Law, were posted at the time of the visit. The storage of medication and hazardous products was also monitored for compliance. Prior to the visit I received your staff and training worksheets. Your signature on these forms will serve as verification that the information provided is accurate. A random selection of children’s files and staff files were reviewed, and the children’s record worksheet was completed. The infants and toddlers were observed playing with toys with 2 staff members in their classroom. The older group of toddlers were observed playing outside on the playground. The preschool children were observed playing in activity areas inside their classroom. The school-aged children were not present during the time of the visit. The theme in the lesson plans were valentines’ activities, snow and ice, colors, and numbers. The lunch menu for today consisted of Bolonga with cheese, wheat bread, green beans, peaches, and milk. Your last fire drill was completed 1/17/25 and your monthly playground inspection was dated 1/17/25. Your last EPR drill was a lockdown completed 11/14/24. You stated you have another EPR drill scheduled for February 2025. I reminded you an EPR drill must be completed every three months and to keep all documentation on file for review. Your last fire inspection was dated 5/11/24. Your last sanitation inspection was completed 12/17/24. Please contact Environmental Health and your local fire inspector within 30 days of the due date to request an inspection to be completed. Once your inspections have been completed mail or email them to me. I recommend that you place your due dates on a calendar or spreadsheet to help you maintain compliance. Today three violations were documented and corrected during the visit. Violation Number Comment Rule 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 staff member with a hire date of 7/5/24 did not have a medical report on file until 7/9/24. 10A NCAC 09 .0701(a) 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 staff member with a hire date of 7/5/24 had not completed the first aid training until 12/30/24. .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 staff member with a hire date of 7/5/24 had not completed CPR training until 12/30/24. .1102(d) Childcare licensing requirements are established to ensure a safe and healthy childcare environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the childcare law and rules. Technical assistance regarding the following items were reviewed with you today. All flexibilities expired, except for the flexibilities related to the star rated license. I reminded you that the health and safety trainings have been relocated from Pro-Solutions to Moodle on the DCDEE website and they are free of charge. I discussed various other training resources, including those online and in-person. Remember continuing professional development training provides you and your staff with the knowledge and skills needed to provide a quality child care program. Please be reminded the health and safety training courses are required to be completed every five years. I reviewed with you the required medical report that should be on file prior to a new employee beginning to work. I discussed with you CPR and First Aid must be completed within 90 days of employment for a new staff member. Today three violations were documented CPR, First Aid, and medical report for a new employee and all have been corrected. You stated you understand what a new employee needs to have prior to employment and the 90-day timeframe to complete CPR and First Aid training. CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. For the most up to date information, copies of sample forms, and copies of the child care requirements, you were encouraged to periodically visit the Division's website and click on the What’s New tab at www.ncchildcare.nc.gov Please contact me at 910-824-0500 or email at carla.hanchey-edwards@dhhs.nc.gov if I may be of assistance. 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 .0713 · Violation

Name of Operation: LITTLE DOLPHINS CHILD CARE CENTER Facility ID: 82000151 Consultant: BECKY WILLIAMS Operation Type: Center Case Number: Visit Date: 3/18/2024 Number Present: 26 Completed Date: 3/18/2024 Age: From 0 To 4 Total Minutes: 90 Time In: 12:30 PM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to follow-up on violations documented during the February 27, 2024 Annual Compliance visit and the March 12, 2024 Follow-Up visit. The Administrator was present and assisted me with this visit. She was notified of the purpose of the visit upon my arrival. When I arrived, I observed the Administrator, M. Williams, in the office. Ms. Williams then accompanied me on the walkthrough and monitoring. When entering Space #6 children one and two years of age were napping, Ms. Williams stated she was the second person being counted in ratio. I explained the naptime exception could only be used in groups where all children were two years of age or older. A violation regarding staff/child ratio was documented today. One child from Space #8 was also observed in this space. You stated she had been exhibiting inappropriate behaviors, therefore she had been moved to this space. I reminded you that children from 12-24 months cannot be grouped with children three years of age or older. The children were observed napping during today’s visit. No new staff have been hired since the follow-up visit. During the visit violations that were outstanding from the Annual Compliance visit and documented during the Follow-up visit were monitored for compliance. The status of each is as follows: 303 – All groups were properly supervised during today’s visit. This violation has been corrected. 402 – I observed that new diaper changing pads are in use in Spaces #6 and #7. This violation has been corrected. 1232 – Staff development plans were on file for the four staff members. This violation has been corrected. 1032 – The staff member has made an appointment for the health assessment. I asked that you submit compliance verification for this item. 1033 – You stated the staff member had received the TB test and was out having the results read during her lunch break today. You stated she had the documentation form with her. I asked that you submit compliance verification for this item. 1035 – I observed that the Emergency Information form was on file for the staff member. This violation has been corrected. 1233 – I observed signed statements that the job description and policies and procedures had been reviewed for the two staff members. This violation has been corrected. 1874 – I observed signed statements that the Shaken Baby Syndrome and Abusive Head Trauma policy had been reviewed with the two staff members. This violation has been corrected. The following violations were documented today: Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Children from 12 months to three years of age received care in Space #6. 10A NCAC 09 .0713(a)(6) 1756 Enhanced staff/child ratios and group sizes were not met. Nine children from one to three years of age received care from one caregiver in Space #6. 10A NCAC 09 .2818 All violations must be corrected immediately. Please send me a compliance letter (written statement) describing how and when the above violations were corrected. The compliance letter must be received no later than April 1, 2024. The compliance letter may be sent to me via email, if you do not have access to email, please ensure that your compliance letter is mailed in a timely manner and that you allow for delays with the mail service. If your compliance letter is mailed, a handwritten signature must be included. Contact me if you have questions regarding correction of the violations documented during today’s visit. If you are unable to correct all violations within the specified timeframe, send a compliance letter regarding violations that were corrected and a specific plan to correct the remaining violations. We discussed the staff/child ratio violations documented today and the naptime exception. I referred you to child care rule .1801(b) in the child care rules. I explained that this exception only applied where all children in the group were two years of age and older. We discussed various ways the violation could have been prevented, including working in the classroom rather than working in the office, adjusting break schedules, or combining groups and using the naptime exception. You stated you did not think of these alternatives. I reiterated that all groups must have at least one staff member physically in the classroom at all times. We also discussed grouping of children. I referred you to child care rule .0713(a). I reminded you that children under one year of age cannot be grouped with children over two years of age, and that children from 12-24 months of age cannot be grouped with children three years of age and older. You stated the staff member in Space #6 could handle the behavior of the three-year-old child, therefore she was moved to that classroom to finish nap. Ways to prevent this violation were also discussed. I encouraged you to seek appropriate behavior modification training for all staff. You had questions today about which sets of ratios the center should be meeting. I pointed out on the child care license that the center is meeting enhanced staff/child ratio requirements. We ensured today that the correct ratio is posted in all classrooms. We discussed that the types of violations documented during the annual compliance visit, the follow-up visit, and again today are especially serious, and may lead to more stringent administrative action being taken against your child care permit. We discussed that both supervision and staff/child ratio requirements were reviewed during the rules review conducted on May 9, 2022 as required by a Corrective Action Plan. Policies and Procedures regarding records and trainings were also required by this Corrective Action Plan. When asked, you stated you felt the policies developed are not being followed. I encouraged you to review the policies to determine if they need to be amended, and that you begin to follow them immediately. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. A follow up visit may be conducted in the near future to verify compliance with violations documented during the visit. Please contact me at (910) 824-0123 or at becky.j.williams@dhhs.nc.gov if I can be of assistance. 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: LITTLE DOLPHINS CHILD CARE CENTER Facility ID: 82000151 Consultant: BECKY WILLIAMS Operation Type: Center Case Number: Visit Date: 3/18/2024 Number Present: 26 Completed Date: 3/18/2024 Age: From 0 To 4 Total Minutes: 90 Time In: 12:30 PM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to follow-up on violations documented during the February 27, 2024 Annual Compliance visit and the March 12, 2024 Follow-Up visit. The Administrator was present and assisted me with this visit. She was notified of the purpose of the visit upon my arrival. When I arrived, I observed the Administrator, M. Williams, in the office. Ms. Williams then accompanied me on the walkthrough and monitoring. When entering Space #6 children one and two years of age were napping, Ms. Williams stated she was the second person being counted in ratio. I explained the naptime exception could only be used in groups where all children were two years of age or older. A violation regarding staff/child ratio was documented today. One child from Space #8 was also observed in this space. You stated she had been exhibiting inappropriate behaviors, therefore she had been moved to this space. I reminded you that children from 12-24 months cannot be grouped with children three years of age or older. The children were observed napping during today’s visit. No new staff have been hired since the follow-up visit. During the visit violations that were outstanding from the Annual Compliance visit and documented during the Follow-up visit were monitored for compliance. The status of each is as follows: 303 – All groups were properly supervised during today’s visit. This violation has been corrected. 402 – I observed that new diaper changing pads are in use in Spaces #6 and #7. This violation has been corrected. 1232 – Staff development plans were on file for the four staff members. This violation has been corrected. 1032 – The staff member has made an appointment for the health assessment. I asked that you submit compliance verification for this item. 1033 – You stated the staff member had received the TB test and was out having the results read during her lunch break today. You stated she had the documentation form with her. I asked that you submit compliance verification for this item. 1035 – I observed that the Emergency Information form was on file for the staff member. This violation has been corrected. 1233 – I observed signed statements that the job description and policies and procedures had been reviewed for the two staff members. This violation has been corrected. 1874 – I observed signed statements that the Shaken Baby Syndrome and Abusive Head Trauma policy had been reviewed with the two staff members. This violation has been corrected. The following violations were documented today: Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Children from 12 months to three years of age received care in Space #6. 10A NCAC 09 .0713(a)(6) 1756 Enhanced staff/child ratios and group sizes were not met. Nine children from one to three years of age received care from one caregiver in Space #6. 10A NCAC 09 .2818 All violations must be corrected immediately. Please send me a compliance letter (written statement) describing how and when the above violations were corrected. The compliance letter must be received no later than April 1, 2024. The compliance letter may be sent to me via email, if you do not have access to email, please ensure that your compliance letter is mailed in a timely manner and that you allow for delays with the mail service. If your compliance letter is mailed, a handwritten signature must be included. Contact me if you have questions regarding correction of the violations documented during today’s visit. If you are unable to correct all violations within the specified timeframe, send a compliance letter regarding violations that were corrected and a specific plan to correct the remaining violations. We discussed the staff/child ratio violations documented today and the naptime exception. I referred you to child care rule .1801(b) in the child care rules. I explained that this exception only applied where all children in the group were two years of age and older. We discussed various ways the violation could have been prevented, including working in the classroom rather than working in the office, adjusting break schedules, or combining groups and using the naptime exception. You stated you did not think of these alternatives. I reiterated that all groups must have at least one staff member physically in the classroom at all times. We also discussed grouping of children. I referred you to child care rule .0713(a). I reminded you that children under one year of age cannot be grouped with children over two years of age, and that children from 12-24 months of age cannot be grouped with children three years of age and older. You stated the staff member in Space #6 could handle the behavior of the three-year-old child, therefore she was moved to that classroom to finish nap. Ways to prevent this violation were also discussed. I encouraged you to seek appropriate behavior modification training for all staff. You had questions today about which sets of ratios the center should be meeting. I pointed out on the child care license that the center is meeting enhanced staff/child ratio requirements. We ensured today that the correct ratio is posted in all classrooms. We discussed that the types of violations documented during the annual compliance visit, the follow-up visit, and again today are especially serious, and may lead to more stringent administrative action being taken against your child care permit. We discussed that both supervision and staff/child ratio requirements were reviewed during the rules review conducted on May 9, 2022 as required by a Corrective Action Plan. Policies and Procedures regarding records and trainings were also required by this Corrective Action Plan. When asked, you stated you felt the policies developed are not being followed. I encouraged you to review the policies to determine if they need to be amended, and that you begin to follow them immediately. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. A follow up visit may be conducted in the near future to verify compliance with violations documented during the visit. Please contact me at (910) 824-0123 or at becky.j.williams@dhhs.nc.gov if I can be of assistance. 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: LITTLE DOLPHINS CHILD CARE CENTER Facility ID: 82000151 Consultant: BECKY WILLIAMS Operation Type: Center Case Number: Visit Date: 3/12/2024 Number Present: 23 Completed Date: 3/12/2024 Age: From 0 To 4 Total Minutes: 90 Time In: 12:30 PM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to follow-up on violations documented during the February 27, 2024 Annual Compliance visit. The Administrator was present and assisted me with this visit. She was notified of the purpose of the visit upon my arrival. When I arrived, I observed the Administrator, M. Williams, in the office working on paperwork and files. Ms. Williams then accompanied me on the walkthrough and monitoring of two classrooms. When entering the third classroom no staff member was observed in the room. Ms. Williams stated she was covering this classroom for naptime. I explained the naptime exception, explaining that one staff member must be present in the room. A violation regarding supervision was documented today. The children were observed napping during today’s visit. Two staff members have been hired since the annual compliance visit. Files for these staff were reviewed today. During the visit violations that were documented during the Annual Compliance visit were monitored for compliance. The status of each is as follows: 303 – A group of six children, all two years of age, were unsupervised during nap time during today’s visit. A repeated violation of supervision requirements was documented. 402 – You stated new diaper changing pads had been ordered, however they had not been delivered. I asked that you submit compliance documentation when these have been replaced. 431 – The activity plans listed at least four activities. This violation has been corrected. 807 – I observed today that the sheets in the infant classroom were tight-fitting. Employee purses were properly stored. The rugs had been anchored with adhesive tape. You stated you planned to replace the rugs as funds permit. I asked that you keep a careful watch to ensure the tape is preventing any tripping hazards. The rock had been removed from the outdoor play area and the corrugated piping had been repaired. This violation has been corrected. 826 – The gates to the outdoor play area were closed during today’s visit. This violation has been corrected. 841, 846, and 847 – No medications were observed on-site today. These violations have been corrected. 862 – Signed statements that the EMC plan had been reviewed with the four staff members was on file. This violation has been corrected. 1034 – A health questionnaire was observed for the staff member today. This violation has been corrected. 1035 – Emergency information was observed for the staff member today. This violation has been corrected. 1232 – Staff development plans were not on file for the four staff members. A repeated violation was documented today. 1825 – Documentation of this review was observed for the four staff members. This violation has been corrected. 1898 – This staff member completed all topic areas of the health and safety trainings. This violation has been corrected. We also discussed that the additional time to complete the on-going training hours has passed. The staff files were monitored for on-going training. One staff member had not completed the required number of hours. A violation was documented today. The following violations were documented today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. In Space #6, six children, all two years of age, were not supervised. .1801(a)(1-5) 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. A medical report completed within the last 12 months was not on file for one new staff member. 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. Negative TB results obtained within the last 12 months were not on file for one new staff member. .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. Emergency information completed within the last 12 months was not on file for one new staff member. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff development plans had not been corrected for four staff members. 10A NCAC 09 .0514(f) 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. Signed statements that this information had been reviewed was not on file for two new staff. 10A NCAC 09 .0514(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Signed statements verifying this policy had been reviewed were not on file for two new staff. .0608(d)(1-4) All violations must be corrected immediately. Please send me a compliance letter (written statement) describing how and when the above violations were corrected. The compliance letter must be received no later than March 26, 2024. The compliance letter may be sent to me via email, if you do not have access to email, please ensure that your compliance letter is mailed in a timely manner and that you allow for delays with the mail service. If your compliance letter is mailed, a handwritten signature must be included. Contact me if you have questions regarding correction of the violations documented during today’s visit. If you are unable to correct all violations within the specified timeframe, send a compliance letter regarding violations that were corrected and a specific plan to correct the remaining violations. When asked about the supervision violation, the administrator stated one staff member was out today. An additional two staff members were on lunch break. We discussed various ways the violation could have been prevented, including taking the files she as working on to the classroom rather than working in the office, adjusting break schedules, or combining groups and using the naptime exception. You stated you did not think of these alternatives. I reiterated that all groups must have at least one staff member physically in the classroom at all times. You stated that the two newly hired staff members should help with staffing issues. You stated that you were aware your compliance documentation from the annual compliance visit was due today. You stated you were still working on the letter but had planned to submit it today. I asked that you continue to submit the verification today as planned. We discussed that a Written Warning was issued on April 19, 2022. The Corrective Action Plan attached to this written warning required you to develop policies and procedures regarding achieving and maintaining compliance with child care requirement regarding special trainings, health and safety training, CPR and First Aid training. It also required you to develop a written plan for achieving compliance with program, staff, and children’s records requirements as well as maintaining accurate records at all times. We discussed that many of the violations documented during both the annual compliance visit and today were in the staff records. I asked if the policies created and implemented needed to be revised, or if they were not being followed. You stated that they were not being followed. I reminded you that failure to comply with the Corrective Action Plan of an administrative action may result in further administrative action being taken. We also discussed that violations regarding supervision and safety are particularly serious. I referred you to Child Care Rules .2201 regarding when administrative action is needed. I asked that you review this information. Technical assistance regarding staff files was provided. We discussed the importance of using the checklists available on the provider documents section of the DCDEE website. I pointed out that this document lists when each document is due. Various ways to track due dates were also discussed. I encouraged you to put reminders on your calendar, and to create a tracking spread sheet to assist you in maintaining compliance. We discussed that when staff leave employment and are rehired at a later date, they are considered the same as new employees. when the staff member returns, only medical statements and TB test results completed within the last year may be used. All policies and procedures must be updated, and only health and safety trainings taken within the last year may be accepted. If staff are out with the intention of coming back, the dates of the leave of absence should be clearly noted in the file, and they should be included in any monitoring visit conducted during their leave. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. A follow up visit may be conducted in the near future to verify compliance with violations documented during the visit. Please contact me at (910) 824-0123 or at becky.j.williams@dhhs.nc.gov if I can be of assistance. My mailing address is PO Box 2186, Clinton, NC 28329. 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 .0701 · Violation

Name of Operation: LITTLE DOLPHINS CHILD CARE CENTER Facility ID: 82000151 Consultant: BECKY WILLIAMS Operation Type: Center Case Number: Visit Date: 3/12/2024 Number Present: 23 Completed Date: 3/12/2024 Age: From 0 To 4 Total Minutes: 90 Time In: 12:30 PM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to follow-up on violations documented during the February 27, 2024 Annual Compliance visit. The Administrator was present and assisted me with this visit. She was notified of the purpose of the visit upon my arrival. When I arrived, I observed the Administrator, M. Williams, in the office working on paperwork and files. Ms. Williams then accompanied me on the walkthrough and monitoring of two classrooms. When entering the third classroom no staff member was observed in the room. Ms. Williams stated she was covering this classroom for naptime. I explained the naptime exception, explaining that one staff member must be present in the room. A violation regarding supervision was documented today. The children were observed napping during today’s visit. Two staff members have been hired since the annual compliance visit. Files for these staff were reviewed today. During the visit violations that were documented during the Annual Compliance visit were monitored for compliance. The status of each is as follows: 303 – A group of six children, all two years of age, were unsupervised during nap time during today’s visit. A repeated violation of supervision requirements was documented. 402 – You stated new diaper changing pads had been ordered, however they had not been delivered. I asked that you submit compliance documentation when these have been replaced. 431 – The activity plans listed at least four activities. This violation has been corrected. 807 – I observed today that the sheets in the infant classroom were tight-fitting. Employee purses were properly stored. The rugs had been anchored with adhesive tape. You stated you planned to replace the rugs as funds permit. I asked that you keep a careful watch to ensure the tape is preventing any tripping hazards. The rock had been removed from the outdoor play area and the corrugated piping had been repaired. This violation has been corrected. 826 – The gates to the outdoor play area were closed during today’s visit. This violation has been corrected. 841, 846, and 847 – No medications were observed on-site today. These violations have been corrected. 862 – Signed statements that the EMC plan had been reviewed with the four staff members was on file. This violation has been corrected. 1034 – A health questionnaire was observed for the staff member today. This violation has been corrected. 1035 – Emergency information was observed for the staff member today. This violation has been corrected. 1232 – Staff development plans were not on file for the four staff members. A repeated violation was documented today. 1825 – Documentation of this review was observed for the four staff members. This violation has been corrected. 1898 – This staff member completed all topic areas of the health and safety trainings. This violation has been corrected. We also discussed that the additional time to complete the on-going training hours has passed. The staff files were monitored for on-going training. One staff member had not completed the required number of hours. A violation was documented today. The following violations were documented today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. In Space #6, six children, all two years of age, were not supervised. .1801(a)(1-5) 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. A medical report completed within the last 12 months was not on file for one new staff member. 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. Negative TB results obtained within the last 12 months were not on file for one new staff member. .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. Emergency information completed within the last 12 months was not on file for one new staff member. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff development plans had not been corrected for four staff members. 10A NCAC 09 .0514(f) 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. Signed statements that this information had been reviewed was not on file for two new staff. 10A NCAC 09 .0514(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Signed statements verifying this policy had been reviewed were not on file for two new staff. .0608(d)(1-4) All violations must be corrected immediately. Please send me a compliance letter (written statement) describing how and when the above violations were corrected. The compliance letter must be received no later than March 26, 2024. The compliance letter may be sent to me via email, if you do not have access to email, please ensure that your compliance letter is mailed in a timely manner and that you allow for delays with the mail service. If your compliance letter is mailed, a handwritten signature must be included. Contact me if you have questions regarding correction of the violations documented during today’s visit. If you are unable to correct all violations within the specified timeframe, send a compliance letter regarding violations that were corrected and a specific plan to correct the remaining violations. When asked about the supervision violation, the administrator stated one staff member was out today. An additional two staff members were on lunch break. We discussed various ways the violation could have been prevented, including taking the files she as working on to the classroom rather than working in the office, adjusting break schedules, or combining groups and using the naptime exception. You stated you did not think of these alternatives. I reiterated that all groups must have at least one staff member physically in the classroom at all times. You stated that the two newly hired staff members should help with staffing issues. You stated that you were aware your compliance documentation from the annual compliance visit was due today. You stated you were still working on the letter but had planned to submit it today. I asked that you continue to submit the verification today as planned. We discussed that a Written Warning was issued on April 19, 2022. The Corrective Action Plan attached to this written warning required you to develop policies and procedures regarding achieving and maintaining compliance with child care requirement regarding special trainings, health and safety training, CPR and First Aid training. It also required you to develop a written plan for achieving compliance with program, staff, and children’s records requirements as well as maintaining accurate records at all times. We discussed that many of the violations documented during both the annual compliance visit and today were in the staff records. I asked if the policies created and implemented needed to be revised, or if they were not being followed. You stated that they were not being followed. I reminded you that failure to comply with the Corrective Action Plan of an administrative action may result in further administrative action being taken. We also discussed that violations regarding supervision and safety are particularly serious. I referred you to Child Care Rules .2201 regarding when administrative action is needed. I asked that you review this information. Technical assistance regarding staff files was provided. We discussed the importance of using the checklists available on the provider documents section of the DCDEE website. I pointed out that this document lists when each document is due. Various ways to track due dates were also discussed. I encouraged you to put reminders on your calendar, and to create a tracking spread sheet to assist you in maintaining compliance. We discussed that when staff leave employment and are rehired at a later date, they are considered the same as new employees. when the staff member returns, only medical statements and TB test results completed within the last year may be used. All policies and procedures must be updated, and only health and safety trainings taken within the last year may be accepted. If staff are out with the intention of coming back, the dates of the leave of absence should be clearly noted in the file, and they should be included in any monitoring visit conducted during their leave. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. A follow up visit may be conducted in the near future to verify compliance with violations documented during the visit. Please contact me at (910) 824-0123 or at becky.j.williams@dhhs.nc.gov if I can be of assistance. My mailing address is PO Box 2186, Clinton, NC 28329. 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 .0601 · Violation

Name of Operation: LITTLE DOLPHINS CHILD CARE CENTER Facility ID: 82000151 Consultant: BECKY WILLIAMS Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 20 Completed Date: 2/27/2024 Age: From 0 To 4 Total Minutes: 145 Time In: 09:35 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A checklist was used to note the requirements I monitored today. Child Care Consultant Kareema King assisted me today. The Administrator was not present when we arrived. The staff member in charge was identified. She was notified of our arrival and the purpose of the visit. The administrator arrived during the visit Upon arrival we observed two staff members and one child in Space #5. When we monitored Space #8 one of the staff members and the child from Space #5 were observed having relocated to this classroom and were present with five additional children. When the staff member was asked who was supervising this group when she was in Space #5 she stated “no one”. Therefore, a violation regarding supervision requirements was documented today. We monitored the indoor and outdoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival and departure procedures, first aid chart, menus, activity plans, daily schedules, staff/child ratios, emergency medical care plan, emergency telephone numbers, a summary of NC Child Care Law were all were all monitored during the visit. The storage of medication and hazardous products was also monitored for compliance. Staff and Children records were also reviewed today. Files for all staff were monitored and the staff and training worksheet was completed. A random selection of children’s records was reviewed, and the children’s record worksheet was shared with you and discussed today. I observed the children engaged in free play and playing outdoors, and eating lunch. The infants in care were observed being held and fed by the caregivers and playing on the floor. The meal being prepared today consisted of sausage and rice, baked beans, pears, bread and milk. Your last sanitation inspection was completed on January 18, 2024 with 13 demerits and a superior classification. The last fire drill was documented as conducted on February 16, 2024 at 2:30pm. The log reflected that it took two minutes to evacuate 27 children and 4 adults. The most recent shelter in place drill was conducted on February 16, 2024 at 2:45pm. The last outdoor inspection was documented as completed on February 16, 2024. Your last fire inspection was completed on May 1, 2023. Any violations observed during today's visit were discussed with you even though the handwritten visit summary was used. The following violations were documented during today's visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Six children were unsupervised in Space #8 for an unknown amount of time. .1801(a)(1-5) 402 Each child's diapers were not changed at areas designated exclusively for diapering, on a surface that was smooth, nonabsorbent, easily cleanable and of tight construction. The pads on the diaper changing tables in Spaces #2 and #3 were torn with foam exposed. 15A NCAC 18A .2819(a) & (b) 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. The activity plan in Space #6 did not list four activities daily. .0508(g)(2) 807 A safe indoor and outdoor environment was not provided for the children. The sheets on three of the cribs in Space #3 were not tight fitting. Employee purses were not stored out of the reach of children or in locked storage. The edges of several rugs throughout the center were rolling up on the edges, posing a tripping hazard. A large, pointed rock was observed in the outdoor play area near the back fence. The black corrugated pipping at the top of the fence had fallen off the fencing in several areas. 10A NCAC 09 .0601(a) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate to the outdoor play area adjacent to Building 1 was not closed while children occupied the area. .0605(i) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Diaper rash cream and Vaseline in Space #3 were stored in a plastic drawer unit that was not out of the reach of children. 15A NCAC 18A .2820(d) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. A tube of Desitin and a tub of Vaseline were not labeled in Space #3. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. Permission to administer diaper rash cream and Vaseline in Space #3 were not available. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. This information had not been reviewed with four staff members at least annually. 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. A health questionnaire completed within the last year was not available for one staff member. .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. Emergency information updated within the last year was not on file for one staff member. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff development plans completed within the last year were not on file for four staff members. 10A NCAC 09 .0514(f) 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. This information had not been reviewed with four staff members at least annually. .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. One staff member employed more than one year did not complete the health and safety training. .1102(a) Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. We discussed that additional time is available to meet on-going training requirements. The number of hours and specific staff were reviewed. I reminded you that the hours must be obtained by March 6, 2024. Failure to obtain the number of hours may result in additional violations being documented. We discussed that many of the violations documented today occurred in the staff records. I reminded you that policies and procedures regarding maintaining accurate records and obtaining and complying with training requirements were developed as required by a Corrective Action Plan attached to a Written Warning issued to this facility on April 19, 2022. I asked that you determine if these policies and procedures are not being followed, or if they need to be amended. I reminded you that failure to comply with applicable child care requirements in these areas may result in more stringent administrative action being taken. We also discussed that Building I of this child care facility is in process of being renovated for other uses. This building will need to be removed from the approved space. I asked that you submit a written request that this building be removed. The diaper changing pads were discussed today. I pointed out that they were torn with exposed foam. The pads also have stitching with makes cleaning and sanitizing them challenging. I encouraged you to ensure that diaper changing pads made for commercial use rather than residential use are used. These pads will withstand frequent cleaning and sanitizing with less wear than those indented for residential use. LICENSE INFORMATION: The center is currently operating with a 3 Star-Rated License. We discussed that this facility is in Cohort 1 for the resumption of rated license reassessments. This means that your planning year began July 1, 2023 and continues until June 30, 2024. Your reassessment year will be July 1, 2024 to June 30, 2025. In your planning year, you may review resources available at www.ncrlap.org and contact your local Smart Start Partnership or CCR&R for assistance with preparing for the ERS assessment should you wish to request one. This is an opportunity to focus on your Star Rated License and consider strategies to help maintain or increase your star rating. Review topics related to the Environment Rating Scales or other quality initiatives. I also reminded you that preparation year assessments are being offered by NCRLAP. If you are pleased with these scores, you may use them to apply for reassessment, or save them for your reassessment year. In order to ensure the education points are calculated correctly, please ensure that all staff have updated their information in the WORKS system. Please also ensure that you continue to meet the quality point option chosen. All violations must be corrected immediately. Please send me a compliance letter (written statement) describing how and when the above violations were corrected. The compliance letter must be received no later than March 12, 2024. The compliance letter may be sent to me via email, if you do not have access to email, please ensure that your compliance letter is mailed in a timely manner and that you allow for delays with the mail service. If your compliance letter is mailed, a handwritten signature must be included. Contact me if you have questions regarding correction of the violations documented during today’s visit. If you are unable to correct all violations within the specified timeframe, send a compliance letter regarding violations that were corrected and a specific plan to correct the remaining violations. A follow up visit may be conducted in the near future to verify compliance with violations documented during the visit. Please contact me at (910) 824-0123 or at becky.j.williams@dhhs.nc.gov if I can be of assistance. My mailing address is PO Box 2186, Clinton, NC 28329. 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: LITTLE DOLPHINS CHILD CARE CENTER Facility ID: 82000151 Consultant: BECKY WILLIAMS Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 20 Completed Date: 2/27/2024 Age: From 0 To 4 Total Minutes: 145 Time In: 09:35 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A checklist was used to note the requirements I monitored today. Child Care Consultant Kareema King assisted me today. The Administrator was not present when we arrived. The staff member in charge was identified. She was notified of our arrival and the purpose of the visit. The administrator arrived during the visit Upon arrival we observed two staff members and one child in Space #5. When we monitored Space #8 one of the staff members and the child from Space #5 were observed having relocated to this classroom and were present with five additional children. When the staff member was asked who was supervising this group when she was in Space #5 she stated “no one”. Therefore, a violation regarding supervision requirements was documented today. We monitored the indoor and outdoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival and departure procedures, first aid chart, menus, activity plans, daily schedules, staff/child ratios, emergency medical care plan, emergency telephone numbers, a summary of NC Child Care Law were all were all monitored during the visit. The storage of medication and hazardous products was also monitored for compliance. Staff and Children records were also reviewed today. Files for all staff were monitored and the staff and training worksheet was completed. A random selection of children’s records was reviewed, and the children’s record worksheet was shared with you and discussed today. I observed the children engaged in free play and playing outdoors, and eating lunch. The infants in care were observed being held and fed by the caregivers and playing on the floor. The meal being prepared today consisted of sausage and rice, baked beans, pears, bread and milk. Your last sanitation inspection was completed on January 18, 2024 with 13 demerits and a superior classification. The last fire drill was documented as conducted on February 16, 2024 at 2:30pm. The log reflected that it took two minutes to evacuate 27 children and 4 adults. The most recent shelter in place drill was conducted on February 16, 2024 at 2:45pm. The last outdoor inspection was documented as completed on February 16, 2024. Your last fire inspection was completed on May 1, 2023. Any violations observed during today's visit were discussed with you even though the handwritten visit summary was used. The following violations were documented during today's visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Six children were unsupervised in Space #8 for an unknown amount of time. .1801(a)(1-5) 402 Each child's diapers were not changed at areas designated exclusively for diapering, on a surface that was smooth, nonabsorbent, easily cleanable and of tight construction. The pads on the diaper changing tables in Spaces #2 and #3 were torn with foam exposed. 15A NCAC 18A .2819(a) & (b) 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. The activity plan in Space #6 did not list four activities daily. .0508(g)(2) 807 A safe indoor and outdoor environment was not provided for the children. The sheets on three of the cribs in Space #3 were not tight fitting. Employee purses were not stored out of the reach of children or in locked storage. The edges of several rugs throughout the center were rolling up on the edges, posing a tripping hazard. A large, pointed rock was observed in the outdoor play area near the back fence. The black corrugated pipping at the top of the fence had fallen off the fencing in several areas. 10A NCAC 09 .0601(a) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate to the outdoor play area adjacent to Building 1 was not closed while children occupied the area. .0605(i) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Diaper rash cream and Vaseline in Space #3 were stored in a plastic drawer unit that was not out of the reach of children. 15A NCAC 18A .2820(d) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. A tube of Desitin and a tub of Vaseline were not labeled in Space #3. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. Permission to administer diaper rash cream and Vaseline in Space #3 were not available. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. This information had not been reviewed with four staff members at least annually. 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. A health questionnaire completed within the last year was not available for one staff member. .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. Emergency information updated within the last year was not on file for one staff member. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff development plans completed within the last year were not on file for four staff members. 10A NCAC 09 .0514(f) 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. This information had not been reviewed with four staff members at least annually. .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. One staff member employed more than one year did not complete the health and safety training. .1102(a) Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. We discussed that additional time is available to meet on-going training requirements. The number of hours and specific staff were reviewed. I reminded you that the hours must be obtained by March 6, 2024. Failure to obtain the number of hours may result in additional violations being documented. We discussed that many of the violations documented today occurred in the staff records. I reminded you that policies and procedures regarding maintaining accurate records and obtaining and complying with training requirements were developed as required by a Corrective Action Plan attached to a Written Warning issued to this facility on April 19, 2022. I asked that you determine if these policies and procedures are not being followed, or if they need to be amended. I reminded you that failure to comply with applicable child care requirements in these areas may result in more stringent administrative action being taken. We also discussed that Building I of this child care facility is in process of being renovated for other uses. This building will need to be removed from the approved space. I asked that you submit a written request that this building be removed. The diaper changing pads were discussed today. I pointed out that they were torn with exposed foam. The pads also have stitching with makes cleaning and sanitizing them challenging. I encouraged you to ensure that diaper changing pads made for commercial use rather than residential use are used. These pads will withstand frequent cleaning and sanitizing with less wear than those indented for residential use. LICENSE INFORMATION: The center is currently operating with a 3 Star-Rated License. We discussed that this facility is in Cohort 1 for the resumption of rated license reassessments. This means that your planning year began July 1, 2023 and continues until June 30, 2024. Your reassessment year will be July 1, 2024 to June 30, 2025. In your planning year, you may review resources available at www.ncrlap.org and contact your local Smart Start Partnership or CCR&R for assistance with preparing for the ERS assessment should you wish to request one. This is an opportunity to focus on your Star Rated License and consider strategies to help maintain or increase your star rating. Review topics related to the Environment Rating Scales or other quality initiatives. I also reminded you that preparation year assessments are being offered by NCRLAP. If you are pleased with these scores, you may use them to apply for reassessment, or save them for your reassessment year. In order to ensure the education points are calculated correctly, please ensure that all staff have updated their information in the WORKS system. Please also ensure that you continue to meet the quality point option chosen. All violations must be corrected immediately. Please send me a compliance letter (written statement) describing how and when the above violations were corrected. The compliance letter must be received no later than March 12, 2024. The compliance letter may be sent to me via email, if you do not have access to email, please ensure that your compliance letter is mailed in a timely manner and that you allow for delays with the mail service. If your compliance letter is mailed, a handwritten signature must be included. Contact me if you have questions regarding correction of the violations documented during today’s visit. If you are unable to correct all violations within the specified timeframe, send a compliance letter regarding violations that were corrected and a specific plan to correct the remaining violations. A follow up visit may be conducted in the near future to verify compliance with violations documented during the visit. Please contact me at (910) 824-0123 or at becky.j.williams@dhhs.nc.gov if I can be of assistance. My mailing address is PO Box 2186, Clinton, NC 28329. 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: LITTLE DOLPHINS CHILD CARE CENTER Facility ID: 82000151 Consultant: BECKY WILLIAMS Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 20 Completed Date: 2/27/2024 Age: From 0 To 4 Total Minutes: 145 Time In: 09:35 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A checklist was used to note the requirements I monitored today. Child Care Consultant Kareema King assisted me today. The Administrator was not present when we arrived. The staff member in charge was identified. She was notified of our arrival and the purpose of the visit. The administrator arrived during the visit Upon arrival we observed two staff members and one child in Space #5. When we monitored Space #8 one of the staff members and the child from Space #5 were observed having relocated to this classroom and were present with five additional children. When the staff member was asked who was supervising this group when she was in Space #5 she stated “no one”. Therefore, a violation regarding supervision requirements was documented today. We monitored the indoor and outdoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival and departure procedures, first aid chart, menus, activity plans, daily schedules, staff/child ratios, emergency medical care plan, emergency telephone numbers, a summary of NC Child Care Law were all were all monitored during the visit. The storage of medication and hazardous products was also monitored for compliance. Staff and Children records were also reviewed today. Files for all staff were monitored and the staff and training worksheet was completed. A random selection of children’s records was reviewed, and the children’s record worksheet was shared with you and discussed today. I observed the children engaged in free play and playing outdoors, and eating lunch. The infants in care were observed being held and fed by the caregivers and playing on the floor. The meal being prepared today consisted of sausage and rice, baked beans, pears, bread and milk. Your last sanitation inspection was completed on January 18, 2024 with 13 demerits and a superior classification. The last fire drill was documented as conducted on February 16, 2024 at 2:30pm. The log reflected that it took two minutes to evacuate 27 children and 4 adults. The most recent shelter in place drill was conducted on February 16, 2024 at 2:45pm. The last outdoor inspection was documented as completed on February 16, 2024. Your last fire inspection was completed on May 1, 2023. Any violations observed during today's visit were discussed with you even though the handwritten visit summary was used. The following violations were documented during today's visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Six children were unsupervised in Space #8 for an unknown amount of time. .1801(a)(1-5) 402 Each child's diapers were not changed at areas designated exclusively for diapering, on a surface that was smooth, nonabsorbent, easily cleanable and of tight construction. The pads on the diaper changing tables in Spaces #2 and #3 were torn with foam exposed. 15A NCAC 18A .2819(a) & (b) 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. The activity plan in Space #6 did not list four activities daily. .0508(g)(2) 807 A safe indoor and outdoor environment was not provided for the children. The sheets on three of the cribs in Space #3 were not tight fitting. Employee purses were not stored out of the reach of children or in locked storage. The edges of several rugs throughout the center were rolling up on the edges, posing a tripping hazard. A large, pointed rock was observed in the outdoor play area near the back fence. The black corrugated pipping at the top of the fence had fallen off the fencing in several areas. 10A NCAC 09 .0601(a) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate to the outdoor play area adjacent to Building 1 was not closed while children occupied the area. .0605(i) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Diaper rash cream and Vaseline in Space #3 were stored in a plastic drawer unit that was not out of the reach of children. 15A NCAC 18A .2820(d) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. A tube of Desitin and a tub of Vaseline were not labeled in Space #3. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. Permission to administer diaper rash cream and Vaseline in Space #3 were not available. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. This information had not been reviewed with four staff members at least annually. 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. A health questionnaire completed within the last year was not available for one staff member. .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. Emergency information updated within the last year was not on file for one staff member. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff development plans completed within the last year were not on file for four staff members. 10A NCAC 09 .0514(f) 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. This information had not been reviewed with four staff members at least annually. .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. One staff member employed more than one year did not complete the health and safety training. .1102(a) Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. We discussed that additional time is available to meet on-going training requirements. The number of hours and specific staff were reviewed. I reminded you that the hours must be obtained by March 6, 2024. Failure to obtain the number of hours may result in additional violations being documented. We discussed that many of the violations documented today occurred in the staff records. I reminded you that policies and procedures regarding maintaining accurate records and obtaining and complying with training requirements were developed as required by a Corrective Action Plan attached to a Written Warning issued to this facility on April 19, 2022. I asked that you determine if these policies and procedures are not being followed, or if they need to be amended. I reminded you that failure to comply with applicable child care requirements in these areas may result in more stringent administrative action being taken. We also discussed that Building I of this child care facility is in process of being renovated for other uses. This building will need to be removed from the approved space. I asked that you submit a written request that this building be removed. The diaper changing pads were discussed today. I pointed out that they were torn with exposed foam. The pads also have stitching with makes cleaning and sanitizing them challenging. I encouraged you to ensure that diaper changing pads made for commercial use rather than residential use are used. These pads will withstand frequent cleaning and sanitizing with less wear than those indented for residential use. LICENSE INFORMATION: The center is currently operating with a 3 Star-Rated License. We discussed that this facility is in Cohort 1 for the resumption of rated license reassessments. This means that your planning year began July 1, 2023 and continues until June 30, 2024. Your reassessment year will be July 1, 2024 to June 30, 2025. In your planning year, you may review resources available at www.ncrlap.org and contact your local Smart Start Partnership or CCR&R for assistance with preparing for the ERS assessment should you wish to request one. This is an opportunity to focus on your Star Rated License and consider strategies to help maintain or increase your star rating. Review topics related to the Environment Rating Scales or other quality initiatives. I also reminded you that preparation year assessments are being offered by NCRLAP. If you are pleased with these scores, you may use them to apply for reassessment, or save them for your reassessment year. In order to ensure the education points are calculated correctly, please ensure that all staff have updated their information in the WORKS system. Please also ensure that you continue to meet the quality point option chosen. All violations must be corrected immediately. Please send me a compliance letter (written statement) describing how and when the above violations were corrected. The compliance letter must be received no later than March 12, 2024. The compliance letter may be sent to me via email, if you do not have access to email, please ensure that your compliance letter is mailed in a timely manner and that you allow for delays with the mail service. If your compliance letter is mailed, a handwritten signature must be included. Contact me if you have questions regarding correction of the violations documented during today’s visit. If you are unable to correct all violations within the specified timeframe, send a compliance letter regarding violations that were corrected and a specific plan to correct the remaining violations. A follow up visit may be conducted in the near future to verify compliance with violations documented during the visit. Please contact me at (910) 824-0123 or at becky.j.williams@dhhs.nc.gov if I can be of assistance. My mailing address is PO Box 2186, Clinton, NC 28329. 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: LITTLE DOLPHINS CHILD CARE CENTER Facility ID: 82000151 Consultant: BECKY WILLIAMS Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 20 Completed Date: 2/27/2024 Age: From 0 To 4 Total Minutes: 145 Time In: 09:35 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A checklist was used to note the requirements I monitored today. Child Care Consultant Kareema King assisted me today. The Administrator was not present when we arrived. The staff member in charge was identified. She was notified of our arrival and the purpose of the visit. The administrator arrived during the visit Upon arrival we observed two staff members and one child in Space #5. When we monitored Space #8 one of the staff members and the child from Space #5 were observed having relocated to this classroom and were present with five additional children. When the staff member was asked who was supervising this group when she was in Space #5 she stated “no one”. Therefore, a violation regarding supervision requirements was documented today. We monitored the indoor and outdoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival and departure procedures, first aid chart, menus, activity plans, daily schedules, staff/child ratios, emergency medical care plan, emergency telephone numbers, a summary of NC Child Care Law were all were all monitored during the visit. The storage of medication and hazardous products was also monitored for compliance. Staff and Children records were also reviewed today. Files for all staff were monitored and the staff and training worksheet was completed. A random selection of children’s records was reviewed, and the children’s record worksheet was shared with you and discussed today. I observed the children engaged in free play and playing outdoors, and eating lunch. The infants in care were observed being held and fed by the caregivers and playing on the floor. The meal being prepared today consisted of sausage and rice, baked beans, pears, bread and milk. Your last sanitation inspection was completed on January 18, 2024 with 13 demerits and a superior classification. The last fire drill was documented as conducted on February 16, 2024 at 2:30pm. The log reflected that it took two minutes to evacuate 27 children and 4 adults. The most recent shelter in place drill was conducted on February 16, 2024 at 2:45pm. The last outdoor inspection was documented as completed on February 16, 2024. Your last fire inspection was completed on May 1, 2023. Any violations observed during today's visit were discussed with you even though the handwritten visit summary was used. The following violations were documented during today's visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Six children were unsupervised in Space #8 for an unknown amount of time. .1801(a)(1-5) 402 Each child's diapers were not changed at areas designated exclusively for diapering, on a surface that was smooth, nonabsorbent, easily cleanable and of tight construction. The pads on the diaper changing tables in Spaces #2 and #3 were torn with foam exposed. 15A NCAC 18A .2819(a) & (b) 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. The activity plan in Space #6 did not list four activities daily. .0508(g)(2) 807 A safe indoor and outdoor environment was not provided for the children. The sheets on three of the cribs in Space #3 were not tight fitting. Employee purses were not stored out of the reach of children or in locked storage. The edges of several rugs throughout the center were rolling up on the edges, posing a tripping hazard. A large, pointed rock was observed in the outdoor play area near the back fence. The black corrugated pipping at the top of the fence had fallen off the fencing in several areas. 10A NCAC 09 .0601(a) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate to the outdoor play area adjacent to Building 1 was not closed while children occupied the area. .0605(i) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Diaper rash cream and Vaseline in Space #3 were stored in a plastic drawer unit that was not out of the reach of children. 15A NCAC 18A .2820(d) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. A tube of Desitin and a tub of Vaseline were not labeled in Space #3. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. Permission to administer diaper rash cream and Vaseline in Space #3 were not available. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. This information had not been reviewed with four staff members at least annually. 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. A health questionnaire completed within the last year was not available for one staff member. .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. Emergency information updated within the last year was not on file for one staff member. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff development plans completed within the last year were not on file for four staff members. 10A NCAC 09 .0514(f) 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. This information had not been reviewed with four staff members at least annually. .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. One staff member employed more than one year did not complete the health and safety training. .1102(a) Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. We discussed that additional time is available to meet on-going training requirements. The number of hours and specific staff were reviewed. I reminded you that the hours must be obtained by March 6, 2024. Failure to obtain the number of hours may result in additional violations being documented. We discussed that many of the violations documented today occurred in the staff records. I reminded you that policies and procedures regarding maintaining accurate records and obtaining and complying with training requirements were developed as required by a Corrective Action Plan attached to a Written Warning issued to this facility on April 19, 2022. I asked that you determine if these policies and procedures are not being followed, or if they need to be amended. I reminded you that failure to comply with applicable child care requirements in these areas may result in more stringent administrative action being taken. We also discussed that Building I of this child care facility is in process of being renovated for other uses. This building will need to be removed from the approved space. I asked that you submit a written request that this building be removed. The diaper changing pads were discussed today. I pointed out that they were torn with exposed foam. The pads also have stitching with makes cleaning and sanitizing them challenging. I encouraged you to ensure that diaper changing pads made for commercial use rather than residential use are used. These pads will withstand frequent cleaning and sanitizing with less wear than those indented for residential use. LICENSE INFORMATION: The center is currently operating with a 3 Star-Rated License. We discussed that this facility is in Cohort 1 for the resumption of rated license reassessments. This means that your planning year began July 1, 2023 and continues until June 30, 2024. Your reassessment year will be July 1, 2024 to June 30, 2025. In your planning year, you may review resources available at www.ncrlap.org and contact your local Smart Start Partnership or CCR&R for assistance with preparing for the ERS assessment should you wish to request one. This is an opportunity to focus on your Star Rated License and consider strategies to help maintain or increase your star rating. Review topics related to the Environment Rating Scales or other quality initiatives. I also reminded you that preparation year assessments are being offered by NCRLAP. If you are pleased with these scores, you may use them to apply for reassessment, or save them for your reassessment year. In order to ensure the education points are calculated correctly, please ensure that all staff have updated their information in the WORKS system. Please also ensure that you continue to meet the quality point option chosen. All violations must be corrected immediately. Please send me a compliance letter (written statement) describing how and when the above violations were corrected. The compliance letter must be received no later than March 12, 2024. The compliance letter may be sent to me via email, if you do not have access to email, please ensure that your compliance letter is mailed in a timely manner and that you allow for delays with the mail service. If your compliance letter is mailed, a handwritten signature must be included. Contact me if you have questions regarding correction of the violations documented during today’s visit. If you are unable to correct all violations within the specified timeframe, send a compliance letter regarding violations that were corrected and a specific plan to correct the remaining violations. A follow up visit may be conducted in the near future to verify compliance with violations documented during the visit. Please contact me at (910) 824-0123 or at becky.j.williams@dhhs.nc.gov if I can be of assistance. My mailing address is PO Box 2186, Clinton, NC 28329. 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: LITTLE DOLPHINS CHILD CARE CENTER Facility ID: 82000151 Consultant: BECKY WILLIAMS Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 20 Completed Date: 2/27/2024 Age: From 0 To 4 Total Minutes: 145 Time In: 09:35 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A checklist was used to note the requirements I monitored today. Child Care Consultant Kareema King assisted me today. The Administrator was not present when we arrived. The staff member in charge was identified. She was notified of our arrival and the purpose of the visit. The administrator arrived during the visit Upon arrival we observed two staff members and one child in Space #5. When we monitored Space #8 one of the staff members and the child from Space #5 were observed having relocated to this classroom and were present with five additional children. When the staff member was asked who was supervising this group when she was in Space #5 she stated “no one”. Therefore, a violation regarding supervision requirements was documented today. We monitored the indoor and outdoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival and departure procedures, first aid chart, menus, activity plans, daily schedules, staff/child ratios, emergency medical care plan, emergency telephone numbers, a summary of NC Child Care Law were all were all monitored during the visit. The storage of medication and hazardous products was also monitored for compliance. Staff and Children records were also reviewed today. Files for all staff were monitored and the staff and training worksheet was completed. A random selection of children’s records was reviewed, and the children’s record worksheet was shared with you and discussed today. I observed the children engaged in free play and playing outdoors, and eating lunch. The infants in care were observed being held and fed by the caregivers and playing on the floor. The meal being prepared today consisted of sausage and rice, baked beans, pears, bread and milk. Your last sanitation inspection was completed on January 18, 2024 with 13 demerits and a superior classification. The last fire drill was documented as conducted on February 16, 2024 at 2:30pm. The log reflected that it took two minutes to evacuate 27 children and 4 adults. The most recent shelter in place drill was conducted on February 16, 2024 at 2:45pm. The last outdoor inspection was documented as completed on February 16, 2024. Your last fire inspection was completed on May 1, 2023. Any violations observed during today's visit were discussed with you even though the handwritten visit summary was used. The following violations were documented during today's visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Six children were unsupervised in Space #8 for an unknown amount of time. .1801(a)(1-5) 402 Each child's diapers were not changed at areas designated exclusively for diapering, on a surface that was smooth, nonabsorbent, easily cleanable and of tight construction. The pads on the diaper changing tables in Spaces #2 and #3 were torn with foam exposed. 15A NCAC 18A .2819(a) & (b) 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. The activity plan in Space #6 did not list four activities daily. .0508(g)(2) 807 A safe indoor and outdoor environment was not provided for the children. The sheets on three of the cribs in Space #3 were not tight fitting. Employee purses were not stored out of the reach of children or in locked storage. The edges of several rugs throughout the center were rolling up on the edges, posing a tripping hazard. A large, pointed rock was observed in the outdoor play area near the back fence. The black corrugated pipping at the top of the fence had fallen off the fencing in several areas. 10A NCAC 09 .0601(a) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate to the outdoor play area adjacent to Building 1 was not closed while children occupied the area. .0605(i) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Diaper rash cream and Vaseline in Space #3 were stored in a plastic drawer unit that was not out of the reach of children. 15A NCAC 18A .2820(d) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. A tube of Desitin and a tub of Vaseline were not labeled in Space #3. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. Permission to administer diaper rash cream and Vaseline in Space #3 were not available. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. This information had not been reviewed with four staff members at least annually. 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. A health questionnaire completed within the last year was not available for one staff member. .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. Emergency information updated within the last year was not on file for one staff member. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff development plans completed within the last year were not on file for four staff members. 10A NCAC 09 .0514(f) 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. This information had not been reviewed with four staff members at least annually. .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. One staff member employed more than one year did not complete the health and safety training. .1102(a) Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. We discussed that additional time is available to meet on-going training requirements. The number of hours and specific staff were reviewed. I reminded you that the hours must be obtained by March 6, 2024. Failure to obtain the number of hours may result in additional violations being documented. We discussed that many of the violations documented today occurred in the staff records. I reminded you that policies and procedures regarding maintaining accurate records and obtaining and complying with training requirements were developed as required by a Corrective Action Plan attached to a Written Warning issued to this facility on April 19, 2022. I asked that you determine if these policies and procedures are not being followed, or if they need to be amended. I reminded you that failure to comply with applicable child care requirements in these areas may result in more stringent administrative action being taken. We also discussed that Building I of this child care facility is in process of being renovated for other uses. This building will need to be removed from the approved space. I asked that you submit a written request that this building be removed. The diaper changing pads were discussed today. I pointed out that they were torn with exposed foam. The pads also have stitching with makes cleaning and sanitizing them challenging. I encouraged you to ensure that diaper changing pads made for commercial use rather than residential use are used. These pads will withstand frequent cleaning and sanitizing with less wear than those indented for residential use. LICENSE INFORMATION: The center is currently operating with a 3 Star-Rated License. We discussed that this facility is in Cohort 1 for the resumption of rated license reassessments. This means that your planning year began July 1, 2023 and continues until June 30, 2024. Your reassessment year will be July 1, 2024 to June 30, 2025. In your planning year, you may review resources available at www.ncrlap.org and contact your local Smart Start Partnership or CCR&R for assistance with preparing for the ERS assessment should you wish to request one. This is an opportunity to focus on your Star Rated License and consider strategies to help maintain or increase your star rating. Review topics related to the Environment Rating Scales or other quality initiatives. I also reminded you that preparation year assessments are being offered by NCRLAP. If you are pleased with these scores, you may use them to apply for reassessment, or save them for your reassessment year. In order to ensure the education points are calculated correctly, please ensure that all staff have updated their information in the WORKS system. Please also ensure that you continue to meet the quality point option chosen. All violations must be corrected immediately. Please send me a compliance letter (written statement) describing how and when the above violations were corrected. The compliance letter must be received no later than March 12, 2024. The compliance letter may be sent to me via email, if you do not have access to email, please ensure that your compliance letter is mailed in a timely manner and that you allow for delays with the mail service. If your compliance letter is mailed, a handwritten signature must be included. Contact me if you have questions regarding correction of the violations documented during today’s visit. If you are unable to correct all violations within the specified timeframe, send a compliance letter regarding violations that were corrected and a specific plan to correct the remaining violations. A follow up visit may be conducted in the near future to verify compliance with violations documented during the visit. Please contact me at (910) 824-0123 or at becky.j.williams@dhhs.nc.gov if I can be of assistance. My mailing address is PO Box 2186, Clinton, NC 28329. 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: LITTLE DOLPHINS CHILD CARE CENTER Facility ID: 82000151 Consultant: BECKY WILLIAMS Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 20 Completed Date: 2/27/2024 Age: From 0 To 4 Total Minutes: 145 Time In: 09:35 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A checklist was used to note the requirements I monitored today. Child Care Consultant Kareema King assisted me today. The Administrator was not present when we arrived. The staff member in charge was identified. She was notified of our arrival and the purpose of the visit. The administrator arrived during the visit Upon arrival we observed two staff members and one child in Space #5. When we monitored Space #8 one of the staff members and the child from Space #5 were observed having relocated to this classroom and were present with five additional children. When the staff member was asked who was supervising this group when she was in Space #5 she stated “no one”. Therefore, a violation regarding supervision requirements was documented today. We monitored the indoor and outdoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival and departure procedures, first aid chart, menus, activity plans, daily schedules, staff/child ratios, emergency medical care plan, emergency telephone numbers, a summary of NC Child Care Law were all were all monitored during the visit. The storage of medication and hazardous products was also monitored for compliance. Staff and Children records were also reviewed today. Files for all staff were monitored and the staff and training worksheet was completed. A random selection of children’s records was reviewed, and the children’s record worksheet was shared with you and discussed today. I observed the children engaged in free play and playing outdoors, and eating lunch. The infants in care were observed being held and fed by the caregivers and playing on the floor. The meal being prepared today consisted of sausage and rice, baked beans, pears, bread and milk. Your last sanitation inspection was completed on January 18, 2024 with 13 demerits and a superior classification. The last fire drill was documented as conducted on February 16, 2024 at 2:30pm. The log reflected that it took two minutes to evacuate 27 children and 4 adults. The most recent shelter in place drill was conducted on February 16, 2024 at 2:45pm. The last outdoor inspection was documented as completed on February 16, 2024. Your last fire inspection was completed on May 1, 2023. Any violations observed during today's visit were discussed with you even though the handwritten visit summary was used. The following violations were documented during today's visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Six children were unsupervised in Space #8 for an unknown amount of time. .1801(a)(1-5) 402 Each child's diapers were not changed at areas designated exclusively for diapering, on a surface that was smooth, nonabsorbent, easily cleanable and of tight construction. The pads on the diaper changing tables in Spaces #2 and #3 were torn with foam exposed. 15A NCAC 18A .2819(a) & (b) 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. The activity plan in Space #6 did not list four activities daily. .0508(g)(2) 807 A safe indoor and outdoor environment was not provided for the children. The sheets on three of the cribs in Space #3 were not tight fitting. Employee purses were not stored out of the reach of children or in locked storage. The edges of several rugs throughout the center were rolling up on the edges, posing a tripping hazard. A large, pointed rock was observed in the outdoor play area near the back fence. The black corrugated pipping at the top of the fence had fallen off the fencing in several areas. 10A NCAC 09 .0601(a) 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate to the outdoor play area adjacent to Building 1 was not closed while children occupied the area. .0605(i) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Diaper rash cream and Vaseline in Space #3 were stored in a plastic drawer unit that was not out of the reach of children. 15A NCAC 18A .2820(d) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. A tube of Desitin and a tub of Vaseline were not labeled in Space #3. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. Permission to administer diaper rash cream and Vaseline in Space #3 were not available. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. This information had not been reviewed with four staff members at least annually. 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. A health questionnaire completed within the last year was not available for one staff member. .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. Emergency information updated within the last year was not on file for one staff member. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff development plans completed within the last year were not on file for four staff members. 10A NCAC 09 .0514(f) 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. This information had not been reviewed with four staff members at least annually. .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. One staff member employed more than one year did not complete the health and safety training. .1102(a) Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. We discussed that additional time is available to meet on-going training requirements. The number of hours and specific staff were reviewed. I reminded you that the hours must be obtained by March 6, 2024. Failure to obtain the number of hours may result in additional violations being documented. We discussed that many of the violations documented today occurred in the staff records. I reminded you that policies and procedures regarding maintaining accurate records and obtaining and complying with training requirements were developed as required by a Corrective Action Plan attached to a Written Warning issued to this facility on April 19, 2022. I asked that you determine if these policies and procedures are not being followed, or if they need to be amended. I reminded you that failure to comply with applicable child care requirements in these areas may result in more stringent administrative action being taken. We also discussed that Building I of this child care facility is in process of being renovated for other uses. This building will need to be removed from the approved space. I asked that you submit a written request that this building be removed. The diaper changing pads were discussed today. I pointed out that they were torn with exposed foam. The pads also have stitching with makes cleaning and sanitizing them challenging. I encouraged you to ensure that diaper changing pads made for commercial use rather than residential use are used. These pads will withstand frequent cleaning and sanitizing with less wear than those indented for residential use. LICENSE INFORMATION: The center is currently operating with a 3 Star-Rated License. We discussed that this facility is in Cohort 1 for the resumption of rated license reassessments. This means that your planning year began July 1, 2023 and continues until June 30, 2024. Your reassessment year will be July 1, 2024 to June 30, 2025. In your planning year, you may review resources available at www.ncrlap.org and contact your local Smart Start Partnership or CCR&R for assistance with preparing for the ERS assessment should you wish to request one. This is an opportunity to focus on your Star Rated License and consider strategies to help maintain or increase your star rating. Review topics related to the Environment Rating Scales or other quality initiatives. I also reminded you that preparation year assessments are being offered by NCRLAP. If you are pleased with these scores, you may use them to apply for reassessment, or save them for your reassessment year. In order to ensure the education points are calculated correctly, please ensure that all staff have updated their information in the WORKS system. Please also ensure that you continue to meet the quality point option chosen. All violations must be corrected immediately. Please send me a compliance letter (written statement) describing how and when the above violations were corrected. The compliance letter must be received no later than March 12, 2024. The compliance letter may be sent to me via email, if you do not have access to email, please ensure that your compliance letter is mailed in a timely manner and that you allow for delays with the mail service. If your compliance letter is mailed, a handwritten signature must be included. Contact me if you have questions regarding correction of the violations documented during today’s visit. If you are unable to correct all violations within the specified timeframe, send a compliance letter regarding violations that were corrected and a specific plan to correct the remaining violations. A follow up visit may be conducted in the near future to verify compliance with violations documented during the visit. Please contact me at (910) 824-0123 or at becky.j.williams@dhhs.nc.gov if I can be of assistance. My mailing address is PO Box 2186, Clinton, NC 28329. 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