L And Y Daycare

10A NCAC 09 .1703 · Violation

Name of Operation: L AND Y DAYCARE Facility ID: 13000193 Consultant: KIMBERLY CRANE Operation Type: Family CC Home Case Number: Visit Date: 12/6/2023 Number Present: 5 Completed Date: 12/6/2023 Age: From 1 To 4 Total Minutes: 230 Time In: 10:05 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Yvonne Frazier, Owner/Operator, assisted me with today’s visit. Your program currently operates with a four-star license, issued on February 24, 2020, earning 7 points in staff education, 2 points program standards, and 1 quality point for serving no more than two infants under one year of age. Dana Stikeleather, former child care consultant, conducted your last annual compliance visit on January 5, 2023. Your program’s compliance history was 93% as of December 5, 2023 and was reviewed with you today. I visited indoor and outdoor spaces today. I observed a front room of your home setup for child care. I observed you also use your hall bathroom and kitchen for child care purposes. Today, I requested a copy of your floor plan to add to your file. You gave me your evacuation plan and made a copy for you and for the file. I observed children playing in activity areas and at the kitchen table with Duplo blocks, preparing to eat lunch, preparing for nap, and napping. I observed proper handwashing procedures during today’s visit. I observed lunch prepared and served in the kitchen. I observed you prepare and serve turkey slices, green beans, mandarin orange slices, macaroni and cheese, and milk for lunch. I observed food and milk stored in the kitchen refrigerator at a temperature of 42 degrees Fahrenheit. I observed children adequately supervised, approved space used, a licensed capacity of 8 children maintained and permit restrictions including “Daytime and Overnight”, “Maximum of 5 preschool children at any time”, and “Serves no more than 2 infants under age 1” maintained during today’s visit. I monitored storage of hazardous materials and items in the child care setting. I observed and cited one violation. I reviewed program records including fire drills, emergency shelter-in-place and lockdown drills, outdoor safety inspections, written plan of care, emergency medical care plan, safe sleep policy, activity plans, daily schedule, screen time, arrival and departure records, and attendance. I observed and cited one violation. I reviewed all children records today. I observed and cited three violations. I reviewed your staff records today. I observed and cited one violation. I completed the “Annual Compliance Monitoring Checklist for Family Child Care Homes” during today’s visit. The following violations were documented: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. One child with a date of enrollment of 09/05/2023 did not have a child health assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. One child with a date of enrollment of 09/05/2023 did not have a signed acknowledgement statement from the parent acknowledging that the discipline policy had been received and discussed prior to enrollment. G.S.110-91(10); .1727(a)&(b) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The last shelter-in-place or lockdown drill was completed on 08/09/2023. No shelter-in-place or lockdown drill was recorded for November 2023. The owner/operator recorded on the Emergency Drill Log the shelter-in-place drill that was conducted on November 20, 2023 at 10:45am. .1719(a )(16) & .1721(e )(7) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. One spray bottle of Windex window cleaner was stored unlocked on the table in the dining room. One aerosol can of Lysol disinfecting spray was stored unlocked on top of the china cabinet in the dining room. The owner/operator locked the Windex spray bottle and the Lysol aerosol can in a closet in the kitchen. .1719(a)(6) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. Seven out of ten health and safety training topics were due to be completed within five years from 03/05/2022 through 01/19/2023. .1703(d)(2) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. One child with a date of enrollment of 09/05/2022 did not have a signed acknowledgement statement from the parent acknowledging that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy had been received and discussed prior to enrollment. .1726(b)&(c) Technical Assistance: 1. As Ms. Stikeleather discussed with you on January 5, 2022 and I discussed with you again today, a child’s health assessment should be on file within 30 days of enrollment. To maintain compliance with this child requirement, I suggest you discuss this with parents when they visit your family child care home and inquire about enrolling. If the child enrolls, remind the parent again at the time of enrollment and prior to the 30-day deadline. 2. As Ms. Stikeleather discussed with you on January 5, 2022 and I discussed with you again today, the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy should be reviewed and discussed with parents prior to enrollment. Each parent should sign an acknowledgement statement stating that the policy was reviewed and discussed with them. To maintain compliance with this child requirement, I suggest you discuss this with parents when they visit your family child care home and inquire about enrolling. If the child enrolls, I suggest you review the enrollment packet with parent prior to the first day of enrollment and have the parent sign the acknowledgement statement before leaving their child on the first day. 3. As Ms. Stikeleather discussed with you on January 5, 2022 and I discussed with you again today, all aerosol cans and cleaning supplies and items with “Keep out of the reach children” labels with additional warnings such as poison control contact numbers or first aid procedures should be stored in a locked cabinet, drawer, or closet. I suggested you consider purchasing a plastic container or toolbox that you can store these items in and lock with a pad lock and key and store on top of your cabinet in your dining room where these items are easily accessible to you and safely stored inaccessible to the children. 4. As discussed with you today, your discipline policy should be reviewed and discussed with parents prior to enrollment. Each parent should sign an acknowledgement statement stating that the policy was reviewed and discussed with them. To maintain compliance with this child requirement, I suggested you discuss this with parents when they visit your family child care home and inquire about enrolling. If the child enrolls, I suggest you review the enrollment packet with parent prior to the first day of enrollment and have the parent sign the acknowledgement statement before leaving their child on the first day. 5. Per child care rules 10A NCAC 09 .1719(a)(16) and .1721(e)(7), FCCH operators should conduct a lockdown or shelter-in-place drill every three months and the drill record should be completed with all required information and kept up to date. To maintain compliance with this child care requirement, I suggested you record the emergency drill as soon as you conduct the drill. 6. Per child care rule 10A NCAC 09 .1703(d)(2), teachers in a FCCH should revisit each Health and Safety (H&S) Training topic every five years. The due date the H&S training five-year renewal is calculated five years from the date on each H&S training certificate. To maintain compliance with this child care requirement, I suggested you use the “Health and Safety Training Record” I completed and left you today to record the dates of the on-going training courses that you complete annually and can use to also meet the Health and Safety training requirements. I also suggested you make a second copy of any training certificate used to meet the Health and Safety training requirements and attach the second copy of the training certificate to the Health and Safety Training Record to make it easier for you and your consultant to monitor. Consultation: 1. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. 2. Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. 3. Annual license fees are due. All invoices were emailed no later than December 1, 2023 and included the invoice number and total amount due. No paper copies will be sent through the U.S. Postal Service this year. All payments are due no later than December 31, 2023. Payments must be submitted online only through the Division’s website using a Mastercard or Visa debit or credit card, or by e-check. Providers will need their Facility ID number and their 2023 Invoice number to complete the payment process. Failure to pay the license fee is a violation of NCGS § 110-90(1a) and can result in a revocation of your child care license. In addition, unpaid license fees will be assessed a 10% late fee and accrued interest as established by NCGS § 147-86.23. If you have any questions, check the short Frequently Asked Questions on our website for answers or email DCDEE_LF@dhhs.nc.gov. 4. Today, I left you a copy of the written instructions for locating the health and safety training courses on DCDEE Moodle. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. I must receive your compliance letter no later than December 20, 2023. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Kimberly Crane Post Office Box 6217 Hickory, NC 28603 For your convenience, your compliance letter may be sent by email to: kimberly.crane@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, a visit summary, enrollment worksheet, statement of responsibility, caregiver verification form, and the Annual Compliance Checklist for Family Child Care Homes were printed, reviewed, and left with you today. We appreciate all you and your family do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (828) 493-6390 or by email at kimberly.crane@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 .1719 · Violation

Name of Operation: L AND Y DAYCARE Facility ID: 13000193 Consultant: KIMBERLY CRANE Operation Type: Family CC Home Case Number: Visit Date: 12/6/2023 Number Present: 5 Completed Date: 12/6/2023 Age: From 1 To 4 Total Minutes: 230 Time In: 10:05 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Yvonne Frazier, Owner/Operator, assisted me with today’s visit. Your program currently operates with a four-star license, issued on February 24, 2020, earning 7 points in staff education, 2 points program standards, and 1 quality point for serving no more than two infants under one year of age. Dana Stikeleather, former child care consultant, conducted your last annual compliance visit on January 5, 2023. Your program’s compliance history was 93% as of December 5, 2023 and was reviewed with you today. I visited indoor and outdoor spaces today. I observed a front room of your home setup for child care. I observed you also use your hall bathroom and kitchen for child care purposes. Today, I requested a copy of your floor plan to add to your file. You gave me your evacuation plan and made a copy for you and for the file. I observed children playing in activity areas and at the kitchen table with Duplo blocks, preparing to eat lunch, preparing for nap, and napping. I observed proper handwashing procedures during today’s visit. I observed lunch prepared and served in the kitchen. I observed you prepare and serve turkey slices, green beans, mandarin orange slices, macaroni and cheese, and milk for lunch. I observed food and milk stored in the kitchen refrigerator at a temperature of 42 degrees Fahrenheit. I observed children adequately supervised, approved space used, a licensed capacity of 8 children maintained and permit restrictions including “Daytime and Overnight”, “Maximum of 5 preschool children at any time”, and “Serves no more than 2 infants under age 1” maintained during today’s visit. I monitored storage of hazardous materials and items in the child care setting. I observed and cited one violation. I reviewed program records including fire drills, emergency shelter-in-place and lockdown drills, outdoor safety inspections, written plan of care, emergency medical care plan, safe sleep policy, activity plans, daily schedule, screen time, arrival and departure records, and attendance. I observed and cited one violation. I reviewed all children records today. I observed and cited three violations. I reviewed your staff records today. I observed and cited one violation. I completed the “Annual Compliance Monitoring Checklist for Family Child Care Homes” during today’s visit. The following violations were documented: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. One child with a date of enrollment of 09/05/2023 did not have a child health assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. One child with a date of enrollment of 09/05/2023 did not have a signed acknowledgement statement from the parent acknowledging that the discipline policy had been received and discussed prior to enrollment. G.S.110-91(10); .1727(a)&(b) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The last shelter-in-place or lockdown drill was completed on 08/09/2023. No shelter-in-place or lockdown drill was recorded for November 2023. The owner/operator recorded on the Emergency Drill Log the shelter-in-place drill that was conducted on November 20, 2023 at 10:45am. .1719(a )(16) & .1721(e )(7) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. One spray bottle of Windex window cleaner was stored unlocked on the table in the dining room. One aerosol can of Lysol disinfecting spray was stored unlocked on top of the china cabinet in the dining room. The owner/operator locked the Windex spray bottle and the Lysol aerosol can in a closet in the kitchen. .1719(a)(6) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. Seven out of ten health and safety training topics were due to be completed within five years from 03/05/2022 through 01/19/2023. .1703(d)(2) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. One child with a date of enrollment of 09/05/2022 did not have a signed acknowledgement statement from the parent acknowledging that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy had been received and discussed prior to enrollment. .1726(b)&(c) Technical Assistance: 1. As Ms. Stikeleather discussed with you on January 5, 2022 and I discussed with you again today, a child’s health assessment should be on file within 30 days of enrollment. To maintain compliance with this child requirement, I suggest you discuss this with parents when they visit your family child care home and inquire about enrolling. If the child enrolls, remind the parent again at the time of enrollment and prior to the 30-day deadline. 2. As Ms. Stikeleather discussed with you on January 5, 2022 and I discussed with you again today, the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy should be reviewed and discussed with parents prior to enrollment. Each parent should sign an acknowledgement statement stating that the policy was reviewed and discussed with them. To maintain compliance with this child requirement, I suggest you discuss this with parents when they visit your family child care home and inquire about enrolling. If the child enrolls, I suggest you review the enrollment packet with parent prior to the first day of enrollment and have the parent sign the acknowledgement statement before leaving their child on the first day. 3. As Ms. Stikeleather discussed with you on January 5, 2022 and I discussed with you again today, all aerosol cans and cleaning supplies and items with “Keep out of the reach children” labels with additional warnings such as poison control contact numbers or first aid procedures should be stored in a locked cabinet, drawer, or closet. I suggested you consider purchasing a plastic container or toolbox that you can store these items in and lock with a pad lock and key and store on top of your cabinet in your dining room where these items are easily accessible to you and safely stored inaccessible to the children. 4. As discussed with you today, your discipline policy should be reviewed and discussed with parents prior to enrollment. Each parent should sign an acknowledgement statement stating that the policy was reviewed and discussed with them. To maintain compliance with this child requirement, I suggested you discuss this with parents when they visit your family child care home and inquire about enrolling. If the child enrolls, I suggest you review the enrollment packet with parent prior to the first day of enrollment and have the parent sign the acknowledgement statement before leaving their child on the first day. 5. Per child care rules 10A NCAC 09 .1719(a)(16) and .1721(e)(7), FCCH operators should conduct a lockdown or shelter-in-place drill every three months and the drill record should be completed with all required information and kept up to date. To maintain compliance with this child care requirement, I suggested you record the emergency drill as soon as you conduct the drill. 6. Per child care rule 10A NCAC 09 .1703(d)(2), teachers in a FCCH should revisit each Health and Safety (H&S) Training topic every five years. The due date the H&S training five-year renewal is calculated five years from the date on each H&S training certificate. To maintain compliance with this child care requirement, I suggested you use the “Health and Safety Training Record” I completed and left you today to record the dates of the on-going training courses that you complete annually and can use to also meet the Health and Safety training requirements. I also suggested you make a second copy of any training certificate used to meet the Health and Safety training requirements and attach the second copy of the training certificate to the Health and Safety Training Record to make it easier for you and your consultant to monitor. Consultation: 1. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. 2. Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. 3. Annual license fees are due. All invoices were emailed no later than December 1, 2023 and included the invoice number and total amount due. No paper copies will be sent through the U.S. Postal Service this year. All payments are due no later than December 31, 2023. Payments must be submitted online only through the Division’s website using a Mastercard or Visa debit or credit card, or by e-check. Providers will need their Facility ID number and their 2023 Invoice number to complete the payment process. Failure to pay the license fee is a violation of NCGS § 110-90(1a) and can result in a revocation of your child care license. In addition, unpaid license fees will be assessed a 10% late fee and accrued interest as established by NCGS § 147-86.23. If you have any questions, check the short Frequently Asked Questions on our website for answers or email DCDEE_LF@dhhs.nc.gov. 4. Today, I left you a copy of the written instructions for locating the health and safety training courses on DCDEE Moodle. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. I must receive your compliance letter no later than December 20, 2023. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Kimberly Crane Post Office Box 6217 Hickory, NC 28603 For your convenience, your compliance letter may be sent by email to: kimberly.crane@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, a visit summary, enrollment worksheet, statement of responsibility, caregiver verification form, and the Annual Compliance Checklist for Family Child Care Homes were printed, reviewed, and left with you today. We appreciate all you and your family do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (828) 493-6390 or by email at kimberly.crane@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 09.1721 · Violation

Name of Operation: L AND Y DAYCARE Facility ID: 13000193 Consultant: KIMBERLY CRANE Operation Type: Family CC Home Case Number: Visit Date: 12/6/2023 Number Present: 5 Completed Date: 12/6/2023 Age: From 1 To 4 Total Minutes: 230 Time In: 10:05 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Yvonne Frazier, Owner/Operator, assisted me with today’s visit. Your program currently operates with a four-star license, issued on February 24, 2020, earning 7 points in staff education, 2 points program standards, and 1 quality point for serving no more than two infants under one year of age. Dana Stikeleather, former child care consultant, conducted your last annual compliance visit on January 5, 2023. Your program’s compliance history was 93% as of December 5, 2023 and was reviewed with you today. I visited indoor and outdoor spaces today. I observed a front room of your home setup for child care. I observed you also use your hall bathroom and kitchen for child care purposes. Today, I requested a copy of your floor plan to add to your file. You gave me your evacuation plan and made a copy for you and for the file. I observed children playing in activity areas and at the kitchen table with Duplo blocks, preparing to eat lunch, preparing for nap, and napping. I observed proper handwashing procedures during today’s visit. I observed lunch prepared and served in the kitchen. I observed you prepare and serve turkey slices, green beans, mandarin orange slices, macaroni and cheese, and milk for lunch. I observed food and milk stored in the kitchen refrigerator at a temperature of 42 degrees Fahrenheit. I observed children adequately supervised, approved space used, a licensed capacity of 8 children maintained and permit restrictions including “Daytime and Overnight”, “Maximum of 5 preschool children at any time”, and “Serves no more than 2 infants under age 1” maintained during today’s visit. I monitored storage of hazardous materials and items in the child care setting. I observed and cited one violation. I reviewed program records including fire drills, emergency shelter-in-place and lockdown drills, outdoor safety inspections, written plan of care, emergency medical care plan, safe sleep policy, activity plans, daily schedule, screen time, arrival and departure records, and attendance. I observed and cited one violation. I reviewed all children records today. I observed and cited three violations. I reviewed your staff records today. I observed and cited one violation. I completed the “Annual Compliance Monitoring Checklist for Family Child Care Homes” during today’s visit. The following violations were documented: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. One child with a date of enrollment of 09/05/2023 did not have a child health assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. One child with a date of enrollment of 09/05/2023 did not have a signed acknowledgement statement from the parent acknowledging that the discipline policy had been received and discussed prior to enrollment. G.S.110-91(10); .1727(a)&(b) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The last shelter-in-place or lockdown drill was completed on 08/09/2023. No shelter-in-place or lockdown drill was recorded for November 2023. The owner/operator recorded on the Emergency Drill Log the shelter-in-place drill that was conducted on November 20, 2023 at 10:45am. .1719(a )(16) & .1721(e )(7) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. One spray bottle of Windex window cleaner was stored unlocked on the table in the dining room. One aerosol can of Lysol disinfecting spray was stored unlocked on top of the china cabinet in the dining room. The owner/operator locked the Windex spray bottle and the Lysol aerosol can in a closet in the kitchen. .1719(a)(6) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. Seven out of ten health and safety training topics were due to be completed within five years from 03/05/2022 through 01/19/2023. .1703(d)(2) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. One child with a date of enrollment of 09/05/2022 did not have a signed acknowledgement statement from the parent acknowledging that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy had been received and discussed prior to enrollment. .1726(b)&(c) Technical Assistance: 1. As Ms. Stikeleather discussed with you on January 5, 2022 and I discussed with you again today, a child’s health assessment should be on file within 30 days of enrollment. To maintain compliance with this child requirement, I suggest you discuss this with parents when they visit your family child care home and inquire about enrolling. If the child enrolls, remind the parent again at the time of enrollment and prior to the 30-day deadline. 2. As Ms. Stikeleather discussed with you on January 5, 2022 and I discussed with you again today, the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy should be reviewed and discussed with parents prior to enrollment. Each parent should sign an acknowledgement statement stating that the policy was reviewed and discussed with them. To maintain compliance with this child requirement, I suggest you discuss this with parents when they visit your family child care home and inquire about enrolling. If the child enrolls, I suggest you review the enrollment packet with parent prior to the first day of enrollment and have the parent sign the acknowledgement statement before leaving their child on the first day. 3. As Ms. Stikeleather discussed with you on January 5, 2022 and I discussed with you again today, all aerosol cans and cleaning supplies and items with “Keep out of the reach children” labels with additional warnings such as poison control contact numbers or first aid procedures should be stored in a locked cabinet, drawer, or closet. I suggested you consider purchasing a plastic container or toolbox that you can store these items in and lock with a pad lock and key and store on top of your cabinet in your dining room where these items are easily accessible to you and safely stored inaccessible to the children. 4. As discussed with you today, your discipline policy should be reviewed and discussed with parents prior to enrollment. Each parent should sign an acknowledgement statement stating that the policy was reviewed and discussed with them. To maintain compliance with this child requirement, I suggested you discuss this with parents when they visit your family child care home and inquire about enrolling. If the child enrolls, I suggest you review the enrollment packet with parent prior to the first day of enrollment and have the parent sign the acknowledgement statement before leaving their child on the first day. 5. Per child care rules 10A NCAC 09 .1719(a)(16) and .1721(e)(7), FCCH operators should conduct a lockdown or shelter-in-place drill every three months and the drill record should be completed with all required information and kept up to date. To maintain compliance with this child care requirement, I suggested you record the emergency drill as soon as you conduct the drill. 6. Per child care rule 10A NCAC 09 .1703(d)(2), teachers in a FCCH should revisit each Health and Safety (H&S) Training topic every five years. The due date the H&S training five-year renewal is calculated five years from the date on each H&S training certificate. To maintain compliance with this child care requirement, I suggested you use the “Health and Safety Training Record” I completed and left you today to record the dates of the on-going training courses that you complete annually and can use to also meet the Health and Safety training requirements. I also suggested you make a second copy of any training certificate used to meet the Health and Safety training requirements and attach the second copy of the training certificate to the Health and Safety Training Record to make it easier for you and your consultant to monitor. Consultation: 1. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. 2. Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. 3. Annual license fees are due. All invoices were emailed no later than December 1, 2023 and included the invoice number and total amount due. No paper copies will be sent through the U.S. Postal Service this year. All payments are due no later than December 31, 2023. Payments must be submitted online only through the Division’s website using a Mastercard or Visa debit or credit card, or by e-check. Providers will need their Facility ID number and their 2023 Invoice number to complete the payment process. Failure to pay the license fee is a violation of NCGS § 110-90(1a) and can result in a revocation of your child care license. In addition, unpaid license fees will be assessed a 10% late fee and accrued interest as established by NCGS § 147-86.23. If you have any questions, check the short Frequently Asked Questions on our website for answers or email DCDEE_LF@dhhs.nc.gov. 4. Today, I left you a copy of the written instructions for locating the health and safety training courses on DCDEE Moodle. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. I must receive your compliance letter no later than December 20, 2023. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Kimberly Crane Post Office Box 6217 Hickory, NC 28603 For your convenience, your compliance letter may be sent by email to: kimberly.crane@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, a visit summary, enrollment worksheet, statement of responsibility, caregiver verification form, and the Annual Compliance Checklist for Family Child Care Homes were printed, reviewed, and left with you today. We appreciate all you and your family do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (828) 493-6390 or by email at kimberly.crane@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S.110-91 · Violation

Name of Operation: L AND Y DAYCARE Facility ID: 13000193 Consultant: KIMBERLY CRANE Operation Type: Family CC Home Case Number: Visit Date: 12/6/2023 Number Present: 5 Completed Date: 12/6/2023 Age: From 1 To 4 Total Minutes: 230 Time In: 10:05 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Yvonne Frazier, Owner/Operator, assisted me with today’s visit. Your program currently operates with a four-star license, issued on February 24, 2020, earning 7 points in staff education, 2 points program standards, and 1 quality point for serving no more than two infants under one year of age. Dana Stikeleather, former child care consultant, conducted your last annual compliance visit on January 5, 2023. Your program’s compliance history was 93% as of December 5, 2023 and was reviewed with you today. I visited indoor and outdoor spaces today. I observed a front room of your home setup for child care. I observed you also use your hall bathroom and kitchen for child care purposes. Today, I requested a copy of your floor plan to add to your file. You gave me your evacuation plan and made a copy for you and for the file. I observed children playing in activity areas and at the kitchen table with Duplo blocks, preparing to eat lunch, preparing for nap, and napping. I observed proper handwashing procedures during today’s visit. I observed lunch prepared and served in the kitchen. I observed you prepare and serve turkey slices, green beans, mandarin orange slices, macaroni and cheese, and milk for lunch. I observed food and milk stored in the kitchen refrigerator at a temperature of 42 degrees Fahrenheit. I observed children adequately supervised, approved space used, a licensed capacity of 8 children maintained and permit restrictions including “Daytime and Overnight”, “Maximum of 5 preschool children at any time”, and “Serves no more than 2 infants under age 1” maintained during today’s visit. I monitored storage of hazardous materials and items in the child care setting. I observed and cited one violation. I reviewed program records including fire drills, emergency shelter-in-place and lockdown drills, outdoor safety inspections, written plan of care, emergency medical care plan, safe sleep policy, activity plans, daily schedule, screen time, arrival and departure records, and attendance. I observed and cited one violation. I reviewed all children records today. I observed and cited three violations. I reviewed your staff records today. I observed and cited one violation. I completed the “Annual Compliance Monitoring Checklist for Family Child Care Homes” during today’s visit. The following violations were documented: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. One child with a date of enrollment of 09/05/2023 did not have a child health assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. One child with a date of enrollment of 09/05/2023 did not have a signed acknowledgement statement from the parent acknowledging that the discipline policy had been received and discussed prior to enrollment. G.S.110-91(10); .1727(a)&(b) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The last shelter-in-place or lockdown drill was completed on 08/09/2023. No shelter-in-place or lockdown drill was recorded for November 2023. The owner/operator recorded on the Emergency Drill Log the shelter-in-place drill that was conducted on November 20, 2023 at 10:45am. .1719(a )(16) & .1721(e )(7) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. One spray bottle of Windex window cleaner was stored unlocked on the table in the dining room. One aerosol can of Lysol disinfecting spray was stored unlocked on top of the china cabinet in the dining room. The owner/operator locked the Windex spray bottle and the Lysol aerosol can in a closet in the kitchen. .1719(a)(6) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. Seven out of ten health and safety training topics were due to be completed within five years from 03/05/2022 through 01/19/2023. .1703(d)(2) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. One child with a date of enrollment of 09/05/2022 did not have a signed acknowledgement statement from the parent acknowledging that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy had been received and discussed prior to enrollment. .1726(b)&(c) Technical Assistance: 1. As Ms. Stikeleather discussed with you on January 5, 2022 and I discussed with you again today, a child’s health assessment should be on file within 30 days of enrollment. To maintain compliance with this child requirement, I suggest you discuss this with parents when they visit your family child care home and inquire about enrolling. If the child enrolls, remind the parent again at the time of enrollment and prior to the 30-day deadline. 2. As Ms. Stikeleather discussed with you on January 5, 2022 and I discussed with you again today, the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy should be reviewed and discussed with parents prior to enrollment. Each parent should sign an acknowledgement statement stating that the policy was reviewed and discussed with them. To maintain compliance with this child requirement, I suggest you discuss this with parents when they visit your family child care home and inquire about enrolling. If the child enrolls, I suggest you review the enrollment packet with parent prior to the first day of enrollment and have the parent sign the acknowledgement statement before leaving their child on the first day. 3. As Ms. Stikeleather discussed with you on January 5, 2022 and I discussed with you again today, all aerosol cans and cleaning supplies and items with “Keep out of the reach children” labels with additional warnings such as poison control contact numbers or first aid procedures should be stored in a locked cabinet, drawer, or closet. I suggested you consider purchasing a plastic container or toolbox that you can store these items in and lock with a pad lock and key and store on top of your cabinet in your dining room where these items are easily accessible to you and safely stored inaccessible to the children. 4. As discussed with you today, your discipline policy should be reviewed and discussed with parents prior to enrollment. Each parent should sign an acknowledgement statement stating that the policy was reviewed and discussed with them. To maintain compliance with this child requirement, I suggested you discuss this with parents when they visit your family child care home and inquire about enrolling. If the child enrolls, I suggest you review the enrollment packet with parent prior to the first day of enrollment and have the parent sign the acknowledgement statement before leaving their child on the first day. 5. Per child care rules 10A NCAC 09 .1719(a)(16) and .1721(e)(7), FCCH operators should conduct a lockdown or shelter-in-place drill every three months and the drill record should be completed with all required information and kept up to date. To maintain compliance with this child care requirement, I suggested you record the emergency drill as soon as you conduct the drill. 6. Per child care rule 10A NCAC 09 .1703(d)(2), teachers in a FCCH should revisit each Health and Safety (H&S) Training topic every five years. The due date the H&S training five-year renewal is calculated five years from the date on each H&S training certificate. To maintain compliance with this child care requirement, I suggested you use the “Health and Safety Training Record” I completed and left you today to record the dates of the on-going training courses that you complete annually and can use to also meet the Health and Safety training requirements. I also suggested you make a second copy of any training certificate used to meet the Health and Safety training requirements and attach the second copy of the training certificate to the Health and Safety Training Record to make it easier for you and your consultant to monitor. Consultation: 1. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. 2. Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. 3. Annual license fees are due. All invoices were emailed no later than December 1, 2023 and included the invoice number and total amount due. No paper copies will be sent through the U.S. Postal Service this year. All payments are due no later than December 31, 2023. Payments must be submitted online only through the Division’s website using a Mastercard or Visa debit or credit card, or by e-check. Providers will need their Facility ID number and their 2023 Invoice number to complete the payment process. Failure to pay the license fee is a violation of NCGS § 110-90(1a) and can result in a revocation of your child care license. In addition, unpaid license fees will be assessed a 10% late fee and accrued interest as established by NCGS § 147-86.23. If you have any questions, check the short Frequently Asked Questions on our website for answers or email DCDEE_LF@dhhs.nc.gov. 4. Today, I left you a copy of the written instructions for locating the health and safety training courses on DCDEE Moodle. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. I must receive your compliance letter no later than December 20, 2023. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Kimberly Crane Post Office Box 6217 Hickory, NC 28603 For your convenience, your compliance letter may be sent by email to: kimberly.crane@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, a visit summary, enrollment worksheet, statement of responsibility, caregiver verification form, and the Annual Compliance Checklist for Family Child Care Homes were printed, reviewed, and left with you today. We appreciate all you and your family do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (828) 493-6390 or by email at kimberly.crane@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: L AND Y DAYCARE Facility ID: 13000193 Consultant: KIMBERLY CRANE Operation Type: Family CC Home Case Number: Visit Date: 12/6/2023 Number Present: 5 Completed Date: 12/6/2023 Age: From 1 To 4 Total Minutes: 230 Time In: 10:05 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Yvonne Frazier, Owner/Operator, assisted me with today’s visit. Your program currently operates with a four-star license, issued on February 24, 2020, earning 7 points in staff education, 2 points program standards, and 1 quality point for serving no more than two infants under one year of age. Dana Stikeleather, former child care consultant, conducted your last annual compliance visit on January 5, 2023. Your program’s compliance history was 93% as of December 5, 2023 and was reviewed with you today. I visited indoor and outdoor spaces today. I observed a front room of your home setup for child care. I observed you also use your hall bathroom and kitchen for child care purposes. Today, I requested a copy of your floor plan to add to your file. You gave me your evacuation plan and made a copy for you and for the file. I observed children playing in activity areas and at the kitchen table with Duplo blocks, preparing to eat lunch, preparing for nap, and napping. I observed proper handwashing procedures during today’s visit. I observed lunch prepared and served in the kitchen. I observed you prepare and serve turkey slices, green beans, mandarin orange slices, macaroni and cheese, and milk for lunch. I observed food and milk stored in the kitchen refrigerator at a temperature of 42 degrees Fahrenheit. I observed children adequately supervised, approved space used, a licensed capacity of 8 children maintained and permit restrictions including “Daytime and Overnight”, “Maximum of 5 preschool children at any time”, and “Serves no more than 2 infants under age 1” maintained during today’s visit. I monitored storage of hazardous materials and items in the child care setting. I observed and cited one violation. I reviewed program records including fire drills, emergency shelter-in-place and lockdown drills, outdoor safety inspections, written plan of care, emergency medical care plan, safe sleep policy, activity plans, daily schedule, screen time, arrival and departure records, and attendance. I observed and cited one violation. I reviewed all children records today. I observed and cited three violations. I reviewed your staff records today. I observed and cited one violation. I completed the “Annual Compliance Monitoring Checklist for Family Child Care Homes” during today’s visit. The following violations were documented: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. One child with a date of enrollment of 09/05/2023 did not have a child health assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. One child with a date of enrollment of 09/05/2023 did not have a signed acknowledgement statement from the parent acknowledging that the discipline policy had been received and discussed prior to enrollment. G.S.110-91(10); .1727(a)&(b) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The last shelter-in-place or lockdown drill was completed on 08/09/2023. No shelter-in-place or lockdown drill was recorded for November 2023. The owner/operator recorded on the Emergency Drill Log the shelter-in-place drill that was conducted on November 20, 2023 at 10:45am. .1719(a )(16) & .1721(e )(7) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. One spray bottle of Windex window cleaner was stored unlocked on the table in the dining room. One aerosol can of Lysol disinfecting spray was stored unlocked on top of the china cabinet in the dining room. The owner/operator locked the Windex spray bottle and the Lysol aerosol can in a closet in the kitchen. .1719(a)(6) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. Seven out of ten health and safety training topics were due to be completed within five years from 03/05/2022 through 01/19/2023. .1703(d)(2) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. One child with a date of enrollment of 09/05/2022 did not have a signed acknowledgement statement from the parent acknowledging that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy had been received and discussed prior to enrollment. .1726(b)&(c) Technical Assistance: 1. As Ms. Stikeleather discussed with you on January 5, 2022 and I discussed with you again today, a child’s health assessment should be on file within 30 days of enrollment. To maintain compliance with this child requirement, I suggest you discuss this with parents when they visit your family child care home and inquire about enrolling. If the child enrolls, remind the parent again at the time of enrollment and prior to the 30-day deadline. 2. As Ms. Stikeleather discussed with you on January 5, 2022 and I discussed with you again today, the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy should be reviewed and discussed with parents prior to enrollment. Each parent should sign an acknowledgement statement stating that the policy was reviewed and discussed with them. To maintain compliance with this child requirement, I suggest you discuss this with parents when they visit your family child care home and inquire about enrolling. If the child enrolls, I suggest you review the enrollment packet with parent prior to the first day of enrollment and have the parent sign the acknowledgement statement before leaving their child on the first day. 3. As Ms. Stikeleather discussed with you on January 5, 2022 and I discussed with you again today, all aerosol cans and cleaning supplies and items with “Keep out of the reach children” labels with additional warnings such as poison control contact numbers or first aid procedures should be stored in a locked cabinet, drawer, or closet. I suggested you consider purchasing a plastic container or toolbox that you can store these items in and lock with a pad lock and key and store on top of your cabinet in your dining room where these items are easily accessible to you and safely stored inaccessible to the children. 4. As discussed with you today, your discipline policy should be reviewed and discussed with parents prior to enrollment. Each parent should sign an acknowledgement statement stating that the policy was reviewed and discussed with them. To maintain compliance with this child requirement, I suggested you discuss this with parents when they visit your family child care home and inquire about enrolling. If the child enrolls, I suggest you review the enrollment packet with parent prior to the first day of enrollment and have the parent sign the acknowledgement statement before leaving their child on the first day. 5. Per child care rules 10A NCAC 09 .1719(a)(16) and .1721(e)(7), FCCH operators should conduct a lockdown or shelter-in-place drill every three months and the drill record should be completed with all required information and kept up to date. To maintain compliance with this child care requirement, I suggested you record the emergency drill as soon as you conduct the drill. 6. Per child care rule 10A NCAC 09 .1703(d)(2), teachers in a FCCH should revisit each Health and Safety (H&S) Training topic every five years. The due date the H&S training five-year renewal is calculated five years from the date on each H&S training certificate. To maintain compliance with this child care requirement, I suggested you use the “Health and Safety Training Record” I completed and left you today to record the dates of the on-going training courses that you complete annually and can use to also meet the Health and Safety training requirements. I also suggested you make a second copy of any training certificate used to meet the Health and Safety training requirements and attach the second copy of the training certificate to the Health and Safety Training Record to make it easier for you and your consultant to monitor. Consultation: 1. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. 2. Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. 3. Annual license fees are due. All invoices were emailed no later than December 1, 2023 and included the invoice number and total amount due. No paper copies will be sent through the U.S. Postal Service this year. All payments are due no later than December 31, 2023. Payments must be submitted online only through the Division’s website using a Mastercard or Visa debit or credit card, or by e-check. Providers will need their Facility ID number and their 2023 Invoice number to complete the payment process. Failure to pay the license fee is a violation of NCGS § 110-90(1a) and can result in a revocation of your child care license. In addition, unpaid license fees will be assessed a 10% late fee and accrued interest as established by NCGS § 147-86.23. If you have any questions, check the short Frequently Asked Questions on our website for answers or email DCDEE_LF@dhhs.nc.gov. 4. Today, I left you a copy of the written instructions for locating the health and safety training courses on DCDEE Moodle. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. I must receive your compliance letter no later than December 20, 2023. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Kimberly Crane Post Office Box 6217 Hickory, NC 28603 For your convenience, your compliance letter may be sent by email to: kimberly.crane@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, a visit summary, enrollment worksheet, statement of responsibility, caregiver verification form, and the Annual Compliance Checklist for Family Child Care Homes were printed, reviewed, and left with you today. We appreciate all you and your family do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (828) 493-6390 or by email at kimberly.crane@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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